Is DEPRESSED LEVEL OF CONSCIOUSNESS a side effect of SORAFENIB (RAF KINASE INHIBITOR) ? ( FactMed.com )

About this FactMed analysis covering adverse side effect reports of SORAFENIB (RAF KINASE INHIBITOR) patients who developed DEPRESSED LEVEL OF CONSCIOUSNESS.

FactMed provides MD-approved analysis to help both patients, researchers, and physicians accurately assess the risk profile for more than 20,000 different pharmaceutical products. The below report offers compiled information from Food & Drug Administration and FactMed user submissions. Between January 2004 and October 2012, 43 individuals taking SORAFENIB (RAF KINASE INHIBITOR) reported DEPRESSED LEVEL OF CONSCIOUSNESS to the FDA. A total of 3329 SORAFENIB (RAF KINASE INHIBITOR) drug adverse event reaction reports were made with the FDA during this time period. Often the FDA only receives reports of the most critical and severe cases; these numbers may therefore underrepresent the complication rate of the medication.

FDA Research Report

Introduction This page is designed to help you determine the relationship, if any, between SORAFENIB (RAF KINASE INHIBITOR) and DEPRESSED LEVEL OF CONSCIOUSNESS. In doing so, we compare SORAFENIB (RAF KINASE INHIBITOR) with other drugs that cause DEPRESSED LEVEL OF CONSCIOUSNESS, to help you evaluate whether or not SORAFENIB (RAF KINASE INHIBITOR) causes DEPRESSED LEVEL OF CONSCIOUSNESS. Likewise, this page shows the most highly-reported side effects of SORAFENIB (RAF KINASE INHIBITOR), so you can see if DEPRESSED LEVEL OF CONSCIOUSNESS ranks among SORAFENIB (RAF KINASE INHIBITOR)'s most well-known side effects.

Summary Statistics
Reports of SORAFENIB (RAF KINASE INHIBITOR) causing DEPRESSED LEVEL OF CONSCIOUSNESS: 43
Reports of any side effect of SORAFENIB (RAF KINASE INHIBITOR) : 3329
Percentage of SORAFENIB (RAF KINASE INHIBITOR) patients where DEPRESSED LEVEL OF CONSCIOUSNESS is a reported side effect: 1.2917%

FDA reports of any drug causing DEPRESSED LEVEL OF CONSCIOUSNESS : 18020
Average percentage for all medicated patients where DEPRESSED LEVEL OF CONSCIOUSNESS is reported as a complication: 0.1129%

Physician opinion on SORAFENIB (RAF KINASE INHIBITOR) as adverse event culprit:

Overall opinion for all reports of this drug:

Most frequent diagnoses/indications for prescribing SORAFENIB (RAF KINASE INHIBITOR):

HEPATIC NEOPLASM MALIGNANT ( 770 patients )
RENAL CELL CARCINOMA ( 114 patients )
THYROID CANCER ( 65 patients )
METASTATIC RENAL CELL CARCINOMA ( 44 patients )
THYROID CANCER METASTATIC ( 35 patients )
BREAST CANCER ( 31 patients )
BREAST CANCER METASTATIC ( 27 patients )
GASTRIC CANCER ( 25 patients )
NON-SMALL CELL LUNG CANCER ( 25 patients )
COLORECTAL CANCER METASTATIC ( 22 patients )
RENAL CANCER ( 17 patients )
PRODUCT USED FOR UNKNOWN INDICATION ( 14 patients )
BILE DUCT CANCER ( 14 patients )
SALIVARY GLAND CANCER ( 7 patients )
HEPATIC CANCER METASTATIC ( 7 patients )
COLORECTAL CANCER ( 7 patients )
SMALL CELL LUNG CANCER STAGE UNSPECIFIED ( 6 patients )
RECTAL CANCER ( 5 patients )
PANCREATIC CARCINOMA ( 4 patients )
PROSTATE CANCER ( 4 patients )
INTRAOCULAR MELANOMA ( 4 patients )
HEPATIC NEOPLASM MALIGNANT RECURRENT ( 3 patients )
NEOPLASM ( 3 patients )
LIVER DISORDER ( 3 patients )
ANGIOSARCOMA ( 3 patients )
NON-SMALL CELL LUNG CANCER STAGE IV ( 3 patients )
METASTASES TO LUNG ( 3 patients )
HEPATIC NEOPLASM MALIGNANT NON-RESECTABLE ( 3 patients )
COLORECTAL CANCER STAGE IV ( 3 patients )
NEOPLASM MALIGNANT ( 3 patients )
GALLBLADDER CANCER METASTATIC ( 3 patients )
BILIARY CANCER METASTATIC ( 3 patients )
METASTASIS ( 3 patients )
COLON CANCER METASTATIC ( 2 patients )
HYPOPHARYNGEAL CANCER ( 2 patients )
DESMOID TUMOUR ( 2 patients )
NEUROENDOCRINE CARCINOMA ( 2 patients )
ACUTE MYELOID LEUKAEMIA (IN REMISSION) ( 2 patients )
LUNG NEOPLASM MALIGNANT ( 2 patients )
OESOPHAGEAL CARCINOMA ( 2 patients )
METASTATIC MALIGNANT MELANOMA ( 2 patients )
TONGUE NEOPLASM MALIGNANT STAGE UNSPECIFIED ( 2 patients )
METASTATIC SQUAMOUS CELL CARCINOMA ( 2 patients )
ANGINA PECTORIS ( 2 patients )
RENAL CELL CARCINOMA STAGE IV ( 2 patients )
OSTEOSARCOMA METASTATIC ( 2 patients )
BONE SARCOMA ( 2 patients )
METASTATIC OCULAR MELANOMA ( 2 patients )
METASTATIC SALIVARY GLAND CANCER ( 2 patients )
TONSIL CANCER ( 2 patients )
MYELODYSPLASTIC SYNDROME ( 1 patients )
PROSTATE CANCER METASTATIC ( 1 patients )
GALLBLADDER CANCER ( 1 patients )
NEUROENDOCRINE TUMOUR ( 1 patients )
MALIGNANT NEOPLASM OF RENAL PELVIS ( 1 patients )
GLIOMA ( 1 patients )
BLADDER CANCER ( 1 patients )
OVARIAN CANCER METASTATIC ( 1 patients )
CAROTID ARTERY DISEASE ( 1 patients )
HEPATOBLASTOMA ( 1 patients )
NASOPHARYNGEAL CANCER ( 1 patients )
ACUTE MYELOID LEUKAEMIA ( 1 patients )
LUNG ADENOCARCINOMA ( 1 patients )
RENAL CANCER METASTATIC ( 1 patients )
DIFFUSE LARGE B-CELL LYMPHOMA ( 1 patients )
NEUROENDOCRINE CARCINOMA OF THE SKIN ( 1 patients )
MALIGNANT HISTIOCYTOSIS ( 1 patients )
ANTICOAGULANT THERAPY ( 1 patients )
MALIGNANT SOFT TISSUE NEOPLASM ( 1 patients )
SARCOMA ( 1 patients )
GERM CELL CANCER ( 1 patients )
OESOPHAGEAL ADENOCARCINOMA ( 1 patients )
SQUAMOUS CELL CARCINOMA ( 1 patients )
HEAD AND NECK CANCER ( 1 patients )
OVARIAN EPITHELIAL CANCER ( 1 patients )
( 0 patients )

Drugs with high FDA adverse event association with DEPRESSED LEVEL OF CONSCIOUSNESS:

ASPIRIN (1232 patients)
LASIX (717 patients)
PREDNISOLONE (619 patients)
FUROSEMIDE (615 patients)
VALTREX (542 patients)
PAXIL (537 patients)
ACETAMINOPHEN (536 patients)
HEPARIN SODIUM INJECTION (528 patients)
OMEPRAZOLE (500 patients)
NORVASC (487 patients)
OLANZAPINE (467 patients)
RISPERDAL (451 patients)
LYRICA (438 patients)
SEROQUEL (418 patients)
VIOXX (410 patients)
ZYPREXA (403 patients)
MORPHINE (394 patients)
METHOTREXATE (382 patients)
LORAZEPAM (380 patients)
TEGRETOL (379 patients)
REMICADE (378 patients)
DIOVAN (374 patients)
LIPITOR (372 patients)
OXYCONTIN (357 patients)
ATENOLOL (347 patients)
CLONAZEPAM (336 patients)
LANSOPRAZOLE (333 patients)
DIGOXIN (330 patients)
CLOZARIL (327 patients)
ALLOPURINOL (326 patients)
FENTANYL (312 patients)
MORPHINE SULFATE (308 patients)
WARFARIN SODIUM (307 patients)
LEVOTHYROXINE SODIUM (307 patients)
NEORAL (297 patients)
NEURONTIN (291 patients)
AMLODIPINE (288 patients)
METFORMIN HCL (288 patients)
AMARYL (283 patients)
FAMOTIDINE (279 patients)
PREDONINE (275 patients)
DIAZEPAM (272 patients)
VOLTAREN (270 patients)
ARICEPT (266 patients)
PREDNISONE (265 patients)
PLAVIX (264 patients)
GABAPENTIN (259 patients)
LANTUS (258 patients)
DECADRON (258 patients)
LISINOPRIL (257 patients)
TAMIFLU (249 patients)
XANAX (243 patients)
SIMVASTATIN (242 patients)
CITALOPRAM HYDROBROMIDE (240 patients)
ATIVAN (240 patients)
ALPRAZOLAM (238 patients)
DURAGESIC-100 (236 patients)
MAGNESIUM OXIDE (235 patients)
INSULIN (233 patients)
ALBUTEROL (232 patients)
LAMICTAL (230 patients)
FOLIC ACID (227 patients)
HUMALOG (226 patients)
ZOLOFT (222 patients)
OXYCODONE HCL (220 patients)
NEXIUM (218 patients)
TRAMADOL HCL (218 patients)
SYNTHROID (217 patients)
IBUPROFEN (216 patients)
HYDROCHLOROTHIAZIDE (216 patients)
DEXAMETHASONE (215 patients)
LOXONIN (214 patients)
AMBIEN (208 patients)
HALOPERIDOL (203 patients)
CYCLOPHOSPHAMIDE (202 patients)
POTASSIUM CHLORIDE (201 patients)
CLARITHROMYCIN (200 patients)
PROGRAF (198 patients)
ALDACTONE (197 patients)
ZANTAC (193 patients)
RISPERIDONE (193 patients)
ZOVIRAX (192 patients)
GLEEVEC (191 patients)
KEPPRA (188 patients)
HEPARIN (188 patients)
COUMADIN (188 patients)
FLUOROURACIL (186 patients)
MUCOSTA (186 patients)
VANCOMYCIN (184 patients)
VALPROIC ACID (183 patients)
CYCLOSPORINE (182 patients)
CYMBALTA (181 patients)
LITHIUM CARBONATE (181 patients)
PHENYTOIN (180 patients)
ZOMETA (178 patients)
METOPROLOL TARTRATE (177 patients)
SELBEX (176 patients)
BACLOFEN (176 patients)
DEPAKENE (176 patients)
CARVEDILOL (176 patients)
VELCADE (174 patients)
AMITRIPTYLINE HCL (172 patients)
NIFEDIPINE (172 patients)
PROTONIX (171 patients)
AVONEX (170 patients)
FLUCONAZOLE (169 patients)
FORTEO (169 patients)
CARBAMAZEPINE (169 patients)
SOLU-MEDROL (168 patients)
ENALAPRIL MALEATE (168 patients)
MIRTAZAPINE (167 patients)
CYTARABINE (166 patients)
EFFEXOR (165 patients)
CLOZAPINE (163 patients)
SPIRONOLACTONE (162 patients)
AMLODIPINE BESYLATE (161 patients)
DEPAKOTE (160 patients)
LEXAPRO (159 patients)
GASTER (158 patients)
CARBOPLATIN (154 patients)
HALCION (153 patients)
ZOLPIDEM TARTRATE (152 patients)
MYSLEE (152 patients)
BLOPRESS (152 patients)
PROPOFOL (150 patients)
TRAZODONE HCL (149 patients)
CISPLATIN (148 patients)
ZOCOR (145 patients)
VALPROATE SODIUM (145 patients)
LAMOTRIGINE (145 patients)
RANITIDINE (144 patients)
VALIUM (143 patients)
CELEBREX (142 patients)
SANDIMMUNE (142 patients)
DEPAS (142 patients)
ACTOS (141 patients)
HUMIRA (138 patients)
ZOFRAN (135 patients)
STROMECTOL (134 patients)
RAMIPRIL (134 patients)
ACYCLOVIR (134 patients)
MUCODYNE (133 patients)
PERCOCET (133 patients)
PRILOSEC (133 patients)
KLONOPIN (132 patients)
GASMOTIN (132 patients)
PARACETAMOL (131 patients)
BASEN (131 patients)
EXELON (130 patients)
ADALAT (129 patients)
VICODIN (127 patients)
HEPARIN SODIUM (126 patients)
FENTANYL-100 (122 patients)
TYSABRI (121 patients)
METHADONE HCL (121 patients)
LACTULOSE (120 patients)
PREDNISONE TAB (120 patients)
PEPCID (120 patients)
FOSAMAX (119 patients)
GLYBURIDE (118 patients)
GLUCOPHAGE (118 patients)
VITAMIN D (117 patients)
AVASTIN (116 patients)
COZAAR (115 patients)
BYETTA (115 patients)
DIFLUCAN (115 patients)
CIPROFLOXACIN (115 patients)
ATARAX (114 patients)
PURSENNID (114 patients)
PREVACID (114 patients)
TAKEPRON (113 patients)
OXALIPLATIN (113 patients)
WELLBUTRIN (112 patients)
ACETYLSALICYLIC ACID SRT (112 patients)
PAROXETINE HCL (112 patients)
LEVAQUIN (111 patients)
METOCLOPRAMIDE (111 patients)
ALLEGRA (110 patients)
ALCOHOL (110 patients)
FLUOXETINE (110 patients)
METHYLPREDNISOLONE (110 patients)
BENADRYL (110 patients)
DILAUDID (109 patients)
SINGULAIR (109 patients)
METOPROLOL (108 patients)
TEMAZEPAM (108 patients)
PROZAC (108 patients)
RHEUMATREX (107 patients)
ISOSORBIDE DINITRATE (107 patients)
RELENZA (107 patients)
ADVAIR DISKUS 100/50 (106 patients)
PROPRANOLOL (106 patients)
FENTANYL CITRATE (106 patients)
DUROTEP (105 patients)
SANDOSTATIN (105 patients)
AVELOX (104 patients)
LENDORMIN (103 patients)
CALCIUM CARBONATE (103 patients)
VERAPAMIL (103 patients)
BACTRIM (103 patients)
IRESSA (102 patients)
TOPROL-XL (102 patients)
NITROGLYCERIN (102 patients)
ARTIST (102 patients)
TOPAMAX (101 patients)
LIORESAL (100 patients)
CLONIDINE (100 patients)
METFORMIN (99 patients)
MS CONTIN (98 patients)
THEOPHYLLINE (98 patients)

Most common side effects for patients taking SORAFENIB (RAF KINASE INHIBITOR):

DIARRHOEA (613 patients)
HEPATIC FAILURE (378 patients)
PALMAR-PLANTAR ERYTHRODYSAESTHESIA SYNDROME (342 patients)
HEPATIC ENCEPHALOPATHY (320 patients)
FATIGUE (300 patients)
RASH (276 patients)
ASCITES (253 patients)
ABDOMINAL PAIN (237 patients)
DECREASED APPETITE (226 patients)
UPPER GASTROINTESTINAL HAEMORRHAGE (198 patients)
PYREXIA (191 patients)
ASPARTATE AMINOTRANSFERASE INCREASED (179 patients)
NAUSEA (165 patients)
HYPERTENSION (160 patients)
ASTHENIA (154 patients)
DEHYDRATION (140 patients)
HEPATIC FUNCTION ABNORMAL (133 patients)
DYSPNOEA (131 patients)
CONFUSIONAL STATE (131 patients)
HYPOKALAEMIA (125 patients)
ALOPECIA (124 patients)
VOMITING (118 patients)
CONSTIPATION (115 patients)
INTERSTITIAL LUNG DISEASE (114 patients)
LEFT VENTRICULAR DYSFUNCTION (113 patients)
DEATH (113 patients)
ENDOCARDITIS (112 patients)
ARTHRALGIA (111 patients)
STOMATITIS (111 patients)
ABDOMINAL PAIN UPPER (110 patients)
JAUNDICE (108 patients)
HEPATIC NEOPLASM MALIGNANT (106 patients)
GASTROINTESTINAL HAEMORRHAGE (106 patients)
RETINAL VASCULAR THROMBOSIS (103 patients)
LOWER GASTROINTESTINAL HAEMORRHAGE (103 patients)
LIVER CARCINOMA RUPTURED (101 patients)
OEDEMA PERIPHERAL (97 patients)
PLEURAL EFFUSION (97 patients)
STAPHYLOCOCCAL INFECTION (96 patients)
PNEUMONIA BACTERIAL (96 patients)
ENTEROBACTER INFECTION (96 patients)
MYOPATHY (95 patients)
DRY MOUTH (94 patients)
PAIN IN EXTREMITY (93 patients)
ANXIETY (90 patients)
MALAISE (89 patients)
PULMONARY EMBOLISM (85 patients)
ANAEMIA (84 patients)
PLATELET COUNT DECREASED (81 patients)
BACK PAIN (79 patients)
SEPSIS (78 patients)
PRURITUS (78 patients)
DUODENAL ULCER (77 patients)
MIGRAINE (76 patients)
MITRAL VALVE INCOMPETENCE (76 patients)
HYPOGLYCAEMIA (76 patients)
C-REACTIVE PROTEIN INCREASED (74 patients)
BLOOD PRESSURE INCREASED (73 patients)
VARICES OESOPHAGEAL (73 patients)
HEADACHE (72 patients)
RETINAL VEIN OCCLUSION (72 patients)
ABASIA (69 patients)
RENAL FAILURE ACUTE (69 patients)
WEIGHT DECREASED (67 patients)
DEEP VEIN THROMBOSIS (67 patients)
DIZZINESS (65 patients)
ERYTHEMA (65 patients)
GENERAL PHYSICAL HEALTH DETERIORATION (64 patients)
CONVULSION (63 patients)
ALANINE AMINOTRANSFERASE INCREASED (62 patients)
DYSPHONIA (62 patients)
CEREBRAL HAEMORRHAGE (60 patients)
APHAGIA (58 patients)
COLITIS (58 patients)
PNEUMONIA (57 patients)
GASTRIC ULCER (56 patients)
HYPONATRAEMIA (55 patients)
HAEMOGLOBIN DECREASED (53 patients)
RESPIRATORY FAILURE (52 patients)
LUNG DISORDER (52 patients)
CEREBRAL ISCHAEMIA (49 patients)
PARAESTHESIA (49 patients)
BLOOD BILIRUBIN INCREASED (48 patients)
GAIT DISTURBANCE (48 patients)
THYROID CANCER METASTATIC (44 patients)
DEPRESSED LEVEL OF CONSCIOUSNESS (43 patients)
PERICARDIAL EFFUSION (41 patients)
THROMBOCYTOPENIA (41 patients)
BLISTER (41 patients)
FEBRILE NEUTROPENIA (40 patients)
BLOOD LACTATE DEHYDROGENASE INCREASED (40 patients)
HALLUCINATION (40 patients)
CHILLS (40 patients)
AMMONIA INCREASED (39 patients)
SKIN ULCER (39 patients)
BLOOD ALKALINE PHOSPHATASE INCREASED (38 patients)
PAIN (38 patients)
HYPOALBUMINAEMIA (38 patients)
HYPOCALCAEMIA (37 patients)
FALL (37 patients)
POLLAKIURIA (37 patients)
BLOOD PRESSURE DECREASED (37 patients)
SKIN EXFOLIATION (37 patients)
INSOMNIA (36 patients)
CARDIAC ARREST (36 patients)
HYPOAESTHESIA (35 patients)
INFECTIOUS PERITONITIS (35 patients)
MYOCARDIAL INFARCTION (35 patients)
RETINAL VASCULAR DISORDER (34 patients)
RENAL FAILURE (34 patients)
LIPASE INCREASED (34 patients)
HYPERKALAEMIA (33 patients)
HYPERGLYCAEMIA (33 patients)
HAEMOPTYSIS (31 patients)
ATRIAL FIBRILLATION (30 patients)
GENERALISED OEDEMA (30 patients)
FAECAL INCONTINENCE (30 patients)
WHITE BLOOD CELL COUNT DECREASED (30 patients)
CELLULITIS (29 patients)
CHEST PAIN (29 patients)
SOMNOLENCE (29 patients)
HYPERBILIRUBINAEMIA (28 patients)
HYPOTENSION (28 patients)
MUSCLE SPASMS (28 patients)
ABDOMINAL DISTENSION (27 patients)
WHITE BLOOD CELL COUNT INCREASED (27 patients)
VISION BLURRED (27 patients)
HEPATIC PAIN (26 patients)
BLOOD ALBUMIN DECREASED (26 patients)
DYSURIA (25 patients)
RASH GENERALISED (25 patients)
BLOOD SODIUM DECREASED (25 patients)
BLOOD URIC ACID INCREASED (25 patients)
COMA (25 patients)
COUGH (25 patients)
PANCYTOPENIA (25 patients)
ACUTE ABDOMEN (24 patients)
EOSINOPHIL COUNT INCREASED (24 patients)
CEREBROVASCULAR ACCIDENT (24 patients)
METASTASES TO CENTRAL NERVOUS SYSTEM (23 patients)
CEREBRAL INFARCTION (23 patients)
HYPOMAGNESAEMIA (23 patients)
RETINAL VEIN THROMBOSIS (23 patients)
GAMMA-GLUTAMYLTRANSFERASE INCREASED (23 patients)
TUMOUR LYSIS SYNDROME (22 patients)
HYPOPHOSPHATAEMIA (22 patients)
INFECTION (22 patients)
ORAL PAIN (22 patients)
BLOOD CREATININE INCREASED (22 patients)
NEUTROPENIA (22 patients)
RENAL IMPAIRMENT (22 patients)
LETHARGY (22 patients)
SKIN TOXICITY (21 patients)
TONGUE BLISTERING (21 patients)
LIVER ABSCESS (21 patients)
HAEMATEMESIS (21 patients)
OESOPHAGEAL VARICES HAEMORRHAGE (20 patients)
MENTAL IMPAIRMENT (20 patients)
NERVOUSNESS (20 patients)
NEPHROTIC SYNDROME (20 patients)
HYPOPHAGIA (20 patients)
ADRENAL INSUFFICIENCY (19 patients)
DRY SKIN (19 patients)
BLOOD AMYLASE INCREASED (19 patients)
OEDEMA (19 patients)
INFECTIOUS PLEURAL EFFUSION (19 patients)
DYSPEPSIA (19 patients)
COMA HEPATIC (19 patients)
HEART RATE INCREASED (18 patients)
HYPERTENSIVE CRISIS (18 patients)
MYALGIA (18 patients)
ECZEMA (18 patients)
URINARY TRACT INFECTION (18 patients)
NEUROMYOPATHY (18 patients)
MEDICAL DEVICE COMPLICATION (18 patients)
DIVERTICULITIS (18 patients)
OSTEOMYELITIS (18 patients)
CEREBRAL ATROPHY (18 patients)
CEREBRAL VENTRICLE DILATATION (18 patients)
DIABETIC FOOT INFECTION (18 patients)
NECK PAIN (18 patients)
OLIGURIA (17 patients)
GASTROINTESTINAL DISORDER (17 patients)
HAEMATOCHEZIA (17 patients)
DISSEMINATED INTRAVASCULAR COAGULATION (17 patients)
HYPOTHYROIDISM (17 patients)
TRANSAMINASES INCREASED (17 patients)
OROPHARYNGEAL PAIN (17 patients)
CHRONIC MYELOID LEUKAEMIA (17 patients)
NEOPLASM PROGRESSION (17 patients)
METASTASES TO ADRENALS (16 patients)
LYMPHOCYTE COUNT DECREASED (16 patients)
INTERNATIONAL NORMALISED RATIO INCREASED (16 patients)
MULTI-ORGAN FAILURE (16 patients)
FEAR (16 patients)
PANCREATIC CARCINOMA (16 patients)
HYPERSOMNIA (16 patients)
EPILEPSY (16 patients)
SUBARACHNOID HAEMORRHAGE (16 patients)
METASTASES TO LUNG (16 patients)
TACHYCARDIA (16 patients)
MUSCULAR WEAKNESS (16 patients)
KLEBSIELLA SEPSIS (16 patients)
MYOCARDIAL ISCHAEMIA (16 patients)
DYSGEUSIA (16 patients)
LUNG INFECTION (16 patients)
FAECES DISCOLOURED (16 patients)
PAIN OF SKIN (16 patients)
SPINAL FRACTURE (16 patients)
PANIC REACTION (16 patients)

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