citalopram body aches

Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Applies to citalopram: oral solution, oral tablet. Although not all of these side effects may occur, if they do occur they may need medical attention. Medically reviewed by Drugs.com. The expiry date (EXP) printed on the pack has passed. These withdrawal symptoms can cause major discomfort to the patient particularly if they have been taking Citalopram for more than six weeks. The most commonly reported side effects were nausea, somnolence, dry mouth, increased sweating, tremor, diarrhea, and ejaculation disorder. Altered Interest In Having Sexual Intercourse 5. Cerner Multum, Inc. "UK Summary of Product Characteristics." Celexa withdrawal symptoms are physical and psychological manifestations that occur when someone abruptly stops taking Celexa medication as prescribed by the doctor. This site complies with the HONcode standard for trustworthy health information: verify here. Do not take CITALOPRAM AN at the same time as the following other medicines: pimozide, a medicine used to treat mental disorders You may report side effects to the FDA at 1-800-FDA-1088. Citalopram magnifies the effects of alcohol, and alcohol can conversely augment or alter the effects of medications. If you notice any other effects, check with your healthcare professional. Gas 7. Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. Last updated on Sep 1, 2020. Citalopram is prescribed for depression while sertraline is prescribed for depression and additional mental disorders. Absence Of Menstrual Periods 3. Hallucinations. Delirium. Celexa (citalopram) is a brand-name drug that’s used to treat depression in adults. [Ref], Common (1% to 10%): Coughing, pharyngitis, rhinitis, sinusitis, upper respiratory tract infection, yawning, Uncommon (0.1% to 1%): Bronchitis, dyspnea, epistaxis, pneumonia, Rare (less than 0.1%): Asthma, bronchospasm, hiccups, increased sputum, laryngitis, pneumonitis, pulmonary embolism[Ref], Common (1% to 10%): Chest pain, hypotension, palpitations, postural hypotension, tachycardia, Uncommon (0.1% to 1%): Angina pectoris, atrial fibrillation, bradycardia, cardiac failure, edema (extremities), extrasystoles, hematomas, hot flushes, hypertension, myocardial infarction, myocardial ischemia, Rare (less than 0.1%): Bundle branch block, cardiac arrest, phlebitis, QT prolongation, torsades de pointes, Frequency not reported: Ventricular arrhythmia, orthostatic hypotension, This drug has been associated with a dose-related QT-interval prolongation; there have been reports of QT-interval prolongation and ventricular arrhythmia, including torsade de pointes, particularly in females, patients with hypokalemia, or with pre-existing QT-interval prolongation, or other cardiac disease. Decreased Appetite 5. Other side effects include: suicidal tendencies, agitation, diarrhea, impotence, sinusitis, anxiety, confusion, exacerbation of depression, lack of concentration, tremor, vomiting, anorexia, and xerostomia. It sometimes affect my knee and I can hardly walk . Symptoms include: 1 Fast heartbeat. HAS ANYONE FELT STRANGE BODY ACHES, BURNING HOT SENSATIONS RUNNING DOWN ARMS AND LEGS, SWEATING, CHILLS, AND/OR MORE ANXIOUS WHILE TAKING THIS MED? Do not stop taking citalopram without talking to your doctor. Excessive Saliva Production 6. What should I take for this? I have constant pain that moves around my body. Available for Android and iOS devices. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared with placebo in adults beyond age 24, and there was a reduction in risk with antidepressants compared with placebo in adults aged 65 or older. Although not all of these side effects may occur, if they do occur they may need medical attention. chest pain; fast or slow heart rate; shortness of breath; dizziness or fainting; Serotonin syndrome. The estimates of the incidence of untoward sexual experience and performance may underestimate their actual incidence, partly because patients and physicians may be reluctant to discuss this issue. Excess Urination 7. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Along with its needed effects, citalopram may cause some unwanted effects. Itching 9. A Problem With Menstrual Periods 2. Answer. [Ref], Very common (10% or more): Nausea (up to 21.4%), dry mouth (up to 20%), Common (1% to 10%): Abdominal pain, constipation, diarrhea, dyspepsia, flatulence, increased saliva, taste loss/perversion, vomiting, Uncommon (0.1% to 1%): Abnormal bleeding (predominantly of the mucous membranes), dysphagia, eructation, esophagitis, gastrointestinal bleeding, gastritis, gastroenteritis, gingivitis, hemorrhoids, stomatitis, teeth grinding, Rare (less than 0.1%): Colitis, diverticulitis, duodenal ulcer, gastric ulcer, gastroesophageal reflux, gingival bleeding, glossitis, rectal hemorrhage, Frequency not reported: Gastrointestinal hemorrhage, Very common (10% or more): Insomnia (up to 18.8%), Common (1% to 10%): Abnormal dreams, aggravated depression, agitation, anxiety, apathy, confusion, depression, impaired concentration, nervousness, suicide attempt, sleep disorder, Uncommon (0.1% to 1%): Aggressive reaction, delusion, depersonalization, drug dependence, emotional lability, euphoria, hallucination, mania, panic reaction, paranoid reaction, paroniria, psychosis, psychotic depression, Rare (less than 0.1%): Catatonic reaction, melancholia, suicide-related events, Frequency not reported: Bruxism, restlessness, panic attack, suicidal ideation/behavior, Postmarketing reports: Delirium, withdrawal syndrome[Ref], Very common (10% or more): Asthenia (up to 11.5%), Common (1% to 10%): Fatigue, fever/pyrexia, tinnitus, asthenia, Rare (less than 0.1%): Facial edema, malaise, rigors, Postmarketing reports: Spontaneous abortion[Ref], Very common (10% or more): Increased sweating (up to 11.3%), Uncommon (0.1% to 1%): Abnormal bleeding of the skin, acne, alopecia, dermatitis, dry skin, eczema, flushing, photosensitivity reaction, psoriasis, purpura, skin discoloration, urticaria, Rare (less than 0.1%): Decreased sweating, cellulitis, hypertrichosis, keratitis, melanosis, pruritus ani, Frequency not reported: Angioedema, ecchymosis, Postmarketing reports: Epidermal necrolysis, erythema multiforme[Ref], Common (1% to 10%): Abnormal orgasm/anorgasmia (female), amenorrhea, decreased libido, dysmenorrhea, ejaculation disorders/ejaculation delay, impotence, menstrual disorders, polyuria, ejaculation failure, micturition disorders, Uncommon (0.1% to 1%): Breast enlargement, breast pain, dysuria, galactorrhea, increased libido, menorrhagia, micturition frequency, nonpuerperal lactation, vaginal bleeding, vaginal hemorrhage, urinary incontinence, urinary retention, Rare (less than 0.1%): Hematuria, oliguria, Frequency not reported: Metrorrhagia, priapism[Ref]. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Side effects . This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Trouble Breathing If experienced, these tend to have a Less Severe expression 1. Sertraline is metabolized with an average half-life of 22 to 36 hours while Citalopram has an average half-life of about 36 hours meaning Sertraline gets metabolized faster than citalopram. Common (1% to 10%): Amnesia, extrapyramidal disorder, migraine, paresthesia, tremor, Uncommon (0.1% to 1%): Abnormal gait, ataxia, cerebrovascular accident, convulsions, dystonia, hypoesthesia, involuntary muscle contractions, neuralgia, speech disorder, syncope, hyperkinesia, hypertonia, hypokinesia, dyskinesia, vertigo, transient ischemic attack, Rare (less than 0.1%): Abnormal coordination, dyskinesia, grand mal convulsion, hyperesthesia, stupor, Frequency not reported: Akathisia, movement disorder, serotonin syndrome, Postmarketing reports: Choreoathetosis, myoclonus, neuroleptic malignant syndrome, nystagmus[Ref], Potentially life-threatening serotonin syndrome has been reported with SSRIs and SNRIs as monotherapy, but particularly with concomitant use of other serotonergic drugs and drugs that impair the metabolism of serotonin. Nausea or vomiting. Citalopram is licensed to treat the following conditions:. Does this help relieve constant pain? AHA News: Certain Antidepressants Might Increase Stroke Risk for Young Adults With PTSD, We comply with the HONcode standard for trustworthy health information -. Check with your doctor immediately if any of the following side effects occur while taking citalopram: Some side effects of citalopram may occur that usually do not need medical attention. You may also feel some discomfort inside your chest. See below for a comprehensive list of adverse effects. This side effect may diminish over time as your body gets used to this medication. Your doctor will know when it is safe to start citalopram after the MAOI has been stopped. Commonly reported side effects of citalopram include: drowsiness, ejaculatory disorder, nausea, insomnia, and diaphoresis. Commonly reported side effects of citalopram include: drowsiness, ejaculatory disorder, nausea, insomnia, and diaphoresis. In most cases, … Along with its needed effects, a medicine may cause some unwanted effects. The insurance wouldn't pay for it, so today he gave me citalopram hbr 20 mg. These side effects may go away during treatment as your body adjusts to the medicine. A study has tested the effects of citalopram and how it can be used to treat depression and pain in fibromyalgia (FM) patients. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online, increase in the frequency of urination or amount of urine produced, breast tenderness or enlargement or unusual secretion of milk (in females), redness, tenderness, itching, burning, or peeling of the skin, slow or irregular heartbeat (less than 50 beats per minute), talking or acting with excitement you cannot control, unusual or sudden body or facial movements or postures, hive-like swelling on the face, eyelids, lips, tongue, or throat, holding false beliefs that cannot be changed by fact, impaired consciousness, ranging from confusion to coma, itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, painful or prolonged erection of the penis, seeing, hearing, or feeling things that are not there, swelling of the breasts or unusual milk production, tenderness, pain, swelling, warmth, skin discoloration, and prominent superficial veins over the affected area, twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs, uncontrolled jerking or twisting movements, vomiting of blood or material that looks like coffee grounds, tingling, burning, or prickly feelings on the skin, large, flat, blue or purplish patches in the skin. Copyright © 2021 IBM Watson Health. Do not start taking citalopram during the 2 weeks after you stop a MAO inhibitor and wait 2 weeks after stopping citalopram before you start taking a MAO inhibitor. Take citalopram exactly as your doctor tells you to. The most common body aches are headache, neck and back pain, muscle pain, joint pain; and also neuropathic pain, which occurs when the nervous system doesn t … So, your symptoms could be a side effect of the medications you're taking. Diarrhea. Agitation 2. blurred vision 3. confusion 4. fever 5. increase in the frequency of urination or amount of urine produced 6. lack of emotion 7. loss of memory 8. menstrual changes 9. skin rash or itching 10. trouble breathing this is … Muscle twitches or … This content does not have an English version. Flu-like symptoms appear when citalopram is discontinued. Confusion 6. hey guys I've been put on Citalopram 10mg got a question to the people who's taking Citalopram does anyone get upset stomach when taking these pills? Celexa comes as a tablet that you swallow. Drug class: selective serotonin reuptake inhibitors, increase in the frequency of urination or amount of urine produced, breast tenderness or enlargement or unusual secretion of milk (in females), redness, tenderness, itching, burning, or peeling of the skin, slow or irregular heartbeat (less than 50 beats per minute), talking or acting with excitement you cannot control, unusual or sudden body or facial movements or postures, hive-like swelling on the face, eyelids, lips, tongue, or throat, holding false beliefs that cannot be changed by fact, impaired consciousness, ranging from confusion to coma, itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, painful or prolonged erection of the penis, seeing, hearing, or feeling things that are not there, swelling of the breasts or unusual milk production, tenderness, pain, swelling, warmth, skin discoloration, and prominent superficial veins over the affected area, twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs, uncontrolled jerking or twisting movements, tingling, burning, or prickly feelings on the skin, large, flat, blue or purplish patches in the skin. Celexa (citalopram)." This risk must be balanced with the clinical need. Portions of this document last updated: Dec. 01, 2020. [Ref], Epidemiological studies, primarily in patients aged 50 years or older, have shown an increased risk of bone fractures in patients receiving SSRIs or TCAs. This can produce a host of negative effects, such as cognitive impairment, lack of clarity in perception, and impaired motor and muscle control. trazodone, sertraline, fluoxetine, Cymbalta, citalopram, amitriptyline, Lexapro, Xanax, Zoloft, paroxetine. Women may experience insomnia -- difficulty falling or staying asleep, fatigue, and drowsiness while on citalopram. O 0. "Product Information. This content does not have an Arabic version. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. If you take them together or do not wait 2 weeks, you may develop confusion, agitation, restlessness, stomach or intestinal symptoms, a sudden high body temperature, an extremely high blood pressure, or severe convulsions. Celexa is a common brand name of citalopram, which belongs to a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). It is prescribed as a once-daily dose. If experienced, these tend to have a Severe expression 1. Loss of physical coordination. Side effects of Prilosec may include headache, nausea, diarrhea, stomach pain, or constipation. The body becomes extremely sensitive to substances in the air, medications or food causing itching, sneezing, skin rashes, hay fever, and nausea or vomiting. Agitation. Anxious Feelings 4. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Continue to take citalopram even if you feel well. Agitation 4. Body aches or pain; change in sense of taste; gas; headache (severe and throbbing) heartburn; increased sweating; increased yawning; loss of voice; pain in the muscles or joints; sneezing; stuffy or runny nose; tingling, burning, or prickly feelings on the skin; tooth grinding; unusual increase or decrease in weight; watering of the mouth; Incidence not known. Lower back, then move to right back to the left. The study is created by eHealthMe based on reports (from sources including the FDA) of 306,555 people who take Citalopram hydrobromide and Quetiapine fumarate, and is … If you suddenly stop taking citalopram, you may experience withdrawal symptoms such as mood changes, irritability, agitation, dizziness, numbness, tingling or electric shock-like sensations in the hands or feet, anxiety, confusion, headache, tiredness, nausea, sweating, shaking, and difficulty falling asleep or staying asleep. Options: Show MedDRA Preferred Terms, display all 105 labels Taking citalopram with MAOIs may cause a serious reaction with signs such as a sudden increase in body temperature, very high blood pressure, rigid muscles, nausea/vomiting and/or fits (convulsions). © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Learn about side effects, dosage, uses, and more. [Ref], Common (1% to 10%): Arthralgia, back pain, myalgia, Uncommon (0.1% to 1%): Arthritis, leg cramps, muscle weakness, skeletal pain, Rare (less than 0.1%): Bursitis, osteoporosis, Postmarketing reports: Rhabdomyolysis[Ref], Common (1% to 10%): Anorexia, decreased/increased weight, decreased/increased appetite, Uncommon (0.1% to 1%): Abnormal glucose tolerance, thirst, Rare (less than 0.1%): Alcohol intolerance, dehydration, hypokalemia, hyponatremia, hypoglycemia, obesity[Ref], Common (1% to 10%): Abnormal accommodation, Uncommon (0.1% to 1%): Abnormal vision, conjunctivitis, dry eyes, eye pain, mydriasis, Rare (less than 0.1%): Abnormal lacrimation, cataract, diplopia, photophobia, ptosis, Frequency not reported: Visual disturbance, acute narrow angle glaucoma, Postmarketing reports: Angle-closure glaucoma[Ref], Common (1% to 10%): Increased alkaline phosphatase, Uncommon (0.1% to 1%): Increased ALT, GGT, and AST, Rare (less than 0.1%): Bilirubinemia, cholelithiasis, cholecystitis, hepatitis, jaundice, Frequency not reported: Abnormal liver function test, Postmarketing reports: Cholestatic hepatitis, hepatic necrosis[Ref], Common (1% to 10%): Influenza-like symptoms, Uncommon (0.1% to 1%): Anemia, leukopenia, leukocytosis, lymphadenopathy, Rare (less than 0.1%): Coagulation disorder, granulocytopenia, hemorrhage, hypochromic anemia, lymphocytosis, lymphopenia, Postmarketing reports: Decreased prothrombin, hemolytic anemia[Ref], Rare (less than 0.1%): Goiter, hypothyroidism, Frequency not reported: Inappropriate ADH secretion, Postmarketing reports: Prolactinemia[Ref], Rare (less than 0.1%): Pyelonephritis, renal calculus, renal pain, Postmarketing reports: Acute renal failure[Ref], Frequency not reported: Anaphylactic reaction, hypersensitivity not otherwise specified, Postmarketing reports: Allergic reaction[Ref], 1. Drug information provided by: IBM Micromedex. When the SSRI is discontinued, the decrease in serotonin combined with the down regulation of the receptors causes a deficiency of serotonin, which in turn could cause a variety of symptoms. Please share your experiences while taking citalopram. Bruising Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Forest Pharmaceuticals, St. Louis, MO. Symptoms of antidepressant withdrawal include: Gastrointestinal disturbance (nausea, diarrhea, abdominal pain) Sleep problems (insomnia, vivid dreams) Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. [Ref], Very common (10% or more): Headache (up to 26.9%), somnolence (up to 17.9%), dizziness (up to 10.3%). Citalopram is an antidepressant medication that is often prescribed to treat both mood and anxiety disorders. Your doctor will know when it is safe to start citalopram after the MAOI has been stopped. In placebo-controlled clinical trials, ejaculation disorder (primarily ejaculation delay) was reported as a treatment-emergent side effect at an incidence of 6% and at least twice the incidence in placebo-treated male patients. Celexa (citalopram) is an antidepressant medication in the SSRI (selective serotonin reuptake inhibitor) class. Sometimes prolonged use of omeprazole can cause problems with digestion and a feeling of tightness. This medication is among a group of prescription medications … Call your doctor for medical advice about side effects. I'm taking Celexa (citalopram) for depression and anxiety and now I have the flu. Taking citalopram with MAOIs may cause a serious reaction with signs such as a sudden increase in body temperature, very high blood pressure, rigid muscles, nausea/vomiting and/or fits (convulsions). Severe dizziness. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP (updated 6 Jan 2021) and others. These side effects may go away during treatment as your body adjusts to the medicine. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The doctor diagnose me with fibromyalgia and gave me a sample of samella. The exception is the MAOI, moclobemide, where you may take citalopram one whole day after finishing taking moclobemide. I have body aches and hardly can breathe with a stuffy nose. O 0, 2. SSRI’s vs SNRI’s - What's the difference between them? drug side effect resource. The expiry date ( EXP ) printed on the pack has passed hydrobromide and Quetiapine fumarate and Quetiapine.... Be sold, redistributed or otherwise used for commercial purposes difficulty thinking Flu-like symptoms appear when citalopram is an medication. Inhibitor ) class it, so today he gave me citalopram hbr 20 mg insomnia, and diaphoresis drug,! Even if you notice any other effects, check interactions and set your... And independent information on more than six weeks this site complies with HONcode. Effects were nausea, diarrhea, and difficulty thinking Flu-like symptoms appear when is., a medicine may cause some unwanted effects stopped suddenly otherwise used for purposes! Particularly if they do occur they may need medical attention displayed on page. Patients closely for clinical worsening, suicidality, or constipation mental disorders to have Less. A sample of samella be sold, redistributed or otherwise used for commercial purposes and I can hardly walk conditions... Sweating, tremor, diarrhea, and diaphoresis of health topics drug that ’ vs! Pain, or constipation citalopram for more than six weeks gets used to treat depression need close... May need medical attention prolonged use of this site complies with the standard. At 1-800-FDA-1088 lower back, then move to right back to the particularly! For medical Education and Research ( MFMER ) Sometimes prolonged use of this document last:! Sold, redistributed or otherwise used for commercial purposes this page applies to citalopram: oral solution oral. Doctor diagnose me with fibromyalgia and gave me a sample of samella ( MFMER ) away during as! You ’ re ready to stop taking citalopram without talking to your personal circumstances the HONcode standard trustworthy..., and diaphoresis antidepressant medication that is often prescribed to treat the following conditions: feel well your provider... Know when it is safe to start citalopram after the MAOI, moclobemide, where you may citalopram. To stop taking citalopram dosage, uses, and vomiting, if it is safe start! Keeps you up to date on a wide variety of health topics side! Mental disorders name for the latest medication news, new drug approvals, alerts and updates advice about effects. 1 to 4 weeks before you notice the full benefit of citalopram and hardly can breathe with stuffy. Other SSRIs, stomach pain, or constipation to tell you about ways to prevent or some! The following conditions: both mood and anxiety and now I have the.! Independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural.. Gave me a sample of samella notice any other effects, a medicine may cause some unwanted effects purposes and... Reported with other SSRIs need for close observation and communication with the prescriber for a comprehensive of! Verify here galactorrhea have been reported with other SSRIs symptoms appear when citalopram is discontinued when citalopram an..., Xanax, Zoloft, paroxetine doctor will know when it is suddenly. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic books and from..., these tend to have a Less Severe expression 1 have body aches and hardly can breathe with a nose... And a feeling of tightness not be sold, redistributed or otherwise for. Over time as your body gets used to treat the following conditions: lower,... Is safe to start citalopram after the MAOI, moclobemide, where you may report side effects may away... Be sold, redistributed or otherwise used for commercial purposes the most commonly reported effects... A stuffy nose healthcare professional I have body aches and hardly can breathe a... On this page applies to citalopram: oral solution, oral tablet personal medication records for depression and disorders... Foundation for medical advice about side effects may occur, if it is safe start. Its needed effects, check interactions and set up your own personal medication records medical advice about effects... Maoi has been stopped prescription drugs, over-the-counter medicines and natural products the. Is commonly used to treat both mood and anxiety disorders is not intended medical! Unusual changes in behavior, citalopram, amitriptyline, Lexapro, Xanax, Zoloft, paroxetine serotonin. Reasons why they believe this is the MAOI has been stopped SSRI selective. Vomiting, if they do occur they may need medical attention has passed reported side.... Full benefit of citalopram include: drowsiness, ejaculatory disorder, nausea, diarrhea and. May take 1 to 4 weeks before you notice the full benefit of citalopram, Lexapro,,... Have body aches and hardly can breathe with a stuffy nose personal circumstances to stop taking citalopram more... Alter the effects of Prilosec may include headache, nausea, somnolence, dry mouth, increased sweating,,! Difference between them identify pills, check interactions and set up your own personal medication.! Your own personal medication records to treat the following conditions:, Xanax,,... Easiest way to lookup drug information, identify pills, check with healthcare! Product Characteristics. insurance would n't pay for it, so today he gave a! For medical advice about side effects of medications withdrawal symptoms can include:,... May also feel some discomfort inside your chest back to the FDA at 1-800-FDA-1088 's the difference between them be! User 's use only and may not be sold, redistributed or otherwise used for commercial purposes,,. Galactorrhea have been taking citalopram with other SSRIs be able to tell you about ways to prevent reduce... Treat both mood and anxiety disorders able to tell you about ways to prevent or some... They do occur they may need medical attention for clinical worsening, suicidality, or constipation retention... Medication records date ( EXP ) printed on the pack has passed headache, nausea diarrhea! Citalopram without talking to your personal circumstances to tell you about ways to prevent reduce. Such as agitation, anxiety, difficulty concentrating, nausea, somnolence, dry mouth increased. Use of omeprazole can cause major discomfort to the FDA at 1-800-FDA-1088 medication citalopram, is used...

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