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Talk with your health provider

You may have withdrawal symptoms if you stop taking this medication after taking it over several days in a row. Do not stop taking this medicine suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. What is the most important information I should know about hydrochlorothiazide and lisinopril Zestoretic? Call your doctor if your symptoms do not improve after 7 to 10 days of treatment, or if they get worse. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. price for hyzaar

Important information

Lisinopril may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Do not take more than the recommended dose. This information should not be used to decide whether or not to take Prinzide or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Prinzide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Prinzide. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Prinzide.

Common side effects of zestoretic

This product may rarely cause serious possibly fatal problems. If you have a medical condition that may cause swelling, follow your doctor's instructions on how to treat your swelling. Some products have ingredients that could raise your blood pressure or worsen your heart failure.

Zestoretic drug interactions

Before taking hydrochlorothiazide and lisinopril, tell your doctor if you have kidney disease or are on dialysis liver disease, glaucoma, congestive heart failure, gout, lupus, diabetes, or an allergy to sulfa drugs or penicillin. Take this by without food as directed by your doctor, usually 2 times daily. Take zafirlukast on an empty at least 1 hour before or 2 hours after meals. The dosage is based on your age. Tell your doctor if your do not improve after 3 days of treatment or if your last more than 6 weeks.



Consult your doctor before breast-feeding

Prinzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. Interference with adequate oral electrolyte intake will also contribute to hypokalemia. Hypokalemia may cause cardiac arrhythmia and may also sensitize or exaggerate the response of the heart to the toxic effects of digitalis eg, increased ventricular irritability. In patients with renal disease, thiazides may precipitate azotemia. The antihypertensives effects may be enhanced in the postsympathectomy patient. Tell your doctor if your condition does not get better or if it gets worse for example, your blood pressure readings remain high or increase. Take this by as directed by your doctor, usually once daily with or without food. The dosage is based on your medical condition and response to treatment. Zestoretic, taking into account the importance of the drug to the mother. Hydrochlorothiazide given in a two-litter study in rats at doses of 4-5. May significantly increase serum potassium levels. Hyperkalemia, possibly with cardiac arrhythmias or arrest, may occur. Closely monitor serum potassium concentrations. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC.



Some MEDICINES MAY INTERACT with Prinzide

Not indicated for initial therapy of hypertension. Adult dosage only. Safety and efficacy not established in pediatric dosages. Cough: Presumably due to the inhibition of the degradation of endogenous bradykinin, persistent nonproductive cough has been reported with all ACE inhibitors, almost always resolving after discontinuation of therapy. ACE inhibitor-induced cough should be considered in the differential diagnosis of cough. Hawthorn increases blood flow. Taking hawthorn with medications that also increase blood flow to the heart might increase the chance of dizziness and lightheadedness. Do not use hydrochlorothiazide and lisinopril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. The antihypertensive effects of the drug may be enhanced in the postsympathectomy patient. Take this medication by with or without food, usually once a day or as directed by your doctor or the product package. If you are using the chewable tablets, chew each tablet well and swallow. Dosage is based on your age, condition, and response to treatment. not increase your dose or take this drug more often than directed. Do not take more of this medication than recommended for your age. Above this glomerular filtration rate, the elimination half-life is little changed. With greater impairment, however, peak and trough lisinopril levels increase, time to peak concentration increases and time to attain steady state is prolonged. This medication may also be used to treat heart failure and to help protect the kidneys from damage due to diabetes. Zestoretic 20-25 were similar, suggesting that many patients who respond adequately to the latter combination may be controlled with Zestoretic 20-12. See Lisinopril, Fetal Toxicity. Lisinopril is to be used only by the patient for whom it is prescribed. Do not share it with other people. For heart failure, some specific hawthorn products Faros 300 by Lichtwer Pharma, Crataegutt forte by Wilmer Schwabe Pharmaceuticals, or HeartCare, Nature's Way have been used in doses of 160 mg to 1800 mg divided and taken in 2-3 doses daily. These doses have been shown to improve symptoms of heart failure in some people, but they have also been shown to increase the risk of death or being hospitalized due to heart failure. PREGNANCY AND BREAST-FEEDING: Lisinopril may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if this medicine is found in breast milk. Do not breast-feed while taking lisinopril. Hydrochlorothiazide is not metabolized but is eliminated rapidly by the kidney. iressa



Prescribing information for zestoretic

In rare cases, intestinal angioedema has been reported in post marketing experience. After oral use diuresis begins within two hours, peaks in about four hours and lasts about 6 to 12 hours. Use Prinzide as directed by your doctor. Check the label on the medicine for exact dosing instructions. It's an intravenous medicine for quickly lowering severely high blood pressure in the hospital. It's also an oral medicine for controlling high blood pressure during pregnancy. Impotence 1%; UTI up to 1%. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose. Take your next dose at the regular time. Category D second and third trimesters; Category C first trimester. Lisinopril can cause fetal and neonatal morbidity and death when administered to pregnant women. Do not use during pregnancy. The side effects see of lisinopril are generally rare and apparently independent of dose; those of hydrochlorothiazide are a mixture of dose-dependent phenomena primarily hypokalemia and dose-independent phenomena eg, pancreatitis the former much more common than the latter. Therapy with any combination of lisinopril and hydrochlorothiazide may be associated with either or both dose-independent or dose-dependent side effects, but addition of lisinopril in clinical trials blunted the hypokalemia normally seen with diuretics. Avoid taking this medicine within 1 hour after eating a high-fat or heavy meal. This will make it harder for your body to absorb the medication. qfan.info altace



Report prolonged or to your doctor

This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection. Evaluation of the hypertensive patient should always include assessment of renal function. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness; blurred vision or other vision changes eg, decreased vision clearness; change in the amount of urine produced; chest pain or discomfort; dark urine; difficult or painful urination; drowsiness; dry mouth; eye pain; fainting; fast, slow, or irregular heartbeat; fever, chills, or persistent sore throat; joint pain, stiffness, or swelling; loss of appetite; mood or mental changes eg, depression; muscle cramps, pain, or weakness; numbness, burning, or tingling; numbness of an arm or leg; one-sided weakness; pale stools; persistent or unusual nausea or vomiting; red, swollen, blistered, or peeling skin; restlessness; severe or persistent cough; severe or persistent headache, dizziness, or light-headedness; shortness of breath; slurred speech; stomach pain with or without nausea or vomiting; sudden, unusual weight loss or gain; symptoms of high blood sugar eg, fast breathing; flushing; fruit-like breath odor; increase in thirst, hunger, or urination; symptoms of low blood sodium eg, confusion, mental or mood changes, seizures, sluggishness; trouble swallowing; unusual bruising or bleeding; unusual thirst, weakness, or tiredness; yellowing of the skin or eyes. In most patients studied, onset of antihypertensive activity was seen at one hour after oral administration of an individual dose of lisinopril, with peak reduction of blood pressure achieved by six hours. Undetermined lisinopril; excreted in breast milk hydrochlorothiazide. Hydrochlorothiazide absorption may be impaired. Single doses of cholestyramine or colestipol resins bind hydrochlorothiazide, reducing GI absorption up to 85% and 43%, respectively. Separate the administration times by as much as possible. If you miss a dose of Prinzide, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Tell your doctor if you develop any new symptoms. Anaphylactoid Reactions During Desensitization: Two patients undergoing desensitizing treatment with hymenoptera venom while receiving ACE inhibitors sustained life-threatening anaphylactoid reactions. In the same patients, these reactions were avoided when ACE inhibitors were temporarily withheld, but they reappeared upon inadvertent rechallenge. This medication may also be used to treat heart failure. Hydrochlorothiazide crosses the placental but not the blood-brain barrier. Clinical studies of Zestoretic did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Your blood pressure will need to be checked often. Visit your doctor regularly. Rash, photosensitivity or other dermatological manifestations may occur alone or in combination with these symptoms. Keep track of the amount of medicine used from each new bottle. Lunesta is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. atopex mexican pharmacy



Zestoretic overdose

The combination of hydrochlorothiazide and lisinopril is used to treat hypertension high blood pressure. Hyperkalemia: Patients should be told not to use salt substitutes containing potassium without consulting their physician. Digoxin Lanoxin helps the heart beat more strongly. Hawthorn also seems to affect the heart. Taking hawthorn along with digoxin Lanoxin might increase the effects of digoxin and increase the risk of side effects. Do not take hawthorn if you are taking digoxin Lanoxin. This information should not be used to decide whether or not to take lisinopril or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about lisinopril. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to lisinopril. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using lisinopril. Some hypertensive patients with no apparent pre-existing renal vascular disease have developed increases in blood urea and serum creatinine, usually minor and transient, especially when lisinopril has been given concomitantly with a diuretic. This is more likely to occur in patients with pre-existing renal impairment. Use with caution in patients with obstruction in the outflow tract of the left ventricle. combivent in karachi



How to use zestoretic

In clinical trials with Zestoretic no adverse experiences peculiar to this combination drug have been observed. Adverse experiences that have occurred have been limited to those that have been previously reported with lisinopril or hydrochlorothiazide. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. Hydrochlorothiazide and lisinopril may also be used for purposes not listed in this medication guide. In such patients renal function should be monitored during the first few weeks of therapy. This may not be a complete list of all interactions that may occur. Ask your health care provider if lisinopril may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. Cough: See - Cough. Dehydration, electrolyte imbalance eg, hypokalemia, hypochloremia, hyponatremia hypotension. Orthostatic effects 3%; hypotension 1%; orthostatic hypotension, palpitation, syncope up to 1%. Do not stop using Lunesta suddenly after taking it over several days in a row, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. If you have any questions about lisinopril, please talk with your doctor, pharmacist, or other health care provider. What should I discuss with my healthcare provider before taking hydrochlorothiazide and lisinopril Zestoretic? Lithium clearance may be decreased, increasing lithium concentrations and the risk of lithium toxicity. Lithium generally should not be given with diuretics. Increases in BUN and serum creatinine may occur.



Zestoretic ingredients

Non-Steroidal Anti-inflammatory Drugs - In some patients, the administration of a non-steroidal anti-inflammatory agent can reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium-sparing and thiazide diuretics. Therefore, when Zestoretic and non-steroidal anti-inflammatory agents are used concomitantly, the patient should be observed closely to determine if the desired effect of Zestoretic is obtained. Some medications for high blood pressure include Tenormin metoprolol , nadolol propranolol and others. If your doctor has prescribed this medication, follow your doctor's directions and the instructions on your prescription label. Elevate the injured or sore area on pillows while applying ice and any time you are sitting or lying down. Try to keep the area at or above the level of your to help minimize swelling. Dofetilide plasma concentrations may be increased. Prolongation of the QT interval may occur, increasing the risk of torsades de pointes. Coadministration of hydrochlorothiazide and dofetilide is contraindicated. Read the Patient Information Leaflet if available from your pharmacist before you start taking this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist. If you are using the liquid form of this medication, shake the bottle well before each dose. Numerous antihypertensive drugs, from a variety of pharmacologic classes and with different mechanisms of action, have been shown in randomized controlled trials to reduce cardiovascular morbidity and mortality, and it can be concluded that it is blood pressure reduction, and not some other pharmacologic property of the drugs, that is largely responsible for those benefits. The largest and most consistent cardiovascular outcome benefit has been a reduction in the risk of stroke, but reductions in myocardial infarction and cardiovascular mortality also have been seen regularly. In general, avoid combined use of RAS inhibitors. Closely monitor blood pressure, renal function and electrolytes in patients on Zestoretic and other agents that affect the RAS. Hawthorn might decrease blood pressure. Taking hawthorn along with medication for high blood pressure might cause your blood pressure to go too low. Muscle cramps 2%; back pain, back strain, chest discomfort, chest pain, cold foot, fever, knee pain, myalgia, shoulder pain, trauma, virus infection up to 1%; angioedema. buy famciclovir spain



Use of zestoretic

May cause serious hyperkalemia, possibly with cardiac arrhythmias. Monitor potassium level periodically and reduce dose of aldosterone blocker if needed. Take each dose with a full glass of water. Similar considerations apply to patients with ischemic heart or cerebrovascular disease in whom an excessive fall in blood pressure could result in a myocardial infarction or cerebrovascular accident. Check your blood pressure and pulse heart rate regularly while taking this medication. Learn how to check your own blood pressure and pulse at home, and share the results with your doctor. Check with your pharmacist about how to dispose of unused medicine. You may also need to avoid taking hydrochlorothiazide and lisinopril with aliskiren if you have kidney disease. Lab tests, including blood electrolytes, blood pressure, complete blood cell counts, and kidney and liver function, may be performed while you use Prinzide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. Many patients will require more than 1 drug to achieve blood pressure goals. If hypotension occurs, the patient should be placed in the supine position and, if necessary, receive an intravenous infusion of normal saline. A transient hypotensive response is not a contraindication to further doses which usually can be given without difficulty once the blood pressure has increased after volume expansion. price proventil high



List of zestoretic side effects

ZESTORETIC. Treatment is symptomatic and supportive. Because of the potential fall in blood pressure in these patients, therapy should be started under very close medical supervision. Intestinal Angioedema: Intestinal angioedema has been reported in patients treated with ACE inhibitors. These patients presented with abdominal pain with or without nausea or vomiting; in some cases there was no prior history of facial angioedema and C-1 esterase levels were normal. The angioedema was diagnosed by procedures including abdominal CT scan or ultrasound, or at surgery, and symptoms resolved after stopping the ACE inhibitor. Intestinal angioedema should be included in the differential diagnosis of patients on ACE inhibitors presenting with abdominal pain. Dosing considerations for Hawthorn. Prinzide contains a sulfonamide called hydrochlorothiazide, which can cause certain eye problems myopia, angle-closure glaucoma. Your risk may be increased if you are allergic to sulfonamide medicines eg, sulfamethoxazole or to penicillin antibiotics eg, amoxicillin. Untreated angle-closure glaucoma can lead to permanent vision loss. If these eye problems occur, symptoms usually occur within hours to weeks of starting Prinzide. Contact your doctor immediately if you experience symptoms such as vision changes eg, decreased vision clearness or eye pain. This medication is used to treat high blood pressure hypertension. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a "water pill" diuretic that causes you to make more urine, which helps your body get rid of extra salt and water. FDA pregnancy category D. Do not use hydrochlorothiazide and lisinopril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Lisinopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking hydrochlorothiazide and lisinopril. Anaphylactoid and Possibly Related Reactions: Presumably because angiotensin-converting enzyme inhibitors affect the metabolism of eicosanoids and polypeptides, including endogenous bradykinin, patients receiving ACE inhibitors including Zestoretic may be subject to a variety of adverse reactions, some of them serious. Zestoretic is contraindicated in patients who are hypersensitive to this product and in patients with a history of angioedema related to previous treatment with an angiotensin-converting enzyme inhibitor and in patients with hereditary or idiopathic angioedema. Because of the hydrochlorothiazide component, this product is contraindicated in patients with anuria or hypersensitivity to other sulfonamide-derived drugs. Lisinopril may cause dizziness, light-headedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use lisinopril with caution. You should not use Lunesta if you are allergic to eszopiclone. Hydrochlorothiazide can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Although any chloride deficit is generally mild and usually does not require specific treatment, except under extraordinary circumstances as in liver disease or renal disease chloride replacement may be required in the treatment of metabolic alkalosis. Renal failure has been reported with cyclosporine and ACE inhibitor administration. If renal dysfunction occurs, it may be necessary to stop one or both agents. rizatriptan



What other drugs will affect zestoretic

Your doctor may occasionally change your dose to make sure you get the best results. Tablets NDC 0310-0141 Peach, round, biconvex, uncoated tablets identified with "141" debossed on one side and "Zestoretic" on the other side are supplied in bottles of 100 tablets. May result in deterioration of renal function, including acute renal failure. Monitor renal function, particularly in patients who are elderly or volume-depleted, or those with impaired renal function. Talk with your health provider. The most common signs and symptoms observed are those caused by electrolyte depletion hypokalemia, hypochloremia, hyponatremia and dehydration resulting from excessive diuresis. If digitalis has also been administered, hypokalemia may accentuate cardiac arrhythmias. Untreated can lead to permanent vision loss. Lisinopril may not work as well in black patients. Contact your doctor if your symptoms do not improve or if they become worse. sinemet



How should i store zestoretic

Prinzide should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. Hydrochlorothiazide may increase fasting blood glucose and decrease insulin secretion. The effect of insulin may be decreased. Monitor blood glucose and adjust the insulin dose as needed. Store tablets at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. Hydrochlorothiazide is excreted by the kidneys and the risk of toxic reactions may be greater in patients with renal impairment. May cause severe hypotension.



About zestoretic

Lisinopril is considered and drug. In general, antihypertensive drugs are used as a treatment for high blood pressure. Tell your doctor or dentist that you take Prinzide before you receive any medical or dental care, emergency care, or surgery. Prinzide may raise your blood sugar. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away. May occur or frank gout may be precipitated. Take lisinopril by mouth with or without food. Thiazides may decrease urinary calcium excretion. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medicine. This can lead to very low blood pressure, electrolyte disorders, or kidney failure. Avoid taking Lunesta during travel, such as to sleep on an airplane. You may be awakened before the effects of the medication have worn off. Amnesia forgetfulness is more common if you do not get at least 8 hours of sleep after taking this medicine. Elevated systolic or diastolic pressure causes increased cardiovascular risk, and the absolute risk increase per mmHg is greater at higher blood pressures, so that even modest reductions of severe hypertension can provide substantial benefit. Relative risk reduction from blood pressure reduction is similar across populations with varying absolute risk, so the absolute benefit is greater in patients who are at higher risk independent of their hypertension for example, patients with diabetes or hyperlipidemia and such patients would be expected to benefit from more aggressive treatment to a lower blood pressure goal. cheapest cefuroxime purchase now store



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What are the possible side effects of zestoretic


Take each dose with a full glass of water

Dizziness; headache; light-headedness; nonproductive cough; tiredness. Dizziness 8%; headache 5%; fatigue 4%; asthenia, paresthesia 2%; decreased libido, depression, somnolence, vertigo up to 1%. This is not a complete list of possible side effects.

What happens if I miss a dose Zestoretic?

All medicines may cause side effects, but many people have no, or minor, side effects. Report prolonged or to your doctor. AUC increased approximately 120% for lisinopril and approximately 80% for hydrochlorothiazide in older patients. Lisinopril can be removed by hemodialysis.

What conditions does zestoretic treat

Lowering doesn't prevent preeclampsia from getting worse. That's because is only a symptom of the condition, not a cause. Your doctor may recommend medicine if your blood pressure reaches high levels. Drink plenty of fluids while taking Prinzide and avoid engaging in activities that cause excessive sweating. Dehydration, excessive sweating, vomiting, or diarrhea may lead to a fall in blood pressure. Contact your health care provider at once if any of these occur. Ask your health care provider any questions you may have about how to use lisinopril.

Zestoretic adult dosage

Drinking alcohol can further lower your blood pressure and may increase certain side effects of this medicine. What Is Lisinopril and How Does It Work? Take this medication by with or without food as directed by your doctor, usually once daily in the morning. If this medication causes you to urinate more frequently, it is best to take it at least 4 hours before your to prevent having to get up to urinate.

It is unknown if this drug passes into milk. Consult your doctor before -feeding. Agents Increasing Serum Potassium. All patients receiving thiazide therapy should be observed for clinical signs of fluid or electrolyte imbalance: namely, hyponatremia, hypochloremic alkalosis, and hypokalemia. Serum and urine electrolyte determinations are particularly important when the patient is vomiting excessively or receiving parenteral fluids. Warning signs or symptoms of fluid and electrolyte imbalance, irrespective of cause, include dryness of mouth, thirst, weakness, lethargy, drowsiness, restlessness, confusion, seizures, muscle pains or cramps, muscular fatigue, hypotension, oliguria, tachycardia, and gastrointestinal disturbances such as nausea and vomiting.

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