Can you shoot generic subutex

I was addicted to opiates for 10 years. I started taking Suboxone 5 years ago. When I first started with my MAT the Suboxone alone gave me major insomnia and major anxiety even panic attacks.

For 5 years my life has been wonderful. These meds saved my life. I never even abused my medications. That in itself is a miracle. Although I was never addicted to benzodiazepines. Most insurance only pays for a year of MAT and sometimes not at all. I agree with most of what your saying. If it was behind the counter that would be great. I think a lot more people would seek treatment. As far as the stigma that goes around addiction a lot of people have died because of it.

A lot of people have killed themselves because of the psychological abuse that comes with addiction from other people. If I have to be on it the rest of my life so be it. So they will have it not to get sick. As soon as they find more on the street they will go right back to heroin or oxycodone.

People like that would need a 30 day rehab to help them. There will be people who would go see a pharmacist just to self medicate. But overall I think it would save a lot of lives. I know I would love that because it would save me a lot of money. But one could be hopeful. From a clinical perspective, why has alcohol become so celebrated the world over compared to various forms of opiates? Alcohol , including hard liquor, is available in mass quantities no matter where you live.

Grocery stores. Mom and pop corner stores. But everyone in the medical community knows the damage alcohol does to the body ,mind, and life in general. It makes money for business.

It is the chosen escape product. Essentially, you are allowed to drink yourself to an early death or at least a very miserable life of slow miserable decay.

Anything derived from the opiate group, even in legal low dosing, is considered nothing less than a moral failing of the individual, the manufacturer, and the medical community. So, remember this 4th of July, go buy plenty of old Ethel Alcohol and do what society has deemed appropriate: Consume a lot of what is , when you boil it down, a cleaning fluid , capable of giving us all such wonderful dreams of rewards for our labored working lives!

God bless the booze! And support your local economy! I trusted them Drs. For 13 yrs…. Now Drs are charging Then pharmacies charge for a 28 day supply. Why are Drs charging cash..???? Some pharmacies want Who can afford this? This is exactly why a great medication has become the new abused.

As in people have to get help with this kind of money. Then those who help, want the meds. That keep enough to avoid being deathly sick. So now the drug problem is worse.

Drs and pharmacies are killing the addicts and keeping families in a spot where they cannot take care of their families. Nobody is trying to make a buck anymore but many bucks. It makes me sick. They claimed pharmaceuticals are st fault and they are wrong.

We need pharmaceutical to keep making the medications and Drs. And pharmacies to stop charging such high prices and taking advantage of the sick. Free health care. But you tell me how Thank you to those who understand this. I was perscribed it for depression during the day and night meds for sleep.

What is the problem with people using it for chronic pain? Why do you think most of these people became addicts in the first place? I had been on fentanyl for years due to a chronic pain condition and felt awful every day. I finally decided to go into treatment and was started on Suboxone.

Suboxone gave me my life back. I now take 6 mg a day and am almost pain free and enjoy my life every day. I have no desire to take more than what I need to control my pain. I work full time.

I socialize with family and friends. I also lost my access to treatment so have to purchase it illegally. My first physician decided to quit prescribing because of the red tape and bureaucratic nightmare she had to jump through and my next physician retired. The next one was a pain clinic that wanted me to wean off the drug because I apparently was an addict. But purchasing the drug illegally is horrifically expensive and obviously not consistent. Does this tell anyone that what the authors are suggesting is the most reasonable and obvious decision to make?

However I am also a proponent of making most illegal substances legal because those that have the desire will find a way to use or abuse them. It only provides massive profits to law enforcement and illegal drug dealers ending in violent crime. I agree with controlling it by pharmacists so that it is not causing accidental overdosage and unsafe conditions for others but to continue the current practice should be criminal.

I finally went to subutex clinic and got help I cannot take suboxone because of the naloxone but I do take Subutex 8 mg every day I have taken this for the last 6 years and it saved my life. I have kept a steady job I have had 2 more children get my son back have a wonderful husband have a home land we are about to buy a savings account good credit credit cards a happy normal life which i never thought was possible… This is all because Subutex saved and continues everyday to save my life, How I cannot imagine going back to The life I used to live.

I wasent living but I am now and will Continue to take my medication for as long as I need to…. I just posted a comment, my story…..

I am a year-old physician with chronic pain who actually did research with buprenorphine back in I have been on a stable dose of 2 to 4 mg a day since the s when it had to be compounded….. I remember well when physicians first started being trained for their X numbers. Every shrink wanted to jump on the bandwagon and saw it as a ticket to increase their bottom line and wow did they do that. There was a time back in the 90s I was doing research and the thought to do what these guys started doing never would have crossed my mind, to milk an already disenfranchised group of people just to give them a medication to treat an illness in that sense no different than treating anything else….

Yes, that is not right but believe me, I have seen a lot worse. Making patients come in every day for weeks to a month…. I agree, this is not rocket science. Just as a physician is legally able to prescribe the drug for chronic pain he should be able to prescribe it to treat addiction.

As I said, there was a time when I was getting it from a compounding pharmacy, people I knew. However, when the FDA was considering its approval for its present indication, they prevented pharmacies from compounding it. This forced me to purchase the then-brand name, proprietary drug and it cost a fortune! I am a year-old physician who developed interstitial cystitis at the age of It is a very painful disorder of the bladder which at the time was thought to occur primarily in women.

When it first hit me, I would have the urge, pain, to urinate every 15 minutes. The better way to describe it is severe pain which is relieved upon urinating. I managed for years without taking any kind of narcotic. I gave myself instillations of DMSO, a solvent, in my bladder for years. I underwent hydrostatic dilations of my bladder under anesthesia for years.

The irony of the situation is that at the age of 26 I became my first patient when I diagnosed myself with polycythemia vera. At the time it was thought to have a median survival of 15 years. Never would I have thought the IC would be the real problem.

Think about it. You get up every 15 minutes at night your sleep becomes severely disrupted. When your deep delta sleep and REM are affected, bad things hapen! Eventually, it led to chronic fatigue and type II diabetes. Though I trained as an internist, I fell into a job as medical director for a substance abuse program and ultimately became certified in the field. The drug was already available as an injectable and was scheduled only as a V.

I had a compounding pharmacy it became commercially available. It was done on a very small, limited scale. I came to fully understand the rather unusual characteristics of the agent the details of which are beyond the scope of this post. Over time, the sequellae of interstitial cystitis became too much. At the time the problem with IC got out of hand I was licensed in two States each with very different attitudes towards physician use of narcotics.

One of them at this point in time actually has recovering physicians on buprenorphine and even methadone. The other jurisdiction has what one might call draconian attitudes. The director of the impaired physicians in that jurisdiction was a ruthless guy who insisted that docs give urines 3 times per week at 60 dollars a shot.

I had also become a medical review officer and knew that this was not necessary. Random urines a few times per month are all that is necessary. Why did he insist on 3 urines per week at 60 bucks a pop? Eventually, it became known that he was getting a kickback from the lab for each urine.

This is the way it goes even with physician addicts who are a disenfranchised group who can be easily exploited and taken advantage of.

I could tell stories for hours the horrors, the careers and lives ruined, even a friend and colleague who wound up committing suicide because of this sort of thing. The long and short of it is that eventually, I wound up on buprenorphine. It was prescribed for me and compounded. However, it caused havoc with my career because of the insane attitudes and ignorance of the medical board. I have been taking a stable dose of 2 to 4 mg a day since the s!

I have not escalated the dose. It has been prescribed legally by the physician writing on the Rx, For Chronic Pain. Would I be happier if I did not have to take it? Absolutely, just as I wish I did not have to take blood pressure or diabetic meds but taking them beats the alternative. I will close by saying that the other bit of insanity is that I do not think we have an opioid epidemic or crisis. This has been going on for years and is nothing new.

The Taliban was burning the opium fields. Now we have US troops guarding them. That is the real reason we are still there…. Afghanistan is one of those countries as are Vietnam, Thailand, Laos, and Cambodia. I suspect most readers are not old enough to remember all of this. I am and remember all of it all too well. The world, including our government, is ruled by psychopaths. Yes, we may have a problem with opioid drugs licit or illicit but there are far more people killed on the roads from traffic accidents as well as dying of all sorts of other problems.

Actually, as of January it was on record that the chance of dying from an accidental opioid overdose was greater than a motor vehicle accident. I live in Maynardville TN and have been on Suboxone on and off for 6 years and then been on it straight for 7 years. I have a bad liver and feels like I get worse everytime I take my suboxone. I was wondering if anyone knew any place that would write subtex in Maynardville or Knoxville without having to be pregnant?

Too many people would abuse it and most of those people would more than likely die of an overdose from it or mix it with benzodiazepines or some other drug that slows the heart rate down too much and overdose from that.

Getting it from a clinic is the best way to go. I was given Percocet for years from my doctors for cervical spondylitis. If you take opioids for a long period of time, you will become addicted. I saw a segment on my local news about a Duke University Professor who became addicted to Percocet and eventually started buying on the street.

She started taking Buprenorphine and it changed her life. After a good cry, I made the decision to get help for my addiction. On my next visit to my doctor I requested to stop taking Percs and expressed my interest to try Buprenorphine. I never filled those scripts. I found a doctor that would subscribe me the Buprenorphine. I had to go about a week without my pain medication and I thought I was going to die. It was the worst feeling I had ever felt and everyday was more of the same until I got the Buprenorphine.

Once I had it ,I was back to my old self. Jogging, exercising, enjoying life without always thinking about how I would get more percs. A lot of us trusted our doctors to do what was best for our condition and got dependent on opioids.

Yes , I have taken Buprenorphine everyday for 5 years but I try everyday to take as little as possible. Making this medication more available will help people come out of that fog and give them the opportunity to get their life on track again. Thank you for the article, I think it is a great idea! It definitely saved my life also. Quit cold turkey.

And after thet could only sleep 0nce every 4th or 5th night. After 56 days I went yo a doctor and he put me in Suboxone. One a day, but I found out I could take one every three days and get by. I did that for two and a half years with no problems. I recently met a lady inThailand and moved there. I was only allowed to bring in a 30 day supply. I stretched them out to one film tab every 4 days. Thought I was being so responsible and would have only minor withdrawals if any at all.

I was so wrong. I went 8 days and nights with no sleep. Analogue has exactly the same. This is a dangerous, erroneous suggestion. DBL Naloxone appears to be the brand name for one supplier of Narcan.

There is no hint that it contains buprenorphine. This is simply a classic reversal agent for urgent opioid overdose. Use will put a person habituated to opiates into severe immediate withdrawal whether they are using opiates for pain or for an addiction craving. This is long overdue!!! Those are the lesser evils of this miserable epidemic.

The problem with Buprenorphine is it takes 48 to 72 hours to start due to heroin being practically non existent and patients testing positive for Fentanyl only. With so many forms of synthetic Fentanyl out there. What addict wants to wait sick for 72 hours to start Buprenorphine to get relief? It is barbaric. Something needs to change ASAP. This is total bullshit. I agree as long as the the subutex is closely monitored why not have it more available.

But everyone is talking about stigma with addicts…. These are the forgotten people in the opioid crisis. People are committing suicide, pushed to the streets to find pain relief. They are being killed off by being tapered off their pain medication. And something should really be done!! I have been struggling with opiate and opioid addiction for what seems over half of my life. The doctor did not take xrays or really check into my story.

She seemed more concerned about me not talking to reporters outside of the office if I were approached by them, and what to do and say if police pulled me over after leaving. She started me with 90 10mg Lortab, within a few months I told her I felt I needed more because the pain would come back sooner and so I would take another. Instead of her questioning me, she switched me to 10mg Percocet. This worked for almost 4 months but soon, again I was telling her I felt I needed more.

She kept me on the Percocet at the same dose but added 30 15 mg Roxycontin. Now I will say, this was amazing, my tolerance was so high, I felt nothing. I did not care about that. Almost a year after my first visit to this doctor, she was shut down. No warning just one day doors were closed. I went home, panicking, trying to find a new doctor to see me. I did not have insurance and most pain management clinics were also now closed. I could not find a doctor to take me once they knew I had been going to the pain clinic that was shut down.

This led me to the streets to find pills, it was awful. I know it was my actions that led me to this but I did not realize how hard withdrawal symptoms from opiates really were.

This lasted almost a year with me experiencing withdrawal several times. The pills were expensive but I remember one time being so sick and so depressed I thought about throwing myself in front of a car so I could be hit, I figured the worst case scenario was I would die from my injuries and the pain would stop or I would be admitted to the ER and the pain would stop. Even now that seems so crazy to me that I felt that way.

Eventually I found a suboxone doctor, I had spoke to a few who were so very rude to me, no compassion what so ever, I did not want them to pity me just treat me like a person. I never came across heroin but if I had I would have used it for sure. If you have a rash while taking Suboxone, talk with your doctor. You may need a different treatment. If you also have other symptoms, such as swelling of your face or trouble breathing, call your doctor or local poison control center right away.

This could be a serious allergic reaction. Sweating is a common side effect of Suboxone. In a study, sweating occurred in about 14 percent of people taking Suboxone. Hair loss is not a side effect that has been reported in studies of Suboxone. However, some people who take Suboxone have reported having hair loss. Insomnia trouble sleeping is a common side effect of Suboxone. In one study, insomnia occurred in about 14 percent of people taking Suboxone.

Suboxone can impair your ability to drive. Suboxone may also be used off-label for other conditions. Suboxone is FDA-approved to treat opioid dependence. According to the American Society of Addiction Medicine , Suboxone is a recommended treatment for opioid dependence. It helps treat opioid dependence by reducing the withdrawal symptoms that can occur when opioid use is stopped or reduced. Suboxone is sometimes used off-label to help manage opioid withdrawal symptoms as part of a detoxification program.

It may help reduce how severe symptoms are. Detoxification programs are generally short-term, inpatient treatment plans used to wean people off of drugs, such as opioids, or alcohol. Opioid dependence treatment, on the other hand, is a longer-term approach to reducing dependence on opioids, with most of the treatment being done on an outpatient basis.

Suboxone is sometimes used off-label for treating pain. Suboxone may be beneficial for people who have both chronic pain and opioid dependence. Buprenorphine, one of the drugs contained in Suboxone, is also used for pain. However, studies of how effective it is for this purpose are mixed.

Suboxone is not used for treating depression. However, buprenorphine, one of the drugs contained in Suboxone, is sometimes used to treat depression and treatment-resistant depression.

Some research shows that buprenorphine may improve mood in people with depression. Buprenorphine has some of the same effects as opioid drugs, but it also blocks other effects of opioids. Buprenorphine is the part of Suboxone that helps treat opioid drug dependence. It does this by reducing withdrawal symptoms and drug cravings. Naloxone is included in Suboxone solely to help prevent abuse of the medication.

Naloxone is classified as an opioid antagonist. This means it blocks the effects of opioid drugs. This is because it blocks the effects of opioids, putting you into immediate withdrawal.

However, this withdrawal is less likely to occur when you use the Suboxone film. This is because the film releases less naloxone into your body than an injection does. Treatment of opioid dependence occurs in two phases: induction and maintenance. Suboxone is used in both of these phases. During the induction phase, Suboxone is used to reduce withdrawal symptoms when opioid use is being decreased or stopped.

Suboxone is only used for induction in people who are dependent on short-acting opioids. These opioids include heroin, codeine, morphine, and oxycodone Oxycontin, Roxicodone. Suboxone should only be used when the effects of these opioids have begun to wear off and withdrawal symptoms have started.

During the maintenance phase, Suboxone is used at a stable dosage for an extended period. The purpose of the maintenance phase is to keep withdrawal symptoms and cravings in check as you go through your drug abuse or addiction treatment program. After several months to a year or longer, your doctor may stop your Suboxone treatment using a slow dosage taper. Long-term use of Suboxone can cause physical and psychological dependence.

Physical dependence can cause mild withdrawal symptoms if Suboxone use is abruptly stopped. Reports of Suboxone withdrawal showed that most symptoms typically peak by withdrawal day 5. And they typically last until withdrawal day 9 or Below is a chart showing possible Suboxone withdrawal symptoms and a timeline of how long they may last. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.

Suboxone is only available as an oral film that can be placed under the tongue sublingual or in the cheek buccal. It comes in four strengths:. Suboxone is also available as a generic version that comes in other forms. These forms include a sublingual film and a sublingual tablet. Suboxone contains two drugs: buprenorphine and naloxone. These individual drugs come in additional forms. Buprenorphine forms include a sublingual tablet, a skin patch, an implant for under the skin, and a solution for injection.

Naloxone forms include a nasal spray and a solution for injection. These forms of the two drugs are not all used to treat opioid dependence. During the maintenance phase, Suboxone is continued at a stable dose for a time ranging from several months to over a year.

If you miss a dose during the maintenance phase, take it as soon as you remember. This means your body gets used to the drug and you need higher and higher doses to get the same effect. Drug tolerance has not been seen with Suboxone or with either of the drugs it contains buprenorphine or naloxone. While taking Suboxone for opioid dependence, you may be required to do frequent drug tests for the use of opioids.

There are different types of urine drug tests. Some of these tests, including the tests often used in those who take Suboxone for opioid dependence, can detect the presence of Suboxone and other opioid drugs. Most opioids can be detected within one to three days after use. However, Suboxone is long-lasting. It may be detected for longer periods of time. However, there are some home drug tests that do check for buprenorphine, one of the drugs in Suboxone. This, of course, means a positive result for buprenorphine is a positive result for Suboxone.

But if your symptoms are severe, call or go to the nearest emergency room right away. There are a few other drugs in addition to Suboxone that are used to treat opioid dependence. Examples of these drugs include:. There are also other medications that contain buprenorphine plus naloxone, the ingredients in Suboxone. The brand names for these other medications are Bunavail and Zubsolv. You may wonder how Suboxone compares to other drugs used to treat opioid dependence. Below are comparisons between Suboxone and several medications.

Subutex was a brand-name drug that contained buprenorphine, one of the ingredients in Suboxone. Brand-name Subutex is no longer available. There are no brand-name forms of buprenorphine currently available for treating opioid dependence. The ones that are available are used to treat pain. Suboxone and buprenorphine, the generic form of Subutex, are both FDA-approved for treating opioid dependence.

This includes both the induction and maintenance phases of treatment. During the induction phase, the drug decreases withdrawal symptoms while you stop or reduce opioid use. During the maintenance phase, the drug keeps withdrawal symptoms and cravings in check as you complete your drug abuse or addiction treatment program.

Suboxone comes as an oral film that can be used under your tongue sublingual or in your cheek buccal. Buprenorphine forms used for treating opioid dependence include an oral film, a sublingual tablet, and an implant for under the skin. In one study , Suboxone and buprenorphine were equally effective for reducing withdrawal symptoms during the induction phase the first phase of opioid dependence treatment.

In another study , starting induction treatment on day 1 with Suboxone was just as effective as starting with buprenorphine and then switching to Suboxone on day 3. The Substance Abuse and Mental Health Services Administration generally recommends Suboxone rather than buprenorphine for both the induction and maintenance phases of opioid dependence treatment.

However, Suboxone is only appropriate for induction in people who are dependent on short-acting opioids such as heroin, codeine, morphine, or oxycodone Oxycontin, Roxicodone. Buprenorphine, on the other hand, is recommended for people who are dependent on long-acting opioids such as methadone. Suboxone and buprenorphine are very similar drugs and cause similar common and serious side effects. Suboxone is a brand-name drug. Generics are often less expensive than brand-name drugs.

The Subutex brand-name product is no longer available. There are no brand-name forms of buprenorphine available that are used to treat opioid dependence. Buprenorphine and Suboxone cost about the same amount.

However, the actual amount you pay will depend on your insurance. Suboxone is a brand-name medication that contains two drugs: buprenorphine and naloxone. Methadone is a generic medication. Suboxone is FDA-approved to treat opioid dependence, including both the induction and maintenance treatment phases. During the maintenance phase, the drug keeps withdrawal symptoms and cravings in check as you complete your drug abuse treatment program.

Methadone is FDA-approved only for the maintenance phase of opioid dependence treatment. Methadone is also FDA-approved to treat moderate-to-severe pain.

In addition, methadone is approved for treatment during opioid detoxification. Detoxification programs are generally short-term, inpatient treatment plans used to wean people off of drugs such as opioids or alcohol. Suboxone comes as an oral film that can be used under your tongue sublingual or between your gums and your cheek buccal. Suboxone and methadone have been compared in clinical studies evaluating their use for treating opioid dependence.

In a study , Suboxone and methadone were found to be equally effective for reducing the use of opioids and keeping users in their treatment program. Other common adverse events were fatigue 8 patients, During the 4-month follow-up period, 16 patients One patient discontinued treatment with Suboxone during the 4-week study period due to adverse events, and 5 patients discontinued due to adverse events during the follow-up period.

There were no deaths or other serious adverse events reported for patients in the study. There was no apparent relationship between the average Suboxone daily dose taken during the 4-week study period and the reporting of adverse events. The study has several limitations.

Due to the retrospective nature of the study, there were no control groups and the results are only descriptive. However, the patient data were used to assess any general trends associated with the switch to Suboxone, which may provide an insight into the best clinical practices for using Suboxone as a replacement for Subutex. A survival analysis of the client characteristics and history regarding the time to drop out could have been interesting.

Given the relatively small sample size and the scope of this study, however, this sample may not have sufficient power to detect any but the strongest patterns.

Satisfaction and compliance differed significantly amongst the treatment centers, thus site specific issues might account for findings also. The main aim of this study was to follow the medication dose and adverse events during a transfer from buprenorphine to buprenorphine-naloxone combination. The possible dose adjustments were decided by the doctors and were based on each individual's weaning, withdrawal symptoms and adverse events.

However, only one patient discontinued Suboxone due to adverse events or dissatisfaction, and one patient left the treatment program retention rate of This indicates that the side effects at this point probably might not predict patients' likelihood of staying in treatment.

Indeed, patient records indicate that many of the reported adverse events were interpreted as being the result of anxiety about being forced to switch to Suboxone. However, it is notable that during 4 month follow up period only It should be noted anxiety interpretation is more of a speculation than measured assessment. Interestingly, over half of the patients still on Suboxone during the 4 month follow up asked for a dose reduction of Suboxone.

This may indicate that the adverse events could be related to higher buprenorphine serum levels, because buprenorphine in Suboxone has slightly higher sublingual bioavailability than the buprenorphine in Subutex [ 6 ]. The dose reductions of Suboxone were mainly done during the follow-up period which may indicate that bioavailability of high dose of Suboxone in the long term should be more thoroughly investigated. It should be noted, however, that the earlier Australian study [ 5 ] had found a need for a dose increase, rather than a decrease, when switching from buprenorphine to the combination medication, that could be related to the "low" 12 mg average dose of Suboxone in that study.

During the follow-up period relative high number of patients Most of them were either transferred to methadone The most common reason for methadone transfer generally in Finland is polydrug abuse. It is possible that psychiatric distress, when patients did not feel confident with the forced transfer from Subutex to Suboxone, may lead to "illegally top-up" with Subutex, that in turn could lead to medication change to methadone.

It is possible also, that because the high illicit use of buprenorphine in Finland [ 5 ], the treating personnel had a mistrust on patients reports of Suboxone adverse events, and instead of chancing back to Subutex patients were changed to methadone. Thus, the "forced" transfer event could be a unique situation in Finland and may not be present elsewhere i. Switching from Subutex to Suboxone did not increase abuse of other opioids.

Based on the retrospective nature and small numbers in the study, no solid conclusions about Suboxone diversion can be done. However, interestingly during the follow-up period of the 60 opioid dependent patients, only 5 patients attempted to misuse Suboxone.

Furthermore, they reported that while they tried to inject Suboxone, they would not repeat the experience, suggesting that the transfer to Suboxone may also serve as part of an overall strategy to curb misuse of buprenorphine. In conclusion, a transfer from Subutex to Suboxone should be carefully discussed and planned in advance with the patients and after the transfer adverse events should be regularly monitored.

With regard to buprenorphine abuse, the combination product seems to have a more favorable safety profile than treatment with buprenorphine alone. The results of this study suggest that in high dose Suboxone treatment, dose adjustments should be considered, especially in the later phase of the treatment, if patients report an unusually high number of adverse events.

Also based on the clinical data gathered it is recommended that transfers should be discussed and planned in advance with the patients to minimize psychiatric distress and lack of compliance leading to lower retention rates. Psychopharmacology Berl. Drug Alcohol Depend. Drug Alcohol Rev. Article PubMed Google Scholar. Download references. We thank the data collecting physicians Drs. You can also search for this author in PubMed Google Scholar.

Correspondence to Hannu Alho. Reprints and Permissions. Simojoki, K. Subst Abuse Treat Prev Policy 3, 16 Download citation.

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