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Williams G, Waterhouse J, Mugarza J, et al. Therapy of circadian rhythm disorders in chronic fatigue syndrome: no symptomatic improvement with melatonin or phototherapy. Lexapro for 21 days in healthy volunteers resulted in a 50% increase in C max and 82% increase in AUC of the beta-adrenergic blocker metoprolol given in a single dose of 100 mg. Increased metoprolol plasma levels have been associated with decreased cardioselectivity. Coadministration of Lexapro and metoprolol had no clinically significant effects on blood pressure or heart rate. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. mail order asacol online europe

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Your healthcare provider or pharmacist can tell you if it is safe to take Escitalopram Tablets with your other medicines. Do not start or stop any medicine while taking Escitalopram Tablets without talking to your healthcare provider first. Kilinc, A. Different responsiveness of central nervous system tissues to oxidative conditions and to the antioxidant effect of melatonin. Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

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Reiter, R. J. Antioxidant activity of melatonin in Chinese hamster ovarian cells: changes in cellular proliferation and differentiation. Biochem. Kim MK, Park EA, Kim HJ, et al. Does supplementation of in-vitro culture medium with melatonin improve IVF outcome in PCOS? Foglia JP, Pollock BG, Kirshner MA et al. Plasma levels of citalopram enantiomers and metabolites in elderly patients. Psychopharmacol Bull. Prozac and Celexa are both selective serotonin reuptake inhibitor SSRI antidepressants.

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Morgan, D. G. Melatonin for cognitive impairment. Cochrane. Siddiqui MA, Nazmi AS, Karim S, and et al. Effect of melatonin and valproate in epilepsy and depression. Several recent epidemiologic studies suggest a positive statistical association between SSRI use including escitalopram oxalate in pregnancy and PPHN. Other studies do not show a significant statistical association. There are no adequate and well-controlled studies in pregnant women; therefore, escitalopram should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.



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SSRIs selective serotonin reuptake inhibitors are the most commonly prescribed type of antidepressant. They can make brain circuits that use serotonin work better. Swedish hospitals. Clin Toxicol. Multiple sleep latency test. This examination measures how long it takes you to fall asleep during the day. You'll be asked to take four or five naps, each nap two hours apart. Specialists will observe your sleep patterns. People who have narcolepsy fall asleep easily and enter into rapid eye movement REM sleep quickly. Although Wellbutrin SR sustained-release tablets are not used to help patients stop smoking, another brand of medicine that contains bupropion is approved for this use. Serious mental or mood problems, including depression, and suicidal thoughts or actions have been reported in some patients using bupropion to help them stop smoking. Overuse of naratriptan may cause your headache to become worse. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Adverse events during exposure were obtained primarily by general inquiry and recorded by clinical investigators using terminology of their own choosing. Consequently, it is not possible to provide a meaningful estimate of the proportion of individuals experiencing adverse events without first grouping similar types of events into a smaller number of standardized event categories. In the tables and tabulations that follow, standard World Health Organization WHO terminology has been used to classify reported adverse events. Jacob, A. Melatonin: can it stop the ringing? Peter H, Bandelow B, Krausz M. The impact of the central serotonin system on alcoholism and therapeutic consequences. Fortschr Neurol Psychiatr. Polysomnography. This test measures a variety of signals during sleep using electrodes placed on your scalp. For this test, you must spend a night at a medical facility. The test measures the electrical activity of your brain electroencephalogram and heart electrocardiogram and the movement of your muscles electromyogram and eyes electro-oculogram. It also monitors your breathing.



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Possible hyponatremia during treatment with SSRIs, including citalopram, and SNRIs; in many cases, hyponatremia appears to be due to SIADH. 8 9 206 207 208 344 363 399 Increased risk in patients who are volume depleted, elderly, or taking diuretics. 201 202 203 204 205 208 209 210 344 363 399 Initiate appropriate medical intervention and consider drug discontinuance in patients with symptomatic hyponatremia. Bjerkenstedt L, Flyckt L, Overo KF et al. Relationship between clinical effects, serum drug concentration and serotonin uptake inhibition in depressed patients treated with citalopram: a double-blind comparison of three dose levels. Eur J Clin Pharmacol. Try to take the medicine at the same time each day. Follow the directions on your prescription label. Stock AJ, Kofoed L. Therapeutic interchange of fluoxetine and sertraline: experience in the clinical setting. Am J Hosp Pharm. Since escitalopram is the active isomer of racemic citalopram Celexa the two agents should not be coadministered. Patients should be advised to inform their physician if they are taking, or plan to take, any prescription or over-the-counter drugs, as there is a potential for interactions. The symptoms of narcolepsy most commonly begin between the ages of 10 and 25. They may worsen for the first few years, and then continue for life. Watch out for any pre-appointment restrictions. When you make your appointment remember to ask if there is anything you need to do in advance. theophylline



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The European Agency for the Evaluation of Medicinal Products EMEA. Walraven C, Mamdani MM, Wells PS et al. Inhibition of serotonin reuptake by antidepressants and upper gastrointestinal bleeding in elderly patients: retrospective cohort study. BMJ. Borah, A. and Mohanakumar, K. P. Melatonin inhibits 6-hydroxydopamine production in the brain to protect against experimental parkinsonism in rodents. The tablets do not contain gluten. Who should not take Escitalopram Tablets? Somerset Pharmaceuticals. Eldepryl selegiline capsules prescribing information dated 1996 May. Take Escitalopram Tablets exactly as prescribed. Your healthcare provider may need to change the dose of Escitalopram Tablets until it is the right dose for you. Garg, S. K. Effect of melatonin and beta-carotene on indomethacin induced gastric mucosal injury. Indian J Physiol Pharmacol. Some people may be at risk for eye problems from citalopram. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye. It may harm an unborn baby. Acute episodes of depression may require several months or more of sustained pharmacologic therapy. fludrocortisone cost usa fludrocortisone



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Krauchi, K. No evidence for a phase delay in human circadian rhythms after a single morning melatonin administration. The tablets can be divided in two equal halves. Cooper, B. A. Melatonin and bright-light treatment for rest-activity disruption in institutionalized patients with Alzheimer's disease. J Am Geriatr. Initial: Methylphenidate- naive patients 18 mg once daily in the morning before breakfast. Many drugs besides citalopram may affect the heart rhythm QT prolongation including amiodarone, pimozide, procainamide, quinidine, sotalol, among others. Do not use Xanax if you are pregnant. This medicine can cause birth defects. Your baby could also become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking Xanax. Irritable bowel syndrome IBS. Early research suggests that taking melatonin might improve some, but not all, symptoms of IBS. Some research suggests that melatonin works better in people with IBS in which constipation rather than diarrhea is the main symptom. For some children or teens, another SSRI for treatment of symptoms of depression may be more effective than fluoxetine or escitalopram. If another SSRI is not effective, sometimes doctors may use another type of antidepressant to treat and teens. Camins, Espuny A. An evaluation of the neuroprotective effects of melatonin in an in vitro experimental model of age-induced neuronal apoptosis. cheap sinequan mail order online



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Reiter RJ, Poeggeler B, Tan D, and et al. Antioxidant capacity of melatonin: a novel action not requiring a receptor. Neuroendocrinol. Lexapro and placebo groups were compared with respect to 1 mean change from baseline in vital signs pulse, systolic blood pressure, and diastolic blood pressure and 2 the incidence of patients meeting criteria for potentially clinically significant changes from baseline in these variables. These analyses did not reveal any clinically important changes in vital signs associated with Lexapro treatment. In addition, a comparison of supine and standing vital sign measures in subjects receiving Lexapro indicated that Lexapro treatment is not associated with orthostatic changes. Alprazolam may be habit-forming. Never share Xanax with another person, especially someone with a history of drug abuse or addiction. QT c-interval prolongation and arrhythmias. Peet M. Induction of mania with selective serotonin re-uptake inhibitors and tricyclic antidepressants. Br J Psychiatr. Do not use citalopram if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. Gough, M. R. Melatonin treatment prior to the normal breeding season increases fetal number in United Kingdom sheep flocks. Vet. ohri.info vasodilan



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Herxheimer A, Petrie KJ. Melatonin for preventing and treating jet lag. Elderly patients may be at greater risk of developing hyponatremia with SSRIs and SNRIs. Citalopram may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use citalopram with caution. Pettinati HM, Volpicelli JR, Luck G et al. Double-blind clinical trial of sertraline treatment for alcohol dependence. J Clin Psychopharmacol. Angeli, A. Acute administration of melatonin at two opposite circadian stages does not change responses to gonadotropin releasing hormone, thyrotropin releasing hormone and ACTH in healthy adult males. DSM-IV criteria for GAD. This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment. You should not use Zipsor if you are allergic to diclofenac, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. It targets a specific part of the brain. Patients should be advised of the following issues and asked to alert their prescriber if these occur while taking escitalopram oxalate. Trulicity is not approved for use by anyone younger than 18 years old. Ho, K. Y. Melatonin improves bowel symptoms in female patients with irritable bowel syndrome: a double-blind placebo-controlled study. Aliment. If used in combination with insulin or an insulin secretagogue, a lower dose of insulin or the insulin secretagogue should be considered to reduce the risk of hypoglycemia. While these events are generally self-limiting, there have been reports of serious discontinuation symptoms. What are the ingredients in Escitalopram Tablets? Danilenko, K. V. and Putilov, A. A. Melatonin treatment of winter depression following total sleep deprivation: waking EEG and mood correlates.



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Ayanoglu-Dulger, G. Protective effects of melatonin, vitamin E and N-acetylcysteine against acetaminophen toxicity in mice: a comparative study. Patients should be cautioned about the risk of bleeding associated with the concomitant use of Lexapro and NSAIDs, aspirin, or other drugs that affect coagulation. Rasmussen BB, Brosen K. Is therapeutic drug monitoring a case for optimizing clinical outcome and avoiding interactions of the selective serotonin reuptake inhibitors? Food and Drug Administration. Letter to Forest Laboratories Inc concerning NDA submission for Celexa citalopram hydrobromide NDA 21-046. From FDA web site. Brannan SK, Talley BJ, Bowden CL. Sertraline and isocarboxazid cause a serotonin syndrome. J Clin Psychopharmacol. Bubenik, G. A. Role of melatonin in upper gastrointestinal tract. Maestroni, G. J. The immunotherapeutic potential of melatonin. Expert. Insomnia also varies in how long it lasts and how often it occurs. It can be short-term acute insomnia or can last a long time chronic insomnia. It can also come and go, with periods of time when a person has no sleep problems. Acute insomnia can last from one night to a few weeks. Insomnia is called chronic when a person has insomnia at least three nights a week for a month or longer. Lissoni P, Brivio O, Brivio F, et al. Adjuvant therapy with the pineal hormone melatonin in patients with lymph node relapse due to malignant melanoma. It is recommended to apply the patch topically to hip area 2 hours before an effect is needed and to remove the patch 9 hours after application. However, wear time should be individualized according to the needs and response of the individual patient. What other drugs will affect methylphenidate? Rossignol, D. A. and Frye, R. E. Melatonin in autism spectrum disorders: a systematic review and meta-analysis. Dev. Stress. There is some evidence that taking melatonin might improve memory while under stress. neotrex



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Importance of advising patients that citalopram can cause mild pupillary dilation, which can lead to an episode of angle-closure glaucoma in susceptible individuals. 399 Possible symptoms include eye pain, vision changes, and swelling or redness in or around the eye. 399 Preexisting glaucoma is almost always open-angle glaucoma since angle-closure glaucoma can be treated definitively with iridectomy when diagnosed; open-angle glaucoma is not a risk factor for angle-closure glaucoma. Other than the most likely cause, what are other possible causes for my symptoms or condition? Kessler J, Samuels SC. Sertraline and hyponatremia. N Engl J Med. Raven, P. W. A randomized double-blind placebo-controlled trial of treatment as usual plus exogenous slow-release melatonin 6 mg or placebo for sleep disturbance and depressed mood. Int. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Do not use Cambia to treat a cluster headache. In a single dose study of 10 mg escitalopram, AUC of escitalopram decreased by 19%, and Cmax increased by 26% in healthy adolescent subjects 12 to 17 years of age compared to adults. This dose may be gradually increased every 3 to 4 days if needed and tolerated. Some people may be at risk for eye problems from Wellbutrin SR sustained-release tablets. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye. Sandyk R, Tsagas N, Anninos PA. Melatonin as a proconvulsive hormone in humans. Read the Medication Guide that comes with Escitalopram Tablets before you start taking them and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your healthcare provider about your medical condition or treatment. Talk with your healthcare provider if there is something you do not understand or want to learn more about. Bhatara VS, Bandettini FC. Possible interaction between sertraline and tranylcypromine. Clin Pharm. Tan JY, Levin GM. Citalopram in the treatment of depression and other potential uses in psychiatry. Pharmacotherapy. It may take a few weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve. Your doctor decides on the duration of treatment. over the counter gabapentin in canada



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Kanjanauthai S, Kanluen T, Chareonthaitawee P. Citalopram induced torsade de pointes, a rare life threatening side effect. Int J Cardiol. Blier P, Bergeron R. The safety of concomitant use of sumatriptan and antidepressant treatments. J Clin Psychopharmacol. These other effects are less serious. Nishihara T, Hashimoto S, Ito K, et al. Oral melatonin supplementation improves oocyte and embryo quality in women undergoing in vitro fertilization-embryo transfer. Gynecol Endocrinol. What is likely causing my symptoms or condition? Get emergency medical help if you have signs of an allergic reaction to Celebrex: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat. anafranil price per box



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Dose adjustments should be made according to clinical response. The concomitant use of Lexapro with MAOIs intended to treat psychiatric disorders is contraindicated. Lexapro should also not be started in a patient who is being treated with MAOIs such as linezolid or intravenous methylene blue. How should I take Lexapro? If the answer is yes to any of these, you need to see your doctor. Whether or not you actually have treatment-resistant depression, you need expert help. Nordlund JJ, Lerner AB. The effects of oral melatonin on skin color and on the release of pituitary hormones. Based on data from single- and multiple-dose studies measuring escitalopram in elderly, young adults, and adolescents, no dosage adjustment on the basis of gender is needed. Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with Elavil. Bluff DD, Oji N. SIADH in a patient receiving sertraline. Ann Intern Med. hydrea



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Kunz, D. and Mahlberg, R. A two-part, double-blind, placebo-controlled trial of exogenous melatonin in REM sleep behaviour disorder. Cmax and AUC were similar in patients with MDD 12 to 17 years of age compared to adult patients. No adjustment of dosage is needed in adolescent patients. Basic Clin Pharmacol Toxicol. Carli M, Reader TA. Regulation of central serotonin transporters by chronic lithium: an autoradiographic study. Synapse. What medicines might he or she try? Gastrointestinal Disorders - abdominal cramp, heartburn, gastroenteritis. Itil TM, Menon GN, Bozak MM et al. CNS effects of citalopram, a new serotonin inhibitor antidepressant a quantitative pharmaco-electroencephalography study. Prog Neuropsychopharmacol Biol Psychiatr. Bangha E, Elsner P, Kistler GS. Suppression of UV-induced erythema by topical treatment with melatonin N-acetyl-5-methoxytryptamine. Influence of the application time point. Citalopram is an antidepressant. This dose was also associated with maternal toxicity clinical signs, decreased body weight gain. Antidepressants increased the risk compared to placebo of suicidal thinking and behavior suicidality in children, adolescents, and young adults in short-term studies of major depressive disorder MDD and other psychiatric disorders. Anyone considering the use of Lexapro or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Lexapro is not approved for use in pediatric patients less than 12 years of age. Nathan PJ, Wyndham EL, Burrows GD, Norman TR. The effect of gender on the melatonin suppression by light: a dose response relationship. Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Ray, C. A. Melatonin differentially affects vascular blood flow in humans. Skin and Subcutaneous Tissue Disorders: alopecia, angioedema, dermatitis, ecchymosis, erythema multiforme, photosensitivity reaction, Stevens Johnson Syndrome, toxic epidermal necrolysis, urticaria.



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Citalopram passes into breast milk in small amounts. Whatever the cause of your issues, some simple fixes may help you get more shut-. Use with caution in patients with severe renal impairment. 1 4 See Renal Impairment under Dosage and Administration and also see Elimination: Special Populations, under Pharmacokinetics. Selective serotonin reuptake inhibitors SSRIs or serotonin and norepinephrine reuptake inhibitors SNRIs. Doctors often prescribe these medications, which suppress REM sleep, to help alleviate the symptoms of cataplexy, hypnagogic hallucinations and sleep paralysis. They include fluoxetine Prozac, Sarafem, Selfemra and venlafaxine Effexor XR. Side effects can include weight gain, sexual dysfunction and digestive problems. How Do SSRIs Work? When treating a pregnant woman with Lexapro, the physician should carefully consider both the potential risks of taking an SSRl, along with the established benefits of treating depression with an antidepressant. Eastman, C. I. Advancing human circadian rhythms with afternoon melatonin and morning intermittent bright light. J Clin Endocrinol. Complete the What is a document? These tests can also help doctors rule out other possible causes of your signs and symptoms. Other sleep disorders, such as sleep apnea, can cause excessive daytime sleepiness. Escitalopram can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Results of 2 placebo-controlled trials in children and adolescents with major depressive disorder did not support a claim of efficacy for use of citalopram in pediatric patients with this condition. Wing YK, Clifford EM, Sheehan BD et al. Paroxetine treatment and the prolactin response to sumatriptan. Psychopharmacology. price differin uk



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Reiter, R. J. Role of melatonin in the epigenetic regulation of breast cancer. Breast Cancer Res. However, is one of the most treatable mental disorders. Between 80% and 90%of people who have it benefit from treatment. The kind of management you need depends on your specific situation, but for some people, can be very helpful. It is not known whether Trulicity will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using Trulicity. Melis, G. B. Melatonin enhances the luteinizing hormone and follicle-stimulating hormone responses to gonadotropin-releasing hormone in the follicular, but not in the luteal, menstrual phase. chloramphenicol

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Anon. FDA statement regarding the anti-depressant Paxil for pediatric population. FDA Talk Paper. Rockville, MD: Food and Drug Administration; 2003 Jun 30. T03-43. From the FDA website. Johns Hopkins Medicine. Phobias. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.

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All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine. All medicines may cause side effects, but many people have no, or minor, side effects. Shapiro, C. M. Antidepressant action of melatonin in the treatment of Delayed Sleep Phase Syndrome. Sleep Med. Signs and symptoms of hyponatremia include headache, difficulty concentrating, memory impairment, confusion, weakness, and unsteadiness, which may lead to falls.

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Amitriptyline can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Elavil. Lieberman, H. R. Effects of illumination on human nocturnal serum melatonin levels and performance. Physiol Behav. Symptoms may include nausea, vomiting, epigastric distress, headache, fever, joint pain, pruritus, and edema. Aplastic anemia pancytopenia or agranulocytosis may be manifested in hours to days. Less frequent events are hepatitis, nephrotic syndrome, exfoliative dermatitis, neuropathies, and CNS stimulation or depression.

Also watch for signs of high blood sugar hyperglycemia such as increased thirst or urination, blurred vision, headache, and tiredness. This may help you focus your mind on something other than your pain. Severe Precaution: Possible increased suicidal ideation and attempt with underlying major depression. Monitor weight and growth rate. Administer orally once daily morning or evening without regard to meals. Side effects have been reported to be generally mild and transient. They are most common during the first 2 weeks of treatment and decrease in intensity and frequency with continued treatment. They generally do not lead to treatment cessation. price of carafate prescription

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