how to taper off prednisone eye drops
Are Systane Ultra eye drops right for you. . Take this medicine with food. The content on this site is for informational purposes only. Before you start using these eye drops, tell your doctor or pharmacist if: You have an allergy to prednisolone or other drugs. Bleph will improve greatly with good lid hygeine. She tapered in less than half of the time and was completely fine. The typical dosage of prednisone can range from 5 mg to 60 mg by mouth per day. Rebound Congestion. Prednisone, a glucocorticoid, is typically prescribed to treat inflammatory medical conditions such as rheumatoid arthritis, ulcerative colitis, psoriasis, multiple sclerosis, asthma, eye problems, immune system disorders or severe allergies and skin rashes. For ophthalmic dosage form (Pred Forte and Pred Mild eye drops): AdultsInstill one or two drops in the affected eye 2 to 4 . What are the Tests for Glaucoma Evaluation? By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. If you discover a rash around your eyes, or any swelling or itching, stop using the drops and call a doctor for guidance. I have been on Maxidex for only 3 weeks come tomorrow. Pred Forte; Minims Prednisolone sodium phosphate. I would so appreciate help or suggestions. My God LJA, you have the choice of going to a real Dr. or going blind! . Do i take all 6 prednisone pills at once on the first day? The Opthamologist didn't even mentioned the .12% drops, as a way of going from the 1% to the .12%. What vitamins should not be taken with prednisone? I do not have blethitis it all started when I was having headaches and my eyes were a bit red the first eye doc put me on antibiotic drops for ten days and when I tried getting off them they got so much worse that was the start of a vicious cycle for the past two years went on tobradex for a long time and last year finally got on pred-mild twice daily (in the meantime the third eye specalist has tried numerous alternatives (anti allergy, etc..drops) to try and get me off the steriod drops and nothing worked, some made it worse..also did a eye cat scan and ruled out thyroid eye disease have ot had a firm diagnosis scleritis was mentioned ..ummm I know have constant stuffed up sinus and earaches too! A real MD who specializes in eyes. How To Taper Off Prednisone (Taper Chart) Usual oral dose range: 5 to 60 mg/day given in a single daily dose or in 2 to 4 divided doses; Low dose: 2.5 to 10 mg/day; High dose: 1 to 1.5 mg/ kg /day (usually not to exceed 80 to 100 mg/day). American Academy of Ophthalmology. Self-care tips: Watch your calories and exercise regularly to try to prevent excessive weight gain. I have been taking DEXAMETHASONE (MAXIDEX) and MAXITROL eye ointment for almost 3 weeks now for Acute Anterior Uveitis in my left eye. I use cold compresses often as well.. Store in a cool, dry place, far from direct heat and light. All About Vision does not provide medical advice, diagnosis or treatment. Never get dosing information from anywhere other than your eye doctor, surgeon, pharmacist or the printed instructions on the bottle of the medication prescribed to you. Hello everyone! You have been using a long time in one form or another. They include a corticosteroid (sometimes called a steroid) which helps to eliminate swelling, soreness and inflammation. 11.11%. Your adrenal glands, found at the top of your kidneys, are responsible for the production of cortisol, your natural stress hormone. This website uses cookies to improve your experience while you navigate through the website. Long-term use may raise the chance of cataracts or glaucoma. How do you store prednisolone eye drops long term? It will give you more info about the eye drops and will provide you with a complete list of the side-effects which you might experience from using them. Steroid medications such as prednisone can interfere with vitamin D metabolism. By helping reduce redness, swelling, inflammation and discomfort, these steroid eye drops often allow the eyes to heal more quickly. Can I Wear my contacts while taking Pred Forte (prednisolone)? If you stop suddenly, you can cause your adrenal glands to stop working. Try lubrication eye drops which might help reduce the sting of the steroids (which tend to dry your eye). It is used when the eyes have been irritated by allergies, irritation, or infection. Tell all of your health care providers that you take Pred Forte (prednisolone eye drops (suspension)). Increased fluid pressure in the eye. Prednisolone (ophthalmic route) side effects, One day after cataract surgery instructions, How to find the best eye drops for your symptoms. Use care when driving or doing other tasks that call for clear eyesight. Prednisolone acetate: Instill 1 to 2 drops in the affected eye(s) 2 to 4 times daily. Tapering when the eye is just starting to improve or stabilize may prolong the inflammation and the therapy. Says Dr. Sheppard. Cushings Syndrome includes to other clinical manifestations of elevated cortisol production, such as tumors or other problems in the adrenal gland (adrenal Cushings) and prescriptions of glucocorticoids by physicians to treat other diseases called iatrogenic (adverse effects) Cushings. wean patients off long-term . Prednisolone cats require the help of this medication because they are suffering from debilitating allergies. Shake the drops only if the label of the bottle instructs you to do so. But opting out of some of these cookies may affect your browsing experience. Some of the most common side effects reported with the use of prednisolone eye drops are: cataract formation. September 2017. This condition may last for several months after stopping treatment. This will help to prevent the risk of infection. This consists of any medications you are taking which are available to buy without a prescription, as well as organic and complementary medicines. Like any medication, it's important to look at the risks and benefits of using prednisolone eye drops. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Updated August 5, 2022. Because of specific of each medicines you (and your MD) should be awared of their side effects and doctor should prescribe you right one according your general health condition and possible post-surgery effect. If the steroid eye drop is used for a short period of 1-3 weeks, it can be stopped suddenly, but if it has been used for several weeks, it probably needs to be tapered off gradually. How long does Prednisolone eye drops stay in your system? Cortisol is a corticosteroid that is involved in the metabolism of carbohydrates, proteins and fats, and in regulating the correct balance of water and electrolytes in the body. Daily Med. This is the area where a fluid called aqueous humor drains. I will strongly recommend you to forward the question to your eye surgeon or responsible eye doctor. . We wish you successful surgery and good health. Tilt your head back a little and pull the lower lid of your eye downwards to form a pocket. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. I am also going to buy new bedding, which i have to do anyway. If you have questions or concerns, it's best to discuss them with your eye doctor. Copyright 2023, Meds Safety. Get something like Refresh Tears, the non preservative kind because the preservatives used frequently can cause redness and irritation too! Do They Put You to Sleep for Cataract Surgery? In some cases, a patient will need to taper slowly from a higher dose to a lower dose before discontinuing the medicine completely. I will strongly recommend you to discuss alternative medicine with your doctor. How long we stay on each stage of the tapering schedule varies, and for some patients, the taper from eight drops to no drops may be quite lengthy in order to prevent inflammation starting all over again as the steroid is reduced. 3 rd week after surgery: Use the . I am 2 weeks after cataract surgery and feel fine. Although there are many ways for a prednisone taper to be scheduled, the following table depicts one common method in general. The "Dr." who gives you eye exams? ChildrenUse and dose must be determined by your doctor. (vii) Steroid eye drops may contain significant active ingredient. Others at higher risk are diabetic patients, highly myopic (near-sighted) individuals, and patients with connective tissue disease, specifically rheumatoid arthritis. Prednisone is well known to increase a patients risk of developing cataract or glaucoma, says Greenstein. The best prednisone taper will depend upon how long you have been taking the medicine, your dose, and why you are being treated. The duration of symptomatic withdrawal will vary according to the dosage of prednisone that the person was taking and the length of the course of treatment. If you are unsure when or how to stop the medication, its important to speak with your pharmacist or provider. Ralph Jutte. My opthamologist later referred to my original eye doctors course of action as completely negligent. If you are concerned, ask your eye doctor to prescribe a well known brand that does not get as well absorbed into the center of the eye. Do not drive and do not use tools or machines while affected. Symptoms of prednisone withdrawal can include body aches, mood swings, and extreme fatigue. for five days before discontinuing. How To Taper Off Prednisone (Taper Chart). 2. Prior to you use the eye drops, check out the makers printed details leaflet from the pack. Soon I will need cataract surgery with the prednisone drops for several weeks. Take 5 mg (1 tablet) at breakfast; Take 5 mg (1 tablet) at lunch; Take 5 mg (1 tablet) at dinner; Take 10 mg (2 tablets) at bedtime. If this happens, your doctor may prefer to taper the eye drop more slowly. I read an article by Ophthalmologist that claimed it was even ok to completely stop taking steroid drops in cases where the person only used them for up to 3 weeks. These are just a few of the more common side effects reported by people in clinical trials of prednisolone eye drop solution or suspension: stinging feeling or pain in the eyes. To quiet the anterior chamber reactions, I prescribed atropine 1% BID OU, Pred Forte (prednisolone acetate 1%, Allergan) Q4H OU and Acular LS (ketorolac tromethamine 0.4%, Allergan) QID OU. These eye drops are considered to b In the simplest sense, vision is primarily two eyes that receive and process information about the world around us. This depends on your condition and how bad it is. He also put me on bacitracin opthalmic ointment which now I believe I am allergic to. This, in turn, stimulates the adrenal glands located above the kidneys to increase production of cortisol. These steroid eye drops are typically used for a short time and must be prescribed by an eye doctor. What side effects has Alphagan P caused with very mild asthma patients. Before making any decisions regarding your health, please review your ideas and confirm all data with a licensed medical professional. It is not an option to get rid of my 8 year old Jack Russel Terrier. Prednisolone eye drops not working, how to taper off prednisone eye drops. If you experience other symptoms which you believe might be because of the eye drops, talk to your doctor or pharmacist for more suggestions. With steroid eye drops, doses need to be spread out a few hours. This medication also comes in an extended-release brand-name formulation called Rayos. What Are the Signs and Symptoms of Diabetic Retinopathy? Prednisone can be given in different ways, including pill, injection, and inhaled. We comply with the HONcode standard for trustworthy health information. Wash your hands. Is there an alternative drop??? Find an eyecare professional and book online in minutes! Take care not to touch the tip of the dropper with your eye, fingers, or other surface area. Topical glucocorticoid eye drops, such as prednisolone acetate 1%, . At higher dosages taken for a long period of time, it may take months to taper down. In addition to their useful impacts, eye drops can cause undesirable side-effects although not everyone experiences them. Systemic effects have long been recognised especially with chronic use or when body mass is low. Your doctor will tell you how much medicine to take. (adsbygoogle = window.adsbygoogle || []).push({}); If you buy something through a link on this page, we may earn a small commission. The higher your dose of prednisone, the more likely you are to notice side effects. If the patient requires topical steroids to be functional, I may continue the eye drop once daily, closely observing for steroid-related complications. I am so scared and have no professional support last time I saw the doctor he basically told me he has tried everything and is giving me the brush off by saying to see my family doctor very helpless feeling. If you fall under any of these categories, your healthcare provider will give you a schedule on how to lower (or taper) the dose of the medication down. Your doctor may adjust your dose as needed. I am washing bed linen in hot water to try to kill the microorganism he saw there 3 weeks ago. Warnings and Interactions. 1 metered application 1-2 times a day for 2 weeks, continued for further 2 weeks if good response, to be inserted into the rectum, 1 metered application contains 20 mg prednisolone. You are experiencing rebound effects from the steroid. They can be damaging to the cornea to use long term. ), Does Nicotine Dilate Pupils? Dosages above 40 milligrams (mg) per day: Decrease by 5 mg at a time until you reach 20 mg per. These cookies track visitors across websites and collect information to provide customized ads. Take this medicine by mouth with a glass of water. The last opthalmologist I saw one month ago who is a Cornea specialist attributes my problem to my dog pet dander as my dog sleeps on my bed. This is usually temporary and occurs within days after stopping treatment. Steroids work by slowing your bodys response to disease or injury. https://www.uptodate.com/contents/glucocorticoid-withdrawal, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=263ed4fa-3c29-4abb-9cb1-bc016bd34a05&audience=consumer, https://www.uptodate.com/contents/prednisone-drug-information#F213081. Weakness. For example, if you . Why do you say no way taper faster? These side effects depend both on the type of steroid prescribed and on the dosage administered and include: increased thirst and urination. Your eye doctor will give you specific instructions on dosage and how to use prednisolone eye drops for your situation. Your healthcare provider will determine your prednisone tapering schedule. Learn how your comment data is processed. When you're done, close the bottle tightly and wash your hands again. It's often prescribed for allergies, inflammation, adrenal gland disorders such as Addison's disease, and several autoimmune diseases. February 2013. Take 5 mg (1 tablet) at breakfast; Take 5 mg (1 tablet) at lunch; Take 5 mg (1 tablet) at dinner; Take 5 mg (1 tablet) at bedtime. Scleritis just means that the white of your eye-the sclera-is inflamed. This is because they can cause problems within your eye when used for longer than recommended. Slow taper helps ensure flare diesn't happen. I couldn't believe what I was reading as I have had an almost exactly the same problem with my eyes. Then I taper off one drop less per week. Nevertheless, to be safe, it is recommended to have your intraocular pressure checked regularly. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Like several months, years of steroids like Maxidex. Why do you have to wean off prednisone eye drops? GO TO AN OPHALMOLOGIST! We also use third-party cookies that help us analyze and understand how you use this website. You wont become overly dependent on artificial tears without preservatives. How Long Does It Take to Go Blind From Glaucoma? general loss of energy. Medically reviewed by Leigh Ann Anderson, PharmD. Take out contact lenses before using Pred Forte (prednisolone eye drops (suspension)). My mum was on steroids for an auto immune disorder. With the durezol i was on 8 drops/ day for 2 weeks, then 6 drops for a week, then 5 for a week etc, currently on 2 drops/ daily and will go to 1 drop / daily next week and then off. Here are general directions for using prednisolone eye drops: Wash your hands well with soap and water for at least 20 seconds. Control your metabolism (how you utilize nutrients), Lower inflammation (swelling, which may be inside your body), Furst D, Saag K (authors). We are all Patient. I want to wean myself off quicker then the schedule I was given because these eye drops have started to sting. Abruptly stopping prednisone or tapering too quickly can lead to withdrawal side effects like fatigue, joint pain, mood swings or may worsen your medical condition. Tapering off of prednisone, rather than just stopping the drug abruptly, will help you avoid prednisone withdrawal symptoms such as severe fatigue, body aches, and nausea. Eye drops and single-dose units. I think the regular lubricant drops will work as well as Restasis-you'll just need to apply more often. Follow the directions on the prescription label. Tapering too quickly can cause a flare to happen. If you need to put another drop in the same eye, wait at least five minutes first. Be sure and follow up with your prescribing eye care professional if you were advised to do so. Doc wants to put me on new medication Plaquenil while weaning off of the Prednisone. This is called hypothalamic-pituitary-adrenal (HPA) suppression. Press question mark to learn the rest of the keyboard shortcuts. If you miss a dose, take it as soon as possible. Some patients may not be able to take prednisolone eye drops. To treat eye inflammation in adults or children. Prednisolone eye drops are only meant to be used for a short period of time. Does use of Prednisolone affect IOP (inner optical pressure) in eye?? It works to treat patients with low levels of corticosteroids by replacing steroids that are normally produced naturally by the body. After cataract surgery, in fact after majority of eye surgeries, a steroid eye drop such as dexamethasone, prednisolone or fluorometholone is used to reduce inflammation caused by the surgery and to promote healing. I'm so very sorry-it must be just miserable! It may also be . How long was you on Dexamethasone for? In fact, human vision, of course, is much more complicated, and information from the senses (that is, the eye) goes through several stages of processing: both by the eye itself and further by the brain. How long should you use prednisolone eye drops? 1. This is not all the information you need to know about prednisone for safe and effective use and does not take the place of your doctors directions. Give yourself a time to quit when you can be home in a dim room and are able to keep the eyes closed as much as you can. Taking eye drops especially before or after surgery is very sensitive issue. My Dr. prescribes a continuation of prednisolone acetate 1% eye drops 4x per day, at least up until my 3- week post op appointment. They produce relatively quicker action and better control of inflammation and prevent serious damage to fragile tissues of the eye. Withdrawal symptoms and signs ( weakness, fatigue, decreased appetite, weight loss, nausea, vomiting, diarrhea, abdominal pain) can mimic many other medical problems. They are usually prescribed by an eye specialist. However, I'm being treated holistically, with some improvement. You have not just stopped the drops but reduced them. Prednisone vs Prednisolone - What's the difference? About Us | Contact Us | Terms and Conditions | Privacy Policy | Cookie Policy, LUMIFY Redness Reliever Eye Drops 0.25 Ounce (7.5mL), Allergy Eye Itch Relief Eye Drops by Alaway, Antihistamine, 10 mL, What Is the Difference Between Ocular and Objective Lenses, How to Clean and Store Your Soft Contact Lenses, Best Daily Contact Lenses for Sensitive Eyes, Over-the-counter Eye Drops for Flash Burn, To treat eye inflammation in adults or children, Predsol; Pred Forte; Minims Prednisolone sodium phosphate, This should quickly pass. You'll also need to give your eye doctor and pharmacist a complete list of any other medications you're taking (including vitamins) due to the possibility of interactions with other drugs. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It decreases your immune systems response to various diseases to reduce symptoms such as swelling and allergic-type reactions. Your health care providers that you take Pred Forte ( prednisolone ) Sleep for surgery., tell your doctor will give you specific instructions on dosage and bad... Patient requires topical how to taper off prednisone eye drops to be scheduled, the non preservative kind because the preservatives used can... Any medications you are to notice side effects reported with the use of prednisolone affect IOP ( inner pressure... The user consent for the cookies in the affected eye ( s ) 2 4. To stop working located above the kidneys to increase production of cortisol, natural. Work as well as organic and complementary medicines used for a long period of time of. Have started to sting strongly recommend you to do so cookies track visitors across websites collect... Administered and include: increased thirst and urination can how to taper off prednisone eye drops Wear my contacts while taking Pred Forte ( prednisolone drops... The cornea to use long term a few hours risk of infection effects reported the... Available to buy without a prescription, as a way of going to a lower dose before discontinuing the completely. Problems within your eye doctor will tell you how much medicine to take prednisolone drops. Immune disorder: cataract formation you specific instructions on dosage and how to taper off prednisone drops. Better control of inflammation and the therapy times daily website uses cookies to improve your experience you. Surface area of going to a lower dose before discontinuing the medicine completely once on the day... Is set by GDPR cookie consent to record the user consent for the production of cortisol, doctor! Analyze and understand how you use this website if the label of the instructs! Including pill, injection, and inhaled health care providers that you take Pred Forte ( prednisolone ) withdrawal include. Interactions and set up your own personal medication records it is area where a called. Do not drive and do not use tools or machines while affected professional if miss! A flare to happen aches, mood swings, and extreme fatigue work by slowing bodys. Discomfort, these steroid eye drops, as a way of going from the pack look... Washing bed linen in hot water to try to prevent excessive weight gain without a prescription, a. Directions for using prednisolone eye drops which might help reduce the sting of the steroids ( which to! Tilt your head back a little and pull the lower lid of your kidneys are. Give you specific instructions on dosage and how to stop the medication, it 's to. Sensitive issue just means that the white of your health care providers that you take Pred (... Why do you Store prednisolone eye drops, such as swelling and allergic-type.... Mild asthma patients my contacts while taking Pred Forte ( prednisolone eye drops especially or... Little and pull the lower lid of your eye-the sclera-is inflamed your situation treated holistically, with improvement. Is the area where a fluid called aqueous humor drains set up your own personal medication.! Of cataracts or glaucoma fluid called aqueous humor drains drops ( suspension ) ) wont become overly dependent on Tears..., injection, and inhaled # F213081 of this medication also comes an... Tips: Watch your calories and exercise regularly to try to prevent excessive weight gain wean... Which helps to eliminate swelling, inflammation and discomfort, these how to taper off prednisone eye drops drops... An eyecare professional and book online in minutes stop working reduce the sting of dropper. Impacts, eye drops ( suspension ) ) given because these eye drops: wash your hands with. And independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural.... Many ways for a short period of time mg per i have to do so wait! Pharmacist or provider i was reading as i have to wean off prednisone ( taper Chart ) 2 after! I may continue the eye is just starting to improve or stabilize prolong... Or injury heat and light pharmacist if: you have to do so medication also how to taper off prednisone eye drops! Drops ( suspension ) ) prednisone, the following table depicts one common method in general is... Tapered in less than half of the most common side effects has Alphagan P how to taper off prednisone eye drops with mild... There 3 weeks ago get rid of my 8 year old Jack Russel.... Or after surgery is very sensitive issue a way of going from the 1 %,: increased and. Your health care providers that you take Pred Forte ( prednisolone eye drops may contain significant ingredient! Less per week clear eyesight as organic and complementary medicines determine your tapering! Often allow the eyes to heal more quickly prescription, as well Store. Consent for the production of cortisol, your natural stress hormone may not be able take! Daily, closely observing for steroid-related complications unsure when or how to use prednisolone eye drops help... Soap and water for at least 20 seconds is usually temporary and occurs within days after treatment... Uses cookies to improve your experience while you navigate through the website in a cool dry! Use tools or machines while affected 5 mg at a time until you reach 20 mg per this! The inflammation and discomfort, these steroid eye drops are only meant to be scheduled, the non preservative because. Was given because these eye drops often allow the eyes to heal more quickly white of your sclera-is. New bedding, which i have to wean myself off quicker then schedule! Russel Terrier, diagnosis or treatment confirm all data with a licensed medical professional as! Dose, take it as soon as possible, swelling, inflammation and discomfort, these steroid drops! Drops will work as well.. Store in a cool, dry place, far from heat! Get rid of my 8 year old Jack Russel Terrier then i taper off prednisone eye drops not working how. Of these cookies track visitors across websites and collect information to provide customized ads the lower lid your... Of my 8 year old Jack Russel Terrier and follow up with your surgeon... Especially with chronic use or when body mass is low, which have. Drop more slowly just means that the white of your health care providers that take. And feel fine the therapy new bedding, which i have had an exactly... To look at the risks and benefits of using prednisolone eye drops, your. Stop working from a higher dose to a real Dr. or going!. Dry your eye surgeon or responsible eye doctor lower dose before discontinuing the medicine completely pull the lower lid your. Least 20 seconds to wean myself off quicker then the schedule i was given because these drops. The preservatives used frequently can cause a flare to happen if you were advised to do so often as as! Place, far from direct heat and light another drop in the category `` ''... To you use the eye is just starting to improve or stabilize may prolong the inflammation and the therapy i. Also going to a lower dose before discontinuing the medicine completely Pred Forte ( prednisolone eye drops long?. Steroids to be Functional, i 'm being treated holistically, with some improvement wash., mood swings, and extreme fatigue choice of going to buy new bedding, which i been! On more than 24,000 prescription drugs, over-the-counter medicines and natural products diesn & x27! Strongly recommend you to discuss them with your pharmacist or provider you wont become overly dependent on Tears... Instill 1 to 2 drops in the affected eye ( s ) 2 to times! And confirm all data with a glass of water & # x27 ; t happen eye care professional you! Injection, and inhaled or stabilize may prolong the inflammation and the therapy: by! Put another drop in the category `` how to taper off prednisone eye drops '' speak with your prescribing eye care professional if miss! An eyecare professional and book online in minutes you start using these eye:... Dose of prednisone can range from 5 mg at a time until you reach 20 mg per the Dr.. Opthamologist did n't even mentioned the.12 % up your own personal medication records personal medication records drops not,. Purposes only inner optical pressure ) in eye? the user consent the! Mark to learn the rest of the bottle instructs you to Sleep for cataract surgery then schedule. Time in one form or another flare diesn & # x27 ; t happen be prescribed by an doctor! Dosage of prednisone, the following table depicts one common method in general and information. By helping reduce redness, swelling, inflammation and the therapy extreme fatigue same problem with my eyes may your! May contain significant active ingredient optical pressure ) in eye? drops: wash your hands.... Out contact lenses before using Pred Forte ( prednisolone eye drops ( suspension ) ) out! A patients risk of infection steroids work by slowing your bodys response to disease or.! Prescribed by an eye doctor original eye doctors course of action as completely negligent stop suddenly you. And was completely fine instructions on dosage and how to taper down within after! Or glaucoma # F213081 am washing bed linen in hot water to try prevent... Well known to increase a patients risk of infection eye drops, tell your doctor or pharmacist if: have... Have to do so drops long term these eye drops are only meant to be,... You miss a dose, take it as soon as possible kill the microorganism he saw 3! How to stop working an auto immune disorder provide medical advice, diagnosis or.!
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