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Urinary Incontinence/Weak Bladder Treatment

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Detrusitol XL 4 mg Capsules
Pack Size: 28 capsules
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RRP*: £76.95
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Our Price: £57.99
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Always take Detrusitol XL exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

The usual dose is one 4 mg prolonged-release capsule daily, except for patients who have a kidney or a liver condition or troublesome side effects, in which case your doctor may reduce your dose to 2 mg Detrusitol daily.

Detrusitol XL is not recommended for children.

The prolonged-release capsules are for oral use and should be swallowed whole. Do not chew the capsules.

Duration of treatment

Your doctor will tell you how long your treatment with Detrusitol XL will last. Do not stop treatment early because you do not see an immediate effect. Your bladder will need some time to adapt. Finish the course of prolonged-release capsules prescribed by your doctor. If you have not noticed any effect by then, talk to your doctor.

The benefit of the treatment should be re-evaluated after 2 or 3 months.

Always consult your doctor if you are thinking of stopping the treatment.

If you have taken more Detrusitol XL than you should

If you or somebody else takes too many prolonged-release capsules, contact your doctor or pharmacist immediately.

If you forget to take Detrusitol XL

If you forget to take a dose at the usual time, take it as soon as you remember unless it is almost time for your next dose. In that case, omit the forgotten dose and follow the normal dose schedule.
Do not take a double dose to make up for a forgotten one.

If you have any further questions on the use of this product, ask your doctor or pharmacist. 

he active substance in Detrusitol XL is tolterodine. Tolterodine belongs to a class of medicinal products called antimuscarinics.
Detrusitol XL is used for the treatment of the symptoms of overactive bladder syndrome. If you have overactive bladder syndrome, you may find that:

  • you are unable to control urination,

  • you need to rush to the toilet with no advance warning and/or go to the toilet

    frequently. 

Like all medicines, Detrusitol XL can cause side effects, although not everybody gets them.

You should see your doctor immediately or go to the casualty department if you experience symptoms of angioedema, such as:

  • swollen face, tongue or pharynx

  • difficulty to swallow

  • hives and difficulty in breathing

    You should also seek medical attention if you experience a hypersensitivity reaction (for example itching, rash, hives, difficulty breathing). This occurs uncommonly (occurs in less than 1 in 100 patients).

    Tell your doctor immediately or go to the casualty department if you notice any of the following:

• chest pain, difficulty breathing or getting tired easily (even at rest), difficulty breathing at night, swelling of the legs.

These may be symptoms of heart failure. This occurs uncommonly (occurs in less than 1 in 100 patients).

The following side effects have been observed during treatment with Detrusitol XL with the following frequencies.

Very common side effects (occurs in more than 1 in 10 patients) are: • Dry mouth

Common side effects (occurs in less than 1 in 10 patients) are:

  • Sinusitis

  • Dizziness, sleepiness, headache

  • Dry eyes, blurred vision

  • Difficulty with digestion (dyspepsia), constipation, abdominal pain, excessive amounts of air or gases in the stomach or the intestine

  • Painful or difficult urination

  • Tiredness

  • Extra fluid in the body causing swelli 

  1. Do not take Detrusitol XL if you:

    • are allergic (hypersensitive) to tolterodine or any of the other ingredients in Detrusitol XL

    • are unable to pass urine from the bladder (urinary retention)

    • have an uncontrolled narrow-angle glaucoma (high pressure in the eyes with

      loss of eyesight that is not being adequately treated)

    • suffer from myasthenia gravis (excessive weakness of the muscles)

    • suffer from severe ulcerative colitis (ulceration and inflammation of the colon)

    • suffer from a toxic megacolon (acute dilatation of the colon). Take special care with DETRUSITOL XL

  • If you have difficulties in passing urine and/or a poor stream of urine

  • If you have a gastro-intestinal disease that affects the passage and/or

    digestion of food

  • If you suffer from kidney problems (renal insufficiency)

  • If you have a liver condition

  • If you suffer from neuronal disorders that affect your blood pressure, bowel

    or sexual function (any neuropathy of the autonomic nervous system)

  • If you have a hiatal hernia (herniation of an abdominal organ)

  • If you ever experience decreased bowel movements or suffer from severe constipation (decreased gastro-intestinal motility)

  • If you have a heart condition such as:
    ? anabnormalhearttracing(ECG);
    ? aslowheartrate(bradycardia);
    ? relevantpre-existingcardiacdiseasessuchas:

    • -  cardiomyopathy (weak heart muscle)

    • -  myocardial ischaemia (reduced blood flow to the heart)

    • -  arrhythmia (irregular heartbeat)

    • -  and heart failure

  • If you have abnormally low levels of potassium (hypokalaemia), calcium (hypocalcaemia) or magnesium 

    1. Talk to your doctor or pharmacist before starting your treatment with Detrusitol XL if you think any of these might apply to you.

      Taking other medicines

      Tolterodine, the active substance of Detrusitol XL, may interact with other medicinal products.

      It is not recommended to use tolterodine in combination with:

      • some antibiotics (containing e.g. erythromycin, clarithromycin)

      • medicinal products used for the treatment of fungal infections (containing e.g. ketoconazole, itraconazole)

      • medicinal products used for the treatment of HIV.
        Detrusitol XL should be used with caution when taken in combination with:

      • medicines that affect the passage of food (containing e.g. metoclopramide and cisapride)

      • medicines for the treatment of irregular heartbeat (containing e.g. amiodarone, sotalol, quinidine, procainamide)

      • other medicines with a similar mode of action to Detrusitol XL (antimuscarinic properties) or medicines with an opposite mode of action to Detrusitol XL (cholinergic properties). Ask your doctor if you are unsure.

        Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

    Taking Detrusitol XL with food and drink

    Detrusitol XL can be taken before, after or during a meal.

    Pregnancy and breast-feeding
    Pregnancy
    You should not use Detrusitol XL when you are pregnant. Tell your doctor immediately if you are pregnant, think you are pregnant or are planning to become pregnant.

    Breast-feeding

    It is not known if tolterodine, the active substance of Detrusitol XL, is excreted in the mother’s breast milk. Breast-feeding is not recommended during administration of Detrusitol XL.

    Ask your doctor or pharmacist for advice before taking any medicine.

    Driving and using machines
    Detrusitol XL may make you feel dizzy, tired or affect your sight; your ability to drive or operate machinery may be affected.

    Important information about some of the ingredients of Detrusitol XL

    This medicine contains sucrose (a type of sugar). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine. Patients with rare hereditary problems of fructose intolerance, glucose- galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine. 

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Flomax Relief MR Capsules
Pack Size: 14 capsules
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RRP*: £9.19
Saving: £0.86
Our Price: £8.33
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Men 45 years and over only:

After a meal, swallow 1 whole capsule with water, at the same time every day.

  • Create a note indicating the date you started this treatment. 
  • If this is the first time you are taking this medication, discontinue and consult your doctor if after 2 weeks, symptoms get worse or you have not improved.
  • Within six weeks of starting this treatment, consult your doctor to confirm that your symptoms are due to BPH.
  • Contact your doctor every 12 months to have your prostate checked. 
  • If your symptoms get worse or change consult your doctor. 
  • If you miss a dose, take it later after a meal, the same day.
  • When you forget to take a dose, swallow your daily capsule at the usual time the next day. Avoid swallowing 2 capsules to make up for a missed dose.

Flomax Relief MR can provide effective relief for people suffering from frequent night-time urinating, the urge to urinate every few hours, a weak flow or the feeling of unfinished urination.

Each capsule contains tamsulosin hydrochloride which acts as a gentle relaxant on the muscles surrounding the urethra, making it easier to urinate so the bladder can be emptied more completely to reduce trips to the toilet.

Flomax Relief MR is an alpha-blocker treatment that provides fast acting relief that will start to take effect within days after the first dose. The main ingredient tamsulosin hydrochloride is an established treatment for BPH symptoms.


Additional information for men:-

Men have a prostate gland which is used to produce seminal fluid for reproduction. It is approximately the size of a chestnut and as men get older this can increase in size and press on other parts of the urinary system. It can make it difficult to pass water, increase frequency of toilet visits and weaker interrupted urine stream. Flomax helps to release pressure and alleviate symptoms asscociated with urinary infrequency.

Not everyone will experience side effects when they take medication, however if you do they can include:

Headache, dizziness, rhinitis and ejaculation disorders, such as ejaculation failure and retrograde ejaculation.

If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.

Reading the following warnings carefully will help to ensure you are selecting an appropriate product.

  • If you are allergic to the ingredients such as Tamsulosin, or if you have liver, heart, or kidney condition, or if you have a fever caused by bladder or kidney infection, or if you feel faint ,dizzy or weak when you stand up or sit suddenly, or if you have been with the symptoms for less than 3 months, or if you have pain when urinating, or if you have or have had either bloody or cloudy urine within the last 3 months, or if you leak urine and you are unable to control it, or if you are diabetic, or if you are about to undergo cataract eye surgery or if you have had prostate surgery, or if you have recently had cloudy or blurred vision, you should not take these capsules. 
  • If you are taking other medication especially for lowering blood pressure, consult your pharmacist before taking this medication.
  • Inform your dentist or doctor that you are taking this medication before any dental procedure or operation as there is the likelihood that this medication might interfere with anaesthetic effects. 


Read the included leaflet before using this medication. Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.

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Vesicare Tablets 10mg
Pack Size: 28 capsules
Order in for Next Day Delivery
RRP*: £76.99
Saving: £2.00
Our Price: £74.99
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Instructions for proper use

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

You should swallow the whole tablet with some liquid. It can be taken with or without food, according to your preference. Do not crush the tablets.

The usual dose is 5 mg per day, unless your doctor told you to take 10 mg per day.

If you take more Vesicare than you should

If you have taken too much Vesicare or if a child has accidentally taken Vesicare, contact your doctor or pharmacist immediately.

Symptoms of overdose may include: headache, dry mouth, dizziness, drowsiness and blurred vision, perceiving things that ,are not there (hallucinations), over- excitability, seizures (convulsions), difficulty breathing, elevated heart rate (tachycardia), accumulation of urine in the bladder (urinary retention) and dilated pupils (mydriasis).

If you forget to take Vesicare

If you forget to take a dose at the usual time, take it as soon as you remember, unless it is time to take your next dose. Never take more than one dose per day. If you are in doubt, always consult your doctor or pharmacist.

If you stop taking Vesicare

If you stop taking Vesicare, your symptoms of overactive bladder may return or worsen. Always consult your doctor, if you are considering stopping the treatment.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

The active substance of Vesicare belongs to the group of anticholinergics. These medicines are used to reduce the activity of an overactive bladder. This enables you to wait longer before having to go to the bathroom and increases the amount of urine that can be held by your bladder.

Vesicare is used to treat the symptoms of a condition called overactive bladder. These symptoms include: having a strong, sudden urge to urinate without prior warning, having to urinate frequently or wetting yourself because you could not get to the bathroom in time.

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience an allergic attack, or a severe skin reaction (e.g. blistering and peeling of the skin), you must inform your doctor or pharmacist immediately.

Angioedema (skin allergy that results in the swelling that occurs in the tissue just below the surface of the skin) with airway obstruction (difficulty in breathing) has been reported in some patients on solifenacin succinate (Vesicare). If angioedema occurs, solifenacin succinate (Vesicare) should be discontinued immediately and appropriate therapy and/or measures should be taken.

Vesicare may cause the following other side effects:

Very common (may affect more than 1 in 10 people)

  • dry mouth

Common (may affect up to 1 in 10 people)

  • blurred vision
  • constipation, nausea, indigestion with symptoms such as abdominal fullness, abdominal pain, burping, nausea, and heartburn (dyspepsia), stomach discomfort

Uncommon (may affect up to 1 in 100 people)

  • urinary tract infection, bladder infection
  • sleepiness, impaired sense of taste (dysgeusia)
  • dry (irritated) eyes
  • dry nasal passages
  • reflux disease (gastro-oesophageal reflux), dry throat
  • dry skin
  • difficulty in passing urine
  • tiredness, accumulation of fluid in the lower legs (oedema)

Do not take Vesicare

  • if you have an inability to pass water or to empty your bladder completely (urinary retention)
  • if you have a severe stomach or bowel condition (including toxic megacolon, a complication associated with ulcerative colitis)
  • if you suffer from the muscle disease called myasthenia gravis, which can cause an extreme weakness of certain muscles
  • if you suffer from increased pressure in the eyes, with gradual loss of eye sight (glaucoma)
  • if you are allergic to solifenacin or any of the other ingredients of this medicine (listed in section 6)
  • if you are undergoing kidney dialysis
  • if you have severe liver disease
  • if you suffer from severe kidney disease or moderate liver disease AND at the same time are being treated with medicines that may decrease the removal of Vesicare from the body (for example, ketoconazole). Your doctor or pharmacist will have informed you if this is the case.

Inform your doctor if you have or ever had any of the above mentioned conditions before treatment with Vesicare starts.

Warnings and precautions

Talk to your doctor or pharmacist before taking Vesicare

  • if you have trouble emptying your bladder (= bladder obstruction) or have difficulty in passing urine (e.g. a thin urine flow). Risk of accumulation of urine in the bladder (urinary retention) is much higher.
  • if you have some obstruction of the digestive system (constipation).
  • if you are at risk of your digestive system slowing down (stomach and bowel movements). Your doctor will have informed you if this is the case.
  • if you suffer from severe kidney disease.
  • if you have moderate liver disease.
  • if you have a stomach tear (hiatus hernia) or heartburn.
  • if you have a nervous disorder (autonomic neuropathy).

Children and adolescents

Vesicare is not to be used in children or adolescents under 18 years.

Inform your doctor if you have or ever had any of the above mentioned conditions before treatment with Vesicare starts.

Before starting Vesicare, your doctor will assess whether there are other causes for your need to pass urine frequently (for example heart failure (insufficient pumping power of the heart) or kidney disease). If you have a urinary tract infection, your doctor will prescribe you an antibiotic (a treatment against particular bacterial infections).

Other medicines and Vesicare

Please tell your doctor or pharmacist if you are taking or have recently taken or might take other medicines.

It is especially important to inform your doctor if you are taking:

  • other anticholinergic medicines, effects and side effects of both medications can be enhanced.
  • cholinergics as they can reduce the effect of Vesicare.
  • medicines, like metoclopramide and cisapride, which make the digestive system work faster. Vesicare can reduce their effect.
  • medicines, like ketoconazole, ritonavir, nelfinavir, intraconazole, verapamil and diltiazem, which decrease the rate at which Vesicare is broken down by the body
  • medicines like rifampicin, phenytoin and carbamazepine, as they may increase the rate at which Vesicare is broken down by the body.
  • medicines such as bisphosphonates, that can cause or exacerbate inflammation of the gullet (oesophagitis).

Vesicare with food and drink

Vesicare can be taken with or without food, depending on your preference.

Pregnancy and breast-feeding

You should not use Vesicare if you are pregnant unless clearly necessary.

Do not use Vesicare if you are breast-feeding as solifenacin may get into your breast milk.

Ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Vesicare may cause blurred vision and sometimes sleepiness or tiredness. If you suffer from any of these side effects, do not drive or operate machinery.

Vesicare contains lactose. If you have been told by your doctor that you have a rare hereditary problem of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption you should not use this medicine.

Enlarge
Vesicare Tablets 5mg
Pack Size: 28 capsules
Order in for Next Day Delivery
RRP*: £76.99
Saving: £2.00
Our Price: £74.99
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Instructions for proper use

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

You should swallow the whole tablet with some liquid. It can be taken with or without food, according to your preference. Do not crush the tablets.

The usual dose is 5 mg per day, unless your doctor told you to take 10 mg per day.

If you take more Vesicare than you should

If you have taken too much Vesicare or if a child has accidentally taken Vesicare, contact your doctor or pharmacist immediately.

Symptoms of overdose may include: headache, dry mouth, dizziness, drowsiness and blurred vision, perceiving things that are not there (hallucinations), over- excitability, seizures (convulsions), difficulty breathing, elevated heart rate (tachycardia), accumulation of urine in the bladder (urinary retention) and dilated pupils (mydriasis).

If you forget to take Vesicare

If you forget to take a dose at the usual time, take it as soon as you remember, unless it is time to take your next dose. Never take more than one dose per day. If you are in doubt, always consult your doctor or pharmacist.

If you stop taking Vesicare

If you stop taking Vesicare, your symptoms of overactive bladder may return or worsen. Always consult your doctor, if you are considering stopping the treatment.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

The active substance of Vesicare belongs to the group of anticholinergics. These medicines are used to reduce the activity of an overactive bladder. This enables you to wait longer before having to go to the bathroom and increases the amount of urine that can be held by your bladder.

Vesicare is used to treat the symptoms of a condition called overactive bladder. These symptoms include: having a strong, sudden urge to urinate without prior warning, having to urinate frequently or wetting yourself because you could not get to the bathroom in time.

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience an allergic attack, or a severe skin reaction (e.g. blistering and peeling of the skin), you must inform your doctor or pharmacist immediately.

Angioedema (skin allergy that results in the swelling that occurs in the tissue just below the surface of the skin) with airway obstruction (difficulty in breathing) has been reported in some patients on solifenacin succinate (Vesicare). If angioedema occurs, solifenacin succinate (Vesicare) should be discontinued immediately and appropriate therapy and/or measures should be taken.

Vesicare may cause the following other side effects:

Very common (may affect more than 1 in 10 people)

  • dry mouth

Common (may affect up to 1 in 10 people)

  • blurred vision
  • constipation, nausea, indigestion with symptoms such as abdominal fullness, abdominal pain, burping, nausea, and heartburn (dyspepsia), stomach discomfort

Uncommon (may affect up to 1 in 100 people)

  • urinary tract infection, bladder infection
  • sleepiness, impaired sense of taste (dysgeusia)
  • dry (irritated) eyes
  • dry nasal passages
  • reflux disease (gastro-oesophageal reflux), dry throat
  • dry skin
  • difficulty in passing urine
  • tiredness, accumulation of fluid in the lower legs (oedema)

Do not take Vesicare

  • if you have an inability to pass water or to empty your bladder completely (urinary retention)
  • if you have a severe stomach or bowel condition (including toxic megacolon, a complication associated with ulcerative colitis)
  • if you suffer from the muscle disease called myasthenia gravis, which can cause an extreme weakness of certain muscles
  • if you suffer from increased pressure in the eyes, with gradual loss of eye sight (glaucoma)
  • if you are allergic to solifenacin or any of the other ingredients of this medicine (listed in section 6)
  • if you are undergoing kidney dialysis
  • if you have severe liver disease
  • if you suffer from severe kidney disease or moderate liver disease AND at the same time are being treated with medicines that may decrease the removal of Vesicare from the body (for example, ketoconazole). Your doctor or pharmacist will have informed you if this is the case.

Inform your doctor if you have or ever had any of the above mentioned conditions before treatment with Vesicare starts.

Warnings and precautions

Talk to your doctor or pharmacist before taking Vesicare

  • if you have trouble emptying your bladder (= bladder obstruction) or have difficulty in passing urine (e.g. a thin urine flow). Risk of accumulation of urine in the bladder (urinary retention) is much higher.
  • if you have some obstruction of the digestive system (constipation).
  • if you are at risk of your digestive system slowing down (stomach and bowel movements). Your doctor will have informed you if this is the case.
  • if you suffer from severe kidney disease.
  • if you have moderate liver disease.
  • if you have a stomach tear (hiatus hernia) or heartburn.
  • if you have a nervous disorder (autonomic neuropathy).

Children and adolescents

Vesicare is not to be used in children or adolescents under 18 years.

Inform your doctor if you have or ever had any of the above mentioned conditions before treatment with Vesicare starts.

Before starting Vesicare, your doctor will assess whether there are other causes for your need to pass urine frequently (for example heart failure (insufficient pumping power of the heart) or kidney disease). If you have a urinary tract infection, your doctor will prescribe you an antibiotic (a treatment against particular bacterial infections).

Other medicines and Vesicare

Please tell your doctor or pharmacist if you are taking or have recently taken or might take other medicines.

It is especially important to inform your doctor if you are taking:

  • other anticholinergic medicines, effects and side effects of both medications can be enhanced.
  • cholinergics as they can reduce the effect of Vesicare.
  • medicines, like metoclopramide and cisapride, which make the digestive system work faster. Vesicare can reduce their effect.
  • medicines, like ketoconazole, ritonavir, nelfinavir, intraconazole, verapamil and diltiazem, which decrease the rate at which Vesicare is broken down by the body
  • medicines like rifampicin, phenytoin and carbamazepine, as they may increase the rate at which Vesicare is broken down by the body.
  • medicines such as bisphosphonates, that can cause or exacerbate inflammation of the gullet (oesophagitis).

Vesicare with food and drink

Vesicare can be taken with or without food, depending on your preference.

Pregnancy and breast-feeding

You should not use Vesicare if you are pregnant unless clearly necessary.

Do not use Vesicare if you are breast-feeding as solifenacin may get into your breast milk.

Ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Vesicare may cause blurred vision and sometimes sleepiness or tiredness. If you suffer from any of these side effects, do not drive or operate machinery.

Vesicare contains lactose. If you have been told by your doctor that you have a rare hereditary problem of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption you should not use this medicine.

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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