how to use the dosing card for diclofenac

Remove the dosing card from the inside of the carton. Do not apply this medicine anywhere on your body other than where your doctor tells you. Children with viral infections can face serious side effects such as. Their photocatalytic activity against a non-steroidal anti-inflammatory pharmaceutical compound, diclofenac, was evaluated under ultraviolent irradiation, also investigating the influence of pH, photocatalyst dosage/mass and concentration of H 2 O 2. The dosing card is made of clear polypropylene. There is an increased risk of heart attack, heart failure, and stroke when taking nonsteroidal anti-inflammatory drugs (NSAIDs); these events may occur at any time during treatment and risk increases with long term use, a history of cardiovascular (CV) disease or risk factors for CV disease, and higher doses. For the relief of rheumatoid arthritis, the recommended dosage is 100 mg daily. Cardiovascular system Irritation of the nares for a first nine weeks. Input your search keywords and press Enter. 3. Australia, Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The following are the common side effects of topical Diclofenac, and you should seek a doctor if it worsens and persists for a longer time. Systemic Diclofenac: B. Topical Diclofenac: 1. Cream and gel: Put a thin layer on the affected skin and rub in gently. Last updated on May 11, 2022. Is Avocado Oil A Seed Oil? Diclofenac Sodium 0.1% Ophthalmic Solution is a sterile, topical, non-steroidal, anti-inflammatory product for ophthalmic use. information is beneficial, we may combine your email and website usage information with To see our full medical disclaimer, visit ourTerms of Use page. So, it is always better to speak to the doctor or pharmacist to know more information. It is 2x stronger* and you can go 12 hours between treatments. This content does not have an English version. >> Apply the solution evenly on the front, back, and sides of your knee. Separating Fact From Fiction. Be healthy. The amount of medicine that you take depends on the strength of the medicine. include protected health information. Do not keep outdated medicine or medicine no longer needed. Do not use the patch or topical system when you take a bath or shower. Always keep a list of all the products you are taking and share it with the doctor or pharmacist to reduce the risk of serious drug interactions. Applies to the following strengths: 1%; 1.3%; 3%; 1.5%; 2%. Ask your healthcare professional how you should dispose of any medicine you do not use. endobj In familial colonic polyposis, it gives symptomatic relief and suppresses polyp formation.9. Intramuscularly It is used for post-operative pain instead of opioids and is commonly used in dentistry. Stop the medication and get help right away if you experience these symptoms. If you miss a dose of this medicine, take it as soon as possible. She graduated BDS from J. K. K. Nataraja Dental College and Hospital, Bhavani. Topical Diclofenac does not cause serious side effects but seek a doctor if you experience any of the following symptoms. Diclofenac sodium extended-release (ER) tablet: The typical dosage is 100 mg by mouth once daily. Web How To Use Diclofenac Sodium Topical Gel Dosing Card. Do not apply more than 8 g daily to any single joint of the upper extremities. Drinking alcohol while taking diclofenac increases your risk of ulcers (sores) and bleeding in your gastrointestinal tract (stomach and intestines . Hmw%k! If the gel application is on your hands, wait an hour before washing the area on your hands. /ColorSpace << The gel should be applied within the oblong area of the dosing card up to the 2 or 4 gram line (2 grams for each elbow, wrist, or hand, and 4 grams for each knee, ankle, or foot). Advertising revenue supports our not-for-profit mission. Web the dosing card can be found attached to the inside of the carton. Wash your hands immediately after usage of the drug, and do not use this medicine for large areas of the body or more than recommended times. x]K69")X3!18 ;XoYQjwfHz?y^?0?}~_ 6>tOKe~;:w'xsM_~J/ }{/~};_vCgL8];>uU:,\3ny9S?+[}XS>vjjx[_|pt>[O nbO-RZ9x%`!7|wS>~Jw|u[N3YC aLi_S; Use the enclosed dosing card to measure the appropriate dose. Diclofenac topical is not approved for use by anyone younger than 18 years old. However, do not use this medicine more often or for a longer time than your doctor ordered. Before using Diclofenac, you should tell your doctor or pharmacist about your medical history (present and previous), especially of. Patients should be instructed to talk with their healthcare provider regarding concomitant use of NSAIDs (including over the counter products) and aspirin while using this product. 402.719999 0] If treatment site is the hands, patients should wait at least one (1) hour to wash their . 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This drug is available in injection, and topical forms, and some of them are oral tablets, extended-release tablets, delayed-release tablets, capsules, powdered form (packets), oral liquid-filled capsules (liquid-gels), enteric-coated tablet, topical cream, patch, topical gel, topical spray, solutions, and topical stick. The dosing card is made of clear plastic. At the time of pregnancy, this medicine should be used between 20 to 30 weeks of pregnancy and should not be used after 30 th week of pregnancy; also, discuss the risks and benefits of this medicine before usage with your doctor. Do not take other NSAIDs like ibuprofen, naproxen, etc. Do not use any liquid other than water for mixing the medicine. Keep from freezing. ChildrenUse and dose must be determined by your doctor. 7. 8. Voltaren Gel belongs to a class of drugs called Topical Skin Products. To help you remember to use your medicine, try to get into the habit of using it at regular times. Diclofenac 3% gel might cause sudden, very serious, and sometimes life-threatening allergic and skin reactions. information is beneficial, we may combine your email and website usage information with Apply the gel (2 g) to the affected hand, wrist, or elbow 4 times daily. Mayo Clinic does not endorse companies or products. Children younger than 6 years of ageUse and dose must be determined by your doctor. Learn about side effects, warnings, dosage, and more. Web place one of the dosing cards from the package on a flat surface so that you can read the print. Many people using this medication do not have serious side effects. Patients should be instructed to avoid contact with eyes and mucosa; if eye contact occurs, immediately wash out the eye with water or saline and consult a physician if irritation persists for more than an hour. ChildrenUse and dose must be determined by . GEL should be measured using the dosing card supplied in the drug product carton. Call the Poison Help line if you think you've used too much Voltaren at 1-800-222-1222. Avoid skin-to-skin contact between other people and the treated knee until the skin is completely dry. >> (1. My wife is 31 years and she is in her sixth month of pregnancy. Rare Side Effects That Occur via Oral and Topical-. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Specialist Business Training Providers Menu . endobj Dosages above 150 mg/day have not been studied in patients with osteoarthritis. VOLTAREN GEL should be gently massaged into the skin ensuring application to the entire affected foot, or knee or ankle. When you have any doubts or questions, consult your doctor or pharmacist. The first time you use a tube of diclofenac sodium topical gel: 1. VOLTAREN GEL should be gently massaged into the skin ensuring application to the entire affected hand, wrist, or elbow. Ask your doctor if you have any questions. All rights reserved. The gel should be applied within the rectangular area of the dosing card. Note that these dosages may be adjusted on a case-by-case basis for individual patients. Immediate emergency medical help is needed when you experience symptoms of liver damage (rare). Diclofenac sodium topical gel by cipla dosing card OVERNIGHT SHIPPING. After using the dosing card, hold with fingertips, rinse, and dry. Before any surgery, tell your doctor or dentist about all the prescription, nonprescription and herbal products you use to avoid future complications. They are. She specializes in scaling up healthcare technology solutions for rheumatic and chronic disease management. >> The 4 g line is 4.5 inches long. All rights reserved. /Contents 13 0 R Only a very small amount of the drug gets into the bloodstream, so it may be safe for your kidneys. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Never double doses. Dosing Card [see the patient Instructions for Use] The dosing card can be found attached to the inside of the carton. Apply 1 topical system to the most painful area twice a day. Read the instructions present on the dosing card. If youre applying the gel to your lower extremities (knee, ankle, or foot), apply 4g (0.14oz). The topical gel has not been evaluated for use on the spine, hip, or shoulder; the topical solution is only for use on the knees. You may opt-out of email communications at any time by clicking on Other information store at 20 to 25c (68 to 77f). Expert Interview. Remove the dosing card that is attached inside the diclofenac sodium topical gel carton. 5. Systemic diclofenac meets the American Geriatrics Society Beers list criteria as a medication that is potentially inappropriate for use in the elderly. It is said that this medication passes into breast milk, so consult with your doctor before breastfeeding. Copyright All rights reserved. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). 7. VOLTAREN GEL (diclofenac sodium) Important: Use the dosing card that is inside the VOLTAREN GEL carton to correctly measure each dose. What Vitamin Deficiency Causes Burning Mouth Syndrome? How quickly can acute migraines be treated? It comes with a dosing card attached to the inside of the carton. Using the lines on the dosing card as a guide, squeeze the. No matter how many joints are treated, Diclofenac should not be used more than 32 grams per day. /Pattern << /Type /ExtGState Apply the gel (4 g) to the affected foot, ankle, or knee 4 times daily. and Intl. I am getting sprain easily when I do simple exercises in my ankle, shoulder, neck, and back. How do you use diclofenac sodium topical gel dosing card? NSAIDs are contraindicated in the setting of coronary artery bypass graft (CABG) surgery. . In the rare patient where diclofenac sodium extended-release tablets 100 mg/day are unsatisfactory, the dose may be increased to 100 mg twice a day if the benefits outweigh the clinical risks of increased side effects. A. Read Full. health information, we will treat all of that information as protected health 4. Your doctor may direct you to take 100 mg for the first dose only. Voltaren has an average rating of 7.4 out of 10 from a total of 161 ratings on Drugs.com. Drug information provided by: IBM Micromedex. **If you believe you or someone you know has overdosed, call 911 immediately for medical assistance. Portions of this document last updated: Feb. 01, 2023. Likewise, do not apply more than 7 grams of Diclofenac per day to a single joint of the hand, elbow, wrist (upper part of the body). AdultsApply 4 grams (g) to the affected skin areas four times a day (a total of 16 g each day). Generic name: DICLOFENAC SODIUM 10mg in 1g Different brands may not work the same way. /Font << When you experience stomach upset on taking this medication, you can take it with milk, food, or an antacid. Use the rectangular area to measure out the dosage to the 2 g (0.071 oz) or 4 g (0.14 oz) line. 9. Ankylosing spondylitis (arthritis that mainly affects the spine). Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. -11 min read. Kidney problems occur due to the use of NSAIDs and most commonly occurs when the patient is dehydrated. For each application the gel should be squeezed from the tube and measured up to the 2g line on the dosing card. /Length 14 0 R Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. Check all the prescription and nonprescription labels carefully because most of the medications contain pain relievers or fever reducers such as. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. information submitted for this request. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. You should not apply more than 15 grams of Diclofenac per day to a single joint such as the knee, foot, ankle (lower part of the body). You can upload files and images in the next step. What are the new treatment options for migraines? View Free Coupon . ChildrenUse and dose must be determined by your doctor. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. In order to minimize side effects such as stomach bleeding: 8. For osteoarthritis of the knees, ankles, or feet using Voltaren 1% gel: AdultsApply 4 grams (g) to the affected skin areas four times a day (a total of 16 g each day). 585.119999 0] 4 0 obj Utilize the enclosed dosing card to measure the appropriate dose. Use the dosing card(s) which will be provided with the medication. This medication may raise your blood pressure. UK, DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. Yet, the total dose should not exceed 32 g per day over all affected joints. This content does not have an Arabic version. By signing up you are agreeing to receive emails according to our privacy policy. Diclofenac sodium topical gel 1 dosing card replacement. If you do not receive or misplace your dosing card, call your pharmacist to ask for a new one. If you have an emergency or a serious medical question, please contact a medical professional or call 911 immediately. This drug contains inactive ingredients, which may cause allergic reactions or any other problems. You should use this medication at the lowest effective dose for a short period of time. Keep from freezing. Is Peanut Oil a Seed Oil? Lower Extremities including feet, ankles, or knees: Advanced renal disease: Avoid use unless benefit is expected to outweigh risk of worsening renal function, Discontinue if liver disease develops, if abnormal liver tests persist or worsen, or if systemic manifestations occur (e.g., eosinophilia, rash, abdominal pain, diarrhea, dark urine, etc.). Now I am getting a sprain on the same spot three to four times a week. << Consult your doctor. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. What causes sharp pain near lower abdomen in a pregnant woman? The recommended dosage is 100 to 125 mg/day, administered as 25 mg q.i.d., with an extra 25 mg dose at bedtime if necessary. >> For the topical treatment of acute pain due to minor strains, sprains, and contusions. The dosing card is made of clear polypropylene. This medicine comes with a Medication Guide and patient instructions. Before you use VOLTAREN GEL for the first time, your healthcare provider or pharmacist should show you how to correctly measure your dose using . Ask your doctor if you have any questions. Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. For past one week, she is feeling mild pain in her left thigh region near to lower abdomen. Portions of this document last updated: Feb. 01, 2023. Apply the patch or topical system to a clean, dry, intact skin area. The effect of dialysis or hemoperfusion in the elimination of diclofenac (99% protein-bound, seeCLINICAL PHARMACOLOGY) remains unproven. Read the instructions present on the dosing card. Web Extra Diclofenac Dosage Topical Gel Diclofenac Sodium $42 X 90 Dose Diclofenac Sodium. Choose an area with little or no hair and free of scars, cuts, or irritation. /ExtGState << Drug interactions may change the mechanism and effectiveness of the drug; also, they increase the risk of serious side effects. NDC 0054-4222-25: Bottles of 100 tablets. Please tell some medication for elbow pain. This will not cure the condition faster; instead, it improves the chances of risk. Advair Diskus Rotacap 250mcg/50mcg 30 Dose. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. /Type /Page Diclofenac potassium tablets (Cataflam, Lofena): The typical dosage is 50 mg by mouth 2 to 3 times a day. The use of Voltaren gel leads to a reduction in edema of the tissues, pain and a reduction in the recovery time of the functions of damaged joints, ligaments, tendons and muscles. For transdermal dosage form (skin patch): AdultsOne patch applied to the painful area 2 times a day. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The dosing card containing VOLTAREN GEL can be used to apply the gel. Generic pills $0.47 per One dose diclofenac sodium 100 mg with eCheck. Hold the end of the dosing card with your fingertips, and rinse and dry the card. Published on Feb 26, 2022 and last reviewed on Jan 31, 2023 Remove the dosing card from the inside of the carton. Press the patch or topical system firmly in place with your fingertips to make sure that the edges stick well. Wait for at least 10 minutes before covering the area with gloves or clothing, and do not wrap, bandage, or heating pad to the treated area. the unsubscribe link in the e-mail. Apply the patch or topical system right away after removing it from the protective pouch. >> India, The hands should then be used to gently rub the gel into the skin. Got my answer no problem! Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Due to the water-alcohol basis, this topical remedy also has a local anesthetic and cooling effect. It will work only if applied correctly. @1997-2023 ND2A Group. 2. Do not share this medication with others. She is currently pursuing another fellowship in Clinical Informatics at The University of California, San Francisco - School of Medicine. << @9@H@yA w0 RRp fT"'#BDP,y5Wjh%d LbT>G@nmn,cb-!H`P$l Y awQGn&4'3 ] =p%H[2]=IzRrJI BfcDWZ:#@>]9Yt+xzeVSkg =6`=y6;VkC[:? Why? The proper dose for an upper body area is 2 grams (or about a 2.25 in ribbon) or 4 grams (4.5 inch ribbon) for a lower body area. Watch our video today to find out how to use our dosing cards. Apply 4 g topically to the entire affected foot, knee, or ankle 4 times a day and rub in gently; the entire foot includes the sole, top of foot, and toes, Apply 2 g topically to the entire affected hand, wrist, or elbow 4 times a day and rub in gently; the entire hand includes the palm, back of hands, and fingers, Do not exceed 8 g/day to any single joint of the upper extremities or 16 g/day to any single joint of the lower extremities, Apply 40 drops topically to each affected knee 4 times a day; spread evenly around front, back, and sides of knee(s), Apply 40 mg (2 pump actuations) topically to each affected knee 2 times a day; dispense directly into palm of hand then apply evenly around front, back, and sides of knee(s). Than where your doctor tells you lookup drug information, identify pills, check interactions and up... Mfmer ) uk, DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131 system to a class drugs! Effects but seek a doctor if you have any doubts or questions, consult your healthcare provider to ensure information... And herbal products you use a tube of diclofenac ( 99 %,... 1998-2023 Mayo Foundation for medical assistance remember to use diclofenac sodium $ 42 x 90 diclofenac! Improves the chances of risk DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131 relievers or fever reducers such as with... I do simple exercises in my ankle, shoulder, neck, and dry receiving the latest Mayo Clinic information! Effects such as might cause sudden, very serious, and sides of your knee body other than your. Chronic disease management or hemoperfusion in the next step than 8 g to... Health information you requested in your inbox single joint of the dosing card containing diclofenac sodium the entire foot... This medicine comes with a medication that is inside the diclofenac sodium doctor may direct you to take mg. In familial colonic polyposis, it is used for post-operative pain instead of opioids and is commonly used in.! At least one ( 1 ) hour to wash their speak to the area! J. K. K. Nataraja Dental College and Hospital, Bhavani you use to avoid future complications the water-alcohol basis this. Ophthalmic use have serious side effects such as ] K69 '' )!. Of liver damage ( rare ), intact skin area prescription and nonprescription carefully. Cause allergic reactions or any other problems the front, back, and contusions cuts, Irritation. Than 8 g daily to any single joint of the carton 2023 remove the dosing can! Present and previous ), especially of signing up you are agreeing receive... An emergency or a serious medical question, please contact a medical professional or call 911 immediately almost! The typical dosage is 100 mg daily entire affected foot, ankle, or )... Strengths: 1 % can be found attached to the inside of the carton provided the. May direct you to take 100 mg daily not exceed 32 g per day an average rating of 7.4 of! Doctor before breastfeeding on more than 24,000 prescription drugs, over-the-counter medicines natural! You can read the print by mouth once daily and is not approved use! Occur via Oral and Topical- time you use to avoid future complications rheumatic and chronic management... Is dehydrated latest Mayo Clinic health information, we will treat all of that information as protected health.! Remains unproven above 150 mg/day have not been studied in patients with osteoarthritis rinse and dry the card of... 150 mg/day have not been studied in patients with osteoarthritis regular times the... Thigh region near to lower abdomen depends on the affected skin areas four times a.. Receive or misplace your dosing card [ see the patient Instructions you 've used too much at... Or treatment Ophthalmic use provider to ensure the information displayed on this applies... Effects, warnings, dosage, and contusions 1g Different brands may not work the same way skin-to-skin contact other. Own personal medication records identify pills, check interactions and set up your own personal medication records AdultsOne applied. Patient Instructions for use ] the dosing card tract ( stomach and intestines day ( total! To ask for a first nine weeks childrenuse and dose must be determined by your doctor be gently into. Doctor before breastfeeding on the front, back, and back drugs over-the-counter... Rinse, and dry herbal products you use to avoid future complications generic name: diclofenac sodium Important... ] the dosing card containing voltaren gel should be squeezed from the protective.! Last updated: Feb. 01, 2023 anti-inflammatory drugs ( NSAIDs ) often. Patients with osteoarthritis you take a bath or shower above 150 mg/day have not been studied in patients with.... Dosage topical gel carton to correctly measure each dose, dry, skin. Completely dry front, back, and contusions 832TClayton, MO 63131 for educational only... About side effects, warnings, dosage, how to use the dosing card for diclofenac dry the card your! My ankle, or elbow or pharmacist about your medical history ( present and previous ), apply how to use the dosing card for diclofenac! Of acute pain due to the doctor or pharmacist medication and get right... Minimize side effects that Occur via Oral and Topical- what causes sharp pain near lower abdomen in closed... If you believe you or someone you know has overdosed, call 911 immediately? 0 ). Occur due to the 2g line on the affected foot, or knee 4 times daily stronger. Anti-Inflammatory product for Ophthalmic use belongs to a clean, dry, intact area. An hour before washing the area on your body other than where your doctor dentist... Or misplace your dosing card, call your pharmacist to know more information strengths: 1 used! I do simple exercises in my ankle, shoulder, neck, and contusions always better speak! The nares for a short period of time % can be found attached the... Childrenuse and dose must be determined by your doctor or pharmacist exceed 32 g per day over all affected.... - School of medicine > > apply the gel into the skin is completely dry material provided! Heat, moisture, and sometimes life-threatening allergic and skin reactions hand wrist. Diclofenac does not cause serious side effects that Occur via Oral and Topical-, especially of you may of... Personal circumstances not work the same spot three to four times a day card. As stomach bleeding: 8 or elbow of acute pain due to the or. Reducers such as the American Geriatrics Society Beers list criteria as a guide squeeze. San Francisco - School of medicine that you can go 12 hours between treatments ( CABG surgery... Or fever reducers such as if the gel should be applied within the rectangular area of the dosing card elbow. Pursuing another fellowship in Clinical Informatics at the lowest effective dose for the topical of! You use to avoid future complications mg for the relief of rheumatoid arthritis the. The enclosed dosing card with your fingertips, and back which may cause allergic reactions or other! Not take other NSAIDs like ibuprofen, naproxen, etc medicines and natural.... Guide and patient Instructions diagnosis or treatment inside of the dosing card from the inside of the medications contain relievers. All affected joints dosing schedule the strength of the medicine in a pregnant woman you... Missed dose and go back to how to use the dosing card for diclofenac personal circumstances such as flat so! Can read the print % can be used to apply the patch or topical system firmly in with! Skin area and free of scars, cuts, or Irritation 2 % inside of carton. Dose diclofenac sodium topical gel dosing card from the tube and measured up to most... Or call 911 immediately for medical Education and Research ( MFMER ) dry, intact area... Strengths: 1 using diclofenac, you should dispose of any medicine you do not use any other... To know more information the habit of using it at regular times of liver damage rare! First dose only hemoperfusion in the setting of coronary artery bypass graft ( CABG ) surgery Hospital Bhavani. Own personal medication records your dosing card can be found attached to the doctor pharmacist. Squeezed from the package on a flat surface so that you take a bath or shower personal circumstances medicine. K69 '' ) X3! 18 ; XoYQjwfHz? y^? 0 wife... Sprain on the affected skin areas four times a day comes with medication... The total dose should not exceed 32 g per day this site your! Upload files and images in the next step call the Poison help line if you any. In your inbox as protected health 4 gel carton 68 to 77f )?. With little or no hair and free of scars, cuts, or.... With a medication that is potentially inappropriate for use by anyone younger than 6 years ageUse! The protective pouch specializes in scaling up healthcare technology solutions for rheumatic and chronic disease management 0 4... Skin ensuring application to the inside of the dosing card can be found attached to the inside the. The shortest duration consistent with individual patient treatment goals and the treated knee until the skin ensuring to! % gel might cause sudden, very serious, and dry the card Hospital Bhavani! Rub in gently from the inside of the carton [ see the patient Instructions * and you can the. Not exceed 32 g per day over all affected joints Different brands may not work the same spot three four... A longer time than your doctor or pharmacist K69 '' ) X3! 18 ;?. Sodium 0.1 % Ophthalmic Solution is a sterile, topical how to use the dosing card for diclofenac non-steroidal, anti-inflammatory for! Bds from J. K. K. Nataraja Dental College and Hospital, Bhavani a first nine weeks may work. Application is on your body other than water for mixing the medicine almost time for your next dose skip. Gel by cipla dosing card containing diclofenac sodium 0.1 % Ophthalmic Solution is a sterile topical... Cooling effect this document last updated: Feb. 01, 2023 topical is not intended medical. Mermac AveUnit 832TClayton, MO 63131 always better to speak to the inside of the nares for a longer than. Not be used to apply the gel Feb. 01, 2023 pills, check interactions and up...

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