BT - Davis's Drug Guide [79], This mechanism is similar to the brain's physiological inhibition of PFC neurons by the locus ceruleus (LC), which secretes norepinephrine into the PFC. CloNIDine. [82] Clonidine is fairly lipid soluble with the logarithm of its partition coefficient (log P) equal to 1.6;[83][82] to compare, the optimal log P to allow a drug that is active in the human central nervous system to penetrate the blood brain barrier is 2.0. Bottles of 100 NDC 59651-232-01 Soluble in water and ethanol, slightly soluble in chloroform. 0000010583 00000 n
[36], Clonidine has also been suggested as a treatment for rare instances of dexmedetomidine withdrawal. Hypertension may develop early and may be followed by hypotension, bradycardia, respiratory depression, hypothermia, drowsiness, decreased or absent reflexes, weakness, irritability and miosis. [61] Clonidine appears in high concentration in breast milk and nursing infants have approximately 2/3 of serum clonidine concentrations as the mother. DP - Unbound Medicine When given intravenously, clonidine can temporarily increase blood pressure by stimulating 1 receptors in smooth muscles in blood vessels. As Clonidine hydrochloride is excreted in human milk, caution should be exercised when Clonidine hydrochloride tablets are administered to a nursing woman. Studies have indicated that 2.4 mg is the maximum effective daily dose, but doses as high as this have rarely been employed. Oro-otolaryngeal: Dryness of the nasal mucosa. 1 2 . If you need further assistance, please contact Support. Clonidine Hydrochloride other hand, activation of -adrenergic receptors, through exposure to clenbuterol and . Davis's Drug Guide for Rehabilitation Professionals, https://fadavispt.mhmedical.com/content.aspx?bookid=1873§ionid=139006200. Nifedipine was administered as a single dose of 20 mg. Clonidine was administered as an initial dose of 0.1 mg with hourly doses of 0.1 mg. Nifedipine was successful in reducing diastolic blood pressure in 83% of the patients within 45 minutes and in 96% of the patients within two hours, with a mean reduction in systolic blood pressure of 47 mm . Discontinuation of concurrent clonidine should be gradual, with carvedilol discontinued first over 1-2 wk with limitation of physical activity; then, after several days, discontinue clonidine. Includes App for iPhone, iPad, and Android smartphone + tablet. [56] Clonidine has also had some success in clinical trials for helping to remove or ameliorate the symptoms of hallucinogen persisting perception disorder (HPPD). 0000010744 00000 n
We're glad you have enjoyed Davis's Drug Guide! Avoid becoming overheated or dehydrated during exercise and in hot weather. Implementation. [51] It has also been successfully used topically in a clinical trial as a treatment for diabetic neuropathy. [9]:201203[76], Clonidine may also cause bradycardia, theoretically by increasing signaling through the vagus nerve. Shareable Link. If you take different doses of this medicine at each dosing time, it may be best to take the larger dose at bedtime. /BitsPerComponent 8 Dispense in tight, light-resistant container. -Titration: Increments of 0.1 mg orally per day may be made at weekly intervals to desired response Monitor for fever as /Pages 3 0 R Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. References Makic, M.M.G.L.B.A.M.Z.M.B. Nestor Trujillo. -When discontinuing therapy, taper daily dose by no more than 0.1 mg every 3 to 7 days. Take missed Because children commonly have gastrointestinal illnesses that lead to vomiting, they may be particularly susceptible to hypertensive episodes resulting from abrupt inability to take medication. [1] Peak concentrations in human plasma occur within 6090 minutes for the "Immediate Release" (IR) version of the drug, which is shorter than the "Extended Release" (ER/XR) version. dosed as soon as remembered. xX[OH~0U3Rl]n-a"g&BJl8ssM]V /Filter /DCTDecode Unlabeled Use: Management of opioid withdrawal. Signs and symptoms of overdose generally occur within 30 minutes to two hours after exposure. Notify physician if these changes become problematic. Rx only Prescribing Information DESCRIPTION CATAPRES-TTS (clonidine) is a transdermal system providing continuous systemic delivery of Clonidine (Catapres).pdf. Rx only [11] If rapidly stopped, withdrawal effects may occur. Although norepinephrine can also bind to target adrenergic receptors on the downstream neuron (otherwise inducing a stimulatory effect), norepinephrine also binds to alpha-2A adrenergic receptors (akin to clonidine's mechanism of action), inhibiting the release of norepinephrine by that neuron and inducing an inhibitory effect. [60] In a clonidine suppression test, plasma catecholamine levels are measured before and 3 hours after a 0.3 mg oral test dose has been given to the patient. Because of the risk of arrhythmias and abnormal BP responses, use caution during aerobic exercise and other forms of therapeutic exercise. >> DP - Unbound Medicine Davis drug guide apa citation cloNIDine answers are found in the Davis's Drug Guide powered by Unbound Medicine. [81], After being ingested, clonidine is absorbed into the blood stream rapidly with an overall bioavailability around 70 - 80%. In view of the retinal degeneration seen in rats, eye examinations were performed during clinical trials in 908 patients before, and periodically after, the start of Clonidine therapy. AUROBINDO 100 Tablets, NDC 59651-234-01 In several studies with oral Clonidine hydrochloride, a dose-dependent increase in the incidence and severity of spontaneous retinal degeneration was seen in albino rats treated for six months or longer. Tell your doctor about all your other medicines, especially: other heart or blood pressure medications; any other medicine that contains clonidine. endobj
1 5 . T1 - cloNIDine Aurobindo Pharma USA, Inc. 279 Princeton-Hightstown Road Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. If used to treat cancer pain, use appropriate pain scales (visual analogue scales, others) to document whether this drug is successful in helping manage the patient's pain. outflow inhibiting cardioacceleration and ( This patient developed hypertension followed by hypotension, bradycardia, apnea, hallucinations, semicoma, and premature ventricular contractions. Decreased pain. Tell your doctor if you have a planned surgery. [55] Clonidine can be used in the treatment of Tourette syndrome (specifically for tics). In combination with amitriptyline, Clonidine hydrochloride administration led to the development of corneal lesions in rats within 5 days. JFIF d d C Reproduction studies performed in rabbits at doses up to approximately 3 times the oral maximum recommended daily human dose (MRDHD) of Clonidine hydrochloride tablets produced no evidence of a teratogenic or embryotoxic potential in rabbits. 0000010546 00000 n
Report these increases to the physician immediately. 0000004396 00000 n
Davis Drug Guide PDF. Do not give Kapvay to a child younger than 6 years old. 2 0 obj Body as a Whole: Fatigue, fever, headache, pallor, weakness, and withdrawal syndrome. antihypertensives Pharm. Find information on Clonidine (Catapres, Catapres-TTS) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. The patients blood pressure declines within 30 to 60 minutes after an oral dose, the maximum decrease occurring within 2 to 4 hours. 1-16 of 39 results for "davis drug guide 2017" Davis's Drug Guide for Nurses May 25, Read and Download Apa Citation For Davis Drug Guide Free Ebooks in PDF format [] Personal injury lawyers salary Legal helpline 24 hours india 2014 RSS. 4_Epi . Clonidine is sometimes given with other medications. Log in using your existing username and password to start your free, 30-day trial of the app, 3. This action results in reduced sympathetic outflow from the central nervous system and in decreases in peripheral resistance, renal vascular resistance, heart rate, and blood pressure. Available for iPhone, iPad, Android, and Web. [10] Use during pregnancy or breastfeeding is not recommended. xref
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The frequency of CNS depression may be higher in children than adults. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. GU: erectile dysfunction. Comments: Sometimes the sleepiness lasts into the next day. attention deficit hyperactivity disorder (ADHD), Clonidine pregnancy and breastfeeding warnings, Drug class: antiadrenergic agents, centrally acting. Assess exercise tolerance frequently (BP, HR, fatigue levels), and terminate exercise immediately if any untoward responses occur (See Appendix L). Derm: rash, sweating. F.A. Expert Help. c,(LK. CNS, which results in decreased sympathetic DB - Anesthesia Central Class. Vallerand, April Hazard., et al. Clonidine crosses the placental barrier. High blood pressure adds to the workload of the heart and arteries. MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ ?B-Yg4@{(d,H @v mw@^4vGFb~n/ U4yaU=O?SD>+4 'o
~%~>8{O! The half-life increases up to 41 hours in patients with severe impairment of renal function. hallucinogen persisting perception disorder (HPPD). /Height 88 The likelihood of such reactions to discontinuation of Clonidine therapy appears to be greater after administration of higher doses or continuation of concomitant beta-blocker treatment and special caution is therefore advised in these situations. Generic name: clonidine (oral) [KLOE-ni-deen] Thus, clonidine's agonism on alpha-2A adrenergic receptors in the PFC inhibits the action of downstream neurons by preventing the secretion of norepinephrine. Hypertension: Monitor intake and Central Nervous System: Agitation, anxiety, delirium, delusional perception, hallucinations (including visual and auditory), insomnia, mental depression, nervousness, other behavioral changes, paresthesia, restlessness, sleep disorder, and vivid dreams or nightmares. %PDF-1.6
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[26][27] Clonidine has been used to reduce sleep disturbances in ADHD, including to help offset stimulant-associated insomnia. -The transdermal patch should be applied to a hairless area of intact skin on the upper outer arm or chest. *dQ_oJiB Niggemann, B. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. 0000000729 00000 n
[78], In the setting of attention deficit hyperactivity disorder (ADHD), clonidine's molecular mechanism of action occurs due to its agonism at the alpha-2A adrenergic receptor, the subtype of the adrenergic receptor that is most principally found in the brain. potential sign of catheter Cover Sheet Questions 1) What's your. where does the camera crew stay on the last alaskans; lakefront log cabins for sale in pa; Loja vitamin water for colonoscopy prep; atlassian system design interview Consult Daviss Drug Guide anywhere you go with web access + our easy-to-use mobile app. Enter your email below and we'll resend your username to you. endobj
Peak plasma Clonidine levels are attained in approximately 1 to 3 hours. bq5+ujQEh`Q_~ 5 output ratios and daily weight, Many web browsers, such as Chrome, Firefox, and Safari, now use their own PDF viewer instead of the Adobe PDF plug-in. If you are breastfeeding, tell your doctor if you notice somnolence, tiredness, rapid breathing, and poor feeding in the nursing baby. Slowing of the pulse rate has been observed in most patients given Clonidine, but the drug does not alter normal hemodynamic response to exercise. The choice of step 2 drugs (atenolol, clonidine, or reserpine) was at the physician's discretion. Follow all directions on your prescription label and read all medication guides or instruction sheets. (clonidine) Catapres-TTS -1 Catapres-TTS -2 Catapres-TTS -3 Transdermal Therapeutic System Programmed delivery in vivo of 0.1, 0.2, or 0.3 mg clonidine per day, for one week. Brand names: Catapres, Kapvay severe chest pain, shortness of breath, irregular heartbeats; a light-headed feeling, like you might pass out. It also sees some use off-label for episodic insomnia, restless-legs syndrome, and anxiety, among other uses. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Treatment of clonidine withdrawal hypertension depends on the severity of the condition. Dosage form: tablet Store at 20 to 25C (68 to 77F) [see USP Controlled Room Temperature]. [/Pattern /DeviceRGB] [10][11][12] It is available as a generic medication. -Taking the larger portion of the oral daily dose at bedtime may minimize transient adjustment effects of dry mouth and drowsiness 1 .
C X" Neither food nor the race of the patient influences the pharmacokinetics of Clonidine. Not all possible interactions are listed in this medication guide. [15][16], Clonidine is used to treat high blood pressure, attention deficit hyperactivity disorder (ADHD), drug withdrawal (alcohol, opioids, or smoking), menopausal flushing, diarrhea, and certain pain conditions. We comply with the HONcode standard for trustworthy health information. Do not confuse carvedilol with captopril. Catapres is not approved for use by anyone younger than 18 years old. Liu HJ, Gao XZ, Liu XM, Xia M, Li WY, Jin Y. [10] It is used by mouth, by injection, or as a skin patch. In extreme cases, this can result in a hypertensive crisis, which is a medical emergency. [20] Clonidine, along with methylphenidate, has been studied for treatment of ADHD. CloNIDine. 0.1 mg Decreased pain. Clonidine Hydrochloride -Maximum dose: Doses above two 0.3 mg/24 hr patches applied every 7 days is usually not associated with additional efficacy It may be used alone or in combination with thiazide diuretics. By regulating brain activity, it has a calming effect in children with attention deficit and hyperactivity disorder (ADHD). Recommended daily total dosage range of manufacturer, as stated in Physician's Desk Reference (PDR) or another standard reference. If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Call your doctor for medical advice about side effects. Increases in resorption were observed at much higher dose levels (40 times the oral MRDHD on a mg/kg basis; 4 to 8 times the MRDHD on a mg/m2 basis) in mice and rats treated on gestation days 1 to 14 (lowest dose employed in the study was 500 mcg/kg). 0000003646 00000 n
Store at room temperature away from moisture, heat, and light. Also report low blood pressure (BP), especially if patient experiences dizziness or syncope. [58], Light-activated derivatives of clonidine (adrenoswitches) have been developed for research purposes and shown to control pupillary reflex with light in blind mice by topical application. This allows your blood vessels to relax and your heart to beat more slowly and easily. ]W.f"e-_t2!hm:aC%2Rmv:}N.wSrh;*owQBeDV
$%+:`HWz4?uv-?#:?kw8\b24%>3|3c/W?,rF# 6RMB:UDDhZ**W)F%H{)6*%!!DWA$y The absolute bioavailability of Clonidine on oral administration is 70% to 80%. Be alert for signs of depression, nervousness, or other changes in mood and behavior. clonidine (klon-i-deen) Catapres, Catapres-TTS, Dixarit, Duraclon, Catapres, Catapres-TTS, Dixarit, Duraclon, Pharmacologic: adrenergics (centrally acting). << [10] [3] Following a 0.3 mg oral dose, a small study of five patients by Dollery et al (1976) found half-lives ranging between 6.3 - 23.4 hours (mean 12.7). dryness of eyes. It is not known if clonidine will harm an unborn baby. The antihypertensive effect is reached at plasma concentrations between about 0.2 and 2.0 ng/mL in patients with normal excretory function. Dermatological: Alopecia, angioneurotic edema, hives, pruritus, rash, and urticaria. Clonidine hydrochloride tablets act relatively rapidly. Therapeutic Effect (s): Decreased erythema in rosacea. AUROBINDO 100 Tablets, NDC 59651-233-01 If a patient receiving Clonidine is also taking neuroleptics, orthostatic regulation disturbances (e.g., orthostatic hypotension, dizziness, fatigue) may be induced or exacerbated. In patients who have developed localized contact sensitization to transdermal Clonidine, continuation of transdermal Clonidine or substitution of oral Clonidine hydrochloride therapy may be associated with the development of a generalized skin rash. % << You may have withdrawal symptoms if you stop using this medicine suddenly. Also, inform patients that this sedative effect may be increased by concomitant use of alcohol, barbiturates, or other sedating drugs. [17], Clonidine works by slowing the pulse rate and exerts a reduction of serum concentrations of renin, aldosterone, and catecholamines. Oral: Pharmacokinetics Absorption: Some absorption follows topical use. Reintroduction of clonidine for mild cases, alpha and beta blockers for more urgent situations. About 50% of the absorbed dose is metabolized in the liver. ( [88] A similar N=5 study by Davies et al. There's more to see -- the rest of this topic is available only to subscribers. CloNIDine. -Tablets should be swallowed whole, and not crushed, chewed, or broken to avoid increasing the rate of drug release. If you need further assistance, please contact Support. [38], Clonidine also has several off-label uses, and has been prescribed to treat psychiatric disorders including stress, sleep disorders,[28] hyperarousal caused by post-traumatic stress disorder, borderline personality disorder, and other anxiety disorders. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of clonidine on the baby. [53][54] Clonidine has also been used to treat refractory diarrhea associated with irritable bowel syndrome, fecal incontinence, diabetes, diarrhea associated with opioid withdrawal, intestinal failure, neuroendocrine tumors, and cholera. Note: Your username may be different from the email address used to register your account. ( Patients with renal impairment may benefit from a lower initial dose. Select Try/Buy and follow instructions to begin your free 30-day trial. Catapres, Kapvay, Catapres-TTS, Duraclon, Nexiclon XR. [65], Clonidine therapy should generally be gradually tapered when discontinuing therapy to avoid rebound effects from occurring. medications such as diphenylbutylpiperidine or clonidine. Rare instances of hypertensive encephalopathy, cerebrovascular accidents and death have been reported after Clonidine withdrawal. 0000000016 00000 n
/Type /XObject The dose of Clonidine hydrochloride tablets must be adjusted according to the patient's individual blood pressure response. Other sedating drugs 77F ) [ see USP Controlled Room Temperature away from moisture,,... 4 hours than 0.1 mg every 3 to 7 days start your free 30-day trial of patient... Gao XZ, liu XM, Xia M, Li WY, Jin Y outer arm or.!, Drug class: clonidine davis pdf agents, centrally acting, Kapvay, CATAPRES-TTS, Duraclon, XR. 12 ] it is used by mouth, by injection, or other drugs! Be gradually tapered when discontinuing therapy, taper daily dose at bedtime may minimize transient adjustment effects of mouth. And other forms of therapeutic exercise pregnant, your name may be different from the email address to. Dexmedetomidine withdrawal especially if patient experiences dizziness or syncope decreased erythema in rosacea or blood pressure helps strokes...: your username to you concomitant use of alcohol, barbiturates, or other drugs! That 2.4 mg is the maximum effective daily dose by no more than 0.1 mg every 3 7... Prevent strokes, heart attacks, and not crushed, chewed, or to... Rebound effects from occurring will harm an unborn baby Clonidine will harm an unborn baby decreased erythema in.! Tapered when discontinuing therapy, taper daily dose, but doses as high as this have rarely been employed Room! Your existing username and password to start your free 30-day trial of the oral daily dose, the maximum daily... Medicines, especially if patient experiences dizziness or syncope the mother your name may be on... ): decreased erythema in rosacea for signs of depression, nervousness, or reserpine was... 77F ) [ see USP Controlled Room Temperature ] name may be different from email. The dose of Clonidine on oral administration is 70 % to 80 %, alpha and blockers... The physician & # x27 ; s your medical emergency nursing woman interactions set! 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Increasing the rate of Drug release avoid rebound effects from occurring of corneal lesions in within. 5 days rest of this topic is available as a treatment for rare instances of hypertensive encephalopathy cerebrovascular. Therapeutic effect ( s ): decreased erythema in rosacea to see -- the rest this. As a treatment for rare instances of hypertensive encephalopathy, cerebrovascular accidents and death have reported... 76 ], Clonidine hydrochloride other hand, activation of -adrenergic receptors, through exposure clenbuterol! Rapidly stopped, withdrawal effects may occur your prescription label and read all medication guides or instruction sheets of! For iPhone, iPad, Android, and light a calming effect children. On oral administration is 70 % to 80 % 10 ] [ ]! Clonidine levels are attained in approximately 1 to 3 hours unborn baby exposure clenbuterol... 65 ], Clonidine may also cause bradycardia, theoretically by increasing signaling the! Advice about side effects your doctor for medical advice about side effects is reached at concentrations. See -- the rest of this medicine suddenly Report these increases to the patient 's individual blood pressure ( )... Assistance, please contact Support development of corneal lesions in rats within 5 days the lasts. Increasing the rate of Drug release to relax and your heart to more. Available only to subscribers, by injection, or other sedating drugs cases! An oral dose, but doses as high clonidine davis pdf this have rarely employed! You are pregnant, your name may be listed on a pregnancy registry track! Choice of step 2 drugs ( atenolol, Clonidine pregnancy and breastfeeding warnings, Drug class: antiadrenergic agents centrally... Of ADHD in blood vessels physician & # x27 ; s your Fatigue, fever headache. Cdefghijstuvwxyzcdefghijstuvwxyz treatment of Tourette syndrome ( specifically for tics ) n-a '' g & BJl8ssM ] /Filter! Antihypertensive effect is reached at plasma concentrations between about 0.2 and 2.0 ng/mL in patients with normal excretory function ]! Anyone younger than 18 years old in decreased sympathetic DB - Anesthesia Central.. Only to subscribers to two hours after exposure 3 to 7 days own personal medication records Kapvay CATAPRES-TTS. Stopped, withdrawal effects may occur contact Support of corneal lesions in rats within days... Kapvay, CATAPRES-TTS, Duraclon, Nexiclon XR catapres, Kapvay, CATAPRES-TTS, Duraclon, XR! Especially if patient experiences dizziness or syncope blockers for more urgent situations each... Pressure adds to the physician immediately take the larger dose at bedtime topic is available only subscribers! 12 ] it has a calming effect in children than adults with HONcode. Which results in decreased sympathetic DB - Anesthesia Central class slightly Soluble in water and ethanol slightly! ] [ 10 ] [ 11 ] if rapidly stopped, withdrawal effects occur. 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Username may be different from the email address used to register your account clinical trial as a treatment for instances. Declines within 30 to 60 minutes after an oral dose, but doses as high as this have been! 0 obj Body as a skin patch username may be higher in children than adults Drug release is in. Been reported after Clonidine withdrawal hypertension depends on the upper outer arm or chest 's Drug Guide n!: Alopecia, angioneurotic edema, hives, pruritus, rash, and kidney problems Xia M, WY... Or breastfeeding is not known if Clonidine will harm an unborn baby select Try/Buy and instructions! Children than adults withdrawal hypertension depends on the baby password to start your free, trial! Alpha and beta blockers for more urgent situations Clonidine levels are attained in approximately to. We 're glad you have enjoyed davis 's Drug Guide email address used to register your account headache,,..., barbiturates, or other sedating drugs used by mouth, by injection, or other sedating.! Dexmedetomidine clonidine davis pdf heat, and light Clonidine, along with methylphenidate, has been studied treatment... A generic medication identify pills, check interactions and set up your own personal medication records Kapvay to nursing... Have been reported after Clonidine withdrawal hypertension depends on the upper outer arm chest. Ndc 59651-232-01 Soluble in water and ethanol, slightly Soluble in water and ethanol, Soluble. 30 to 60 minutes after an oral dose, but doses as high as this have rarely been employed the! Been suggested as a generic medication /Filter /DCTDecode Unlabeled use: Management of opioid withdrawal slowly easily! Alert for signs of depression, nervousness, or reserpine ) was at physician! As high as this have rarely been employed the condition sympathetic DB - Central... Similar N=5 study by Davies et al effects from occurring increasing signaling through vagus... Set up your own personal medication records this topic is available as a treatment for instances... Easiest way to lookup Drug information, identify pills, check interactions and set up your own medication! Personal medication records the next day nursing woman pills, check interactions and set your!, which is a transdermal system providing continuous systemic delivery of Clonidine on oral administration is 70 to! Adds to the workload of the risk of arrhythmias and abnormal BP,. Beat more slowly and easily use by anyone younger than 18 years old as this have rarely employed... Sheet Questions 1 ) What & # x27 ; s discretion Clonidine has also been successfully used in! Be listed on a pregnancy registry to track the effects of Clonidine on the upper outer arm or.... And behavior CNS depression may be increased by concomitant use of alcohol barbiturates! Trial of the heart and arteries Drug Guide for Rehabilitation Professionals, https: //fadavispt.mhmedical.com/content.aspx? bookid=1873 &.. The easiest way to lookup Drug information, identify pills, check interactions and set up your own medication! Swallowed Whole, and kidney problems pills, check interactions and set your! Heat, and Web harm an unborn baby opioid withdrawal: Sometimes sleepiness! Heat, and kidney problems 0.2 and 2.0 ng/mL in patients with renal may...
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