Psycho-Babble Medication Thread 1046370

Shown: posts 1 to 25 of 25. This is the beginning of the thread.

 

Luvox users here?

Posted by Vincent_QC on July 3, 2013, at 19:40:13

Hi everyone, will not write again all my story but last time I saw my PDoc he start me on lamictal and I had rash from it even at low dose so I had to stop it.

It's a PDoc that I saw for an evaluation, I can't see him again but my Doc can call him and do the follow up with the meds with him...

I saw my family Doc today and he read the PDoc report and saw the other meds the PDoc recommend if the lamictal fail...

Like I was thinking, the PDoc suggest the depakote or the Luvox.

Since the PDoc point out that some ssri did wok in the past for my anxiety, he strongly suggest to my family Doc to RX some Luvox at a very low dose since I'm med sensitive, 5 mg to increase very slowly, the goal is to reach a therapeutic dose over a 6 to 12 months period...

So my family Doc RX the Luvox today... He have only 3 patients on the Luvox, but all of them only react well to the Luvox and not from the other ssri's...

My family Doc don't seem to be worried about the meds interractions or the strong sigma 1 agonist effect of the Luvox. Also he point out that the side effects profile is not worse than the Paxil or the lexapro, just saying that the Luvox didn't had the luck to have a lot of clinical trails to prove that it was effective for other disorders like panic disorder or depression in the USA...

I know that Phillipa here take the Luvox....I know she did well on it... But I want other users opinions... Especially for the agitation and increase anxiety type of side effects... Also cardiovascular side effects...

With my own experience, from all the ssri's that I took, the Paxil was the only one to work but had major weight gain from it and was always tired... The worse for the side effects was the lexapro and the Prozac who trigger panic attacks especially when I reach the 30 mg dose... The Zoloft also trigger panic attacks and make my social phobia worse... So overall I need to try the Luvox and see how I react to it...and I need some good or bad reviews from other users on babble...

Also my family Doc switch me from the propranolol beta blocker to the bisoprolol... I told him that I have difficulty to breath recently and he didn't like it at all... Also he think that the extreme fatigue I have is from the propranolol... He love the bisoprolol and take it himself since he had some coronary artery bypass grafting years ago and was put on the bisoprolol.... I did ask to try the Coreg first or the new bystolic but he said that both have a lot more side effects than the bisoprolol and will not help with my tachycardia who is trigger by my severe anxiety... So he RX half a 5 mg pill of bisoprolol a day insistead of 30 mg of propranolol a day... He said that its better than the propranolol with less side effects... Especially for the respiratory system... I did try the bisoprolol years ago but don't remember how I react to it...

So that's the plan, Luvox 5 mg to start and bisoprolol 2.5 mg...

I need some input for the Luvox... The pills come only into 50 mg dose, cutting it in 10 pieces will be hard... We don't have the Luvox cr in the Canada. I think that the drug company abbot Canada make a brand name Luvox here but smaller pills are also 50 mg and generic fluvoxamine come also in 50 mg pills , no 25 mg pills...

Well need some advices and also share your experience with the Luvox... I'm sure it can't be worse than the other ssri's...

Thanks , Vincent

 

Re: Luvox users here? » Vincent_QC

Posted by Phillipa on July 3, 2013, at 20:33:55

In reply to Luvox users here?, posted by Vincent_QC on July 3, 2013, at 19:40:13

Yup me and never a side effect.

 

Re: Luvox users here? » Phillipa

Posted by Vincent_QC on July 3, 2013, at 21:09:58

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 3, 2013, at 20:33:55

> Yup me and never a side effect.

Great no? If I don't try it, I will not know if its a good med for me or not...

 

Re: Luvox users here? » Vincent_QC

Posted by Phillipa on July 3, 2013, at 22:17:14

In reply to Re: Luvox users here? » Phillipa, posted by Vincent_QC on July 3, 2013, at 21:09:58

Vincent is was so weird sat there and actually waited for the side effect and never came. The next morning the doc raised it from 50 to l00mg Bid. Got to 250mg and felt good. Why I stopped was the dumb doc that trial of celexa he wanted. He made me stop it. Dumb doc. Phillipa

 

Re: Luvox users here?

Posted by joef on July 4, 2013, at 6:44:20

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 3, 2013, at 22:17:14

has your dr. taken the time to explain the caffeine interaction with luvox

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 4, 2013, at 8:04:34

In reply to Re: Luvox users here?, posted by joef on July 4, 2013, at 6:44:20

> has your dr. taken the time to explain the caffeine interaction with luvox

Yes... and I don't drink coffee or tea or soft drink... nothing with caffeine inside... don't even eat chocolate. Since my anxiety is extreme (2009), I avoid all caffeine drink and foods... I'm also careful about using products to put on my skin that contain green tea extract for example and avoid those products as well... I have no problem with the no caffeine since I withdrawal it since a long time now... Did try to drink some coffee again recently and I had tachycardia and panic attacks so it's the way my body told me that caffeine is not for me anymore... I was a heavy coffee drinker, 8 cups a day before 2009... I had no problem at all to stop, but I find out my energy level drop A LOT since I stop the coffee but well I can't drink it anymore...even can't eat a piece of chocolate, even milk chocolate... white chocolate don't contain cocoa but I still react badly to it, so I guess the cocoa butter contain trace of caffeine...

He also told me that since i'm a smoker, that it will maybe lower the blood level of fluvoxamine...

Same for the benzo interaction, the luvox affect the metabolism of the diazepam, alprazolam and some other benzo that I don't remember very well... but i'm on clonazepam and I think it's not affecting it... I use very low dose of Xanax once in a while when I have to get out of the house but the effect will be an increase of the level of xanax in my blood so will be able to take even less to have the same effect...

 

Re: Luvox users here? » Phillipa

Posted by Vincent_QC on July 4, 2013, at 8:41:36

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 3, 2013, at 22:17:14

> Vincent is was so weird sat there and actually waited for the side effect and never came. The next morning the doc raised it from 50 to l00mg Bid. Got to 250mg and felt good. Why I stopped was the dumb doc that trial of celexa he wanted. He made me stop it. Dumb doc. Phillipa

You was at the hospital when it happen no? I always feel more confident and less anxious when i'm at the hospital, I think it's because I know that many Doctors are around me so if something really bad happen to me, they will be able to save me...

I had the same experience with the Celexa Phillipa, back in the summer of 1999 my Doctor put me again on the Paxil cause my social anxiety was pretty bad at the time, I had to go to a summer school to finish one course of mathematics that I really needed to pass to enter into the college program of computer sciences... I had only 2 months to do that course of mathematics, if I failed it, I will not be able to attempt the college and do the computer sciences program...

Anyway, was on the Paxil in april 1999 and go see a PDoc in july, right in the middle of my summer class... He took me off the Paxil cause I had major weight gain from it, I told him that I was feeling good on the Paxil and that the weight gain was not a problem for me but he said that he had to play safe with me and remove the Paxil cause my weight was over 400 pounds and he was worried a lot about it...

So he extend his hands in a BIG BOX full of meds samples, the Celexa was new in the Canada in 1999 and he give to me 4 boxes of 28 pills of 20 mg... He said start taking 20 mg a day and increase to 40 mg after 2 weeks... It was in july remember, as soon as I start the Celexa I felt very bad, very tired and not able to get up in the morning. All my anxiety was back and worse... I call the PDoc after 2 weeks and told him that I didn't do well on the Celexa and he said increase the dose to 40 mg and that's what I do... I start feeling even worse, wasn't able to go out alone, not able to take the bus, had insomnia, was very lethargic, had no energy and tired all the time, I completely stop going to my summer class because I wasn't able to go there alone...

After 1 month I call the PDoc and I told him that the Celexa was just a shitty drug... Of course I fail my summer class and wasn't able to start the college in the program that I wanted to attempt... The stupid PDoc just switch me to the Zoloft, who was even worse than the Celexa... After 2 months on the Zoloft my social phobia was so bad, I was afraid to just go buy a pack of cigarettes at the convenience store because I fear that I will need to talk with the store clerk!!!

I stop the Zoloft cold turkey and call my Doc who put me again on low dose of Paxil and felt very good again, the real me...

So long short story, newer drugs are not better than older ones... and by the way I gain more weight on the Celexa and Zoloft than on the Paxil!!! All the SSRI's do that to me anyway... and having more weight is better than not being able to get out of the house no?...

 

Re: Luvox users here?

Posted by joef on July 4, 2013, at 11:43:10

In reply to Re: Luvox users here? » Phillipa, posted by Vincent_QC on July 4, 2013, at 8:41:36

Vincent are you aware that I believe luvox has more drug interactions than any other psych med..ask dr about this ...could be wrong

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 4, 2013, at 16:06:52

In reply to Re: Luvox users here?, posted by joef on July 4, 2013, at 11:43:10

> Vincent are you aware that I believe luvox has more drug interactions than any other psych med..ask dr about this ...could be wrong

I'm aware that the Luvox have a lot of drug interractions BUT my doctor take the time to read them to see if I'm taking another drug who can have an interaction with the Luvox and no meds I take will interact with the Luvox...

I think the interactions are somewhat overrated... The Luvox have a lot of interractions with other drugs but they are mostly not dangerous... With the exception of the melatonine who is increase by 300 fold I think and the caffeine who is about 8 times higher in the blood, the other interractions are not major...

Also I think a lot of other psych meds like the maoi's Nardil, Parnate and some antipsychotic drugs who prolong the QT interval of the heart, are by far more dangerous than the Luvox...

I almost die from an hypertensive crisis without eating foods high in tyramine when I was on the Parnate and that's what I call a dangerous med!!! Got just in time to the ER to have IV blood pressure meds to reduce my blood pressure and it happen 3 times while I was on the Parnate... I know that those meds like the Nardil or the Parnate can be like a lifesaver for a lot of people's here but me I continue to think that they are dangerous... You don't mess with your heart!!! It's because of what happen with the Parnate that I start having somatic anxiety, all heart related anxiety, worries and almost obsession about dying from a heart attack... I blame the Parnate only, not the Nardil since on the Nardil I didn't had an hypertensive crisis, in fact my blood pressure was too low and had severe orthostaric hypotension... Not relieve by some florinef... But that's Nother story...

 

Re: Luvox users here?

Posted by joef on July 4, 2013, at 17:20:42

In reply to Re: Luvox users here? » joef, posted by Vincent_QC on July 4, 2013, at 16:06:52

yea Vincent I would love to go back on luvox but am on some medical meds for diabetes and heart

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 4, 2013, at 18:32:09

In reply to Re: Luvox users here?, posted by joef on July 4, 2013, at 17:20:42

> yea Vincent I would love to go back on luvox but am on some medical meds for diabetes and heart

I understand... Calcium channel blocker? Diabetes of type 2?

For now what are you taking for your psych disorder?

 

Re: Luvox users here? » Vincent_QC

Posted by Phillipa on July 4, 2013, at 21:50:10

In reply to Re: Luvox users here? » joef, posted by Vincent_QC on July 4, 2013, at 8:04:34

Vincent doesn't interact with Ativan though. Phillipa

 

Re: Luvox users here? » Vincent_QC

Posted by Phillipa on July 4, 2013, at 22:21:51

In reply to Re: Luvox users here? » Phillipa, posted by Vincent_QC on July 4, 2013, at 8:41:36

Started the med there. But when went home again was raised. I felt really good On the luvox. Never ever again celexa. Made me so tired. Phillipa

 

Re: Luvox users here? » Phillipa

Posted by Vincent_QC on July 4, 2013, at 22:30:30

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 4, 2013, at 21:50:10

> Vincent doesn't interact with Ativan though. Phillipa

I know Phillipa... The only ones benzo who interact with the Luvox are the Valium and the Xanax...

I don't like the Ativan, I find it useless for the anxiety... It's only good before surgery cause of the more pronounced amnesia effect but it don't reduce my anxiety...

For the clonazepam no interraction with the Luvox. My Doc search very carefully in his books and it's not in the list... So no problem here for me...

Anyway Phillipa, the interraction with the benzo and Luvox only mean higher blood level of benzo so take less to work and I don't see this interaction as a bad one, unless you take huge amount of Xanax or Valium who can lead to breathing problems but I'm talking about very high dose and not the usual dose use for the anxiety...

Also some beta blocker interact with the Luvox, the propranolol and the metoprolol (lopressor) are both increase in the blood but they recommend to reduce the dose of propranolol and see how the Luvox increase it, same for the lopressor...

Since I'm going to start the bisoprolol, I will not have to worry about that...

If I find some times to go to the pharmacy soon, I will ask my pharmacist to cut the pills in 10 pieces... just don't want to start it at 25 mg and have bad side effects who lead to stop the Luvox after taking only 1 dose... The goal is to go very slowly and 5 mg to start is ok for me...

50 mg of Luvox is about the same as 20 mg of Paxil... If I react to 1 mg of Paxil that mean that the 5 mg dose of Luvox will equal 2 mg of Paxil... I'm so tired of that anxiety that I think 5 mg will not kill me... All I wish is that I will not have an attack of supraventricular tachycardia like when I did try to take the lexapro again at 2.5 mg and had to go to the ER because of the very fast heart rate... That's what I fear the most... But the lexapro is very powerful so I guess that the 5 mg of Luvox will barely touch the serotonin receptors... Just to play safe I will start it a day when I know I will not be alone at home...

 

Re: Luvox users here? » Phillipa

Posted by Vincent_QC on July 4, 2013, at 22:41:45

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 4, 2013, at 22:21:51

> Started the med there. But when went home again was raised. I felt really good On the luvox. Never ever again celexa. Made me so tired. Phillipa

It's funny cause you can take 5 mg of lexapro but can't tolerate the Celexa... They are both the same drug... They just remove the part in the Celexa who counteract with the action on the serotonin... Some studies show no difference between both drugs... Only need higher dose of Celexa to have the same effect than the lexapro... But you are not alone to feel that way, the Celexa experience I had was horrible, not because of the anxiety from it but because I was tired all the time on it.... With the lexapro it was even worse, difficulty to sleep and tired all day long to the point that my Doc add 300 mg of Wellbutrin and 15 mg of Ritalin... Who was almost suicide for my anxiety cause both drugs are stimulating... Anyway for me the Celexa and lexapro are about the same... Same drug company make it, the lexapro was already developed when they launch the Celexa but they wanted to be sure that they will have a new drug to sell to replace the Celexa when it will lost his patenting... It's now a common pracrice for drugs company to do this... Effexor xr and the pristiq for example... Zopiclone and zolpidem.... Just to name a few...

Well sleep time for me... Insomnia time I should write! Lol

 

Re: Luvox users here? » Vincent_QC

Posted by Phillipa on July 4, 2013, at 22:58:50

In reply to Re: Luvox users here? » Phillipa, posted by Vincent_QC on July 4, 2013, at 22:41:45

Seriously I found the Ativan the most calming of all the benzos. Lexapro is much more activating for me. Night. Phillipa

 

Re: Luvox users here?

Posted by joef on July 5, 2013, at 6:50:10

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 4, 2013, at 22:58:50

Vincent type 2 diabetes and stent in artery...ocd/bp2....viibryd 20/tegretol 600/lamictal 100/ Ativan 1.5 sleep and .5 twice daily if needed

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 5, 2013, at 9:26:43

In reply to Re: Luvox users here?, posted by joef on July 5, 2013, at 6:50:10

> Vincent type 2 diabetes and stent in artery...ocd/bp2....viibryd 20/tegretol 600/lamictal 100/ Ativan 1.5 sleep and .5 twice daily if needed

Oh ok I see... I hope your heart is fine now? How they discover that you had some blockage in your arteries and what king of symptoms you had from your heart? I ask cause sometimes I wonder if my low ejection fraction of 45 and my chest pain and exercise intolerance are not caused by that problem...but the only test to see if I'm having plaques inside my arteries is an angiography and my cardio Doc don't want to let m have this test... He said its invasive and not necessary cause I had a nuclear test who show that with the exception of my low ejection fraction, the arteries who supply the heart seem to working good...

Do you find the viibryd stimulating or does it make you anxious? Here in the Canada I don't think we will have this AD...not plan to release it so far... But I wonder if its good or not for anxiety....

Tegrerol...is it as bad as some people's say? I mean crazy side effects like hearing sound in a lower pitch than they are for example? The lamictal is for your bp2...that's good...

Well I hope all those meds help you at least to have a normal life...

 

Re: Luvox users here? » Phillipa

Posted by Vincent_QC on July 5, 2013, at 10:55:50

In reply to Re: Luvox users here? » Vincent_QC, posted by Phillipa on July 4, 2013, at 22:58:50

> Seriously I found the Ativan the most calming of all the benzos. Lexapro is much more activating for me. Night. Phillipa

Everyone is different I guess... I did try a switch to the Ativan at the end of 2009, from 8 mg of clonazepam to 14 mg of Ativan and it was a disaster... The Ativan make me feel dumb and stupid and can't remember words I want to say and things like that... Also make my heart rate increase and I don't know why...

For me the best benzo in the world is the midazolam... Call versed I think... Anyway in 2010 I had 2 IV injections for a gastroscopy medical test and felt sooooo good on it... The effect don't last long enough and in the Canada they don't have it in pills, only IV injection... I had a long colonoscopy last year and they give to me 3 IV injections of versed with fentanyl and it didn't stop the pain at all or the anxiety... The nurses was in shock to see that I was still wide awake and in pain, she told me that most of the people's fall asleep wih 1 IV injection of versed and don't remember the medic exam at all, most of the people so sleep 1 h after... Me I was ready to get out of the hospital 5 minute after the colonoscopy, but they didn't want that I leave and had to wait 1 hour sit on the hospit bed before having the ok from the nurse to leave... I think my tolerance level to the hypnotic effect of the benzo is very high on me...

My family Doc goes to the San-fransisco annual meeting for the American psychiatric association last may, he told me a bunch of stuff he see there, conferences about newer AD who will launch soon by lundbeck, who by the way don't look promising at all, my Doc said that they call the newer AD dirty drugs... Cause they hit many receptors in the brain and some of the are not well studied... So they don't know really what kind of long term effect the new drugs can have.... He also assist to a conference about cocaine addiction and they will have a vaccine soon for that... Also a conference about benzodiazepine addiction, where he learn that in some people's like me who develop a strong tolerance to the effect of the benzo meds, the GABA - a receptor tend to mutate and change form often so the benzo can't bind to the receptor... Some people's will not develop tolerance at all and the GABA receptor will not change... Apparently it's genetic... They don't know if the receptors can return to the normal state after someone who have mutation at th GABA receptors, stop the benzo meds... I think overall that the psychiatric medical field don't evoluate at all in the last 60 years... And the new DSM-5 is somewhat a messy book; it's not evolution for sure!!!

Anyway, dentist today, 3 hours appointment, 6 cavities to repair... Have to be there 30 minutes earlier cause I need a lot of injections before not feeling pain... Last time, my dentist use 12 cartridge of mevipacaine without epinephrine and she had to stop her work cause she reach the maximum allowed dose of 400 mg... She said anxiety often lead to less anaesthesic effect and sometimes she have to refer a patient to the hospital where they will put him asleep to be able to repair the teeth... General anaesthesia... I don't like the injections, even if they don't have epinephrine, they make me feel dizzy, fainting, also heart rate is irregular, all side effects from high dose of local anaesthesic... Even if she don't inject in a vein and use an aspiration siringue to be sure she don't inject in a vein, a little dose of the anaesthesia to into the blood stream and its affect the central nervous system...

 

Re: Luvox users here?

Posted by joef on July 5, 2013, at 19:48:10

In reply to Re: Luvox users here? » Phillipa, posted by Vincent_QC on July 5, 2013, at 10:55:50

Vincent keep me posted on how you are doing on the luvox....how did you come off 14 mg of Ativan?

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 5, 2013, at 20:17:29

In reply to Re: Luvox users here?, posted by joef on July 5, 2013, at 19:48:10

> Vincent keep me posted on how you are doing on the luvox....how did you come off 14 mg of Ativan?

Ok I will keep you update for sure. I will start probably next Tuesday... I have some appointments next week, gastro doc monday and another one for my cat...so have to get out of the house, who is almost impossible for me anymore so not a great idea to start a new med if I have to get out....but will write how I'm doing on the Luvox for sure...

I was on 8 mg day of clonazepam who is around equivalent to 16 mg of Ativan...some benzo charts equivalency rate the clonazepam 4 times stronger than the Ativan and 2 times stronger than the Xanax but with my experience since i withdrawal and do slow tapering with the valium substitution, i can say that xanax and clonaepam are equivalent and the ativan is weaker and a dose of 1 mg of ativan = 2 mg of clonaepam... My PDoc switch me to 14 mg of Ativan and after 1 week my anxiety was worse and had interdose anxiety so I call my PDoc and he switch me again on the clonazepam 8 mg day... My tolerance to the benzo meds wasn't as high as now at the time... Now I have to take a dose of clonazepam every 2 hours at daytime, take smaller dose but more often, if not I have even worse anxiety... The only time I don't take it every 2 hours is at night but often I wake up in a middle of a panic attack so I take a 0.5 mg dose and wait until the panic stop and can return to sleep but I never take more than 7 mg a day now. Some day I take around 6 mg... But usually it's 0.75 mg every 2 hours or 3 hours maximum... I know it sound stupid cause it have a long half life but the long half life don't seem to change something for me and have interdose anxiety...

 

Re: Luvox users here?

Posted by joef on July 6, 2013, at 7:26:00

In reply to Re: Luvox users here? » joef, posted by Vincent_QC on July 5, 2013, at 20:17:29

what are you taking luvox for..what other meds are you taking

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 6, 2013, at 8:46:46

In reply to Re: Luvox users here?, posted by joef on July 6, 2013, at 7:26:00

> what are you taking luvox for..what other meds are you taking

Severe anxiety (panic with agoraphobia, social phobia, general anxiety, somatisation disorder).

My other meds are clonazepam 7 mg day, propranolol 10mg x 3 day, Xanax prn... Will switch to a newer beta blocker next week also, a more selective one call bisoprolol cause I have difficulty to breath with the Inderal and its not effective for the tachycardia anymore... The bisoprolol is stronger and last all day long and don't affect the breathing at low dose and my dose will be as low as 1.25 mg...will see if its working to reduce my heart rate... And improve my breathing...

I take a small dose of mirtazapine between 3 to 7.5 mg before bedtime to help me to fall asleep... Can't stand higher dose even if in the past I used the mirtazapine at 15 mg to 45 mg with no problem.

The meds sensitivity is relatively new for me, well since 2010... I took almost all psych meds and only the Paxil worked and clonazepam for the first 2'months I take it...

 

Re: Luvox users here?

Posted by joef on July 6, 2013, at 15:37:19

In reply to Re: Luvox users here? » joef, posted by Vincent_QC on July 6, 2013, at 8:46:46

that's a lot of klonopin...who prescribes for you

 

Re: Luvox users here? » joef

Posted by Vincent_QC on July 6, 2013, at 16:19:32

In reply to Re: Luvox users here?, posted by joef on July 6, 2013, at 15:37:19

> that's a lot of klonopin...who prescribes for you

My Doc prescribe it to me first in 2005... Was at 2 mg day but had to increase until I reach 8 mg who is the maximum dose for anxiety... After I was take in charge by a PDoc who RX it... Like I wrote, was able to be on a low dose of Valium and even 1 month free of benzo back in 2007...and a part of 2008... Put on Xanax after an Effexor xr trial fail...withdrawal the Xanax and return on low dose or Valium until the summer of 2009 when panic disorder start again...

It's a high dose but I reduce it to 7 mg last year... when I was on the Xanax only in the summer of 2008 I reach 12 mg day... Was sent to the hospital to detox... And rapidly return on a low dose of Valium...

My tolerance to the sedative, anxiolytics and muscle relaxant effect is high... We try some off label meds to potentiate the effect of the benzo and reduce my dose, lyrica, neurontin; topamax, nothing really work to help the anxiety...

The only one med who make me able to cut by half my benzo intake was the Nardil... But I had bad hypotension orthostaric on it and wasn't able to manage that side effects properly...


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