Is MYOCARDIAL ISCHAEMIA 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 MYOCARDIAL ISCHAEMIA.

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, 16 individuals taking SORAFENIB (RAF KINASE INHIBITOR) reported MYOCARDIAL ISCHAEMIA 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 MYOCARDIAL ISCHAEMIA. In doing so, we compare SORAFENIB (RAF KINASE INHIBITOR) with other drugs that cause MYOCARDIAL ISCHAEMIA, to help you evaluate whether or not SORAFENIB (RAF KINASE INHIBITOR) causes MYOCARDIAL ISCHAEMIA. Likewise, this page shows the most highly-reported side effects of SORAFENIB (RAF KINASE INHIBITOR), so you can see if MYOCARDIAL ISCHAEMIA ranks among SORAFENIB (RAF KINASE INHIBITOR)'s most well-known side effects.

Summary Statistics
Reports of SORAFENIB (RAF KINASE INHIBITOR) causing MYOCARDIAL ISCHAEMIA: 16
Reports of any side effect of SORAFENIB (RAF KINASE INHIBITOR) : 3329
Percentage of SORAFENIB (RAF KINASE INHIBITOR) patients where MYOCARDIAL ISCHAEMIA is a reported side effect: 0.4806%

FDA reports of any drug causing MYOCARDIAL ISCHAEMIA : 8729
Average percentage for all medicated patients where MYOCARDIAL ISCHAEMIA is reported as a complication: 0.0547%

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 MYOCARDIAL ISCHAEMIA:

VIOXX (2936 patients)
AVANDIA (1893 patients)
ASPIRIN (1627 patients)
LIPITOR (647 patients)
FOSAMAX (608 patients)
PLAVIX (491 patients)
FUROSEMIDE (490 patients)
LASIX (481 patients)
ZOCOR (440 patients)
ATENOLOL (440 patients)
DIGOXIN (438 patients)
AVANDAMET (435 patients)
LISINOPRIL (411 patients)
SIMVASTATIN (343 patients)
NORVASC (341 patients)
TOPROL-XL (338 patients)
NITROGLYCERIN (326 patients)
METFORMIN HCL (308 patients)
CELEBREX (306 patients)
HEPARIN SODIUM INJECTION (271 patients)
PREDNISONE (271 patients)
GLUCOPHAGE (265 patients)
HYDROCHLOROTHIAZIDE (264 patients)
ALLOPURINOL (259 patients)
COUMADIN (253 patients)
OMEPRAZOLE (248 patients)
FOLIC ACID (243 patients)
DIOVAN (238 patients)
ALBUTEROL (232 patients)
PRILOSEC (232 patients)
ROSIGLITAZONE MALEATE (225 patients)
PROTONIX (223 patients)
PREDNISOLONE (223 patients)
SYNTHROID (218 patients)
METHOTREXATE (214 patients)
NEXIUM (212 patients)
POTASSIUM CHLORIDE (211 patients)
METOPROLOL TARTRATE (208 patients)
PREVACID (206 patients)
INSULIN (202 patients)
ACETAMINOPHEN (196 patients)
SEROQUEL (192 patients)
HUMIRA (191 patients)
NEURONTIN (190 patients)
RAMIPRIL (181 patients)
AMLODIPINE (181 patients)
LOPRESSOR (181 patients)
XANAX (178 patients)
ZYPREXA (177 patients)
GLYBURIDE (174 patients)
LEVOTHYROXINE SODIUM (168 patients)
CRESTOR (166 patients)
ROSIGLITAZONE (164 patients)
FLUOROURACIL (163 patients)
AMBIEN (158 patients)
TYLENOL (CAPLET) (156 patients)
CLOPIDOGREL (155 patients)
METOPROLOL (154 patients)
AMARYL (152 patients)
VICODIN (148 patients)
ALTACE (147 patients)
SPIRONOLACTONE (146 patients)
IBUPROFEN (146 patients)
COREG (145 patients)
WARFARIN SODIUM (143 patients)
METFORMIN (142 patients)
CLOZARIL (139 patients)
ATORVASTATIN CALCIUM (139 patients)
REMICADE (136 patients)
GLIPIZIDE (136 patients)
ZOLOFT (133 patients)
ACTOS (133 patients)
ZOMETA (132 patients)
CARVEDILOL (131 patients)
LANTUS (131 patients)
LORAZEPAM (131 patients)
WHOLE BLOOD (131 patients)
AVANDARYL (129 patients)
LANSOPRAZOLE (128 patients)
DEXAMETHASONE (127 patients)
IMDUR (123 patients)
MORPHINE (123 patients)
ENALAPRIL MALEATE (122 patients)
HEPARIN (121 patients)
PRAVACHOL (119 patients)
ISOSORBIDE MONONITRATE (118 patients)
PREDNISONE TAB (118 patients)
ZYRTEC (117 patients)
ZESTRIL (116 patients)
[THERAPY UNSPECIFIED] (115 patients)
ZETIA (114 patients)
PREMARIN (113 patients)
COZAAR (111 patients)
GLUCOTROL (111 patients)
LEVAQUIN (111 patients)
SPIRIVA (109 patients)
PROZAC (108 patients)
NAPROXEN (103 patients)
ACETYLSALICYLIC ACID SRT (102 patients)
ACCUTANE (101 patients)
PAXIL (100 patients)
CLONAZEPAM (99 patients)
ADVAIR DISKUS 100/50 (97 patients)
TASIGNA (97 patients)
LEXAPRO (96 patients)
FLOMAX (95 patients)
ZANTAC (95 patients)
OXALIPLATIN (95 patients)
OXYCODONE HCL (94 patients)
VASOTEC (93 patients)
CARDIZEM (93 patients)
TRAMADOL HCL (92 patients)
RANITIDINE (91 patients)
GABAPENTIN (91 patients)
ACCUPRIL (89 patients)
METOPROLOL SUCCINATE (88 patients)
FLONASE (88 patients)
CARBOPLATIN (86 patients)
LORTAB (86 patients)
VYTORIN (86 patients)
VITAMIN E (85 patients)
ATIVAN (85 patients)
TRICOR (85 patients)
CYCLOPHOSPHAMIDE (84 patients)
AREDIA (84 patients)
AMIODARONE HCL (83 patients)
TEMAZEPAM (83 patients)
FERROUS SULFATE TAB (83 patients)
DIAZEPAM (83 patients)
CISPLATIN (83 patients)
FENTANYL (82 patients)
EFFEXOR (81 patients)
PERCOCET (81 patients)
MULTI-VITAMINS (81 patients)
ASCORBIC ACID (80 patients)
ENOXAPARIN SODIUM (80 patients)
AMOXICILLIN (79 patients)
ALDACTONE (79 patients)
ULTRAM (78 patients)
VIAGRA (78 patients)
OXYCONTIN (78 patients)
ACIPHEX (78 patients)
BEXTRA (77 patients)
LOVENOX (76 patients)
METOCLOPRAMIDE (75 patients)
AMITRIPTYLINE HCL (74 patients)
NIFEDIPINE (74 patients)
SINGULAIR (74 patients)
LEUCOVORIN CALCIUM (73 patients)
LANOXIN (72 patients)
TYLENOL (72 patients)
DOCETAXEL (72 patients)
VELCADE (72 patients)
LOVASTATIN (71 patients)
ALPRAZOLAM (71 patients)
ATROVENT (71 patients)
PEPCID (71 patients)
VALIUM (71 patients)
CARDURA (70 patients)
PACLITAXEL (70 patients)
ATORVASTATIN (70 patients)
LACTULOSE (70 patients)
ALLEGRA (70 patients)
CLONIDINE (70 patients)
VERAPAMIL (69 patients)
REGLAN (69 patients)
VITAMINS (UNSPECIFIED) (69 patients)
WELLBUTRIN (69 patients)
FORTEO (68 patients)
CALCIUM CARBONATE (68 patients)
TENORMIN (67 patients)
LUCENTIS (67 patients)
GLICLAZIDE (67 patients)
GLUCOVANCE (67 patients)
COMBIVENT (67 patients)
REVLIMID (67 patients)
VITAMIN D (66 patients)
OXYGEN (66 patients)
AVONEX (66 patients)
HUMALOG (66 patients)
RISPERDAL (66 patients)
FAMOTIDINE (66 patients)
BEVACIZUMAB (65 patients)
ALENDRONATE SODIUM (65 patients)
VALSARTAN (65 patients)
BISOPROLOL FUMARATE (64 patients)
CITALOPRAM HYDROBROMIDE (64 patients)
AVASTIN (64 patients)
PRAVASTATIN (63 patients)
ZOFRAN (63 patients)
NYSTATIN (62 patients)
METHYLPREDNISOLONE (62 patients)
NICORANDIL (62 patients)
FLUOXETINE (62 patients)
MORPHINE SULFATE (62 patients)
ZITHROMAX (62 patients)
METFORMIN HYDROCHLORIDE (61 patients)
DURAGESIC-100 (61 patients)
MULTI-VITAMIN (61 patients)
LYRICA (61 patients)
FLEXERIL (60 patients)
AMN107 AMN+CAP (60 patients)
GLIMEPIRIDE (60 patients)
ISOSORBIDE (59 patients)
POTASSIUM (59 patients)
MECLIZINE (58 patients)
ISOSORBIDE DINITRATE (57 patients)
PANTOPRAZOLE SODIUM (57 patients)
SORAFENIB (57 patients)
DILTIAZEM (56 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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