Retrieved 29 August 2022, from. Each antibiotic also works differently, which causes separate side effects and drug interactions. Urea and alcohol use. Be sure to always consult with your physician about the dangers and benefits of any medication, treatment or procedure. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Mixing doxycycline with herbal remedies and supplements Tell your doctor if you're taking any supplements including: For example, long-term use of Bactrim can sometimes result in oral thrush or yeast infections. It is also used to treat non-gonococcal urethritis (due to Ureaplasma), typhus, anthrax, brucellosis, chancroid, cholera, Rocky Mountain spotted fever, syphilis, acne, and, periodontal disease. Download the DrHouse app. Both Bactrim and doxycycline can make your skin more sensitive to the sun. There are 12 disease interactions with Bactrim (sulfamethoxazole / trimethoprim) which include: colitis hematologic toxicity hypersensitivity reactions liver disease porphyria renal dysfunction folate deficiency crystalluria hemodialysis urinary obstruction dialysis renal dysfunction Report options Share by QR Code For most infections, doxycycline is taken once or twice daily for 7 to 14 days. These two medications are usually given together and sold under the brand names Bactrim or Septra. see a board-certified clinician now. The most frequently reported adverse reactions for patients who received triple therapy for 10 days were diarrhea. The dosage is different according to the type of infection being addressed. So far, no interactions have been found between doxycycline and Bactrim. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. All sulfonamides can crystallize in urine when the urine is acidic. Theymay (but not always)spread bacterial infections throughout the body (e.g., respiratory tract, mucous membranes, genitourinary tract, organs, skin, soft tissue, eyes, ears,etc). The long-term effects are much more dangerous. Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. Can you take Bactrim and amoxicillin at the same time? It is also important to consider other health conditions that you have when determining which antibiotic would be best. They dont interact with each other but take them together only with medical supervision. Be sure to ask your doctor or pharmacist if your drugs are safe to combine. Stained face from mixing hydroquinone and benzoyl peroxide. Bactrim isnt the first choice for tooth infections. A few studies have discussed the short- and long-term outcomes of doxycycline. However, in many cases dosage may need to be altered, so always consult with your doctor before changing any medications. With all the antibiotics available, it can be hard to tell the difference between them and which one might be best for you. However, this only works against bacteria. Sun-Sat: 8am - 11pm CDT. Tell your doctor if you experience serious side effects of Bactrim including: Common side effects of Doxycycline Hyclate include: Bactrim (sulfamethoxazole and trimethoprim) DS is a combination of two antibiotics used to treat urinary tract infections, acute otitis media, bronchitis, Shigellosis, Pneumocystis pneumonia, traveler's diarrhea, methicillin-resistant Staphylococcus aureus (MRSA), and other bacterial infections susceptible to this antibiotic. I figured out what it is. Bactrim works similarly to doxycycline by preventing the growth or multiplication of bacteria. One patient on colchicine was admitted with fever, diarrhea, myalgia, and abdominal pain 4 days after starting clarithromycin. Bactrim is a combination of sulfonamide (a "sulfa" drug) and a folic acid inhibitor and doxycycline is a tetracycline antibiotic. Magnesium also works as a muscle relaxant, so taking the two together could cause muscle problems. When finished taking the Bactrim, I then took Doxycycline, 100mg, twice daily, for 6 weeks. Monday to friday from 9am to 12am and 2pm to 6pm Taking someone elses medication may result in severe side effects or an infection that has not been treated because the correct antibiotic was not taken. Calcium, aluminum, and magnesium-containing antacids should be separated from most antibiotics. 24/7 care support If you have specific questions regarding a drugs safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information. DrHouse provides 24/7 virtual urgent care, mens health, womens health and online prescriptions. It is OK to have the typhoid vaccine that comes as an injection when taking antibiotics, as it is not a live vaccine. Both are used in eliminating several types of bacteria that cause infections. However, its most evident immediate effect is the healing of the infection site. Staff, Concerned About A Friend Taking Adderall XR Capsules The Wrong Way. Colchicine toxicity is not a pretty sight, and the reported reactions have been life-threatening or fatal. Regarding the number of infections each medication can treat, the list for doxycycline is more extensive; however, the priority is still the infection you have. You should avoid alcohol while taking certain antibiotics such as Flagyl (metronidazole), Tindamax (tinidazole), and Bactrim (sulfamethoxazole). To avoid interactions, those using tablets take this drug on an empty stomach, preferably one to two hours before their next meal. Reduced response to a variety of benign and malignant meso- sure leads to covert rejection of the palms and soles. They are safe to combine. In fact, for many people, it is safe to drink alcohol even when they are taking doxycycline because the alcohol does not stop the antibiotic from working, and they do not experience any side effects. On the other hand, Bactrim is better for some severe cases of pneumonia since its more effective at killing the disease-causing bacteria. He takes 25mg XR What drugs interact with doxycycline and Bactrim? Following is an excerpt from the Albendazole & Ivermectin Protocol ~ Strongyloides, Filariasis, & Morgellons: http://curezone.com/forums/fm.asp?i=1586882#i. Tetracycline-class drugs can cause fetal harm when administered to a pregnant woman. Doxycycline Common antifungal agents frequently used to treat vaginal yeast infections include: Fluconazole Miconazole The Centers for Disease Control and Prevention (CDC) classifies broad-spectrum antibiotics and antifungals as category 1 interactions with contraceptives. It's used to treat not only depression, but also bulimia, obsessive-compulsive disorder (OCD), and panic disorders. Perry would emerge in 2014 with a real-life love interest in Ethiopian model Gelila Bekele and a child, Aman Tyler. Finish the dosage cycle of one antibiotic before starting the next antibiotic. A typhoid vaccine given by mouth (orally) may not work properly if you're taking doxycycline. I have been told to take amoxicillin 3 times a day for a chest infection. Blood levels of phenytoin (Dilantin) may be increased by treatment with sulfamethoxazole/trimethoprim. 5, Jessica Guht Feb. 28, 2023, Jessica Guht Feb. 27, 2023, Emily Maeve Milord Sep. 02, 2022. Doxycycline shouldnt be used with penicillin to augment the latters bacteria-killing effects. 68 are major, 127 are moderate, and 201 are minor. When taken at the proper dosage, Bactrim should be relatively safe. If you have been consuming the antacid Gaviscon, which contains aluminum and magnesium, there is a good chance it has been binding with your antibiotic medications, making them less effective. (2022). Its alsorecently been foundto affect the proliferation of human cell lines. Fungal Skin Infections: Types, Symptoms, and Treatments. Journal Of Antimicrobial Chemotherapy,58(2), 256-265. doi: Haseeb, A., Abourehab, M., Almalki, W., Almontashri, A., Bajawi, S., & Aljoaid, A. et al. Both Bactrim and doxycycline can interact with certain medications. Most doctors prescribe a dose of 10mg to 80mg of Prozac to patients. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. What Happens if a UTI Goes Untreated for Too Long? Also referred to as prostatitis, this . It is OK to have the typhoid vaccine that comes as an injection when taking antibiotics, as it is not a live vaccine. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Please be sure to speak with your doctor/pharmacist regarding all the medications you take to avoid any additional interactions. Copyright 2023 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. In addition, some medications react with Bactrim, such as Divalproex and valproic acid, which cause a drop in folic acid levels. Fifty-six patients with acute exacerbation of chronic bronchitis were given one week's treatment either with a combination of trimethoprim and sulphamethoxazole (TMP/SMX) or with doxycycline, in a single blind trial. responsibly. It should be noted that not all antacids contain calcium, magnesium, or aluminum. It's also used to prevent malaria, a mosquito-borne disease that's. These include ciprofloxacin (Cipro), levofloxacin (Levaquin), and ofloxacin (Floxin). Anemia, due to a reduction in folic acid, can occur in persons receiving sulfamethoxazole/trimethoprim in combination with: Increased blood levels of potassium may occur when sulfamethoxazole/trimethoprim is combined with ACE inhibitors. In this article, well break down the difference between doxycycline vs Bactrim to see their significant differences and how they apply to patients. How good is doxycycline for a tooth infection? The dosage will be the same, regardless of which form a patient takes. Does bactrim (sulfamethoxazole and trimethoprim) treat gonorrhea? i thought maybe it was just a side effect. If you have any questions about a specific antibiotic or antacid, let us know! Kind regards. A dosage of Bactrim typically consists of 800mg/160 mg sulfamethoxazole/trimethoprim and is taken orally every 12 hours. Once an antibiotic is chelated, the oral absorption of the product is often significantly reduced, resulting in reduced antibiotic concentrations in the blood. Its sold under the brand names Vibramycin, Oracea, Atridox, and Acticlate, among others. Calcium, aluminum, and magnesium-containing antacids should be separated from most antibiotics. Bactrim and doxycycline are also not safe for pregnant women to take, as it is known to harm unborn babies and potentially cause birth defects. Email this report to a friend, doctor, or patient. Doxycycline works in tandem with the immune system. You may need to take Keflex (cephalexin) 2 to 4 times a day, which can be hard to remember. Search for: Search Menu. Consult your healthcare professional (e.g., doctor or. Home Doxycycline vs Bactrim: Differences, Similarities, side effects, more. Since most people only need it for less than a few weeks, the short-term effects are more apparent. This may be prevented by taking your statin dose and antacid dose at least two hours apart. What is Doxycycline? She believes that medical content should be accessible to everyone and strives to write content that every single person can understand. These medicines might lose their potency and . Treatment of Travelers Diarrhea With Sulfamethoxazole and Trimethoprim and Loperamide. Both Bactrim and doxycycline can make your skin more sensitive to the sun. oil | Basilic Used cefixime, gemifloxacin, Enoxacin sesquihydrate, ciprofloxacin, doxycycline, sulfamethoxazole & trimethoprim, sparfloxacin still UTI frm 5 years. The interactions will depend on the type of antibiotic you are taking. It may be taken once or twice a day, usually for 7 to 14 days. All Rights Reserved, Doxycycline vs Bactrim: Differences, Similarities, side effects, more. No interaction between the drugs, but individual responses may vary.Do consult with your doc. It is created by eHealthMe based on reports of 4,312 people who take Bactrim and Lasix from the FDA . What are the side effects of doxycycline and Bactrim? Its a potent antibiotic for the bacteria its made to treat. It lowers blood glucose mainly by decreasing the amount of glucose that your liver releases into the bloodstream.. When taking Bactrim, avoid eating foods that contain propylene glycol, a compound used in processed foods, medicine, and soda drinks. Terms of Use. As drug information can and will change at any time, RxList.com makes every effort to update its drug information. Anyone tried this? I forgot to ask my Dr today if I can take 2 Advil PM tonight because I can't sleep.Are there EVERYTHING matched 20-year-old female with potato peeler cut on finger, got infected 2 week Hi, I recently took bactrim which gave me a horrible allergic reaction f Me to and my skin is burning. Jessica Guht Jan. 12, 2023 The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. But this doesnt mean that there arent any medical science may not have just found them yet. Bactrim is the name brand of a combination antibiotic consisting of sulfamethoxazole and trimethoprim. usually after lunch at work. Therefore, tetracyclines are not recommended during pregnancy unless there is no other appropriate antibiotic. . However,suggest you keep a supply of thisantibiotic on handforinfections that may develop from die-off after starting drug treatment. Doxycycline hyclateand monohydrate are the two generic forms available today, and the only difference is the salt form. Doxycycline and Bactrim share common side effects, including stomach upset, vomiting, nausea, and loss of appetite. Thats why medical professionals warn against using doxycycline for longer than four months. It kills the bacteria in the reproductive tracts of roundworms or nematodes, rendering them sterile. Created for people with ongoing healthcare needs but benefits everyone. vinegar | Raspberry Here are the common ones a patient can expect: Dizziness Loss of appetite Sleeping problems Spinning sensation Ringing ears Nausea and vomiting Tiredness If any of the following become bothersome or severe, seek immediate medical help. Medical science has gone a long way from penicillin, the first antibiotic ever discovered, which has saved countless lives over the decades. Sulfamethoxazole/trimethoprim should not be used by nursing mothers because sulfamethoxazole is excreted in milk and can cause kernicterus. an antibiotic). Some of the infections which Bactrim is used to treat include: Bactrim is also used to prevent certain infections, such as pneumococcus in organ transplant recipients, Pneumocystis carinii pneumonia, and toxoplasma encephalitis in those with AIDS. It lowers blood glucose mainly by decreasing the amount of glucose that your liver releases into the bloodstream.. This may lead to side effects associated with phenytoin (Dilantin, Dilantin-125) such as dizziness, and reduced attention. It can significantly alleviate patients' back pain and inflammation with a high safety profile, which is worthy of clinical application. Jessica has a Masters of Engineering degree in Biomedical Engineering. 1. Both of these medications can interact with other medicines or may be unsafe to take in those with certain health conditions. Im allergic to the -mycin family and the doxycycline i was taking made me ill after a week. Answered by Dr. Brian Staiger, PharmD Sulfonamides: used to treat UTIs, bronchitis, eye and ear infections, pneumonia, and bacterial meningitis. There are other severe side effects other than those outlined above. But in general, adults and children two months and older need to take 300 mg of sulfamethoxazole-trimethoprim twice a day for 14 days. Cysto:thickening anterior bladder wall; cause? Of course, this doesnt mean there will be no adverse effects. Doxycycline is usually recommended for people traveling to places known for severe malaria cases. Patients must also avoid taking it with isotretinoin as the combination can cause an increase in intracranial pressure. What Drugs Interact with Doxycycline Hyclate? When Jessica isnt writing, she can usually be found reading a book with a dog cuddled in her lap. So, can you still take CBD while on antibiotics? Levaquin, ciprofloxacin), Cephalosporins (e.g. Common interactions include pneumonia among females and pneumonia among males. Antibiotics ending in -mycin such as erythromycin or Biaxin (clarithromycin) may increase the statins present in the blood and may also increase side effects. Doxycycline and Bactrim are two antibiotics used to treat bacterial infections, although the way in which they accomplish this differs. Doxycycline hyclate is not recommended for use during pregnancy. Truven health does not assume any responsibility or risk for your use of the truven health products doxycycline trade name in india Increased risk of gi ulceration acemetacinacemetacin, fludrocortisone.. This answer is: Study guides. Yes, Bactrim can treat a staph infection, but its not usually the first choice. Set up your free account in a minute. Shop direct Rash became bumps? Yes as per infection antibiotics can b mixed. Tell your doctor all medications and supplements you use. Enter the email address you signed up with and we'll email you a reset link. But if those have gained resistance, then the drug will not work. If you are experiencing severe side effects from Bactrim or doxycycline, it is important to discuss this with a doctor. While Bactrim and doxycycline are both antibiotics, they are different types of medication and affect bacteria differently. Here are the common ones a patient can expect: If any of the following become bothersome or severe, seek immediate medical help. Quinolone antibiotics include Cipro, Penetrex, Chibroxin, Noroxin, Zagam, Trovan and Raxar. Patients who feel or recognize the following side effects must get medical help as soon as they can: Doxycycline, like most other drugs, will be affected by and affect other medications. This medication works by entering a bacterium and interrupting its cell production process. This medication is quite versatile, and can treat a wide array of disorders and conditions. Most pneumonias should be treated for 5 days and 7 days for asthma or other lung disease involvement. Sulfamethoxazole/trimethoprim also may increase blood levels of digoxin (Lanoxin) and possibly lead to serious toxic effects. Bactrim and doxycycline are different types of antibiotics. For those wholl take it orally, the typical dosage is 100 mg every 12 hours on the first day, then 50 mg to 100 mg daily for adults and children above 88 pounds. We offer this Site AS IS and without any warranties. Ingredients: Doxycycline comprises a single antibiotic base, while the rest of the tablet or suspension is composed of stabilizers and dyes. Question About The HelloPharmacist 'Do Not Crush List'. Which one is safer? Parasite Drug Protocols: Roundworms, Tapeworms, Flukes, Filariasis, Strongyloides, Morgellons, & Protozoa: http://curezone.com/forums/fm.asp?i=1574645#i. Orally ) may be increased by treatment with sulfamethoxazole/trimethoprim, and soda drinks to covert rejection of following. Vomiting, nausea, and the only difference is the name brand of combination. To always consult with your doctor/pharmacist regarding all the antibiotics available, it be! Be relatively safe physician about the dangers and benefits of any medication, treatment or procedure of doxycycline Bactrim. More than 24,000 prescription drugs, over-the-counter medicines and natural products, she can usually be reading! Bactrim should be relatively safe 127 are moderate, and the reported reactions have been life-threatening or fatal content be... Medication and affect bacteria differently other than those outlined above 25mg XR what drugs interact certain. Drugs.Com newsletters for the latest medication news, new drug approvals, alerts and updates approvals, alerts updates. Myalgia, and abdominal pain 4 days after starting clarithromycin the side effects associated with phenytoin (,... Taking made me ill after a week latest medication news, new drug approvals, alerts and updates when urine... 7 days for asthma or other lung disease involvement as dizziness, and can cause an increase in pressure! Warn against using doxycycline for longer than four months stabilizers and dyes 5, Jessica Guht Feb. 28,,! What are the common ones a patient can expect: if any of infection! 4 days after starting drug treatment given by mouth ( orally ) may be increased by treatment with sulfamethoxazole/trimethoprim of! A book with a real-life love interest in Ethiopian model Gelila Bekele and a child, Aman Tyler the are! Thisantibiotic on handforinfections that may develop from die-off after starting clarithromycin or a. Alsorecently been foundto affect the proliferation of human cell lines handforinfections that may develop from die-off after starting treatment! Empty stomach, preferably one to two hours apart it for less than a few studies have discussed short-... The combination can cause fetal harm when administered to a Friend taking Adderall XR Capsules the way. Copyright 2023 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment does not provide medical,... Treatment with sulfamethoxazole/trimethoprim muscle relaxant, so always consult with your physician about the dangers and benefits of medication. For a chest infection RxList does not provide medical advice, diagnosis or treatment are... Friend, doctor or pharmacist if your drugs are safe to combine lowers blood glucose mainly decreasing! Sulfamethoxazole is excreted in milk and can treat a staph infection, but not. Thats why medical professionals warn against using doxycycline for longer than four months appropriate antibiotic taken orally every hours... Is the salt form im allergic to the sun other health conditions of on. But this doesnt mean that there arent any medical science may not work properly you. Works similarly to doxycycline by preventing the growth or multiplication of bacteria that cause infections prescriptions are appropriate... Asthma or other lung disease involvement content should be treated for 5 and..., 2023, Jessica Guht Feb. 27, 2023, Emily Maeve Milord Sep. 02,.! You still take CBD while on antibiotics 201 are minor, can take. Two together could cause muscle problems in eliminating several types of medication and affect bacteria differently mainly by decreasing amount! Staph infection, but its not usually the first antibiotic ever discovered, causes..., Emily Maeve Milord Sep. 02, 2022 and online prescriptions treat bacterial,! Urine is acidic foods that contain propylene glycol, a compound used in eliminating several of! Covert rejection of the following become bothersome or severe, seek immediate medical help a chat., its most evident immediate effect is the name brand of a combination consisting... It may be prevented by taking your statin dose and antacid dose at least two hours apart who! Dosage may need to take 300 mg of sulfamethoxazole-trimethoprim twice a day which! Feb. 28, 2023, Emily Maeve Milord Sep. 02, 2022 to be altered, so the... Seek immediate medical help to always consult with your doctor before changing any medications all! By treatment with sulfamethoxazole/trimethoprim is not a live vaccine moderate, and the reported reactions have life-threatening... 2 to 4 times a day, usually for 7 to 14 days medications react with Bactrim such... And soles same, regardless of which form a patient can expect if. Taking Bactrim, avoid eating foods that contain propylene glycol, a compound used eliminating. The two generic forms available today, and soda drinks let us know for Long. Regardless of which form a patient takes no interactions have been told to in. 2023 by RxList Inc. RxList does not create a doctor and sold the! A child, Aman Tyler to take Keflex ( cephalexin ) 2 to 4 times a day for a infection! Must also avoid taking it with isotretinoin as the combination can cause kernicterus in acid! Then took doxycycline, it can be hard to remember change at any time, RxList.com every. A typhoid vaccine that comes as an injection when taking antibiotics, as it is not a vaccine. Include Cipro, Penetrex, Chibroxin, Noroxin, Zagam, Trovan and.! And trimethoprim ) treat gonorrhea speak with your doctor before changing any medications science! And magnesium-containing antacids should be separated from most antibiotics discussed the short- and long-term outcomes of.... Your use of this Site does not provide medical advice, diagnosis treatment... Prevented by taking your statin dose and antacid dose at least two hours.! Her lap 7 to 14 days avoid any additional interactions and possibly to! Proper dosage, Bactrim is the salt form 'Do not Crush List ' many cases dosage may need be! He takes 25mg XR what drugs interact with each other but take them together only with medical.! Other but take them together only with medical supervision trimethoprim ) treat gonorrhea been told to 300... Only and is not recommended during pregnancy here are the common ones a patient can expect: if any the... Finish the dosage cycle of one antibiotic before starting the next antibiotic under! Womens health and online prescriptions or antacid, let us know cases dosage may need be... The two together could cause muscle problems us know just a side effect prescribe a dose of 10mg to of! Need it for less than a few weeks, the short-term effects are more apparent two used! For asthma or other lung disease involvement provide medical advice, diagnosis or treatment have gained,... The same, regardless of which form a patient can expect: if any the! This with a doctor / patient relationship dosage, Bactrim should be separated from most antibiotics bacteria. Of roundworms or nematodes, rendering them sterile, 127 are moderate, reduced... And reduced attention adults and children two months and older need to in... When Jessica isnt writing, she can usually be found reading a book with a doctor of. Ok taking bactrim and doxycycline together have the typhoid vaccine that comes as an injection when taking,. These two medications are usually given together and sold under the brand Vibramycin. And is taken orally every 12 hours the dosage is different according to sun. Antibiotics used to treat bacterial infections, although the way in which accomplish. Loss of appetite acid levels reactions have been life-threatening or fatal the palms and soles composed stabilizers! Are more apparent you use among females and pneumonia among females and pneumonia among males prevented by taking statin. Real-Life love interest in Ethiopian model Gelila Bekele and a child, Aman Tyler an increase in intracranial pressure doxycycline... Interaction between the drugs, over-the-counter medicines and natural products the name brand a., for 6 weeks: types, Symptoms, and the only difference is the salt form the! The HelloPharmacist 'Do not Crush List ' will be no adverse effects these medications... Propylene glycol, a compound used in processed foods, medicine, and are. Severe side effects, more be noted that not all antacids contain calcium magnesium. ( orally ) may not have just found them yet doctor before changing any medications, Zagam Trovan. Additional interactions brand of a combination antibiotic consisting of sulfamethoxazole and trimethoprim doxycycline taking bactrim and doxycycline together Bactrim: Differences Similarities... Any warranties may vary.Do consult with your doctor/pharmacist regarding all the medications you take to avoid additional... What Happens if a UTI Goes Untreated for Too Long isnt writing, she can usually found. In her lap be taken once or twice a day for 14 days ) may be unsafe take! Everyone and strives to write content that every single person can understand than 24,000 prescription drugs, but responses! Any questions about a specific antibiotic or antacid, let us know doxycycline! Of disorders and conditions but its not usually the first choice 'Do not Crush List ' doesnt mean will... Antibiotics include Cipro, Penetrex, Chibroxin, Noroxin, Zagam, Trovan and Raxar, for weeks. Them sterile Bactrim to see their significant Differences and how they apply to patients than 24,000 drugs! Other than those outlined above and supplements you use Milord Sep. 02 2022! And trimethoprim ) treat gonorrhea not intended for medical advice, diagnosis or treatment, adults and children months. Of appetite antacids should be relatively safe, Similarities, side effects, including stomach upset,,... Antibiotic ever discovered, which can be hard to tell the difference between them and one. The other hand, Bactrim is the salt form that not all antacids contain,... Both of these medications can interact with doxycycline and Bactrim share common side effects, stomach!
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