is gabapentin a controlled substance in washington state

Never stop taking gabapentin without talking to your healthcare provider first. They contend that gabapentin alone does not demonstrate a substantial risk of addiction. How long does gabapentin withdrawal last? Definition of Controlled Substance Schedules. Among patients with a history of substance use disorder, the question becomes Is there any pain relief medication that is relatively safe? Muscle relaxants can be abused, as can anti-anxiety medications and non-sedative hypnotics for sleep. - p. 1-18. Bluish-colored or tinted skin, especially on lips, fingers or toes. Unless specifically exempted or excluded or unless listed in another schedule, any material, compound, mixture, or preparation which contains any quantity of the following substances having a stimulant effect on the central nervous system, including its salts, isomers, and salts of isomers: Pyrovalerone. (https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2018/05/10/abuse-of-opioid-alternative-gabapentin-is-on-the-rise), (https://medlineplus.gov/druginfo/meds/a694007.html). Gabapentin is not currently controlled under the Controlled Substances Act of 1970. Medicines in this schedule are frequently used to treat diarrhea, cough or mild pain. Please contact program staff members with any questions. When you call our helpline, youll be connected with a representative who can assist you in finding mental health and addiction treatment resources at any of the Ark Behavioral Health addiction treatment facilities. As of January 1, 2020, gabapentin will change to a covered substance for the OR PDMP. Dont drive, operate heavy machinery or do other dangerous activities after taking gabapentin until you know how it affects you. If you wish to get more information on integrating your organization's EHR through OHP you can fill out, If you wish to get more information on integrating your organization's EHR through Bamboo Health's PMP Gateway please visit the, The department may issue a waiver of this requirement to any facility, entity, office, or provider group that meets one of the qualifications for a waiver. Gabapentin: Abuse, Dependence, and Withdrawal. if your business practice changes regarding dispensing drugs covered by the program to ultimate users with a Washington State address, you will notify the Washington State Department of Health and begin data submission as required in RCW 70.225. your pharmacy will resubmit/recertify this information/form each year (at the time of pharmacy license renewal) so long as the business does not dispense any substances required to be reported to the PMP. Individuals experienced double vision, slurred speech, drowsiness, diarrhea and sluggishness. If you believe you have a medical emergency, you should immediately call 911. When used correctly for certain indications, gabapentin has proven to be very effective. If you have or suspect you may have a health problem, you should consult your health care provider. If the crime involved diversion of controlled substances, you may have a responsibility to report to the Drug Enforcement Agency (DEA). Assurance that PMP data is accurate and complete is the responsibility of these groups: Report prescription fraud, forgery or theft of prescription pads to the Pharmacy Commission. These reports must be picked up in person from the department in Tumwater as program staff members must verify the requesting patient's identity in person prior to releasing any records. Several states, including Kentucky, Ohio, and West Virginia, have already classified Gabapentin as a Schedule V controlled substance. Copyright 2023 AddictionResource.net. By continuing to use this website you are giving consent to cookies being used. [Accessed November 17, 2020]. There are plenty of questionnaires and tools available to aid in prescribing appropriately, rather than creating blanket artificial barriers that will just cause patients to shift to something else.. BILL NUMBER: S3906 SPONSOR: RIVERA TITLE OF BILL: An act to amend the public health law, in relation to classifying gaba- pentin as a controlled substance SUMMARY OF SPECIFIC PROVISIONS: Section one adds a new paragraph d to section 3371 of the public health law that includes non-narcotic drugs such as gabapentin. The healthcare provider has authority to access the PMP and provide a copy of the patient's report directly to the patient, however they are not obligated to provide a copy. During the 2019 Legislative Session the legislature passed Substitute Senate Bill 5380, which included the addition of RCW 70.225.090. The https:// ensures that you are connecting to the 2014 Jan;52(1):12-5. doi: 10.3928/02793695-20131213-01. Once filed, complaints of missing or inaccurate PMP data will be reviewed by the appropriate licensing authority and logged to the offending dispenser's license. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. 0 100% confidential & free. Support patient safety by working to ensure accurate and complete PMP data is available to prescribers and other healthcare providers through supporting PMP reporting compliance, and by taking disciplinary action where and when necessary. Access to Prescription Review is through the Secure Access Washington (SAW) security gateway. If we continue to focus on reducing the amount of opioids prescribed, I think the worry about patients who are on both will also go down, because the opioids are really the crux of the problem, Dr. Price said. The group argues that gabapentin should be reclassified, saying it [has] marked potential for abuse with serious consequences that include psychological effects, physical dependence, seizures, suicide, and overdose death.. A systematic review. Veterinarians should submit reports as often as is possible to keep the data relevant, but are required to report quarterly at minimum. PMP will file a complaint to the licensing authority when a dispenser doesn't bring reporting into compliance with PMP laws and rules. A patient may request a copy of their own PMP report be provided by their healthcare provider (prescriber or pharmacist). Please try after some time. If you take an aluminum or magnesium-containing antacid, such as Maalox, Mylanta, Gelusil, Gaviscon, or Di-Gel, wait at least two hours before taking your next dose of gabapentin. The five states that have reclassified gabapentin as a controlled substance are Kentucky, Virginia, West Virginia, Michigan, and Tennessee. Certain medicines for stomach problems. Other exceptional circumstance waivers may be submitted an unlimited number of times. Unauthorized use of these marks is strictly prohibited. Gabapentin is structurally and pharmacologically related to pregabalin (Lyrica, Lyrica CR), which is a Schedule V drug and controlled federally in all states. Gabapentin Information for Healthcare Professionals. Watch for increased sleepiness or decreased breathing when you start taking gabapentin or when the dose is increased. Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available. Adverse outcomes associated with concurrent gabapentin, opioid, and benzodiazepine utilization: A nested case-control study. and transmitted securely. Swallow tablets whole with a full glass of water. During the 2019 Legislative Session, the legislature passed Substitute Senate Bill 5380, which included the addition of RCW 70.225.090. Zhou L, Bhattachajee S, Kwoh CK, et al. States that have classified gabapentin as a controlled substance include: Reclassifying gabapentin as a controlled substance on a federal level would strengthen the monitoring of gabapentin prescriptions, as well as cases of misuse and diversion. Brand names of gabapentin include Horizant, Gralise and Neurontin. Gabapentin is a prescription medication known as a gamma aminobutyric acid (GABA) analogue. %%EOF Tell your doctor If you take any opioid pain medicine (such as oxycodone or hydrocodone), anxiety medicines (such as alprazolam or lorazepam) or sleep medicines (such as zolpidem). Take Horizant tablets with food. May 10, 2018. Wolters Kluwer Health Your message has been successfully sent to your colleague. The branded gabapentin products Neurontin and Gralise are approved for partial seizures and PHN. The information provided through Addictionresource.net should not be used for diagnosing or treating a health problem or disease. [Accessed November 17, 2020]. Common carriers Transportation or delivery of cannabis, useable cannabis, cannabis concentrates, immature plants or clones, cannabis seeds, and cannabis-infused products Employees prohibited from carrying or using firearm during such services Exceptions Use of state ferry routes. On April 24, 2020, the Secretary of Health exercised his authority under RCW 70.225.090(2)(b) to grant a nine month waiver from complying with the requirements of RCW 70.225.090(2)(a) to all facilities, entities, offices, and provider groups that are subject to the requirements due to the burdens placed on our state's health care entities under the exceptional circumstances of the COVID-19 outbreak in Washington State. 2016 Mar;50(3):229-33. doi: 10.1177/1060028015620800. The oral solution contains 250 millgrams of gabapentin per 5 milliliter (50 mg per mL) Neurontin or generic gabapentin. Like my colleagues, I can't think of a single patient where I've run into addiction issues or other problems aside from the known side effects of ankle swelling or a little confusion. Contact the department at 360-236-4806 or email us if you have any questions. How does moving gabapentin to Schedule 5 affect pharmacies? Virginia. Advertising on our site helps support our mission. The controlled substances listed in this section may be added, rescheduled, or deleted as provided for in RCW, Pharmacy quality assurance commission may change schedules of controlled substances: RCW. 213 0 obj <> endobj The Department will write rules to create the waiver application process to establish the criteria for affected facilities, entities, offices, or provider groups to receive a waiver from the Department to exempt them from complying with the EHR-PMP integration mandate which goes into effect on January 1, 2021. Under the federal Controlled Substances Act, gabapentin is not listed as a controlled substance. You can take the second half for your next dose. 1308.11 through 1308.15. Several US states have moved gabapentin to the Schedule V controlled substance category. Procedure for denial, suspension, or revocation of registration. Combining these drugs may also lead to breathing problems and life-threatening or fatal respiratory depression. qJ(Q4#[EaA]IiT0VZ`^WCC40f)B9PlIQD,M48,Xt43~] |YS;?>@,O7Q|v76_/9N_V)]XO5{r=MEVtmp?tZt 6B!OD)N/U This helpline is answered by Ark Behavioral Health, an addiction treatment provider with treatment facilities in Massachusetts and Ohio. Gabapentin. Gabapentin may be abused for euphoria, potentiating the high from opiates, reduction of alcohol cravings, a cocaine-like high, as well as sedation or sleep. Pain Pract. Schedule-V controlled substance and mandated reporting to PDMP. Unable to load your collection due to an error, Unable to load your delegates due to an error. may email you for journal alerts and information, but is committed Report improper access or disclosure of information in writing to the Department of Health. Effective November 18, 2019, Gabapentin is a Schedule V Controlled Substance in Alabama. The program was created to improve patient care and to stop prescription drug misuse by collecting dispensing records for Schedule II, III, IV and V drugs, and by making the information available to medical providers and pharmacists as a patient care tool. Vestal C. The Pew Charitable Trusts. Program staff members work to assist system users and can do so efficiently when provided: The Washington State Prescription Monitoring Program (PMP) query portal allows healthcare professionals to query the monitoring program databases of other states using the Multi-state query function. If you have questions as a prescriber about what is or isn't required of you when prescribing controlled substances, you'll need to contact your regulatory board or commission to ensure you get the right answer based on the right set of rules. Never take more than one dose in an attempt to catch up. 2017 Sep;112(9):1580-1589. https://pubmed.ncbi.nlm.nih.gov/28493329/, Guidance regarding the designation of gabapentin as a monitored prescription drug. Gabapentin controlled substance status Gabapentin is approved to treat postherpetic neuralgia and epilepsy with partial-onset seizures. Mandatory reporting began on October 7, 2011. 3. The petition also pointed to studies suggesting that both gabapentin and pregabalin, which is marketed as Lyrica and is already classified as a Schedule 5 controlled substance, pose an addiction risk for patients with current or past substance abuse. Official answer by Drugs.com Gabapentin (Neurontin) is not a narcotic or federally controlled substance by the DEA as of November 2022, but it is classified as a Schedule V controlled substance in certain states. m | Neurontin Addiction Potential, mixing it with other drugs to enhance effects, going to multiple doctors for prescription refills, Medscape FDA, DEA Pushed to Make Gabapentin a Controlled Substance, Pharmacy Today More states make gabapentin a Schedule V Controlled Substance, U.S. National Library of Medicine: MedlinePlus Gabapentin, U.S. Drug Enforcement Administration (DEA) Gabapentin (neurontin). They will receive data without information that could be used to identify individual patients, dispensers, prescribers and people who received prescriptions from dispensers. Delivery of substance in lieu of controlled substance, Possession of forty grams or less of cannabis, Involving a person under eighteen in unlawful controlled substance transaction, Provisions not applicable to offenses under RCW. Also, never change your dose without talking to your provider first. Legal requests for PMP records may be submitted to PrescriptionMonitoring@doh.wa.gov and must be made by court order or grand jury subpoena as outlined in RCW 70.225.040. For the past couple of years, there has been ongoing discussion by the State of Ohio Board of Pharmacy about whether or not to make gabapentin a controlled substance. It can also change how the body responds to pain. 2018;11:109-116. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103607/. But I think the strategy to improve that process is to continue to reduce opioid use. Gabapentin abuse has been on the rise in recent years. But several states consider gabapentin a schedule V (schedule 5) controlled substance. WAC 246-470-060 provides information about the process by which Law enforcement, prosecutorial officials, coroners, and medical examiners may obtain access to the PMP system under RCW 70.225.040. Take Gralise tablets with your evening meal. Is Gabapentin Addictive? We respect your privacy. Policy. Swallow tablets whole with a full glass of water. Ensure accurate recording of patients' legal identity and date of birth, from picture ID whenever available, when writing (controlled substance) prescriptions to ensure all PMP data is available for the patients' identity. Gabapentin is in a class of medications called anticonvulsants. Veterinarians have separate reporting requirements from pharmacies and other dispensing prescribers, which are outlined in the PMP rules and include: frequency of reporting, ability to mail/fax records and different required data fields. Addiction. V controlled substance as of July 1, 2019. controlled substances from ultimate users (patients) or other individuals authorized to handle . Patients or healthcare providers who believe they have identified an error need to ask the pharmacy or dispenser that submitted the data to correct the error. Gabapentin withdrawal symptoms have been reported since the drug was approved. "Gabapentin has been dangerously unscheduled as a controlled substance for too long despite increasing evidence of abuse and misuse and despite its strong similarity to pregabalin, which has been a schedule V drug for more than 15 years," said Michael Abrams, senior health researcher with Public Citizen's Health Research Group and lead author of Issue 8 The Board was made aware of incorrect communications made by a third-party vendor statingthat Ohio had made gabapentin a controlled substance. Yes. With appropriate setting of patient expectations, its use typically results in reduction of neuropathic pain and improved quality of life, Dr. Price said. People authorized to prescribe or dispense controlled substances to provide medical or pharmaceutical care for their patients; An individual who requests their own prescription monitoring information; Health professional licensing, certification or regulatory agency or entity; Local, state and federal law enforcement or prosecutorial officials engaged in an investigation involving a designated person; Medical examiners and coroners for cause of death determination; Authorized practitioners of the Department of Social and Health Services or Health Care Authority regarding Medicaid program recipients; The director or director's designee within the Department of Labor and Industries for workers' compensation claimants; The director or the director's designee within the Department of Corrections for offenders committed to the Department of Corrections; Other entities under grand jury subpoena or court order; and, Department personnel for purposes of administration and enforcement of this rule or. (In fact, the Public Citizen petition acknowledged that the review in European Neuropsychopharmacology did not find evidence of any vigorous addictive power of gabapentinoids., Most of the cases that have been described in the literature related to gabapentinoid addiction have been in patient populations with existing substance use disorder, says Vladimir Kramskiy, MD, an assistant attending in the department of anesthesiology, critical care and pain management and site director of the Tri-Institutional Pain Medicine Fellowship at the Hospital for Special Surgery in New York. Gabapentin is approved to treat postherpetic neuralgia and epilepsy with partial-onset seizures. Get help right away if you develop breathing problems. Set up a Secure Access Washington (SAW) account (if you don't already have one), 2. Dispensing is defined as providing more than a 24-hour supply of a controlled substance for immediate use. Gabapentin tablets. Yes. 69.50.385. Distribution to persons under age eighteen. Privacy Policy| Alternate Format Requests | Notice of Nondiscrimination, File Complaint About Provider or Facility, Healthcare Enforcement and Licensing Modernization Solution, Healthcare Professional Credentialing Requirements, Veterans, Service Members and their Families, Emergency Information for Specific Groups, Public Health System Resources and Services, Engrossed Substitute House Bill (ESHB) 1427 (2017). If gabapentin is, or becomes, a controlled substance in your state, it does not necessarily mean it will be more difficult to obtain. If you're interested in receiving updates and notifications about the Prescription Monitoring Program regarding participating in the rule process, select the green Subscribe" button at the bottom of this page and add Prescription Monitoring Program as one of your DOH subscription topics, email the program, send a fax to 360-236-2901 or mail program staff at Prescription Monitoring Program, P.O. The petition specifically cited a 2017 review in the journal European Neuropharmacology. https://www.sciencedirect.com/science/article/abs/pii/S0924977X17308970?via%3Dihub. At least seven have reclassified it as a Schedule IV controlled substance. It belongs to a class of drugs known as gabapentinoids, which have a chemical structure similar to the neurotransmitter gamma-aminobutyric acid (GABA). Is Gabapentin (Neurontin) A Controlled Substance? gabapentin. Dispensers (mainly pharmacies, but also any dispenser of controlled substances). That's a serious disservice. The complaint may be forwarded to the Prescription Monitoring Program where it will be researched for validity. Is gabapentin a controlled substance / narcotic? J Gen Intern Med. Gabapentin has evaded the controlled substances list largely due to research that indicates it has little to no potential for abuse or diversion. Cannabis producers, processors, retailers prohibited from making certain sales of cannabis, cannabis products. MeSH Violations committed in or on certain public places or facilities, Opening package of or consuming cannabis, useable cannabis, cannabis-infused products, or cannabis concentrates in view of general public or public place. To access Prescription Review you'll need to complete the following steps: 1. Gabapentin mirrors the effects of GABA calming excited neurons. As we battle against the ongoing opioid epidemic in Washington and nationwide, healthcare providers increasingly rely on PMP(s) for ensuring safe prescribing for patients. Decide with the prescriber(s) on a plan of action. Vol. We do not receive any compensation or commission for referrals to other treatment facilities. Neurontin and generic forms of Neurontin tablets may be broken into two pieces. Gabapentin is not a narcotic; however, according to the DEA, gabapentin has been increasingly documented as an illicit drug of abuse by police, in crime reports, and by U.S. poison control centers. Trends, patient and prescriber characteristics in gabapentinoid use in a sample of United States ambulatory care visits from 2003 to 2016, Bonnet U, Scherbaum N. How addictive are gabapentin and pregabalin? 2022 Nov;37(14):3630-3637. doi: 10.1007/s11606-021-07314-2. Healthcare providers reviewing prescribing data from the PMP from time-to-time may find records missing or data errors from the patient's PMP report. Gabapentin mirrors the effects of GABA calming excited neurons. Submitting your data directly online is quick, easy and hassle free. Revocation and suspension of registration. Call our helpline today to learn more about gabapentin abuse and available treatment options at an addiction treatment center near you. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. have listed it as schedule V. States can make their own laws to schedule a drug or not. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. official website and that any information you provide is encrypted Inform your providers of all medications you take, including prescription and over-the-counter, as well as supplements, vitamins and herbal products. In general, medications classified as Schedule V (Schedule 5) controlled substances are considered to have the lowest potential for abuse compared to other controlled schedules, but may still pose a risk of addiction or misuse. At least seven have reclassified it as a Schedule IV controlled substance. To date, seven US states (AL, KY, MI, ND, TN, VA, and WV) have classified gabapentin as a controlled substance. Serious breathing problems can happen if you take gabapentin with drugs that cause severe sleepiness or decreased awareness. This helpline is a free resource at no cost to the caller. to add Gabapentin dispensation into the CPRMS. The HCA also has established requirements for providers. Centers for Disease Control and Prevention. By submitting a CSRW registration you are certifying that: WAC 246-470-035 - Dispensing and Data Submission Requirements for Veterinarians. Unless specifically exempted or excluded or unless listed in another schedule, any material, compound, mixture, or preparation which contains any quantity of the following substances having a depressant effect on the central nervous system, including its salts: (1) Lacosamid, [(R)-2-acetoamido-N-benzyl-3-methoxy-propionamide]; (2) Pregabalin{(S)-3-(aminomethyl)-5-methylhexanoic acid}. The authors, editors, producers, and contributors shall have no liability, obligation, or responsibility to any person or entity for any loss, damage, or adverse consequences alleged to have happened directly or indirectly as a consequence of material on this website. This website uses cookies. . Here is where to find information on their requirements. The branded gabapentin enacarbil product Horizant is approved for restless legs syndrome and PHN. Are pregnant, trying to become pregnant or are breastfeeding. We comply with the HONcode standard for trustworthy health information. Review of patient controlled substance history available on the PMP is an effective evidence-based intervention for ensuring safe prescribing and patient safety. Copyright 2021 American Pharmacists Association. In a petition filed with the DEA and the US Food and Drug Administration (FDA) in February, the nonprofit advocacy group Public Citizen called for making that regulation federal, in an effort to stop increasing abuse and diversion. Review dispenser reporting compliance and follow up with reports of missing patient PMP data to ensure complete, timely, accurate, compliant reporting by dispensers. These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. eCollection 2022 Sep. There are currently two ways to integrate a Health Care Organization's EHR with the PMP: the state's Health Information Exchange, OneHealthPort (OHP), and approved direct integration options, such as Bamboo Health's (formerly Appriss Health) PMP Gateway. Gabapentin is a prescription medication approved by the Federal Food and Drug Administration for the treatment of neuropathic pain and epileptic disorders. They also raised concerns that classifying gabapentin as a controlled substance could backfire, leading to increased use of agents with significantly greater addictive potential, such as opioids. HW]|_$A@^ lGQ8tg.O$l|W~_x=+9:95zJ9|s|/_2;C{p'^?ui. In February 2022, the nonprofit advocacy group Public Citizen filed a petition with the DEA and U.S. Food and Drug Administration (FDA). The department will hold stakeholder meetings to gather feedback on the rules. Risk to heroin users of polydrug use of pregabalin or gabapentin. Accessibility In states where gabapentin is a controlled substance, there's stricter laws regarding prescribing and dispensing it from pharmacies. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The large majority of gabapentin prescribing is off label. U.S. National Library of Medicine. Numerous recent studies have shown that gabapentin use increases the risk of opioid overdose death. To date, seven US states (AL, KY, MI, ND, TN, VA, and WV) have classified gabapentin as a controlled substance. 174, pp. Association of State-Imposed Restrictions on Gabapentin with Changes in Prescribing in Medicare. The helpline at AddictionResource.net is available 24/7 to discuss the treatment needs of yourself or a loved one. A prescriber or pharmacist can delegate the authority to a licensed health professional that works for them (such as a registered nurse, medical assistant, pharmacy technician, or pharmacy assistant). Medically reviewed by Leigh Ann Anderson, PharmD. If you would like to receive information regarding this rule-making process, please subscribe to updates through the 5380 PMP Integration Workgroup. Limiting other medications that aren't as dangerous in the absence of opioids could confuse people, and potentially result in less reduction in neuropathic pain for patients.. The bill directs the department to develop a waiver process for this integration requirement. The department held a public hearing, received and reviewed comments during the public comment period, made necessary changes and filed the rules for adoption on July 27, 2011. Federal Register, Vol. Risk Management and Healthcare Policy. Available at: https://www.cdc.gov/drugoverdose/opioids/index.html. In a petition filed with the DEA and the US Food and Drug Administration (FDA) in February, the nonprofit advocacy group Public Citizen called for making that regulation federal, in an effort to stop increasing abuse and diversion. GABA reduces the excitability of nerve cells (neurons) in the brain, which play a role in seizures and the transmission of pain signals. bE@Gi)6y2@b?1"clB|DPs,R:\gupj:._ch[g"_+rM"L\/pt zdE@ ~upuz ('jH c#)V)c"6]9RG Review Washington's Uniform Disciplinary Act (UDA) and requirements of your specific licensing authority to ensure you understand expectations in this difficult situation. A small number of studies have reported misuse and abuse of gabapentin. Some experts, such as doctors and pharmacists, have argued that reclassifying gabapentin is not necessary because gabapentin misuse largely only occurs among people with substance use disorder. State of Wisconsin. Examination of the evidence for off-label use of gabapentin. 2022 Jun 23;13:100302. doi: 10.1016/j.lana.2022.100302. Review PMP data to ensure safe prescribing, and report missing data to the Department of Health for follow up by filing a complaint. Although rates of gabapentin misuse are rising, the drug is not federally regulated as a controlled substance. The program started data collection from all dispensers October 7, 2011. Pharmacies must perform an initial gabapentin inventory on or after July 1, but before July 30, 2017. These drugs may end up on the streets. Yes. Gabapentin is a non-opioid pain medication for treating neuropathy and seizures caused by epilepsy. Registering healthcare providers will find the PMP service in SAW under Department of Health in the browse list. But experts in neuropathic pain told Neurology Today that the evidence linking gabapentin to addiction is primarily in the context of co-administration with opioids and existing substance use disorder.
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