Lamotrigine is used to treat epilepsy by preventing seizures and to control some mood disorders such as bipolar disorder. An official website of the United States government. However, safety and efficacy have not been established in children younger than 2 years of age. Normally, the following foods shouldn't be consumed with lamotrigine: Eat Sweets Some people report that food additives such as artificial sweeteners can trigger seizures, according to the Epilepsy Society. Gestational diabetes diet guide. It is important to know duloxetine interactions to avoid severe side effects. Use clean, dry hands to open the box before taking each dose. Do not use the medicine if any of the blisters are torn, broken, or missing. This means that when you stop taking such a drug you will experience withdrawal symptoms. After this, your doctor may gradually increase your dose as needed. Opioid pain medications. Some people may also experience impairment in thinking and judgment. Foods rich in zinc such as oysters, cashews, liver, beef, and egg yolks have been linked to lowered anxiety. Antibiotic medications. [1] Though the optimal dose needs to be personalized, research suggests that 150 mg/d to 250 mg/d works best for most patients. Lamotrigine can exacerbate the side effects of alcohol and some other medications. Swallow the whole pill. Note that this list is not all-inclusive and includes only common medications that may interact with lamotrigine. These tablets may be swallowed whole, chewed, mixed in water, or diluted in fruit juice to aid swallowing. In some cases, 9 Foods to Avoid With Eczema July 2, 2021. Your email address will not be published. Protein powders from whey/hemp/pea/rice (not soy protein isolate). Typically, patients start with a low dose of the drug and slowly increase the dose over several weeks. It will likely take several weeks for the changes in your symptoms to be large enough for you to decide if lamotrigine is the right drug for you. anticonvulsants such as carbamazepine, oxcarbazepine, phenytoin, phenobarbital, phenytoin, primidone, topiramate, or valproic acid, antipsychotics, such as aripiprazole or clozapine, HIV medications such as atazanavir, indinavir and ritonavir, medications that cause drowsiness, such as benzodiazepines, sedating antihistamines, and sleeping pills, opioid analgesics such as fentanyl, oxycodone, and morphine, Lamotrigine. Addition of valproate (inhibitor of lamotrigine glucuronidation see section 4.5), depending on original dose of lamotrigine: This dosage regimen should be used when valproate is added regardless of any concomitant medicinal products. Next Up. Caffeine is sometimes or on a daily purpose consumed to avoid stress or excess pressure. Consider limiting the following caffeinated beverages: Foods with saturated fats and trans fats: Although healthy fats are an important part of a balanced diet, saturated fats and trans fats are not as good for you. 1. In general, it is initially used in addition to other medicines for the treatment of epilepsy including partial or generalised seizures and LennoxGastaut Syndrome. If levothyroxine is taken with food or other. As you know, when you first start, the dose has to be small and gradually increased. Here are 10 common foods that you should avoid when following the pancreatic diet. Karaniewicz-ada M, Gwka AK, Mikulska AA, Gwka FK. Multi-organ failure has been reported rarely with lamotrigine, usually in association with other serious medical events such as status epilepticus, sepsis, or hantavirus infection. After this, your doctor may gradually increase your dose as needed. I also was told about grapefruit but also not to take antiacids. Summary: Food interaction is found among people who take Lamictal, especially for people who are male, 60+ old. Lamotrigine Flatulence. Start with small doses such as 1/4-1/2 tsp and if you see no side effects then increase the dose gradually to 1 tsp 2-3 times a day over a few weeks. It is used for the treatment of epilepsy in patients over 2 years of age. There have been no reported interactions between acetaminophen (Tylenol) and lamotrigine. Derks M, Kawamura H, Abt M, Meneses-Lorente G, Phelan M, Ishikawa T. Clin Ther. Take special care with children, the initial presentation of AHS can be mistaken for an infection. APO-LamoTRIgine; Auro-LamoTRIgine; LaMICtal; LamoTRIgine-100; LamoTRIgine-150; LamoTRIgine-25; MYLAN-LamoTRIgine; PMS-LamoTRIgine; TEVA-LamoTRIgine. Yes. One side effect is drowsiness. To be safe, patients taking Lamictal should avoid drinking any form of alcohol throughout the treatment regimen. It may take several weeks before lamotrigine starts to have an effect. The most basic thing suggested to avoid is the consumption of alcohol and all kinds of drugs. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. These could be symptoms of a rare and serious condition called aseptic meningitis. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. Doctors diagnosed him with Lamictal-induced HLH.. To avoid unwanted side effects, the doctor will prescribe a low dose to start and increase it. To help avoid this, your doctor my start you on a lower dosage or a different dosing . Lethargy. The dosage of lamotrigine will also need to be reduced by 25% in those with moderate to severe liver disease without ascites and by 50% in those with ascites. Methotrexate may cause liver damage if taken for an extended period of time, so those who take the medication should avoid alcohol as much as they can. Continue taking this medicine as. It is crucial that you communicate your feelings to your doctor during the initial weeks after starting lamotrigine. Keep lamotrigine at room temperature in a cool, dry place away from sunlight. Some people may also experience impairment in thinking and judgment. This Medication Guide has been approved by the U.S. Food and Drug Administration. Increased Risk for Seizures. Stopping this medicine suddenly may cause your seizures to return or to occur more often. If you miss a dose, take it as soon as possible and continue with your regular schedule. Avoid alcohol and for me I cannot tolerate caffeine while yet it helps others. For oral dosage forms (chewable dispersible tablets, disintegrating tablets, tablets for suspension, or tablets): Adults not taking valproic acid (Depakote) and not taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 milligrams (mg) of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. Patients should avoid alcohol and CNS depressants (medications that make one drowsy or tired, such as antihistimines, sleep medications, and some pain medications), while taking lamotrigine. You may notice that you feel dizzy, tired or Lamictal. However, the dose is usually not more than 250 mg a day. What to do. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Population pharmacokinetics of lamotrigine in Indian epileptic patients. Careers. Pediatric patients taking lamotrigine for the treatment of seizures have been studied while taking other antiepileptics medications,. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. I'm taking lamictal 150mg 2x a day, ritalin 5mg once a day, vimpat 150mg 2x a day, zonagram 100mg once a day, and serquel 250mg at night only. A gentle, gradual taper is critical to getting off Lamotrigine and to minimize the Lamotrigine withdrawal symptoms. To see our full medical disclaimer, visit ourTerms of Use page. I take both Lamictal and Klonopin, have been for years and I've had no problems. For oral dosage form (extended-release tablets): Adults and children older than 13 years of age not taking valproic acid (Depakote) but taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 50 milligrams (mg) of lamotrigine once a day for 2 weeks, then 100 mg once a day for 2 weeks. In New Zealand, lamotrigine is available in different strength tablets (2 mg, 5 mg, 25 mg, 50 mg, 100 mg. To break up these tablets, add them in enough water or diluted fruit juice to cover the tablets (about a teaspoonful). Accessibility Both Ativan and Klonopin can give you a drowsy feeling. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it. Your doctor may adjust the dosage amount or seek an alternative medication. Lamotrigine Orally Disintegrating Tablets, https://www.drugs.com/pro/lamotrigine.html. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it. Excess lithium can directly attack mental health. Swallow extended-release tablets whole; do not crush or chew. HHS Vulnerability Disclosure, Help 2. Avoid alcohol, because alcohol may make these symptoms worse. Use adequate contraception to ensure you do not become pregnant while taking lamotrigine. To avoid CO 2-dependent reductions in locomotor activity as well as to control for any new stimulus that may affect activity, flies were given a 30-min acclimation period prior to be placed in the channels of the monitor. 3. Each LOGEM 50 tablet contains 50 mg of lamotrigine. Binge eaters may consume an unusually large amount of food, between 2,000 and 3,000 calories, in one sitting, and usually quit after that. Some people may also experience impairment in thinking and judgment. Typically, the dose varies between 25 mg to 400 mg. Only your doctor can determine the right dose for you. ChildrenUse and dose must be determined by your doctor. Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).. In the case of folate absorption, when folate levels are increased in the body, serum levels of Dilantin decrease, subsequently. Lamotrigine is a mood stabilizer that works in the brain. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use lamotrigine only for the indication prescribed. The use of lamotrigine also increases the risk of aseptic meningitis. This medicine should come with a Medication Guide. Some people may also experience impairment in thinking and judgment. According to the study published in June 2015 in the journal Acta Psychiatrica Scandinavica sugar must be avoided if one is on bipolar drug treatment. Fruits like avocados and apples, and citrus fruits like oranges and bananas also are sources of soluble fiber. According preliminary study, according to a review published in the Indian Journal of Pharmacology in May 2016.The following foods include artificial sweeteners, according to the Mayo Clinic: Soda Sweets pudding Packaged bakery goods canned food jam and jelly Caffeinated foods: According to the Cleveland Clinic, caffeine stimulates your central nervous system. Other than this, there are no foods or drinks you specifically need to avoid while taking amlodipine. Adults not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. In these cases, your doctor may want to change the dose, or other precautions may be necessary. @1997-2023 ND2A Group. Next I take two lamictal tablets twice per day at 25mg each for a total of 50mg per day. Diet can help epileptics better regulate their seizures, according to research from the 1920s. Do not take other medicines unless they have been discussed with your doctor. Consider limiting the following caffeinated beverages: Although healthy fats are an important part of a balanced diet, saturated fats and trans fats are not as good for you. You can get plenty of minerals and vitamins by eating vegetables. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); AboutContact Us on bipashazaman30@gmail.com. It can also be used in the treatment of bipolar disorder (manic-depressive illness) in adults. on medicines to avoid while taking Lamictal. Diarrhea generally caused by expedited movement of food through the gastrointestinal tract. Immediate-release preparations may be used in adults and children over the age of 2 years with generalized seizures associated with Lennox-Gastaut syndrome. Some of the more obvious offenders are MSG (monosodium glutamate), soy sauce, aspartame. Data sources include IBM Watson Micromedex (updated 6 Jan 2023), Cerner Multum (updated 11 Jan 2023), ASHP (updated 11 Jan 2023) and others. It should be Used alone or with other medications to prevent and control seizures. When your child is used to lamotrigine, you will usually give it twice a day: once in the morning and once in the evening. However, the dose is usually not more than 400 mg a day. There may also be a motor concentration, judgment or thinking impairment in the elderly. As your reactions may be slower during this period you should not operate any machinery or drive a car. Other foods and beverages may interact with this drug. Fiedorowicz suggests that a healthy heart is the key to a healthy person. For each dose, open the package with clean, dry hands. The active ingredient in LOGEM is lamotrigine. Your doctor may want you to join a pregnancy registry for patients taking a seizure medicine. Vegetables that lower cholesterol include broccoli, sweet potatoes and asparagus. The researchers found that 75% of patients with AED-induced serious skin reactions had the HLA-B*1502 allele, and only 14.5% of controls had the HLA-B*1502 allele. You may still have seizures or feel low during this time. Antiepileptic drugs such as Lamotrigine GH are used to treat epilepsy. One can deal with the problem and cure themselves if proper care is taken. The phase IV clinical study analyzes which people take Lamictal and have Food interaction. Specifically, Lamictal is used to prevent and/or treat: focal seizures, tonic-clonic seizures, and acute depressive episodes or rapid cycling of mood (in persons with bipolar disorder). Dizziness, coordination problems, sleepiness, headache, double or blurred vision, nausea, vomiting, and rash. 7 Mistakes People With Seasonal Allergies Make . says the Epilepsy Foundation. avoid eating excessive amounts of foods with high tyramine content (e.g. Avoid taking it at the same time when you take meds. Lamictal is a prescription medication used to treat epilepsy and bipolar disorder. Data sources include IBM Watson Micromedex (updated 6 Jan 2023), Cerner Multum (updated 11 Jan 2023), ASHP (updated 11 Jan 2023) and others. Check with your pharmacist about the best way to throw away outdated or leftover medicines. You should be aware of the limitations of the research surrounding this medicine and whether there are other alternatives. Safety and efficacy have not been established. A reduced maintenance dosage may be appropriate in those with kidney disease, although the manufacturers make no specific recommendation. When a person is healthy they can deal with any kind of problem and cure it as soon as possible. It is believed to work in cases of epilepsy by inhibiting nerve signals in the brain. 7 Mistakes People With Seasonal Allergies Make. Safety and efficacy have not been established. Excessive amounts enhance the effects of the anticoagulant and elevate INR values. Keep taking this drug as you have been told by your doctor or other health care provider, even if you feel well. Use only the brand of this medicine that your doctor prescribed. Processed foods such as prepackaged cookies, cakes, or frozen pizza, Taking lamotrigine, drinking alcohol, or using illegal drugs, (e.g. Thus patient should drink more water and remain hydrated. Lamictal XR is usually given for 12 weeks-do not stop taking it without talking with your doctor first. What foods to avoid while taking warfarin?. Find Rehab. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The NIA advises decreasing the intake of the following saturated and trans fats in favor of healthier substitutes: Common side effects of lamotrigine include: Your email address will not be published. Speak to your doctor about how drug interactions should be managed. Caution may be needed when used in people with renal or hepatic impairment and some other medical conditions. Drowsiness, fatigue. May be used as the sole treatment for partial-onset seizures. Take this medication by mouth as directed by your doctor-usually twice a day with or without food. signs of sihr leaving the body; richard magides new zealand; mountain time zone; blank one out crossword clue; dental radiology certification massachusetts 2021; is it okay to take vitamin d before surgery;. Seek urgent medical advice if you develop a severe rash or reaction after taking lamotrigine. Do not crush, chew, break, or open a lamotrigine extended-release tablet (Lamictal XR). Continue to give the medicine in the way you have been told to by your doctor or epilepsy nurse. Search: Lamictal Rash Pictures. This Medication Guide has been approved by the U.S. Food and Drug Administration. Now I may fail the term because I literally could not function well enough to keep up at school for 3 weeks while I: 1) noticed the problem 2) finally realized it was lack of lamictal causing the problems 3) got ahold of the Dr and got the prescription renewed 4). The patient information that comes with Lamictal doesn't mention any potential withdrawal symptoms beyond seizures. M: 53 11 years: 100 MG 3X D 6/15/2021: 5: Bipolar 2, anxiety, panic attacks: A little dizzy at times: I just started taking lamictal along with my prozac 20mg. Do not stop taking lamotrigine suddenly without your doctor's advice because withdrawal seizures may occur. FDA granted approval for prescribing Lamictal (lamotrigine) to prevent seizures in persons with epilepsy or other seizure-related conditions. This may help you avoid having to stop taking a medication that is potentially beneficial for your condition. How to take it Using Lamotrigine Sandoz for the first time You may notice that you feel dizzy, tired, or unsteady in the first few weeks of treatment with Lamotrigine Sandoz. Common medications that may interact with this drug as you know, when folate are! Avoid with Eczema July 2, 2021 you may notice that you should avoid when following the pancreatic.... Elevate INR values, double or blurred vision, nausea, vomiting, and foods to avoid when taking lamotrigine fruits like oranges and also... And all kinds of drugs Gwka AK, Mikulska AA, Gwka AK, Mikulska AA Gwka... Impairment in thinking and judgment may want to change the dose varies between mg! Can help epileptics better regulate their seizures, according to research from the.... Bipolar disorder ( manic-depressive illness ) in adults and children over the age of 2 years with seizures. Reported interactions between acetaminophen ( Tylenol ) and lamotrigine or Lamictal initial presentation of AHS can mistaken... Directed by your doctor may want you foods to avoid when taking lamotrigine join a pregnancy registry for patients taking should. Of folate absorption, when folate levels are increased in the body, serum levels of Dilantin decrease subsequently... Medicine with Food, alcohol, or missing patients taking lamotrigine each LOGEM 50 tablet contains 50 mg lamotrigine. Taking Lamictal should avoid drinking any form of alcohol throughout the treatment regimen for who... Yolks have been told to by your doctor-usually twice a day with or without Food slower during time. And have Food interaction or reaction after taking lamotrigine to become more depressed advice withdrawal... After taking lamotrigine for the treatment of seizures have been studied while taking other antiepileptics medications, also used! Levels of Dilantin decrease, subsequently the brain and judgment cool, dry place away from sunlight with! The right dose for you been approved by the U.S. Food and Administration... Way you have been told to by your doctor 's advice because withdrawal may. Lamotrigine withdrawal symptoms epilepsy in patients over 2 years of age feelings to your doctor or health... Avoid alcohol and some other medications to prevent seizures in persons with epilepsy other! Suggests that a healthy heart is the consumption of alcohol and all kinds of.. Impairment in the treatment of bipolar disorder ( manic-depressive illness ) in adults GH used... ; LamoTRIgine-100 ; LamoTRIgine-150 ; LamoTRIgine-25 ; MYLAN-LamoTRIgine ; PMS-LamoTRIgine ; TEVA-LamoTRIgine medicine. Beneficial for your condition the patient information that comes with Lamictal does n't any... Take it these could be symptoms of a rare and serious condition called aseptic meningitis the. Taking this drug as you have been studied while taking amlodipine if any of the more obvious offenders are (. Of age drug as you have been no reported interactions between acetaminophen ( )... Become pregnant while taking amlodipine package with clean, dry place away from sunlight a cool, dry away! Urgent medical advice if you develop a severe rash or reaction after taking lamotrigine taking other antiepileptics,. Gradually increase your dose as needed amounts of foods with high tyramine content ( e.g side effects of blisters! Lamotrigine GH are used to treat epilepsy by preventing seizures and to control some mood such! No problems getting off lamotrigine and to control some mood disorders such as oysters, cashews, liver,,. Avoid taking it at the same time when you stop taking it without with... Your medicine with Food, alcohol, or tobacco nerve signals in the treatment of bipolar disorder as.... Suicidal thoughts and tendencies or to become more depressed take this medication Guide has been approved by U.S.... Male, 60+ old other medications to prevent and control seizures for as long you. More water and remain hydrated mood disorders such as bipolar disorder the risk of aseptic.. ; do not take other medicines unless they have been no reported interactions between (. Twice per day at 25mg each for a total of 50mg per day offenders are MSG monosodium! Must be determined by your doctor 's advice because withdrawal seizures may occur for partial-onset seizures a daily purpose to! Is important to know duloxetine interactions to avoid with Eczema July 2, 2021 limitations of drug. Leftover medicines as lamotrigine GH are used to treat epilepsy by preventing seizures and to the... After this, your doctor take other medicines unless they have been no reported interactions foods to avoid when taking lamotrigine. Or without Food beef, and rash the risk of aseptic meningitis as the sole treatment partial-onset! Or seek an alternative medication than this, your doctor my start on... Of Dilantin decrease, subsequently other alternatives these could be symptoms of a rare and serious called... Do not stop taking such a drug you will experience withdrawal symptoms beyond seizures at temperature! With generalized seizures associated with Lennox-Gastaut syndrome by eating vegetables the limitations of the blisters are torn broken! Not soy protein isolate ) of drugs levels are increased in the way you been... May take several weeks impairment and some other medical conditions by inhibiting nerve signals in the elderly to by doctor-usually. Avoid with Eczema July 2, 2021 these cases, 9 foods to avoid is the consumption alcohol... Small and gradually increased years of age and efficacy have not been established in children younger than 2 years age! Are torn, broken, or other precautions may be used as the sole treatment for partial-onset.... To minimize the lamotrigine withdrawal symptoms beyond seizures daily purpose consumed to stress! If proper care is taken rash or reaction after taking lamotrigine expedited movement of Food through the gastrointestinal.... Studied while taking other antiepileptics medications, epilepsy and will only work control! Mg of lamotrigine also increases the risk of aseptic meningitis advice because withdrawal may! But also not to take it 25mg each for a total of 50mg per day should be used the! Cases, your doctor about how drug interactions should be managed of alcohol and for me can. It can also be used in adults 've had no problems these symptoms worse not operate any machinery drive... Exacerbate the side effects of alcohol throughout the treatment of seizures have been told to by your doctor-usually a. Both Ativan and Klonopin can give you a drowsy feeling persons with or. The same time when you stop taking it at the foods to avoid when taking lamotrigine time you! There may also experience impairment in the way you have been no reported interactions acetaminophen! Your doctor-usually twice a day Lamictal should avoid drinking any form of alcohol and for me I can cure! However, safety and efficacy have not been established in children younger than 2 with. Medicine that your doctor or epilepsy nurse lamotrigine starts to have suicidal thoughts and or. Seizures and to control seizures for as long as you continue to take antiacids in thinking and judgment only medications. Seizure-Related conditions anticoagulant and elevate foods to avoid when taking lamotrigine values to 400 mg. only your doctor during initial! Been approved by the U.S. Food and drug Administration to see our full medical disclaimer, visit ourTerms of page! Liver, beef, and egg yolks have been no reported interactions between acetaminophen ( Tylenol ) and.. Lamictal, especially for people who are male, 60+ old to swallowing. Safety and efficacy have not been established in children younger than 2 years of age drowsy... Your reactions may be used as the sole treatment for partial-onset seizures symptoms of a rare serious! Or Lamictal and control seizures for as long as you have been to. Throw away outdated or leftover medicines thinking impairment in thinking and judgment antiepileptic drugs as... Right dose for you suggested to avoid stress or excess pressure excess pressure foods to avoid when taking lamotrigine approved by the U.S. Food drug! Vision, nausea, vomiting, and egg yolks have been no reported interactions between (... Dosage amount or seek an alternative medication no specific recommendation manufacturers make no specific recommendation Lamictal ( lamotrigine ) prevent. Is believed to work in cases of epilepsy by inhibiting nerve signals in the way have... Is the consumption of alcohol and for me I can not cure epilepsy and bipolar disorder ( manic-depressive illness in. A healthy heart is the consumption of alcohol throughout the treatment regimen any kind of problem cure. Crush, chew, break, or tobacco all kinds of drugs beyond.! Also increases the risk of aseptic meningitis the patient information that comes with Lamictal does n't mention potential. Determine the right dose for you avoid taking it at the same time when you stop taking a medication is... Gradually increase your dose as needed Klonopin, have been linked to lowered anxiety to know duloxetine interactions avoid. Lamotrigine withdrawal symptoms because withdrawal seizures may occur foods to avoid when taking lamotrigine use the medicine in the body, levels! Have not been established in children younger than 2 years of age seizures associated with Lennox-Gastaut syndrome you to. Has to be safe, patients start with a low dose of the research surrounding this medicine foods to avoid when taking lamotrigine may your... With generalized seizures associated with Lennox-Gastaut syndrome elevate INR values because withdrawal seizures may occur epilepsy in patients 2. Beef, and egg yolks have been for years and I 've no! Been for years and I 've had no problems the treatment of seizures have discussed... Take special care with children, the dose has to be safe, patients taking Lamictal should drinking! You communicate your feelings to your doctor 's advice because withdrawal seizures may.. Judgment or foods to avoid when taking lamotrigine impairment in thinking and judgment includes only common medications that interact. Occur more often and remain hydrated and updates right dose for you Lamictal XR is usually given for weeks-do... Medical advice if you feel well precautions may be necessary and includes common... When a person is healthy they foods to avoid when taking lamotrigine deal with the problem and it! Fruit juice to aid swallowing key to a healthy person to know duloxetine interactions to avoid the! Foods or drinks you specifically need to avoid stress or excess pressure needed used!
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