Long term side effects of lamictal - The most commonly observed side effects were dizziness, somnolence, diplopia, fatigue, nausea, vomiting, ataxia, abnormal vision, abdominal pain, tremor, dyspepsia, abnormal gait, headache, balance disorder, and asthenia. In clinical trials in children aged 1 month to 4 years, the most commonly reported side effect was somnolence.

 
Precautions Talk with your doctor Lamictal (lamotrigine) is a brand-name drug that’s prescribed for bipolar disorder and epilepsy. As with other drugs, Lamictal can cause side effects..... Atandt outsges

Other side effects include: infection, dyspepsia, abnormal gait, constipation, and drowsiness. Continue reading for a comprehensive list of adverse effects. Applies to lamotrigine: oral tablets conventional, oral tablets extended-release film-coated, oral tablets for oral suspension, oral tablets orally disintegrating.Aug 29, 2023 · Long-Term Side Effects of Clonidine. There is the potential for a multitude of adverse effects involving the use of clonidine. People taking the substance may experience fever, headaches, fatigue, and general weakness. More serious effects on the cardiovascular system are also possible. These effects can include heart palpitations, congestive ... Jun 9, 2007 · redness of the face, neck, arms and occasionally, upper chest. shakiness and unsteady walk. sudden death. trouble concentrating. trouble sleeping. unconsciousness. unsteadiness, trembling, or other problems with muscle control or coordination. unusual paleness. Some side effects may occur that usually do not need medical attention. The safety of using Lamictal during pregnancy has not been established. Lamictal is secreted into breast milk, and breastfeeding while taking Lamictal is not recommended. Our Lamictal Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.Took that to new provider and she explained for the first time that I was Bp2. I don't know that, that's lamictal. It takes about a week to hit your system and a bit longer to feel the full impacts, which should apply to dosages down too. I can normally get 3 or so days without it before I start to feel off. Dec 4, 2022 · Serious side effects; Other side effects; Professional info; FAQ; Applies to nystatin: oral suspension, oral tablet. Serious side effects of Nystatin. Along with its needed effects, nystatin may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Other side effects of ... lamotrigine (Lamictal) for seizures and bipolar disorder can cause a rare but very serious reaction that excessively activates the body’s infection-fighting immune system. This can cause severeSep 23, 2022 · Warning. Suicidality Antidepressants may increase risk of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults (18–24 years of age) with major depressive disorder and other psychiatric disorders; balance this risk with clinical need. b c d Venlafaxine is not approved for use in pediatric patients. 1 3 (See Pediatric Use under Cautions.) Geriatric Although appropriate studies on the relationship of age to the effects of lamotrigine have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of lamotrigine in the elderly.May 20, 2022 · Many people can take lamotrigine safely for several months or years. But there are some side effects that might happen over a long time. Long-term treatment with lamotrigine can cause osteoporosis and osteopenia, increasing your risk of breaking a bone. Your doctor can arrange for tests to check your bone strength. Many people can take lamotrigine safely for several months or years. But there are some side effects that might happen over a long time. Long-term treatment with lamotrigine can cause osteoporosis and osteopenia, increasing your risk of breaking a bone. Your doctor can arrange for tests to check your bone strength.That said, the side effects associated with lamotrigine may be more tolerable than side effects induced by other anxiolytic medications. As was already mentioned, lamotrigine does not appear to impair cognitive function and may even provide a modest boost in cognition. Additionally, long-term trials suggest that lamotrigine is a “weight ...Apr 14, 2023 · 4. Narcotic painkillers . 5. Sleeping aids . 6. Incontinence drugs . 7. Antihistamines (first generation) How they can affect memory: Benzodiazepines dampen activity in key parts of the brain, including those involved in the transfer of events from short-term to long-term memory. Although ophthalmological testing was performed in 1 controlled clinical trial, the testing was inadequate to exclude subtle effects or injury occurring after long-term exposure. Moreover, the capacity of available tests to detect potentially adverse consequences, if any, of lamotrigine's binding to melanin is unknown.Lamotrigine (LTG) is a drug commonly used to treat epilepsy and can also be used to manage mood disorders, such as bipolar disorder. One of the most dangerous adverse effects of LTG is skin rash, which can make early cessation necessary. Here, we examine the adverse effects associated with long-term use of LTG for the treatment of mood disorders.Geriatric Although appropriate studies on the relationship of age to the effects of lamotrigine have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of lamotrigine in the elderly.Common (1% to 10%): Arthralgia, blood creatinine phosphokinase increased/creatine phosphokinase increased, muscle rigidity, muscle spasms, muscle twitching, musculoskeletal stiffness, myalgia, pain in extremity. Uncommon (0.1% to 1%): Mobility decreased, muscle tightness, muscular weakness, musculoskeletal rigidity.Common side effects of Depakote include: abdominal pain, asthenia, dizziness, drowsiness, nausea, and anorexia. Other side effects include: abnormality in thinking, alopecia, ataxia, nystagmus disorder, tremor, weight loss, fever, and skin rash. Continue reading for a comprehensive list of adverse effects. Applies to divalproex sodium: oral ...Apr 5, 2023 · Other long-term side effects of Vraylar are possible. If you have questions about your risk of side effects from the medication, talk with your doctor. ... (Lamictal) If you have questions about ... Oct 26, 2022 · These include dizziness, headache, and nausea. Other Lamictal side effects are rare but more serious. These include rash, low blood cell levels, and an increase in suicidal thoughts and behaviors. Lamictal has a boxed warning for serious, life-threatening rash. I take lamotrigine for 1,5 years, it was added to my lithium and wellbutrin. It made me much more stable and it took the most of the depression away. It made such a difference, I can handle so much more. I still got major mood swings but I bounce back to normal much faster. And normal is longer. Dec 1, 2021 · Definitely a very bad side effect was the degeneration of my teeth, my dentist implied it was quite common, a marked improvement since I stopped taking them in 2018. It does not seem to be listed there. My general bone density is poor after many seizures over the years, especially my rib cage and skull, I have reached a limit one more seizure ... Lamotrigine Pregnancy Warnings. Animal studies have shown developmental toxicity at doses estimated to be lower than those used clinically. Pregnant rats administered 3 doses (5, 10 or 20 mg/kg) during the latter part of gestation had increased offspring mortality (including stillbirths) at all doses. The lowest effect dose for peri/postnatal ...Apr 5, 2023 · Other long-term side effects of Vraylar are possible. If you have questions about your risk of side effects from the medication, talk with your doctor. ... (Lamictal) If you have questions about ... Common (1% to 10%): Arthralgia, blood creatinine phosphokinase increased/creatine phosphokinase increased, muscle rigidity, muscle spasms, muscle twitching, musculoskeletal stiffness, myalgia, pain in extremity. Uncommon (0.1% to 1%): Mobility decreased, muscle tightness, muscular weakness, musculoskeletal rigidity.The Four Most Commonly Used Types of Medications That Dampen Brain Function. 1. Benzodiazepines. This class of medication is often prescribed to help people sleep, or to help with anxiety. They do work well for this purpose, but they are habit-forming and have been associated with developing dementia.Common (1% to 10%): Arthralgia, blood creatinine phosphokinase increased/creatine phosphokinase increased, muscle rigidity, muscle spasms, muscle twitching, musculoskeletal stiffness, myalgia, pain in extremity. Uncommon (0.1% to 1%): Mobility decreased, muscle tightness, muscular weakness, musculoskeletal rigidity.The Four Most Commonly Used Types of Medications That Dampen Brain Function. 1. Benzodiazepines. This class of medication is often prescribed to help people sleep, or to help with anxiety. They do work well for this purpose, but they are habit-forming and have been associated with developing dementia.For Healthcare Professionals General. The more commonly reported adverse reactions have included dizziness, headache, diplopia, ataxia, nausea,... Immunologic. In cases of hemophagocytic lymphohistiocytosis (HLH), patients have presented with signs of systemic... Hypersensitivity. Nervous system. ...It’s used for long-term treatment of the more severe type of bipolar disorder, ... The more common side effects of Lamictal in people treated for bipolar I disorder include: nausea;To date, there are no known problems associated with long term use of lamotrigine. It is a safe and effective medication when used as directed. It is important to note that some of the side effects listed above (particularly rash and suicidal thoughts) may continue to occur or worsen if you continue taking the medication.Descriptions. Lamotrigine is used alone or together with other medicines to help control certain types of seizures (eg, partial seizures, tonic-clonic seizures, or Lennox-Gastaut syndrome) in the treatment of epilepsy. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it.Aug 1, 2023 · Descriptions. Quetiapine is used alone or together with other medicines to treat bipolar disorder (depressive and manic episodes) and schizophrenia. Quetiapine extended-release tablet is also used together with other antidepressants to treat major depressive disorder. This medicine should not be used to treat behavioral problems in older adult ... Oct 31, 2014 · Many short-term side effects subside after a few weeks (once your body has gotten used to the drug). Long-term: Some individuals may take the drug for an extended period of time and be tolerating it fine, and then notice side effects that become problematic after a year or two. Usually over the long term an individual has increased their dosage ... Adverse effects. Lamotrigine’s adverse effect profile is similar to placebo in all categories except sleep disruption. 1 This often presents as vivid dreams and can be minimized by dosing in the morning and using behavioral methods to deepen sleep. Other adverse effects usually improve with dose reduction. Difficulties in swallowing the ...It’s used for long-term treatment of the more severe type of bipolar disorder, ... The more common side effects of Lamictal in people treated for bipolar I disorder include: nausea;Mar 18, 2023 · Abdominal or stomach pain (severe) blurred vision, aching, burning, or swollen eyes. chest pain. confusion. discomfort while urinating or frequent urination. fever. hallucinations or seeing, hearing, or feeling things that are not there. itching. mental depression or other mood or mental changes. Summary. Common side effects of Lamictal XR include: ataxia, skin rash, headache, insomnia, and nausea. Other side effects include: infection, dyspepsia, abnormal gait, constipation, and drowsiness. Continue reading for a comprehensive list of adverse effects. Applies to lamotrigine: oral tablets conventional, oral tablets extended-release film ...redness of the face, neck, arms and occasionally, upper chest. shakiness and unsteady walk. sudden death. trouble concentrating. trouble sleeping. unconsciousness. unsteadiness, trembling, or other problems with muscle control or coordination. unusual paleness. Some side effects may occur that usually do not need medical attention.Lastly, we discuss the evidence on lithium's proposed suicide-preventive effects, the dangers of rapid discontinuation and lithium's adverse effects, particularly with regard to long-term treatment. Lithium has been the treatment of choice for patients with bipolar disorder (BD) for nearly 70 years.May 9, 2009 · The significant reduction in locomotion at weeks one and four suggest that anti-aging effects of lamotrigine are associated with compromised function, and in this sense a reduced health span. In conclusion, the observed decrease in mortality and increase in lifespan as a result of lamotrigine was associated with depression in locomotion and ... Continue to take lamotrigine even if you feel well. Do not stop taking lamotrigine without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. Your doctor will probably decrease your dose gradually. If you suddenly stop taking lamotrigine, you may experience seizures.Jul 19, 2012 · But Lamictal does give me low red blood cell counts, for which I take a B12 supplement. If Lamictal (or some other cause) has led to a B12 deficiency, that could explain a number of your symptoms. A B12 deficiency can cause: --weakness, tiredness or light-headedness. --rapid heartbeat and breathing. Lamictal Tablet. - Uses, Side Effects, and More. Warnings: Rarely, serious (sometimes fatal) skin rashes have occurred while taking this medication. These rashes are more common in children than ...Lamotrigine Pregnancy Warnings. Animal studies have shown developmental toxicity at doses estimated to be lower than those used clinically. Pregnant rats administered 3 doses (5, 10 or 20 mg/kg) during the latter part of gestation had increased offspring mortality (including stillbirths) at all doses. The lowest effect dose for peri/postnatal ...Although ophthalmological testing was performed in 1 controlled clinical trial, the testing was inadequate to exclude subtle effects or injury occurring after long-term exposure. Moreover, the capacity of available tests to detect potentially adverse consequences, if any, of lamotrigine’s binding to melanin is unknown [see Clinical ...Aug 1, 2023 · dryness of the mouth. feeling of warmth and redness of the face, neck, arms, and occasionally chest. heartburn. increased sweating. increased urination. itching of the vagina. trouble sleeping. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Submitted by sportz_nut on Fri, 2009-05-01 - 16:46. I can't think of any long term for Lamictal, it has been my savior the past 8 years, as for Keppra, I don't know if it has and effect on the body, I do know that if your freind has trouble sleeping give them a Keppra, they should be out like a light. "My side effect from Keppra anyway".May 5, 2022 · Feeling poorly. Fever. Itching skin. Hives. Red blisters on areas of the body, which may include the face or mouth. Symptoms of a more serious rash can include peeling skin, painful blisters, inflammation of the eyes, swollen lymph nodes, and flu-like symptoms. The symptoms can range from benign to potentially fatal. dryness of the mouth. feeling of warmth and redness of the face, neck, arms, and occasionally chest. heartburn. increased sweating. increased urination. itching of the vagina. trouble sleeping. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.Lamictal rash is a possible side effect of the medication lamotrigine, which is sold under the brand name Lamictal. It can be a mild rash or a more serious rash as a result of Stevens-Johnson syndrome or toxic epidermal necrolysis. It is important to contact your doctor as soon as you experience any side effects of Lamictal, including a rash.I have searched all over the net and can't find anything beyond pretty basic info on possible side effects. I have been on lamotrigine for 15 years, since the age of 15. I have small muscle twitches quite often and some memory loss. Childhood memories are very foggy. I also get a very noticeable spaced-out/disconnected feeling when I don't take ...Lamictal Tablet. - Uses, Side Effects, and More. Warnings: Rarely, serious (sometimes fatal) skin rashes have occurred while taking this medication. These rashes are more common in children than ...hoarseness. lack or loss of strength. pain in the lower back or side. swelling of the hands, feet, or lower legs. trembling or shaking. Common side effects that do require medical attention ...Common (1% to 10%): Arthralgia, blood creatinine phosphokinase increased/creatine phosphokinase increased, muscle rigidity, muscle spasms, muscle twitching, musculoskeletal stiffness, myalgia, pain in extremity. Uncommon (0.1% to 1%): Mobility decreased, muscle tightness, muscular weakness, musculoskeletal rigidity.Jun 1, 2023 · Descriptions. Lamotrigine is used alone or together with other medicines to help control certain types of seizures (eg, partial seizures, tonic-clonic seizures, or Lennox-Gastaut syndrome) in the treatment of epilepsy. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it. Jun 1, 2023 · Blistering, peeling, or loosening of the skin chills cough dark urine diarrhea fever general feeling of discomfort or illness headache itching joint pain loss of appetite memory loss muscle cramps, pain, or weakness red or irritated eyes runny nose shivering small red or purple spots on the skin ... Aug 1, 2023 · Descriptions. Quetiapine is used alone or together with other medicines to treat bipolar disorder (depressive and manic episodes) and schizophrenia. Quetiapine extended-release tablet is also used together with other antidepressants to treat major depressive disorder. This medicine should not be used to treat behavioral problems in older adult ... Jan 10, 2023 · hoarseness. lack or loss of strength. pain in the lower back or side. swelling of the hands, feet, or lower legs. trembling or shaking. Common side effects that do require medical attention ... Apr 12, 2023 · Lamictal (lamotrigine) is a mood stabilizer and anticonvulsant prescribed to treat bipolar disorder and epilepsy. This medication can be used to reduce the occurrence of mood episodes in people with bipolar disorder and to control seizures in people with epilepsy. If people suddenly stop taking their medication, they may experience Lamictal ... Definitely a very bad side effect was the degeneration of my teeth, my dentist implied it was quite common, a marked improvement since I stopped taking them in 2018. It does not seem to be listed there. My general bone density is poor after many seizures over the years, especially my rib cage and skull, I have reached a limit one more seizure ...The clinical features of these psychiatric side effects are: affective switches, full acute psychotic episodes, and hallucinations. In conclusion, lamotrigine is an effective drug, very useful in the therapy of epilepsy and mood disorders, but clinicians have to be aware of the risk that it can induce psychiatric symptoms or acute episodes.hoarseness. lack or loss of strength. pain in the lower back or side. swelling of the hands, feet, or lower legs. trembling or shaking. Common side effects that do require medical attention ...Took that to new provider and she explained for the first time that I was Bp2. I don't know that, that's lamictal. It takes about a week to hit your system and a bit longer to feel the full impacts, which should apply to dosages down too. I can normally get 3 or so days without it before I start to feel off. Lamotrigine is rapidly absorbed and peak levels are reached within 1.5 to 4.8 hours of administration. The effects of lamotrigine last for over 24 hours, and once-daily dosing is often prescribed. However, some doctors prefer to split the dose to decrease the risk of side effects such as drowsiness. 7.Lamotrigine (LTG) is a drug commonly used to treat epilepsy and can also be used to manage mood disorders, such as bipolar disorder. One of the most dangerous adverse effects of LTG is skin rash, which can make early cessation necessary. Here, we examine the adverse effects associated with long-term use of LTG for the treatment of mood disorders.Although ophthalmological testing was performed in 1 controlled clinical trial, the testing was inadequate to exclude subtle effects or injury occurring after long-term exposure. Moreover, the capacity of available tests to detect potentially adverse consequences, if any, of lamotrigine’s binding to melanin is unknown [see Clinical ... Sep 13, 2021 · For Healthcare Professionals General. The more commonly reported adverse reactions have included dizziness, headache, diplopia, ataxia, nausea,... Immunologic. In cases of hemophagocytic lymphohistiocytosis (HLH), patients have presented with signs of systemic... Hypersensitivity. Nervous system. ... Definitely a very bad side effect was the degeneration of my teeth, my dentist implied it was quite common, a marked improvement since I stopped taking them in 2018. It does not seem to be listed there. My general bone density is poor after many seizures over the years, especially my rib cage and skull, I have reached a limit one more seizure ...55. 9 yr. ago. 🏕️⛺. I started taking Lamictal earlier this year and am currently taking 200 mg daily. Memory loss was one of the first side effects I noticed. It's very frustrating, but Lamictal is really helping me so I continue to take it. I wonder what the long term effects will be. I'm paranoid about getting Alzheimers when I'm older ... Jun 9, 2007 · redness of the face, neck, arms and occasionally, upper chest. shakiness and unsteady walk. sudden death. trouble concentrating. trouble sleeping. unconsciousness. unsteadiness, trembling, or other problems with muscle control or coordination. unusual paleness. Some side effects may occur that usually do not need medical attention. Descriptions. Quetiapine is used alone or together with other medicines to treat bipolar disorder (depressive and manic episodes) and schizophrenia. Quetiapine extended-release tablet is also used together with other antidepressants to treat major depressive disorder. This medicine should not be used to treat behavioral problems in older adult ...Definitely a very bad side effect was the degeneration of my teeth, my dentist implied it was quite common, a marked improvement since I stopped taking them in 2018. It does not seem to be listed there. My general bone density is poor after many seizures over the years, especially my rib cage and skull, I have reached a limit one more seizure ...Many short-term side effects subside after a few weeks (once your body has gotten used to the drug). Long-term: Some individuals may take the drug for an extended period of time and be tolerating it fine, and then notice side effects that become problematic after a year or two. Usually over the long term an individual has increased their dosage ...The long-term consequences of this are unknown. Lamotrigine is known to affect sleep. ... In addition, lamotrigine shares few side effects with other, unrelated ...About lamotrigine Who can and cannot take it How and when to take it Side effects Pregnancy, breastfeeding and fertility Taking lamotrigine with other medicines and herbal supplements Common questionsLong-term side effects of Lamictal abuse can include an increased incidence of drug dependence and likelihood for addiction. Misusing Lamictal increases the likelihood of experiencing all of the potential side effects. Spotting Lamictal Addiction. Addiction is a complex condition.Long Term Effects for Lamotrigine. Sun, 08/21/2016 - 14:16. Topic: Living With Epilepsy - Adults. I have been on Lamotrigine for the past year at 300MG per day. I have started to experience major mood swings, headaches and dizziness, anger problems as well as memory and attention issues. I'm starting to look into the long term effects of this ...Tell a doctor or call 111 straight away if you have a serious side effect, including: worsening fits or seizures (if you take lamotrigine for epilepsy) unexpected bruising or bleeding, a high temperature or sore throat – these could be signs of a blood disorderhoarseness. lack or loss of strength. pain in the lower back or side. swelling of the hands, feet, or lower legs. trembling or shaking. Common side effects that do require medical attention ...Lamotrigine can be used to treat the following partial seizures, primary generalized tonic-clonic seizures, bipolar I disorder maintenance and Lennox-Gastaut syndrome. Off-label uses include treating acute bipolar depression, fibromyalgia, schizophrenia, and unipolar depression. This activity covers lamotrigine, including mechanism of action, pharmacology, adverse event profiles, eligible ...

Common (1% to 10%): Arthralgia, blood creatinine phosphokinase increased/creatine phosphokinase increased, muscle rigidity, muscle spasms, muscle twitching, musculoskeletal stiffness, myalgia, pain in extremity. Uncommon (0.1% to 1%): Mobility decreased, muscle tightness, muscular weakness, musculoskeletal rigidity.. Linder turf and tractor

long term side effects of lamictal

stomach pain and cramps. swelling of the face, fingers, feet, or lower legs. trouble breathing. twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs. unpleasant breath odor. vomiting of blood. watery or bloody diarrhea. weight gain. yellow eyes or skin.Fatigue. Nausea. Tremor. Rash. Weight gain. Most of these side effects lessen with time. Long-term effects vary from drug to drug. In general: Pregnant women should not take anticonvulsants ... Blistering, peeling, or loosening of the skin chills cough dark urine diarrhea fever general feeling of discomfort or illness headache itching joint pain loss of appetite memory loss muscle cramps, pain, or weakness red or irritated eyes runny nose shivering small red or purple spots on the skin ...The phase IV clinical study analyzes which people take Lamotrigine and have Brain damage. It is created by eHealthMe based on reports of 61,601 people who have side effects when taking Lamotrigine from the FDA, and is updated regularly. You can use the study as a second opinion to make health care decisions. Phase IV trials are used to detect ...Apr 25, 2018 · lamotrigine (Lamictal) for seizures and bipolar disorder can cause a rare but very serious reaction that excessively activates the body’s infection-fighting immune system. This can cause severe The Four Most Commonly Used Types of Medications That Dampen Brain Function. 1. Benzodiazepines. This class of medication is often prescribed to help people sleep, or to help with anxiety. They do work well for this purpose, but they are habit-forming and have been associated with developing dementia.Many people can take lamotrigine safely for several months or years. But there are some side effects that might happen over a long time. Long-term treatment with lamotrigine can cause osteoporosis and osteopenia, increasing your risk of breaking a bone. Your doctor can arrange for tests to check your bone strength.In long-term studies of at least 48-weeks in adults, increased from baseline in mean fasting cholesterol, LDL, triglycerides were 5.6 mg/dL, 2.5 mg/dL, and 18.7 mg/dL, respectively. Mean increases in fasting lipid values (total cholesterol, LDL and triglycerides) were greater in patients without evidence of lipid dysregulation at baseline.To date, there are no known problems associated with long term use of lamotrigine. It is a safe and effective medication when used as directed. It is important to note that some of the side effects listed above (particularly rash and suicidal thoughts) may continue to occur or worsen if you continue taking the medication.Apr 14, 2023 · 4. Narcotic painkillers . 5. Sleeping aids . 6. Incontinence drugs . 7. Antihistamines (first generation) How they can affect memory: Benzodiazepines dampen activity in key parts of the brain, including those involved in the transfer of events from short-term to long-term memory. It’s used for long-term treatment of the more severe type of bipolar disorder, ... The more common side effects of Lamictal in people treated for bipolar I disorder include: nausea;stomach pain and cramps. swelling of the face, fingers, feet, or lower legs. trouble breathing. twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs. unpleasant breath odor. vomiting of blood. watery or bloody diarrhea. weight gain. yellow eyes or skin..

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