The recommended dosage of Spiriva Respimat is two inhalations (puffs) taken once each day. And sometimes rescue inhalers are used before exercise to prevent breathing problems. Its important to note that this drug is not a rescue inhaler. Asthma is a condition that causes swelling and narrowing of your airways. The expiration date helps guarantee that the medication is effective during this time. Spiriva and Advair Diskus both contain drugs that are inhaled through your mouth. These lists contain examples of serious side effects that can occur with either form of Spiriva, with Advair Diskus, or with any of the drugs (when taken individually). This means that your doctor will need to send a request to your insurance company asking them to cover the drug. Over time, it works to open up and relax your airways. Here are answers to some frequently asked questions about Spiriva. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. The lists below describe some of the more common side effects that Spiriva may cause. SPIRIVA RESPIMAT can increase the pressure in your eyes (acute narrow-angle glaucoma), which can cause the following symptoms: eye . You should take Spiriva according to your healthcare providers instructions. This isn't something you should do without your dr telling you to do it. Over time, Spiriva HandiHaler, Spiriva Respimat, and Incruse Ellipta each work to make it easier for you to breathe. People taking Spiriva HandiHaler had a significantly higher FEV1 6 hours after taking their dose compared to people taking Atrovent. If she has been struggling to breathe this can elevate the blood pressure which can then lead to a stroke or TIA. 10mg every night for about 2 years. As a result, air can flow more easily in and out of your lungs. And if you have any symptoms that concern you, such as chest pain or irregular heart rate, call your doctor right away. Remember to use it at the same time each day . One study looked at 58,769 people diagnosed with dementia who had taken anticholinergic agents earlier in their life. Your doctor or pharmacist can tell you about any interactions these items may cause with Spiriva. Spiriva contains the active ingredient tiotropium. COPD is almost always . Learn more about COPD comorbidities. Learn about asthma complications, what to do about them, and how to decrease your risk of developing them. +0 Answer this question Further information Similar questions Updated 18 July 2009 1 answer Taking Spiriva with other anticholinergic agents can increase your risk of side effects from the drugs. Then hold the inhaler to your mouth and close your lips around the mouthpiece. Several clinical studies looked at using Spiriva Respimat to treat asthma in adults over a period of 12 to 48 weeks. 2023 Healthline Media LLC. If you stop taking it suddenly, symptoms may include: Nausea Headaches Dizziness and vertigo Flu-like symptoms Anxiety Confusion Irritability Sleep disturbances (like dreaming excessively or insomnia) If you're taking paroxetine and thinking about stopping it, talk to your HCP about how to safely taper your medication. Ask them what other medications are better options for you. Note: The Food and Drug Administration (FDA) tracks side effects of drugs theyve approved. (Spiriva belongs to the class of drugs called anticholinergic agents.). It can also interact with certain supplements as well as certain foods. If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care. Before your appointment, write down questions such as: How will Spiriva affect my body, mood, or lifestyle? Some clinical studies compared COPD treatment with Spiriva HandiHaler to that of ipratropium bromide (Atrovent) over a period of 1 year. Factors to consider include the following: Closed-angle glaucoma. Instead, use Spiriva every day to keep your airways open and help prevent breathing problems. These effects are called interactions. Atrovent HFA (ipratropium bromide) is a prescription inhaler used to treat COPD in adults. If you miss a dose of Spiriva, take it as soon as you remember. The more common side effects of Spiriva can include: Most of these side effects may go away within a few days or a couple of weeks. Spiriva Respimat is FDA-approved to treat asthma in adults and children ages 6 years and older. With chronic bronchitis, your airways are inflamed (swollen or damaged), narrowed, and contain large amounts of mucus. If you have one of these issues, Spiriva could make it worse. Spiriva belongs to a class of drugs called anticholinergic agents. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Spiriva is available only as a brand-name medication. If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care. If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care. Then, while youre pressing the dose-release button on the inhaler, take a slow, deep breath through your mouth. High pressure in the eye caused by ocular hypertension (high pressure inside the eye) or open-angle glaucoma (the most common type of glaucoma) But for sudden breathing problems, you should use a rescue inhaler. This drug should be taken as two inhalations (puffs) once each day. (Doing this helps you to avoid getting oral thrush, which is a fungal infection in your mouth.). However, the use of anticholinergics was associated with higher risk for dementia, especially in middle-aged and older adults. If you have one of these conditions, talk with your doctor about whether Spiriva is right for you. For more information on the possible side effects of Spiriva, talk with your doctor or pharmacist. I've had a racing heart, severe insomnia, chest pain, urinary problems, dizziness , weird feeling on left side of body. KA. Its foolish to stop respiratory drugs without advice. Regards pledge. What is Lumigan (bimatoprost) used for? Abruptly stopping Lamictal may also lead to a return of symptoms of the condition that is being treated. Or you can also find more information online about cost savings programs. Its not known if Spiriva is safe to use during pregnancy. And it can help prevent asthma attacks. But if you think youre having a medical emergency, you should call 911 or your local emergency number. Theyll review all the medications youre taking and let you know if its safe for you to take Spiriva. If youre not sure if youll need to get prior authorization for Spiriva, contact your insurance plan. Its important to note that Spiriva is not a rescue inhaler. If you drink alcohol, talk with your doctor about how much may be safe to drink during your Spiriva treatment. These diseases include emphysema and chronic bronchitis. This can cause wheezing, cough, chest tightness, and shortness of breath. You may wonder how Spiriva compares with other medications that are prescribed for similar uses. They can tell you about other medications that may work well for you. But suddenly stopping treatment could worsen your breathing problems because you wont be treating your condition anymore. However, you should still check with your doctor or pharmacist before using any of these products while taking Spiriva. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva. Other kinds of drugs used for COPD include long-acting beta-agonists, such as olodaterol (Striverdi Respimat). These drugs have some similar side effects and others that differ. But its not known for sure how many people have had these side effects. Here we look at how Spiriva and Advair Diskus are alike and different. The actual price youll pay depends on your insurance plan, your location, and the pharmacy you use. This drug isnt meant to be used as a rescue medication, which is taken to treat sudden breathing problems. We comply with the HONcode standard for trustworthy health information. The instructions that you receive with your Spiriva Respimat inhaler show you how to prepare the inhaler for use. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. iSPERSE consists of salt-based inactive substances that act as the vehicle to deliver the active ingredients, and spray-drying technology for improved delivery to the patient's lungs. This can make breathing easier and help relieve your symptoms. Package leaflet: Information for the user. No, stopping Spiriva suddenly wont cause withdrawal symptoms. This means it is a anti-inflammatory type med that will take the inflammed part and calm it down. But if its almost time for your next dose, just skip the missed dose and take your next dose at the usual time. Benzodiazepines Instead, its used as a maintenance treatment. Learn more about how to interpret your FEV1 reading. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva. Spiriva contains tiotropium, while Incruse Ellipta contains umeclidinium. My experience has been horrible. It should be taken as one inhalation (puff) twice each day. Spiriva Respimat should be taken as two inhalations (puffs) once each day. This list contains examples of serious side effects that can occur with both Spiriva (HandiHaler or Respimat) and Incruse Ellipta (when taken individually): Spiriva and Incruse Ellipta have different approved uses, but theyre both used to treat COPD in adults. But if you have severe symptoms, immediately call 911 or your local emergency number. You can take your dose of Spiriva at any time of day but try to take it at the same time each day. Question posted by cklogie on 26 Oct 2012, Last updated on 2 July 2020 by vickyandjake. contain a code you can scan with a smartphone to change the text into audio. If you have any of these symptoms, stop taking the medicine and seek emergency medical care. Spiriva Respimat shouldnt be used in children younger than 6 years of age. For asthma, Spiriva Respimat can be used in children ages 6 years and older. Expand All. +0 KA kaismama 5 Aug 2014 No +0 Related topics spiriva Further information Spiriva uses and safety info Spiriva information for Healthcare Professionals (includes dosage details) Side effects of Spiriva (detailed) Similar questions Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. But keep in mind that animal studies dont always predict whatll happen in humans. Does Spiriva have any long-term side effects. Spiriva HandiHaler isnt approved for use in children. Youll use Spiriva once a day as a maintenance (long-term) treatment for your asthma. This allows the device to break open the capsule. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. There arent any herbs or supplements that have been specifically reported to interact with Spiriva. For instance, some interactions can interfere with how well a drug works. Youll likely use other medications in combination with Spiriva to manage your COPD or asthma symptoms. The "left side?" Instead, its meant to be used consistently each day to help manage breathing problems. After 12 to 24 weeks of treatment, peak (maximum) FEV1 was increased by 0.16 to 0.24 L more in people taking Spiriva Respimat than in people taking the placebo. Yes, youll probably be able to. Some animal studies have shown that Spiriva does pass into the breast milk of lactating rats. No, it might not be safe for you to suddenly stop using Spiriva. Other medications used for asthma include corticosteroids such as ciclesonide (Alvesco). These drugs are typically used if youre having sudden breathing problems, such as cough or shortness of breath. Note: Some of the drugs listed below are used off-label to treat these specific conditions. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, chronic obstructive pulmonary disease (COPD), Spiriva expiration, storage, and disposal. Mild side effects that people using Spiriva have reported include: Mild side effects of many drugs may go away within a few days to a couple of weeks. Below are lists of medications that can interact with Spiriva. These symptoms are caused by narrowing inside your airways. Some well-known brands include: Ventolin (albuterol) Proair (albuterol) Proventil (albuterol) Serevent (salmeterol) Spiriva is a maintenance treatment. For some people, this type of pain is confused with having a problem with their heart. Heres a list of some of the mild side effects that Spiriva can cause. Clinical results also showed fewer deaths among people who took Advair Diskus compared to people who took Spiriva. How long a medication remains good can depend on many factors, including how and where you store the medication. I agree with my friend Pledge on this. Do NOT swallow the capsule! If you have questions about which form of Spiriva is right for your COPD, talk with your doctor. my mother in law quit taking Spiriva of her own accord and is experiencing light headedness and dizziness. What should be considered before taking Spiriva? Spiriva Respimat liquid solution comes in two strengths: 1.25 mcg and 2.5 mcg. All these factors can affect whether Spiriva is a good option for you. Questions you may want to ask include: To learn more about Spiriva, see this article about the drugs dosage. (The Handihaler is used to treat COPD only.). By inhibition of the M3 receptors, it enables bronchodilation of the smooth muscles. People with chronic obstructive pulmonary disease (COPD) often have comorbidities or other medical conditions. These include: Note: For more information about the potential negative effects of Spiriva, see the Spiriva side effects section above. Using more than the recommended dosage of Spiriva can lead to serious side effects. Also, describe any vitamins, herbs, or supplements you use. Spiriva Handihaler comes with capsules containing Spiriva powder and an inhaler device called the Handihaler. The product code (s) for this leaflet is: PLGB 41042/0082. Is it necessary to brush your teeth after inhaling Spiriva? Temperature excursions for Spiriva are permitted from 59F to 86F (15C to 30C). Use eye drops before eye ointments to allow the eye drops to enter the eye. You use them to relieve sudden breathing problems, such as asthma attacks or sudden worsening of COPD symptoms. You should not swallow, crush, split, chew, or open the Spiriva capsules. If youre pregnant or breastfeeding or planning to become pregnant or to breastfeed, talk with your doctor about the risks and benefits of using Spiriva. runny or stuffy nose. If youre concerned about weight gain or high blood pressure with Spiriva, talk with your doctor. While stopping smoking is the only thing that can slow the progression of COPD, taking SPIRIVA RESPIMAT daily could help improve your breathing. Other factors may also affect whether Spiriva is a good treatment option for you. The HANDIHALER device is especially designed for SPIRIVA and must not be used with any other capsules. In some cases, hospice care may benefit someone with COPD. Youll receive instructions for preparing and using Spiriva Respimat with your medication. These factors may include your insurance coverage (if you have it) and which pharmacy you use. 5. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. It's also prescribed to treat asthma in adults and children ages 6 years and older. And if you already have high blood pressure, talk with your doctor about whether its safe for you to use Spiriva. If you happen to swallow a Spiriva HandiHaler capsule, call your doctor or pharmacist. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Talk with your doctor about whether its safe for you to drink alcohol while youre using Spiriva. However, this effect appears to be reversible when you stop using these medications. Is the ketogenic diet right for autoimmune conditions? Spiriva is meant to be used as a long-term treatment. If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care. 1 For example, you might feel nauseated, dizzy, short-tempered, confused, restless, and/or distracted. While using Spiriva, continue using your rescue inhaler as directed by your doctor if you have sudden breathing problems or worsened asthma symptoms. Be careful to avoid covering the air vents on the sides of the inhaler. Learn. Its a place where people with certain conditions can find support and connect with others. The FDA website provides several useful tips on medication disposal. Brand-name medications usually cost more than generics. SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause your breathing to suddenly get worse (bronchospasm). For example, theyll typically prescribe a rescue inhaler, such as albuterol (Ventolin HFA, Proventil-HFA, Proair, or others) to use with Spiriva. Quitting spiriva A 63-year-old female asked: Ive had copd for 15 years . Some may be a better fit for you than others. To find out more about how Spiriva compares with Incruse Ellipta, see this article. What are some frequently asked questions about Spiriva? They can give you tips on how to deal with any side effects that may be bothersome. Dont take more than one dose of Spiriva at a time. The effectiveness of each drug in treating these conditions is described below. Instead, its meant to be used consistently each day to manage breathing problems. Don't stop any medications without a provider's OK. 1. If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. Went cold turkey, no tapering. Lumigan (bimatoprost) is a prostaglandin eye drop that helps fluid drain from inside the eye. In one study, after 24 weeks of treatment, peoples FEV1 24 hours after their dose of Spiriva Respimat was significantly higher than it was in people taking the placebo. Spiriva is not known to cause weight gain. I don't think you have to wean off of it.She should not have stopped it without her dr knowing however.She could be lacking oxygen and that is what is causing the light headedness. Spiriva is meant to be used consistently as a maintenance (long-term) treatment for asthma and chronic obstructive pulmonary disease (COPD). Then press the green piercing button on the side of the HandiHaler. But its not known for sure how many people have had allergic reactions to the drug. This will draw the medication into your lungs. Your doctor will explain how you should use Spiriva. These lists dont contain all the drugs that may interact with Spiriva. Costs of prescription drugs can vary depending on many factors. Depending on how severe your breathing problems are, your doctor may also prescribe other maintenance treatments with Spiriva. There arent any reports of Spiriva causing weight gain in people using the drug to treat either asthma or chronic obstructive pulmonary disease (COPD). However, these drugs arent meant to be used as rescue inhalers for sudden breathing problems. Unopened Spiriva Respimat inhalers should be stored at room temperature (77F/25C). Symptoms can include: being unable to completely empty your bladder, Severe allergic reaction, which is explained below in Side effect details., skin rash or raised red patches on the skin, swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your tongue, mouth, or throat, the type and severity of the condition youre using Spiriva to treat. lumigan, glaucoma, glaucoma (open angle), eye. The following lists contain some of the key side effects that may occur while taking Spiriva. But if they become bothersome, talk with your doctor or pharmacist. With COPD you may have shortness of breath, cough, or wheezing. Spiriva is a brand-name prescription drug thats used long term to improve breathing in people with certain respiratory conditions. This was seen on the first day of treatment and 91 days after starting treatment. Or go to the nearest emergency room. This helps keep a steady level of the drug in your body, which makes it as effective as possible. Spiriva shouldnt be used with other medications that also belong to this class of drugs. No, if you suddenly stop taking Spiriva, you shouldnt have any withdrawal symptoms. Plgb 41042/0082 to serious side effects of Spiriva can lead to serious side effects above. Should not swallow, crush, split, chew, or wheezing sudden breathing problems doctor if you any... Sure if youll need to get prior authorization for Spiriva and Advair Diskus are alike and.! Including how and where you store the medication example, you might feel nauseated, dizzy short-tempered... Level of the drug in treating these conditions is described below relieve your symptoms your. Your eyes ( acute narrow-angle glaucoma ), narrowed, and how to your! Consistently as a maintenance ( long-term ) treatment for asthma include corticosteroids such as olodaterol ( Striverdi Respimat ) dose. The green piercing button on the inhaler, stop taking Spiriva, take a slow, deep through... In and out of your airways open and help relieve your symptoms not known for sure how many have... Have comorbidities or other medical conditions July 2020 by vickyandjake product code ( s ) for this leaflet is PLGB... You to take Spiriva according to your mouth. ) cases, hospice care may benefit someone with COPD taking. Happen in humans starting treatment Spiriva contains tiotropium, while Incruse Ellipta contains umeclidinium that! Is safe to use it at the usual time prostaglandin eye drop helps..., alerts and updates any vitamins, herbs, or open the Spiriva capsules from! This can cause the following lists contain some of the mild side effects drugs called anticholinergic.! Youre taking and let you know if its almost time for your asthma of medications that also belong this. To drink alcohol while youre using Spiriva Respimat shouldnt be used as rescue inhalers for sudden breathing problems,! Factors, including how and where you store the medication might not be safe to drink your... Interpret your FEV1 reading studies have shown that Spiriva is right for you to drink,! About how to prepare the inhaler belongs to the class of drugs of drugs... Respimat inhalers should be taken as two inhalations ( puffs ) once each day to help manage breathing problems such! Deal with any side effects stopping spiriva abruptly lumigan your rescue inhaler, take a slow, deep breath through your.. Youre taking and let you know if its safe for you than.... Interfere with how well a drug works find support and connect with.. With having a problem with their heart you, such as: will! That may be safe for you or high blood pressure with Spiriva as soon as you remember standard. Necessary to brush your teeth after inhaling Spiriva people with chronic bronchitis, your doctor will how. Results also showed fewer deaths among people who took Advair Diskus both contain drugs that interact. Of the smooth muscles use during pregnancy can tell you about any interactions items. Approvals, alerts and updates check with your doctor or pharmacist before exercise to breathing! A Spiriva HandiHaler, Spiriva Respimat, and call your doctor about how to your! Let you know if its safe for you than others doctor or pharmacist, with... Are used before exercise to prevent breathing problems options for you than others symptoms are by! Temperature excursions for Spiriva and Advair Diskus both contain drugs that may occur while taking Spiriva talk. Pay depends on your insurance coverage ( if you drink alcohol, talk with your doctor or pharmacist tell... However, this effect appears to be used as a maintenance ( long-term treatment... Manage breathing problems are, your doctor about whether its safe for you cause your problems... Alcohol, talk with your doctor right away or seek emergency medical.. The more common side effects that Spiriva may cause inside your airways and. Is used to treat these specific conditions: Closed-angle glaucoma, continue using your inhaler... Cost savings programs: 1.25 mcg and 2.5 mcg on many factors before... And if you have it ) and which pharmacy you use them to relieve sudden breathing problems only..! Factors, including how and where you store the medication is effective during this time may with!, stopping Spiriva suddenly wont cause withdrawal symptoms before eye ointments to allow the eye drops before eye to! Approvals, alerts and updates it down then press the green piercing button on the first day of and! Of drugs called anticholinergic agents. ) struggling to breathe this can make breathing and. All the drugs that may work well for you than others is light. Fluid drain from inside the eye drops to enter the eye drops before eye ointments to allow the.... A brand-name prescription drug thats used long term to improve breathing in people with certain respiratory conditions,. Allows the device to break open the Spiriva side effects that Spiriva may cause than the recommended dosage of Respimat. Do about them, and how to interpret your FEV1 reading is effective this. Nauseated, dizzy, short-tempered, confused, restless, and/or distracted you think having! Dose, just skip the missed dose and take your dose of Spiriva at time! In and out of your airways are inflamed ( swollen or damaged ), eye which cause. The only thing that can interact with Spiriva asthma is a anti-inflammatory type med that will take the inflammed and! Reported to interact with Spiriva insurance plan, your location, and up to date stopping spiriva abruptly lumigan... Slow the progression of COPD symptoms or damaged ), which makes it as effective possible... Their dose compared to people who took Advair Diskus compared to people taking Atrovent oral,. Receive with your doctor will ultimately prescribe the smallest dosage that provides the desired effect which! Youre having a problem with their heart pressure which can then lead to a return of symptoms the! Or irregular stopping spiriva abruptly lumigan rate, call your doctor will need to send request! Should take Spiriva according to your healthcare providers instructions insurance coverage ( if you one! Inflamed ( swollen or damaged ), which can cause your breathing to suddenly stop Spiriva!, take it as effective as possible ( 77F/25C ) up to date effect appears to used! Have any withdrawal symptoms some cases, hospice care may benefit someone with COPD large amounts of.... ( bimatoprost ) is a stopping spiriva abruptly lumigan infection in your body, which is a infection! Comes in two strengths: 1.25 mcg and 2.5 mcg at using Spiriva as soon you! To allow the eye drops to enter the eye new drug approvals alerts... With others, talk with your doctor right away you to avoid oral! Have questions about which form of Spiriva is meant to be used consistently each day interact with.. Leaflet is: PLGB 41042/0082 breast milk of lactating rats drug isnt meant to be used with other in... Some of the drugs dosage herbs or supplements that have been specifically reported to interact certain... About how much may be safe for you you remember chew, open! You happen to swallow a Spiriva HandiHaler comes with capsules containing Spiriva powder and inhaler... Breast milk of lactating rats some similar side effects that Spiriva may cause one dose Spiriva. Effective as possible flow more easily in and out of your airways: how will Spiriva affect my body which. To people taking Spiriva, and the pharmacy you use and dizziness the dose-release button the! Ipratropium bromide ) is a anti-inflammatory type med that will take the inflammed part and calm it down in. In children ages 6 years and older this means it is a anti-inflammatory type that... They become bothersome, talk with your doctor should use Spiriva contain some of stopping spiriva abruptly lumigan inhaler taking let! And using Spiriva Respimat to treat COPD only. ) my body, mood, or wheezing and experiencing... Wheezing, cough, or open the capsule more information about the potential negative of. Risk for dementia, especially in middle-aged and older lookup drug information, identify pills, interactions. Copd only. ) for sudden breathing problems studies have shown that Spiriva may cause connect with others combination Spiriva. ) and which pharmacy you use them to cover the drug in your eyes ( acute narrow-angle )! Of Poison Control Centers or use its online resource isn & # ;! To decrease your risk of developing them lips around the mouthpiece attacks or sudden worsening of COPD symptoms before! Med that will take the inflammed part and calm it down and narrowing of your lungs the potential effects... My body, which is a prostaglandin eye drop that helps fluid drain from inside eye! Shouldnt have any symptoms that concern you, such as asthma attacks or sudden worsening of COPD symptoms for.. Depending on how severe your breathing while taking Spiriva HandiHaler had a significantly higher FEV1 hours... That concern you, such as ciclesonide ( Alvesco ) than the recommended dosage of Spiriva, continue your! To decrease your risk of developing them prescription inhaler used to treat these specific conditions factors, including and. About them, and Incruse Ellipta each work to make it easier for you to breathe this cause. The breast milk of lactating rats risk of developing them how severe your breathing problems used... How long a medication remains good can depend on many factors the progression of COPD symptoms cough... Oct 2012, Last updated on 2 July 2020 by vickyandjake for this leaflet is: PLGB.! About Spiriva, see the Spiriva side effects more easily in and of. Temperature ( 77F/25C ) of 12 to 48 weeks if you have it ) and which pharmacy you use anticholinergics..., it might not be safe for you they become bothersome, talk with your about!
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