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Lenalidomide-Teva Drug / Medication Info

by cleocincr
January 24, 2023
in Medicine
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Shopper Medication Info (CMI) abstract

The complete CMI has extra particulars. If you’re anxious about utilizing this drugs, converse to your physician
or pharmacist.
WARNING: Necessary security data is offered in a boxed warning within the full CMI. Learn earlier than utilizing this drugs.

Why am I utilizing Lenalidomide-Teva?

Lenalidomide-Teva comprises the energetic ingredient lenalidomide (as lenalidomide hydrochloride
monohydrate). Lenalidomide-Teva is used to deal with sufferers with A number of Myeloma. Lenalidomide-Teva
can be used to deal with sufferers who’ve situations known as myelodysplastic syndromes
(MDS) in whom the bone marrow doesn’t produce sufficient mature blood cells. For extra
data, see Part 1. Why am I utilizing Lenalidomide-Teva? within the full CMI.

What ought to I do know earlier than I take advantage of Lenalidomide-Teva?

Don’t use you probably have ever had an allergic response to Lenalidomide-Teva or any of
the substances listed on the finish of the CMI. Speak to your physician you probably have another medical situations, take another medicines,
or are pregnant or plan to turn into pregnant or are breastfeeding.
For extra data, see Part 2. What ought to I do know earlier than I take advantage of Lenalidomide-Teva? within the full CMI.

What if I’m taking different medicines?

How do I take advantage of Lenalidomide-Teva?

Your physician will inform you how a lot Lenalidomide-Teva to take and for the way lengthy you
might want to take it. Extra directions might be present in Part 4. How do I take advantage of Lenalidomide-Teva? within the full CMI.

What ought to I do know whereas utilizing Lenalidomide-Teva?

Issues you must do

Remind any physician, dentist or pharmacist you go to that you’re utilizing Lenalidomide-Teva.

FEMALE PATIENTS:

Inform your physician instantly if you happen to turn into pregnant or suspect that you could be be pregnant.
You must also instantly cease taking Lenalidomide-Teva on this case

Issues you shouldn’t do

FEMALE PATIENTS:

Don’t turn into pregnant while taking Lenalidomide-Teva. Should not have sexual activity
with out utilizing efficient technique of contraception described to you by your physician

MALE PATIENTS:

Don’t donate sperm throughout therapy or therapy interruption, or for a minimum of 1
week after stopping therapy. Should not have sexual activity with out utilizing efficient
technique of contraception described to you by your physician

ALL PATIENTS:

Don’t donate blood throughout therapy or therapy interruption, or for a minimum of 1
week after stopping therapy

Driving or utilizing machines

Watch out driving or working equipment till you understand how Lenalidomide-Teva impacts
you

Taking care of your drugs

Maintain your capsules in a cool dry place the place the temperature stays beneath 25°C. Maintain
your capsules within the authentic bundle till it’s time to take them. Maintain this drugs
the place youngsters can not attain it

Are there any unwanted effects?

Inform your physician or pharmacist as quickly as doable if you don’t really feel properly when you
are taking Lenalidomide-Teva. Like all medicines, Lenalidomide-Teva can have aspect
results, though not everyone will get them. Generally they’re severe, a lot of the
time they don’t seem to be. It’s possible you’ll want medical consideration if you happen to get a number of the unwanted effects.
For extra data, together with what to do you probably have any unwanted effects, see Part
6. Are there any unwanted effects? within the full CMI.

WARNING: Lenalidomide-Teva (lenalidomide) is structurally associated to ‘thalidomide’,
which is thought to trigger extreme life-threatening human beginning defects (deformed infants)
and loss of life to an unborn child if taken throughout being pregnant. If Lenalidomide-Teva is taken
throughout being pregnant, it might trigger beginning defects or loss of life to an unborn child. Don’t take
Lenalidomide-Teva if you’re pregnant or assume that you’re pregnant.

Energetic ingredient(s):
lenalidomide

Shopper Medication Info (CMI)

This leaflet supplies necessary details about utilizing Lenalidomide-Teva. You must also converse to your physician or pharmacist if you need additional data
or you probably have any issues or questions on utilizing Lenalidomide-Teva.

The place to search out data on this leaflet:

Why am I utilizing Lenalidomide-Teva?

Lenalidomide-Teva comprises the energetic ingredient lenalidomide.

Lenalidomide-Teva belongs to a bunch of medicines known as immunomodulating brokers that
work by performing on the cells concerned within the physique’s immune system. The immune system
is a part of the physique’s defence which helps to struggle sickness and an infection.

Therapy of A number of Myeloma

Lenalidomide-Teva is used deal with sufferers with A number of Myeloma.

A number of myeloma (MM) is a most cancers of the bone marrow.

Therapy of Myelodysplastic Syndromes

Lenalidomide-Teva can be used to deal with sufferers who’ve situations known as myelodysplastic
syndromes (MDS) in whom the bone marrow doesn’t produce sufficient mature blood cells.

This causes an absence of wholesome blood cells within the physique. There are various kinds of
MDS.

Lenalidomide-Teva is accredited to deal with a kind of MDS the place a part of chromosome 5 is
lacking. One of these MDS is called deletion 5q MDS (or 5q minus). Sufferers with
this sort of MDS usually have low crimson blood cell counts that require therapy with
blood transfusions. It’s hoped that using Lenalidomide-Teva will scale back the
want for blood transfusions.

What ought to I do know earlier than I take advantage of Lenalidomide-Teva?

Warnings

Don’t use Lenalidomide-Teva if:

you’re allergic to lenalidomide, or any of the substances listed on the finish of this
leaflet.

All the time test the substances to verify you need to use this drugs.

you’re pregnant, or assume that you’re pregnant.

Lenalidomide-Teva might trigger beginning defects (deformed infants), and should have an effect on your growing
child if you happen to take it throughout being pregnant.

you’ll be able to turn into pregnant, until you’re prepared to comply with the required Being pregnant
Prevention Program – see part 4. How do I take advantage of Lenalidomide-Teva?

Test along with your physician if you happen to:

have another medical situations

take any medicines for another situation

Throughout therapy, you might be vulnerable to growing sure unwanted effects. It is necessary
you perceive these dangers and how one can monitor for them. See extra data
underneath Part 6. Are there any unwanted effects?

Being pregnant and breastfeeding

Test along with your physician if you’re pregnant or intend to turn into pregnant.

Speak to your physician if you’re breastfeeding or intend to breastfeed.

The Being pregnant Prevention Program

Lenalidomide-Teva (lenalidomide) is structurally associated to ‘thalidomide’, which is
identified to trigger extreme life- threatening human beginning defects (deformed infants) and
may cause loss of life to an unborn child if taken throughout being pregnant. If Lenalidomide-Teva
is taken throughout being pregnant, it might trigger beginning defects or loss of life to an unborn child.

To keep away from publicity to unborn infants, Lenalidomide-Teva is obtainable solely underneath a particular
distribution program which is designed to make sure that this drugs is at all times prescribed
and brought within the beneficial means.

Importantly, solely sufferers who’re formally enrolled on this program and conform to
absolutely adjust to all the necessities of this program can obtain Lenalidomide-Teva.

A few of the necessities of Being pregnant Prevention Program are outlined within the following
sections. Your physician will talk about all the main points with you.

FOR WOMEN TAKING LENALIDOMIDE-TEVA

Earlier than beginning this therapy, your physician will talk about your potential to turn into
pregnant, even if you happen to assume that is unlikely e.g. in case your durations have stopped.

If you’ll be able to turn into pregnant:

Your physician will talk about the potential danger to unborn infants if Lenalidomide-Teva
is taken throughout being pregnant.

You may be required to have being pregnant assessments earlier than therapy, each 4 weeks throughout
therapy, and 4 weeks after stopping therapy.

It’s best to begin your Lenalidomide-Teva therapy as quickly as you get it from the pharmacy
following a detrimental being pregnant check.

Use dependable technique of contraception for a minimum of 4 weeks earlier than beginning Lenalidomide-Teva
therapy, throughout therapy and therapy interruption, and for a minimum of 4 weeks after
Lenalidomide-Teva therapy has stopped.

Your physician will inform you what technique of contraception to make use of.

Efficient strategies of contraception embrace the next:

Implant

Levonorgestrel-releasing intrauterine system (IUS)

Medroxyprogesterone acetate depot

Tubal sterilisation

Sexual activity with a vasectomised male companion solely; vasectomy should be confirmed
by two detrimental semen analyses

Ovulation inhibitory progesterone-only capsules (i.e. desogestrel).

Mixed oral contraceptive capsules should not beneficial as they will enhance the danger
of blood clots blocking blood vessels in sufferers with MM being handled with this
drugs.

You could cease taking Lenalidomide-Teva and inform your physician immediately if:

You miss or assume you might have missed a interval, or you might have uncommon menstrual bleeding,
or suspect you’re pregnant.

You’ve heterosexual intercourse with out utilizing dependable technique of contraception.

Talk about along with your physician if you happen to ought to breast-feed while taking this drugs.

It’s not identified if Lenalidomide-Teva is excreted in human milk. Subsequently, you must
talk about along with your physician whether or not to discontinue breast-feeding if you are receiving
this drugs.

FOR MEN TAKING LENALIDOMIDE-TEVA

Earlier than beginning this therapy, talk about along with your physician in case your companion is ready to
turn into pregnant.

In case your companion is ready to turn into pregnant, use barrier strategies of contraception (e.g.
condoms) even if you’re vasectomised, throughout Lenalidomide-Teva therapy, throughout
therapy interruption, and for a minimum of 7 days after therapy has stopped.

Inform your physician instantly in case your companion turns into pregnant while you’re taking
this drugs.

Don’t donate semen throughout therapy or throughout therapy interruption, or for 7 days
after stopping therapy.

FOR ALL PATIENTS TAKING LENALIDOMIDE-TEVA

Talk about along with your physician you probably have or have had any of the next medical situations:

Coronary heart assault, blood clots, hypertension or excessive ldl cholesterol

Frequent bleeding or bruising

Frequent infections

Hepatitis B virus an infection

Peripheral neuropathy (numbness, tingling, weak point, irregular co-ordination or ache
in your palms and toes)

Thyroid issues

Irregular kidney operate

Liver issues e.g. liver infections

Allergic reactions to thalidomide or lenalidomide.

You probably have not advised your physician about any of the above, inform him/ her earlier than you
begin taking Lenalidomide-Teva.

Don’t donate blood throughout Lenalidomide-Teva therapy or throughout therapy interruption,
and for a minimum of 1 week after stopping therapy.

In Australia, sufferers with sure cancers are completely excluded from donating
blood.

Inform your physician you probably have allergic reactions to another medicines, meals, preservatives
or dyes.

Your physician will ask you to have common blood assessments throughout therapy with Lenalidomide-Teva.

Your physician might modify your dose of Lenalidomide-Teva or cease your therapy primarily based
on the outcomes of your blood assessments and in your basic situation. If you’re older
than 65 years, along with these blood assessments, your physician might also test your kidney
operate with different assessments.

Don’t give this drugs to a baby or adolescent underneath the age of 18 years.

Security and effectiveness in youngsters youthful than 18 years haven’t been established.

It is very important observe {that a} small variety of sufferers with MM might develop extra
forms of most cancers (no matter their sort of remedy). At this stage, it can’t be
excluded that this danger could also be barely elevated with Lenalidomide-Teva therapy.
Subsequently, your physician will fastidiously consider the profit and danger when you find yourself prescribed
this drugs

What if I’m taking different medicines?

Inform your physician or pharmacist if you’re taking another medicines, together with any
medicines, nutritional vitamins or dietary supplements that you just purchase and not using a prescription out of your pharmacy,
grocery store or well being meals store.

Some medicines might intrude with Lenalidomide-Teva and have an effect on the way it works.

medicines used to stop being pregnant, resembling oral contraceptives

medicines used to deal with signs of menopause e.g. hormone substitute remedy

medicines used for coronary heart issues e.g. digoxin

medicines used to skinny the blood e.g. warfarin.

Test along with your physician or pharmacist if you’re unsure about what medicines, nutritional vitamins
or dietary supplements you’re taking and if these have an effect on Lenalidomide-Teva.

How do I take advantage of Lenalidomide-Teva?

How a lot to take

Your physician will inform you how a lot Lenalidomide-Teva to take and for the way lengthy you
might want to take it.

For therapy of NDMM together with bortezomib and dexamethasone, the same old
beginning dose of Lenalidomide-Teva is 25 mg as soon as each day. Your physician will inform you
if you’re to take Lenalidomide-Teva for 14 steady days of a 21-Day cycle or for
21 steady days of a 28-Day cycle. Your physician may even inform you the length
and the amount of the opposite medicines to be taken together with Lenalidomide-Teva.
After the preliminary therapy of about 24 weeks, you could have a stem cell transplant
or your physician might ask you to take 25 mg of Lenalidomide-Teva as soon as each day for 21 days
of a 28-Day cycle repeatedly.

For the therapy of NDMM after a stem cell transplant, the same old beginning dose is
10 mg as soon as each day repeatedly (28 days of a 28-Day cycle).

For the therapy of MM together with dexamethasone (both NDMM in sufferers
not eligible for stem cell transplantation or MM in sufferers whose illness has progressed
after one remedy), the same old beginning dose is 25 mg as soon as a day for 21 days of a 28-Day
cycle.

For the therapy of MDS, the beneficial beginning dose is 10 mg as soon as a day for 21
days of a 28-Day cycle.

Your physician will monitor your progress, and should modify your dose of Lenalidomide-Teva
or cease your therapy primarily based on the outcomes of your blood assessments and in your basic
situation.

How you can take it

Swallow the capsules entire, ideally with water, as soon as a day as directed by your
physician.

Don’t open, break or chew the capsules.

If powder from contained in the capsules leaks out and contacts the pores and skin, wash the pores and skin
instantly and totally with cleaning soap and water. If lenalidomide contacts the mucous
membranes e.g. the eyes, flush totally with water.

When to take Lenalidomide-Teva

Lenalidomide-Teva ought to be taken both one hour earlier than or two hours after consuming
meals.

How lengthy to take Lenalidomide-Teva

Proceed taking Lenalidomide-Teva as instructed by your physician, till your physician
tells you to cease.

Your physician will maintain an in depth test on you to be sure to proceed to learn from
Lenalidomide-Teva.

If you happen to neglect to take Lenalidomide-Teva

Whether it is lower than 12 hours earlier than your subsequent dose, skip the dose you missed and take
the subsequent dose when you find yourself meant to.

In any other case, take it as quickly as you bear in mind, after which return to taking your drugs
as you’d usually.

Don’t take a double dose to make up for the dose you missed.

If you’re unsure what to do, ask your physician or pharmacist.

You probably have hassle remembering when to take your drugs, ask your pharmacist for
some hints.

If you happen to take an excessive amount of Lenalidomide-Teva

If you happen to assume that you’ve got used an excessive amount of Lenalidomide-Teva, you might want pressing medical
consideration.

It’s best to instantly:

cellphone the Poisons Info Centre
(by calling
13 11 26), or

contact your physician, or

go to the Emergency Division at your nearest hospital.

It’s best to do that even when there aren’t any indicators of discomfort or poisoning.

What ought to I do know whereas utilizing Lenalidomide-Teva?

Issues you have to do

FEMALE PATIENTS:

Inform your physician instantly if you happen to turn into pregnant or suspect that you could be be pregnant.
You must also instantly cease taking Lenalidomide-Teva on this case.

ALL PATIENTS:

Inform another docs, dentists, and pharmacists who’re treating you that you’re
taking Lenalidomide-Teva.

If you’re about to be began on any new drugs, remind your physician, dentist or
pharmacist that you’re taking Lenalidomide-Teva.

Maintain your entire physician’s appointments in order that your progress might be checked.

Your physician will do some blood assessments frequently and can test your basic situation
to verify the medication is working and to stop undesirable unwanted effects.

Remind any physician, dentist or pharmacist you go to that you’re utilizing Lenalidomide-Teva.

Issues you have to not do

FEMALE PATIENTS:

Don’t turn into pregnant while taking Lenalidomide-Teva.

Should not have sexual activity with out utilizing efficient technique of contraception described
to you by your physician.

MALE PATIENTS:

Don’t donate sperm throughout therapy or therapy interruption, or for a minimum of 1
week after stopping therapy.

Lenalidomide-Teva can cross into human semen.

Should not have sexual activity with out utilizing efficient technique of contraception described
to you by your physician.

ALL PATIENTS:

Don’t donate blood throughout therapy or therapy interruption, or for a minimum of 1
week after stopping therapy.

In Australia, sufferers with some forms of most cancers are completely excluded from donating
blood.

Don’t cease taking Lenalidomide-Teva (until you believe you studied that you’re pregnant) or
change the dose with out first checking along with your physician.

Don’t let your self run out of medication over the weekend or on holidays.

Don’t give this drugs to anybody else, even when they’ve the identical situation as
you.

Don’t take this drugs to deal with another complaints until your physician or pharmacist
tells you to.

Don’t take this drugs after the expiry date printed on the pack or if
the packaging is torn or exhibits indicators of tampering.

In that case, return it to your pharmacist.

Driving or utilizing machines

Watch out earlier than you drive or use any machines or instruments till you understand how Lenalidomide-Teva
impacts you.

Lenalidomide-Teva might trigger dizziness, tiredness or blurred imaginative and prescient in some individuals.
You probably have any of those signs, don’t drive, function equipment or do something
else that may very well be harmful.

Taking care of your drugs

Maintain your capsules in a cool dry place the place the temperature stays beneath 25°C.

Maintain your capsules within the authentic bundle till it’s time to take them.

Observe the directions within the carton on how one can care for your drugs correctly.

Retailer it in a cool dry place away from moisture, warmth or daylight; for instance, do
not retailer it:

within the toilet or close to a sink, or

within the automotive or on window sills.

Maintain it the place younger youngsters can not attain it.

A locked cabinet a minimum of one-and- a-half metres above the bottom is an efficient place
to retailer medicines.

Eliminating any undesirable drugs

If you happen to not want to make use of this drugs or it’s old-fashioned, take it to any pharmacy
for secure disposal.

Don’t use this drugs after the expiry date.

Are there any unwanted effects?

All medicines can have unwanted effects. If you happen to do expertise any unwanted effects, most of
them are minor and momentary. Nevertheless, some unwanted effects might have medical consideration.

Some unwanted effects (for instance, modifications in thyroid operate, or blood strain) can
solely be discovered when your physician does assessments occasionally to test your progress.

See the data beneath and, if you should, ask your physician or pharmacist if you happen to
have any additional questions on unwanted effects.

Much less severe unwanted effects

Very severe unwanted effects

Very severe unwanted effects

What to do

Shortness of breath, wheezing or issue respiratory; swelling of the face, lips,
mouth, tongue or different components of the physique; rash, itching or hives on the pores and skin.


These may very well be signs of an allergic response.

Extreme blisters and bleeding within the lips, eyes, mouth, nostril and genitals; painful
crimson space on the pores and skin that spreads shortly; peeling of the pores and skin. You’ll have a excessive
temperature, chills and muscle ache on the similar time.


These may very well be attributable to uncommon however extreme pores and skin reactions resembling Stevens-Johnson Syndrome,
Poisonous Epidermal Necrolysis and Drug Response with Eosinophilia and Systemic Signs.

Blurred imaginative and prescient; extreme headache; weak point or numbness within the face, arm or leg; hassle
talking or understanding; lack of stability.


This can be attributable to a stroke which may very well be a results of blood clots within the blood vessels
of your mind.

Sudden ache in your chest or issue in respiratory.
This can be attributable to a coronary heart assault or blood clots within the artery resulting in your lungs.
These blood clots can occur throughout therapy, or after therapy has stopped.

Chest ache, extreme weak point, speedy or irregular heartbeat,
and/or sudden, extreme shortness of breath and coughing up pink, foamy mucus.

This may very well be attributable to coronary heart failure, a situation the place the guts muscle can not pump
blood strongly sufficient to provide blood all through the physique.

Ache or swelling in your legs, particularly in your decrease leg or calves.

This can be attributable to blood clots within the veins of your leg. These can occur throughout therapy,
or after therapy has stopped.

Fever; extreme chills; decreased urination; speedy pulse; speedy respiratory; confusion;
nausea; vomiting; diarrhoea; ache or burning once you urinate; hacking cough; phlegm;
sore mouth or throat; flu-like signs; feeling of rigidity within the nostril, cheeks and
behind your eyes; or mouth ulcers
.
These might signs of sepsis (blood an infection) or different severe infections such
as pneumonia.

Passing little or no urine; drowsiness; nausea; vomiting; or breathlessness.

These may very well be signs of kidney illness.

Belly ache, darkish urine, fever, joint ache, lack of urge for food, nausea and vomiting,
yellowing of the pores and skin and/or eyes.


These are signs of liver failure, which in some circumstances, could also be attributable to Hepatitis
B virus an infection. Some circumstances of Hepatitis B virus an infection might not lead to signs
initially.

Name your physician immediately, or go straight to the Emergency Division at your
nearest hospital if you happen to discover any of those very severe unwanted effects.

It’s possible you’ll want pressing medical consideration or hospitalisation

Inform your physician or pharmacist if you happen to discover the rest that could be making you
really feel unwell.

Different unwanted effects not listed right here might happen in some individuals.

Reporting unwanted effects

After you might have obtained medical recommendation for any unwanted effects you expertise, you’ll be able to
report unwanted effects to the Therapeutic Items Administration on-line at www.tga.gov.au/reporting-problems . By reporting unwanted effects, you’ll be able to assist present extra data on the protection of
this drugs.

All the time be sure to converse to your physician or pharmacist earlier than you resolve to cease
taking any of your medicines.

Product particulars

This drugs is just obtainable with a physician’s prescription.

What Lenalidomide-Teva comprises

Energetic ingredient

(essential ingredient)

Lenalidomide (as lenalidomide hydrochloride monohydrate)

Different substances

(inactive substances)

colloidal anhydrous silica

microcrystalline cellulose

croscarmellose sodium

purified talc

The capsule shells include gelatin, titanium dioxide , black ink, and the next
colourants:

2.5 mg, 10 mg and 20 mg (indigo carmine aluminium lake, and iron oxide yellow); 7.5
mg (iron oxide yellow); and 15 mg (indigo carmine aluminium lake.

The black printing ink used on the capsules comprises shellac, ethanol absolute, isopropyl
alcohol, butan-1-ol, propylene glycol, purified water , sturdy ammonia resolution, potassium
hydroxide, and iron oxide black.

Don’t take this drugs if you’re allergic to any of those substances.

What Lenalidomide-Teva appears like

The capsules are offered in packs. There are three (3) pack sizes obtainable. A pack
will include both two blisters, every with seven capsules, giving a complete of fourteen
(14) capsules per pack; three blisters, every with seven capsules, giving a complete of
twenty-one (21) capsules per pack or 4 blisters, every with seven capsules, giving
a complete of twenty-eight (28) capsules per pack. Some strengths and pack sizes of Lenalidomide-Teva
might not be obtainable as not all strengths and pack sizes are being distributed.

Lenalidomide-Teva 2.5 mg capsules: laborious, non-transparent capsules with black mark
2.5 on white physique and with inexperienced cap.

Lenalidomide-Teva 5 mg capsules: laborious, non-transparent capsules with black mark 5
on white physique and with white cap.

Lenalidomide-Teva 7.5 mg capsules: laborious, non-transparent capsules with black mark
7.5 on white physique and with ivory cap.

Lenalidomide-Teva 10 mg capsules: laborious, non-transparent capsules with black mark 10
on ivory physique and with inexperienced cap.

Lenalidomide-Teva 15 mg capsules: laborious, non-transparent capsules with black mark 15
on white physique and with blue cap.

Lenalidomide-Teva 20 mg capsules: laborious, non-transparent capsules with black mark 20
on blue physique and with inexperienced cap.

Lenalidomide-Teva 25 mg capsules: laborious, non-transparent capsules with black mark 25
on white physique and with white cap.

Australian Registration Quantity:

Lenalidomide-Teva 2.5 mg AUST R 340333

Lenalidomide-Teva 5 mg AUST R 340336

Lenalidomide-Teva 7.5 mg AUST R 340345

Lenalidomide-Teva 10 mg AUST R 340337

Lenalidomide-Teva 15 mg AUST R 340338

Lenalidomide-Teva 20 mg AUST R 340334

Lenalidomide-Teva 25 mg AUST R 340335

Who distributes Lenalidomide-Teva

Lenalidomide-Teva is equipped in Australia by:

Teva Pharma Australia Pty Ltd

Degree 1, 37 Epping Highway

Macquarie Park NSW 2113

Australia)

This leaflet was up to date in August 2022



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