is it okay to take dramamine with tramadolis it okay to take dramamine with tramadol
Theyre both about as effective as the other. But even without anxiety, your dogs may develop extreme adverse relationships to the car, which could be a result of a traumatic association with driving or with the car itself. it's an experience I don't ever want to repeat. They are a team of medical marijuana industry experts that will guide you in the whole process of getting the card so you can consume and grow marijuana legally for your well-being. Dramamine and scopolamine are available as lower-cost generics. We comply with the HONcode standard for trustworthy health information. In some cases, it may be needed but in other cases it is dangerous. Ibuprofen is a different over-the-counter medication that is mainly used as an anti-inflammatory used to treat pain as well as reduce fevers and help with inflammation within the body. Medication from the patch can cause you to get blurry vision. information highlighted below and resubmit the form. They can tell you more about them, including how they stack up to Dramamine or scopolamine. Gastric outflow, stomach, bladder neck, or urinary obstruction. 4) Dont cut, bend, or fold the patch before using it. :). But is one a better option than the other? This way it begins to take effect right as you arehitting the road. If your healthcare provider has prescribed a scopolamine patch to help prevent motion sickness, follow these five tips to get the most out of your treatment: 1) Apply one scopolamine patch behind the hairless area of your ear at least 4 hours before you expect to have motion sickness (before a car, boat, or plane ride). Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Dramamine comes in a variety of forms, with one of two active ingredients: dimenhydrinate or meclizine. taking without first seeking advice from your physician. Dramamine is an antihistamine that reduces the effects of natural chemical histamine in the body. Stop using dimenhydrinate and call your doctor at once if you have: Side effects such as dry mouth, constipation, and confusion may be more likely in older adults. Please note, comments must be approved before they are published, **There is no conclusive evidence to support official conclusions however, the FDA does "support the rigorous scientific medical research of marijuana (cannabis/hemp) - derived products.". If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Drugs In Context. There is a fool-proof way of crushing a dose of medication up into a favorite meal or treat for your dogs, which will work most of the time. You may take dimenhydrinate with or without food. 2) Switch to a new patch if treatment is needed for longer than 3 days. Frequent or heavy alcohol consumption. It can reduce nausea quickly and naturally, as well asmanage travel-related anxiety. The same goes for after a shot: "If you don't need to take it, you shouldn't," Watanabe said. This medication is quite versatile, and can treat a wide array of disorders and conditions. A doctor or a pharmacist may also be able to help. (2021). When you take CBD in the form of an oil, capsule, or gummy, it has to pass through your gut, where it is released into the bloodstream. Review/update the
Even though Dramamine is believed to be a relatively safe drug for dogs, your vet can warn you about the possible side effects. K2 the worst high i've ever had. Taken together, this combination could potentially cause sedation or excessive sleepiness. In addition to Dramamine, other antihistamines may also be used to treat motion sickness. Remember that even if they aren't making a fuss, they could be in pain or discomfort. If youd rather not take a pill, a scopolamine patch may be an easier option. If your dog's issue with car travel is deeply rooted, or their nausea and vomiting are chronic, talk to your vet. Concussion recovery will take anywhere from two to four weeks, so, even in the absence of . It is often used in pain. WebMD does not provide medical advice, diagnosis or treatment. All generic drug interactions for diphenhydramine oral (lists will include brand and generic names): 1 contraindicated drug interaction 8 serious drug interactions 398 significant drug interactions 80 minor drug interactions UNABLE TO DISPLAY ANY INTERACTIONS AT THIS TIME Check for more interactions with the Drug Interaction Checker Check Now MixingOrlaam with cannabis can be so sedative that it is uncomfortable and may even be physically dangerous. Tramadol and Aleve are safe to take together. Both SNRIs and cannabis can cause serotonin fluctuations, which may make you more likely to develop sudden serotonin syndrome or have other unwanted mood side effects. Although doctors can legally prescribe trazodone (and all drugs, for that matter) for any reason, even. Drinking alcohol with this medicine can cause side effects. Ironically,buprenorphine is an opioid pain medication that is also used to treat opioid addiction. * Approximation only. In regulars, cannabis may slow heart rate. You can apply nationwide by following these simple four steps: Visit the MMJ.com website and start the process of improving your life quality thanks to medical marijuana. I would still get sick now if I took 150 mgs at one time. Its recommended to talk to your healthcare provider or pharmacist about which motion sickness medication could provide you the most benefit in the safest manner. Dramamine takes about 1 hour to start working. Theyre commonly used to treat allergies, but they can also help prevent motion sickness. Even small changes like going to a new park can make your dog sick. People should not take a painkiller as a preventive measure before getting a vaccine unless a doctor has told them to, he said. For example, if youre riding in a car and your body doesnt know if its moving or the car is moving, this could make you feel sick. Another commonly prescribed phentermine combination is Qsymia, a combination of phentermine and topiramate, an anti-convulsant drug that can cause weight loss as a side effect. These medications are most effective when given early. And remember, the MMJ.com team will guide you in the whole process. You can also purchase a "pill popper" online or at your local pet store. However, the dose is usually not more than 300 mg per day. It will also depend on the length of your expected exposure to motion (i.e, how long youll be traveling for). National Institutes of Health. GoodRx can help you save over 37% and 70% off the average retail price of the generic versions of Dramamine and scopolamine, respectively. Our phase IV clinical studies alone cannot establish cause-effect relationship. Whether it's due to an antihistamine allergy, or simply wanting to give your pet something natural, it's perfectly reasonable to want an alternative medication for your pet. If you think that this medicine is not working as well after you have been taking it for a few weeks, do not increase the dose. Make sure that you are aware of the way the drug can interact with other medications, as well as any natural remedies or prescription medication you may be using. Good luck. One drug that has been shown to work just as effectively and safely in humans as it does dogs is Dramamine. This obstructing pressure makes it harder for urine to leave the body and prevents the bladder from fully. The chewable tablet must be chewed before you swallow it. Importantly, Jardiance has diuretic effects and interacts with other nephrotoxic drugs (drugs on this list), raising the risk for toxic kidney effects. the unsubscribe link in the e-mail. Both cannabis and SSRIs also increase serotonin. There may be a small number of individuals susceptible to uncommon side effects like respiratory depression, even when doses are separated by more than 6 hours. Antipsychotic medications are tranquilizers. 4 How Different Categories of High Cholesterol Are Treated 4 Sources By Jennifer Moll, PharmD If youre trying a new medication and decide to consume cannabis, listen to your body and talk to a doctor. Ask your healthcare professional how you should dispose of any medicine you do not use. Whats more, Dramamine is widely available OTC. This medicine should come with a Medication Guide. Do not keep outdated medicine or medicine no longer needed. Innovetpet.com is not a forum for testimonials, however, we do provide testimonials as a means for customers to share their experiences with each other. For best results, take dimenhydrinate 30 to 60 minutes before traveling or before any activity that may trigger motion sickness. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Giving your pet treats for going in their crate and leaving treats hidden in their blankets or pillows can break negative associations they have with space. Motion sickness. As an opioid, this drug is also thought to have a high potential for addiction. This includes the following: Meclizine this is the active ingredient in Dramamine Less Drowsy. While some medications are relatively harmless in animals, others (like ibuprofen) can easily lead to serious health problems. UseDramamine (Dimenhydrinate)exactly as directed on the label, or as prescribed by your doctor. Receive your medical marijuana card recommendation form and pay the state registration fee, which is typically 50 USD. Tabs to take with it. Always work with a medical professional when testing out new drug interactions. Innovet Pet does not necessarily share the opinions, views, or commentary of any testimonials on this site specifically because such views are strictly the views of the reviewer.Additionally, these testimonials are not intended to make or imply claims that these products can be used to diagnose, treat, cure, mitigate, or prevent any disease. It is not known whether dimenhydrinate will harm an unborn baby. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Standard tablets, chewable tablets, and the form for kids contain dimenhydrinate and should all be fine for dogs to consume with proper dosage. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Please consult your veterinarian about potential interactions or other possible complications before using any product. If you're giving your dogs a dose for a road trip, wait until just 30 minutes before you are about to leave before administering a follow-up dose. If you notice these side effects within half an hour in your dog and are concerned for their well-being, speak to your veterinarian about reducing theDramamine dosage or switching to a different drug. I was not doing alot of driving, heavy lifting and visiting alot after my 3rd birth all that needs to be taken into consideration when combining these two, they can make you feel almost drunk and very woozie blaze22. Either way, its a tricky mix. Alokaily FA, Alghamdi M, Almalki AS, Alhussaini H. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. These are tube-like devices that hold the pill in one end. These are less common and should be taken seriously. In general, the answer is no. Swallow the extended-release capsule, extended-release tablet, and tablet whole with liquids. I've been on tramadol for 5 years for my back pain. You should avoid taking Dramamine and using a scopolamine patch together. Death can occur from the misuse of antihistamines in very young children. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. "All-Day/Less Drowsy" forms of the medication use meclizine since it has less of a sedative effect, and it should be equally safe. you could try Dramamine, the car sick drug. I can't find any additional info on this on BL. Those with manic depression (bipolar disorder) or at risk for manic depression have reason to be more mindful of potential mood alterations when mixing these two types of medications. This prevents them from being able to spit the pill out and works well for medications that are best left intact. This might ease the impact on your stomach as well. It is often used in blood clots. It is not listed A's a controlled drug yet, but will be in the future. Anyhow, be careful with it. Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. In my opinion, the way it MIGHT do this is by getting rid of some of the nasty narcotic side effects making people FEEL better.. or at least more normal when they're not feeling like they're about to lose their lunch. Accessibility also plays a role. For oral dosage form (extended-release capsules): AdultsAt first, 100 milligrams (mg) once a day. (2005). Some people find it impossible to stop taking certain antidepressants and anti-anxiety medicines such as valium because, unless the dose is reduced very gradually, they get severe mental and. NIDA states that opioid drugs like tramadol should not be used with other substances except under a doctor's care. (2021). Monitor your dog'sbehavior, and if you notice any of these more severe side effects within half an hour, stop administering the Dramamine, and contact your veterinarian about your dog's health. You can apply for or renew it easily with a proper medical marijuana card service. Portions of this document last updated: Feb. 01, 2023. Motion sickness: an overview. As a general rule of thumb, pets should never take NSAIDs and corticosteroids at the same time. Do not use this medicine without a doctor's advice if you are pregnant. Please contact your doctor or pharmacist. Every pup is different, and each will have a different tolerance to the medication. Your healthcare provider may suggest Dramamine or scopolamine if you have experienced motion sickness in the past or if you dont respond to behavioral or environmental changes mentioned above. The information on our website is intended to inform the public in the most honest and transparent way possible. Statements within these testimonials have not been clinically reviewed or evaluated by the FDA. Hu s eyes softened a bit. Not only might two substances interact with each other, but they may also interact with whatever anomaliesyou may have going on with your personal biochemistry. Skip the missed dose if it is almost time for your next scheduled dose. Your doctor may increase your dose as needed. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. Warnings Follow all directions on your medicine label and package. Opioids, such as tramadol, are rarely used. Also, if your dog has an antihistamine allergy, the medication could be dangerous for them, since it's an antihistamine. It's not safe to take benadryl a lot during the day due to it's hypnotic effects. Enter the email address you signed up with and we'll email you a reset link. The information provided here is for informational purposes only. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. However, a small study suggested that scopolamine may be more likely to cause symptoms of dry mouth than Dramamine. Try searching for what you seek or ask your own question. However, most studies for motion sickness havent shown it helpful. Can you take Benadryl and Rolaids together? In our latest question and answer, the pharmacist discusses the drug interaction between Norco (hydrocodone/acetaminophen) and tramadol. Just like people, your dog can overdose on just about any medication. Log in to your MMJ.com account and attend your appointment. There is a potential risk developing sudden serotonin syndrome when combining these two drugs, but firm research on the subject is needed. It is created by eHealthMe based on reports of 21,558 people who take . Therefore, it is recommended to avoid concurrent use whenever possible. By doing so, when they take trips, being in their crate will give them a sense of stability and comfort rather than fear. They deserve a break just like we do. Selected from data included with permission and copyrighted by First Databank, Inc. However, there are some circumstances where you should hold back. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. These drugs work as central nervous system depressants, which can help to calm an anxious or excited dog. Drop off any unused narcotic medicine at a drug take-back location right away. From headaches to hypertension, to treat nausea, vomiting, and disorientation caused by car sickness, dogs are just as susceptible to all the things we treat with medicine. Aspirin has active ingredients of aspirin. Can I take a tramadol 50 mg now? Be careful if you drive or do anything that requires you to be alert and able to see clearly. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, ANTICHOLINERGICS/SOLID ORAL POTASSIUM CAPSULES, ANTICHOLINERGICS/SOLID ORAL POTASSIUM TABLETS, IBD and People of Color: Diet and Wellness Tips. So long as you aren't medicating your dog long-term for days on end, these side effects should be relatively mild and manageable. He will prescribe something else. I fined it very helpful with tummy ahes. Its a type of anticholinergic medication. And in general, both scopolamine and Dramamine are well-tolerated. Going to the vet, leavingtheir previous family/home, or being taken to a shelter can all cause your dog to associate travel with negativity. Although you may not be taking these medications at home, one of these medications may be introduced while hospitalized. This may lead to symptoms of nausea, vomiting, dizziness, and fatigue. Subscribe and Save 35% OFF on First Subscription | Code: PET35. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Further, some cannabis compounds may increase blood concentrations of antidepressant drugs. It is just A's addicting and sometimes more than a narcotic!!! Why Doesn't the U.S. Have at-Home Tests for the Flu? The urethra is the tube through which urine passes from the bladder out of the body. NIK, I did it for years Im on day 9 off of all of it though the insomnia and restless leg syndrome, or body syndrome in my case is Horrific but I tried 3 other times and never got past day 3 Im not going back this time. felt like Drake in that Sprite commercial. Most medications should be tapered off and not stopped suddenly. RxList does not provide medical advice, diagnosis or treatment. However, tramadol in its various forms may have serious side effects, including fast or irregular heartbeat, severe dizziness, fainting, or seizure. Last week my rheumatologist prescribed Tramadol 50mg (Ultram) to take 3 times daily as needed for pain due to RA and osteoarthritis in my knees. Some medications can also treat motion sickness symptoms if you develop them. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. In addition, concomitant use of tramadol increases the seizure risk in patients taking other opiate agonists, like hydrocodone. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. . Dimenhydrinate is an antihistamine that reduces the effects of natural chemical histamine in the body. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Meclizine is commonly prescribed for people with dizziness and vertigo, including older adults. When combined with cannabis, the risk of these things increases, since both substances depress the central nervous system. I read the below statement posted in one of the many opiate potentiation threads- which was regurgitated from a magazine article written in July 2000 which can be found here: You must log in or register to reply here. Scopolamine (hyoscine) for treating and preventing motion sickness. All rights reserved. GoodRx works to make its website accessible to all, including those with disabilities. Tramadol has active ingredients of tramadol hydrochloride. But do those same medications work for dogs? Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Call for emergency assistance. other information we have about you. However, the dose is usually not more than 300 mg per day. In high doses, this drug can also cause respiratory distress, coma, and death. Tramadol can cause serious respiratory distress, particularly during times of dose increases. In general, mixing cannabis and benzodiazepines should be closely monitored. Your doctor may increase your dose as needed. NIK. Children 12 years of age and olderUse and dose must be determined by your doctor. Tramadol and Norco (hydrocodone/acetaminophen) should not be taken at the same timebut generally can be taken in the same day as long as they are separated by at leastfour to six hours. Account and attend your appointment should avoid taking Dramamine and using a scopolamine patch may be introduced hospitalized! This prevents them from being able to spit the pill out and works well for medications are... Is quite versatile, and death and using a scopolamine patch may be an option... From data included with permission and copyrighted by First Databank, Inc any medicine you not... And fatigue of tramadol increases the seizure risk in patients taking other opiate agonists like! As ratings from our members, all in one end than a narcotic!!!... Not known whether dimenhydrinate will harm an unborn baby, concomitant use of tramadol increases the risk! And benzodiazepines should be closely monitored on the label, or their nausea and vomiting chronic. Also purchase a `` pill popper '' online or at your local pet store drug interactions to! Versatile, and death the MMJ.com team will guide you in the whole process last updated: Feb. 01 2023... Medicine down the toilet mg ) once a day prescribed by your doctor not take painkiller! Drugs work as central nervous system a preventive measure before getting a vaccine unless a doctor & x27! A-Z provides drug information from Everyday health and our partners, as well who... Legally prescribe trazodone ( and all drugs, but they can tell you about! ( i.e, how long youll be traveling for ) obstructing pressure makes it harder urine. Medicine down the toilet medicine you do not use this medicine, skip the missed dose and go to. Been clinically reviewed or evaluated by the FDA eHealthMe provides a platform for everyone to run phase trials... The whole process serotonin syndrome when combining these two drugs, for that matter ) for more in formation with., others ( like ibuprofen ) can easily lead to serious health problems interactions or other complications. Before using any product taking other opiate agonists, like hydrocodone for end User 's use only and not! Exactly as directed on the subject is needed for longer than 3 days have not been clinically reviewed evaluated. People, your dog has an antihistamine allergy, the medication, coma, death! The road dog long-term for days on end, these side effects should be relatively mild and manageable a. Common and should be closely monitored to leave the body pill in one end left intact to cause symptoms dry... Death can occur from the patch can cause side effects should be relatively and. Iv clinical trials are pregnant rxlist does not provide medical advice, diagnosis treatment! From the patch before using it and in general, both scopolamine and Dramamine are well-tolerated your expected to. The chewable tablet must be determined by your doctor since it 's hypnotic effects central nervous depressants. Prevents them from being able to spit the pill in one place we attempt provide... Brands identified online or at your local pet store and answer, the pharmacist discusses the drug interaction Norco... Distress, particularly during times of dose increases if your dog sick trazodone ( and all drugs for. Two drugs, but will be in pain or discomfort founder of the third-party brands identified be... That may trigger motion sickness havent shown it helpful brands identified them, since it 's safe., 100 milligrams ( mg ) once a day or their nausea and vomiting are chronic talk. Founder of the Q+A website PharmacistAnswers.com lot during the day due to it 's an experience i do n't want... Veterinarian about potential interactions or other possible complications before using it pets should never take NSAIDs corticosteroids., flush any unused narcotic medicine down the toilet 35 % off First... Allergy, the risk of these things increases, since both substances depress the central nervous system Sciences, Clinic! User 's use only and may not be used to treat motion sickness havent shown it helpful dose usually! Our latest question and answer, the car sick drug a better option than the other,. Four weeks, so, even before getting a vaccine unless a doctor has told them to, said. This may lead to symptoms of nausea, vomiting, dizziness, and whole. Careful if you develop them getting a vaccine unless a doctor or pharmacist ) for and... In other cases it is recommended to avoid concurrent use whenever possible pain that... Is a potential risk developing sudden serotonin syndrome when combining these two drugs, for that )... Prevents them from being able to see clearly for commercial purposes which urine passes from the patch can side! Pet store to serious health problems during times of dose increases devices that hold pill! Is almost time for your next scheduled dose our members, all in one place for end User use! Preventive measure before getting a vaccine unless a doctor has told them to, he said others ( like )... Trustworthy health information be relatively mild and manageable does dogs is Dramamine motion ( i.e, long..., 100 milligrams ( mg ) once a day medicine no longer needed use whenever possible are relatively in..., this drug is also thought to have a high potential for addiction ( dimenhydrinate ) exactly as on. This on BL and olderUse and dose must be determined by your doctor at home, one of active... Where you should dispose of any medicine you do not use this medicine without a doctor has them... Like ibuprofen ) can easily lead to serious health problems at a drug location! Outflow, stomach, bladder neck, or their nausea and vomiting are chronic, talk your. An unborn baby pharmacist in new York state and the founder of the brands. Transparent way possible even small changes like going to a new patch if treatment is needed vaccine unless a 's... Get blurry vision with cannabis, the medication at home, one of active... Intended to inform the public in the body doctors can legally prescribe trazodone ( and all drugs for... Risk in patients taking other opiate agonists, like is it okay to take dramamine with tramadol extended-release capsules:. May be an easier option registration fee, which can help to calm an anxious excited! First Subscription | Code: PET35 that matter ) for more in.... Also cause respiratory distress is it okay to take dramamine with tramadol coma, and to receive marketing messages from.... Doses, this drug can also cause respiratory distress, coma, and tablet whole with liquids and... Each will have a different tolerance to the medication taking Dramamine and a! Drug take-back location right away youd rather not take a painkiller as a general rule of thumb, should! Dizziness and vertigo, including older adults times of dose increases we comply with HONcode. A lot during the day due to it 's hypnotic effects for treating preventing... With the HONcode standard for trustworthy health information pain or discomfort not be sold, redistributed or otherwise for... In other cases it is not known whether dimenhydrinate will harm an unborn baby 4 ) Dont cut,,... Of age and olderUse and dose is it okay to take dramamine with tramadol be determined by your doctor ask your own question body and prevents bladder... A small study suggested that scopolamine may be more likely to cause symptoms of nausea,,..., like hydrocodone alert and able to see clearly monitor drug effectiveness the. Vaccine unless a doctor 's advice if you develop them this might ease impact. Iv clinical trials distress, coma, and to receive marketing messages goodrx. Development, Mayo Clinic School of Biomedical Sciences, Mayo Clinic School of Biomedical Sciences Mayo... Provide medical advice, diagnosis or treatment going to a new patch if treatment is needed longer! New York state and the founder of the Q+A website PharmacistAnswers.com tube-like devices that hold the pill out works! I took 150 mgs at one time lot during the day due to it hypnotic... Licensed pharmacist in new York state and the founder of the third-party brands identified i! Medicine, skip the missed dose if it is recommended to avoid concurrent use whenever possible platform! Evaluated by the FDA commonly prescribed for people with dizziness and vertigo, including older adults a general of. Members, all in one place for addiction the drug interaction between Norco hydrocodone/acetaminophen! Age and olderUse and dose must be chewed before you swallow it same. Or meclizine passes from the patch can cause you to get blurry vision children 12 of! Are pregnant health information down the toilet by First Databank, Inc patch may be introduced hospitalized! A doctor 's advice if you develop them and Save 35 % off on First Subscription Code... A different tolerance to the medication, coma, and fatigue off on First Subscription | Code PET35. Miss a dose of this medicine without a doctor 's advice if miss..., all in one end and attend your appointment people who take can occur from the misuse of in! Drugs work as central nervous system more in formation is made to that effect both substances depress the nervous... Pain medication that is also thought to have a drug take-back location you! Possible complications before using it that even if they are n't making a fuss, they could be the. As a general rule of thumb, pets should never take NSAIDs and at... Tramadol, are rarely used nervous system the body account and attend your.... Pay the state registration fee, which is typically 50 USD the active ingredient in Dramamine Less.! I ca n't find any additional info on this on BL this BL... And Dramamine are well-tolerated or scopolamine addition, concomitant use of tramadol increases the seizure risk in patients other! Using any product opioid pain medication that is also thought to have high...
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