Clopra and Ototoxicity - a phase IV clinical study of FDA data
Summary:
Ototoxicity is found among people who take Clopra, especially for people who are male, 60+ old, have been taking the drug for 1 - 6 months.
The phase IV clinical study analyzes which people take Clopra and have Ototoxicity. It is created by eHealthMe based on reports of 65,318 people who have side effects when taking Clopra 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 adverse drug outcomes and monitor drug effectiveness in the real world. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature.
65,318 people reported to have side effects when taking Clopra.
Among them, 14 people (0.02%) have Ototoxicity.
What is Clopra?
Clopra has active ingredients of metoclopramide hydrochloride. eHealthMe is studying from 65,737 Clopra users for its effectiveness, alternative drugs and more.
What is Ototoxicity?
Ototoxicity (damage to the ear) is found to be associated with 599 drugs and 337 conditions by eHealthMe.
Number of Clopra and Ototoxicity reports submitted per year:

Time on Clopra when people have Ototoxicity *:
- < 1 month: 0.0 %
- 1 - 6 months: 100 %
- 6 - 12 months: 0.0 %
- 1 - 2 years: 0.0 %
- 2 - 5 years: 0.0 %
- 5 - 10 years: 0.0 %
- 10+ years: 0.0 %
Gender of people who have Ototoxicity when taking Clopra *:
- female: 21.43 %
- male: 78.57 %
Age of people who have Ototoxicity when taking Clopra *:
- 0-1: 0.0 %
- 2-9: 15.38 %
- 10-19: 23.08 %
- 20-29: 0.0 %
- 30-39: 0.0 %
- 40-49: 0.0 %
- 50-59: 15.38 %
- 60+: 46.15 %
Common drugs people take besides Clopra *:
- Ondansetron: 8 people, 57.14%
- Morphine: 4 people, 28.57%
- Olanzapine: 3 people, 21.43%
- Emend: 3 people, 21.43%
- Furosemide: 3 people, 21.43%
- Gabapentin: 3 people, 21.43%
- Spironolactone: 3 people, 21.43%
- Gentamicin: 3 people, 21.43%
- Ceftazidime: 2 people, 14.29%
- Heparin: 2 people, 14.29%
Common side effects people have besides Ototoxicity *:
- Deafness Neurosensory: 6 people, 42.86%
- Agranulocytosis (a deficiency of granulocytes in the blood, causing increased vulnerability to infection): 2 people, 14.29%
- Neurosensory Hypoacusis (a type of hearing loss in which the root cause lies in the vestibulocochlear nerve): 2 people, 14.29%
- Tinnitus (a ringing in the ears): 2 people, 14.29%
- Haemorrhage (bleeding): 1 person, 7.14%
- Arthritis Infective (purulent invasion of a joint by an infectious agent which produces arthritis): 1 person, 7.14%
- Blindness: 1 person, 7.14%
- Death: 1 person, 7.14%
- Enterocutaneous Fistula: 1 person, 7.14%
- Fluid Imbalance (imbalance of fluid in body in intake and fluid lost): 1 person, 7.14%
Common conditions people have *:
- Medulloblastoma (a fast-growing, high-grade tumour that always begins in the cerebellum): 3 people, 21.43%
- Osteosarcoma (a cancerous (malignant) bone tumour): 2 people, 14.29%
- Colon Cancer Metastatic (cancer of colon spreads to other part of body): 2 people, 14.29%
- Staphylococcal Sepsis (blood infection by an infection with staphylococcus bacteria): 1 person, 7.14%
- Ovarian Epithelial Cancer (cancer that begins in the cells on the surface of the ovary): 1 person, 7.14%
* Approximation only. Some reports may have incomplete information.
Do you take Clopra and have Ototoxicity?
Check whether Ototoxicity is associated with a drug or a conditionHow to use the study?
You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood.
Related studies
How severe was Ototoxicity and when was it recovered:
Expand to all the drugs that have ingredients of metoclopramide hydrochloride:
Alternative drugs to, pros and cons of Clopra:
- Clopra (65,737 reports)
Common Clopra side effects:
- Abdominal discomfort: 389 reports
- Abdominal distension: 588 reports
- Abdominal pain: 1,668 reports
- Abdominal pain upper: 1,034 reports
- Abdominal tenderness: 102 reports
- Abnormal behavior: 112 reports
- Abscess (pus): 155 reports
- Activities of daily living impaired: 2,951 reports
- Acute kidney failure: 1,460 reports
- Acute myocardial infarction (acute heart attack): 196 reports
- Acute respiratory failure: 163 reports
- Adrenal insufficiency (condition in which the adrenal glands do not produce adequate amounts of steroids): 147 reports
- Aggression: 116 reports
- Agitation (state of anxiety or nervous excitement): 849 reports
- Agranulocytosis (a deficiency of granulocytes in the blood, causing increased vulnerability to infection): 1,626 reports
- Akathisia (a movement disorder characterized by a feeling of inner restlessness): 1,917 reports
- Alanine aminotransferase increased: 601 reports
- Anaemia (lack of blood): 2,044 reports
- Anaphylaxis (serious allergic reaction that is rapid in onset and may cause death): 384 reports
- Anorexia (eating disorder characterized by immoderate food restriction and irrational fear of gaining weight): 299 reports
- Aplastic anemia: 117 reports
- Appetite - decreased (decreased appetite occurs when you have a reduced desire to eat): 1,451 reports
- Ards (acute respiratory distress syndrome) (sudden failure of the respiratory (breathing) system): 153 reports
- Arrhythmias (irregular heartbeat): 858 reports
- Arthropathy: 153 reports
- Ascites (accumulation of fluid in the abdominal cavity): 375 reports
- Aseptic necrosis (the death of bone tissue due to a lack of blood supply): 156 reports
- Aspartate aminotransferase increased: 480 reports
- Asthma: 239 reports
- Atelectasis (partial or complete collapse of the lung): 346 reports
- Atrial fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles): 761 reports
- Back pain: 1,288 reports
- Bacteraemia (presence of bacteria in the blood): 136 reports
- Balance disorder: 317 reports
- Bleeding disorders: 109 reports
- Bleeding into the skin: 119 reports
- Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure): 343 reports
- Blood bilirubin increased: 383 reports
- Blood creatine phosphokinase increased: 149 reports
- Blood creatinine increased: 621 reports
- Blood glucose increased: 464 reports
- Blood sodium decreased: 237 reports
- Blood urea increased: 282 reports
- Body temperature increased: 169 reports
- Bradycardia (abnormally slow heart action): 373 reports
- Breathing difficulty: 2,642 reports
- Breathing - slowed or stopped: 132 reports
- Bronchitis (inflammation of the mucous membrane in the bronchial tubes): 414 reports
- Cardiac arrest: 706 reports
- Cardiac failure: 451 reports
- Cardiac failure congestive: 486 reports
- Cardiac murmur (an heart sound in valve abnormality): 125 reports
- Cardiogenic shock (inadequate circulation of blood): 108 reports
- Cataract (clouding of the lens inside the eye): 205 reports
- Cellulitis (infection under the skin): 407 reports
- Cerebral haemorrhage (bleeding within the brain): 169 reports
- Cerebral infarction (less blood supply to brain resulting tissue damage): 142 reports
- Chest pain: 1,326 reports
- Chills (felling of cold): 532 reports
- Chronic kidney disease: 1,106 reports
- Chronic obstructive pulmonary disease (a progressive disease that makes it hard to breathe): 346 reports
- Circulatory collapse: 178 reports
- Colonic polyp (extra part of colon tissue grow in intestine): 103 reports
- Completed suicide (act of taking one's own life): 207 reports
- Confusion: 362 reports
- Confusional state: 1,132 reports
- Conjunctivitis (pink eye): 122 reports
- Consciousness - decreased: 260 reports
- Constipation: 1,574 reports
- Convulsion (muscles contract and relax rapidly and repeatedly, resulting in an uncontrolled shaking of the body): 416 reports
- Coronary heart disease (narrowing or blockage of the coronary arteries): 234 reports
- Cough: 989 reports
- Coughing up blood: 210 reports
- Crohn's disease (condition that causes inflammation of the gastrointestinal tract): 126 reports
- Cuts and puncture wounds: 114 reports
- Death: 1,765 reports
- Deep venous thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis): 574 reports
- Dehydration (dryness resulting from the removal of water): 1,626 reports
- Delirium (wild excitement): 333 reports
- Depressed level of consciousness: 334 reports
- Depression: 1,461 reports
- Diabetes: 327 reports
- Diabetic ketoacidosis (diabetic ketoacidosis (dka) is high concentrations of ketone bodies): 132 reports
- Diarrhea: 3,221 reports
- Discomfort: 170 reports
- Disease progression: 489 reports
- Dizziness: 1,810 reports
- Drowsiness: 798 reports
- Drug abuse and dependence: 212 reports
- Drug-induced liver injury (diseases of the liver that are caused by physician-prescribed medications): 122 reports
- Drug ineffective: 1,200 reports
- Drug toxicity: 179 reports
- Dry eyes (lack of adequate tears): 101 reports
- Dry mouth: 383 reports
- Dry skin: 209 reports
- Dyskinesia (abnormality or impairment of voluntary movement): 3,083 reports
- Dyspnea exertional: 260 reports
- Ear pain: 161 reports
- Eating disorder: 164 reports
- Eczema (patches of skin become rough and inflamed, with itching and bleeding blisters): 151 reports
- Emotional disorder: 1,350 reports
- Emotional distress: 2,105 reports
- Epilepsy (common and diverse set of chronic neurological disorders characterized by seizures): 116 reports
- Erythema multiforme (a type of hypersensitivity reaction): 673 reports
- Essential tremor: 139 reports
- Excessive eye blinking (excessive blinking is dry eyes): 305 reports
- Extrapyramidal disorder (involuntary muscle spasms in the face and neck): 14,447 reports
- Fainting (loss of consciousness and postural tone): 621 reports
- Fall: 1,379 reports
- Family stress: 1,981 reports
- Fatigue (feeling of tiredness): 3,004 reports
- Febrile neutropenia (fever with reduced white blood cells): 1,581 reports
- Femur fracture: 177 reports
- Fever: 2,888 reports
- Fibromyalgia (a long-term condition which causes pain all over the body): 146 reports
- Fluid retention (an abnormal accumulation of fluid in the blood): 125 reports
- Gait disturbance: 590 reports
- Gallbladder disorder: 145 reports
- Gallstones (stone formation by bile component): 421 reports
- Gamma-glutamyltransferase increased: 243 reports
- Gastric ulcer (stomach ulcer): 381 reports
- Gastritis (inflammation of stomach): 446 reports
- Gastroesophageal reflux disease (a condition in which stomach contents leak backward from the stomach into the oesophagus): 720 reports
- Gastrointestinal disorder (functional problems of gastrointestinal tract): 427 reports
- Gastrointestinal haemorrhage (bleeding gastrointestinal tract): 425 reports
- General physical health deterioration (weak health status): 973 reports
- Gingival pain (gum pain): 101 reports
- Haematocrit decreased: 256 reports
- Haematoma (collection of blood outside the blood vessels): 134 reports
- Haematuria (presence of blood in urine): 263 reports
- Haemoglobin decreased: 943 reports
- Haemorrhage (bleeding): 243 reports
- Haemorrhoids (a swollen vein or group of veins in the region of the anus): 268 reports
- Hair loss: 588 reports
- Hallucinations (sensations that appear real but are created by your mind): 282 reports
- Headache (pain in head): 1,770 reports
- Head injury: 503 reports
- Heart attack: 537 reports
- Heart palpitations (feelings or sensations that your heart is pounding or racing): 407 reports
- Hepatic encephalopathy (spectrum of neuropsychiatric abnormalities in patients with liver failure): 130 reports
- Hepatic failure (liver failure): 390 reports
- Hepatic steatosis (fatty liver disease): 164 reports
- Herpes zoster: 196 reports
- Hiatal hernia (hernia resulting from the protrusion of part of the stomach through the diaphragm): 222 reports
- Hiccups (an involuntary spasm of the diaphragm and respiratory organs, with a sudden closure of the glottis and a sound like a cough): 122 reports
- High blood cholesterol: 283 reports
- High blood pressure: 1,419 reports
- Hoarseness or changing voice: 225 reports
- Hot flush (sudden feelings of heat): 169 reports
- Hyperglycemia (high blood sugar): 257 reports
- Hyperhidrosis (abnormally increased sweating): 583 reports
- Hyperkalemia (damage to or disease of the kidney): 503 reports
- Hyperlipidaemia (presence of excess lipids in the blood): 205 reports
- Hypersensitivity: 490 reports
- Hyperthyroidism (over activity of the thyroid gland): 114 reports
- Hypoaesthesia (reduced sense of touch or sensation): 583 reports
- Hypocalcaemia (levels of calcium in blood serum are abnormally low): 230 reports
- Hypoglycemia (low blood sugar): 314 reports
- Hypokalemia (low potassium): 835 reports
- Hyponatremia (abnormally low level of sodium in the blood; associated with dehydration): 818 reports
- Hypotension (abnormally low blood pressure): 1,705 reports
- Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development): 219 reports
- Idiopathic pulmonary fibrosis (chronic lung disease): 122 reports
- Impaired healing: 200 reports
- Indigestion: 500 reports
- Infection: 696 reports
- Inflammation: 236 reports
- Injury: 1,364 reports
- Insomnia (sleeplessness): 848 reports
- International normalised ratio increased: 184 reports
- Interstitial nephritis (inflammation of the kidney): 194 reports
- Intervertebral disc protrusion (spinal disc protrusion): 235 reports
- Intestinal obstruction: 409 reports
- Irritability: 133 reports
- Irritable bowel syndrome: 105 reports
- Itching: 872 reports
- Jaundice - yellow skin (a yellowish pigmentation of the skin): 235 reports
- Joint pain: 1,072 reports
- Joint swelling: 233 reports
- Kidney stones: 176 reports
- Lacrimation increased: 231 reports
- Left ventricular dysfunction: 170 reports
- Left ventricular hypertrophy (the thickening of the myocardium (muscle) of the left ventricle of the heart): 104 reports
- Loss of consciousness: 630 reports
- Lower respiratory tract infection: 467 reports
- Low tissue oxygen: 298 reports
- Lung infection: 221 reports
- Lymph follicular hypertrophy (an increase in the size of the lymph node follicles): 198 reports
- Malaise (a feeling of general discomfort or uneasiness): 1,371 reports
- Malignant neoplasm progression (cancer tumour came back): 660 reports
- Melaena (the passage of black, tarry stools): 139 reports
- Memory loss: 601 reports
- Mental disorder (a psychological term for a mental or behavioural pattern or anomaly that causes distress or disability): 1,185 reports
- Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation): 237 reports
- Migraine (headache): 329 reports
- Mood swings (an extreme or rapid change in mood): 110 reports
- Mouth ulcers: 322 reports
- Movement disorder (neurological syndromes where they may be excess of movement or a paucity of movement that is not connected to weakness): 3,154 reports
- Movement - uncontrolled or slow: 8,675 reports
- Movement - uncoordinated: 166 reports
- Movement - unpredictable or jerky: 238 reports
- Multi-organ failure (multisystem organ failure): 338 reports
- Muscle aches (muscle pain): 445 reports
- Muscle rigidity (muscle stiffness): 117 reports
- Muscle spasms (muscle contraction): 628 reports
- Muscle twitching: 211 reports
- Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves): 332 reports
- Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels): 108 reports
- Nasopharyngitis (inflammation of the nasopharynx): 331 reports
- Nausea (feeling of having an urge to vomit): 4,878 reports
- Nausea and vomiting: 3,874 reports
- Neck pain: 313 reports
- Nervousness: 144 reports
- Nervous system disorder (a general class of medical conditions affecting the nervous system): 7,523 reports
- Neuralgia (pain in one or more nerves): 130 reports
- Neuropathy peripheral (surface nerve damage): 1,014 reports
- Neutropenic sepsis (whole body infection is caused by a condition in which the number of white blood cells (called neutrophils) in the blood is low. neutrophils help the body to fight infection): 416 reports
- Night sweats (sweating in night): 171 reports
- Nosebleed (bleeding from nose): 406 reports
- Oedema peripheral (superficial swelling): 877 reports
- Oesophagitis (inflammation of oesophagus): 244 reports
- Oropharyngeal pain: 353 reports
- Orthostatic hypotension (a medical condition consisting of a sudden decrease in blood pressure when a person stands up): 142 reports
- Osteoarthritis (a joint disease caused by cartilage loss in a joint): 371 reports
- Osteomyelitis (infection of bone): 236 reports
- Osteonecrosis of jaw (death of bone of jaw): 336 reports
- Osteopenia (a condition where bone mineral density is lower than normal): 200 reports
- Osteoporosis (bones weak and more likely to break): 299 reports
- Overdose: 557 reports
- Oxygen saturation decreased: 353 reports
- Pain: 5,359 reports
- Pain in extremity: 1,014 reports
- Pain in jaw: 330 reports
- Paleness (unusual lightness of skin colour): 160 reports
- Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets): 544 reports
- Panic disorder: 152 reports
- Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect): 625 reports
- Parkinson's disease: 1,069 reports
- Paroxysmal supraventricular tachycardia: 110 reports
- Pathological fracture (broken bone caused by disease): 125 reports
- Pleural effusion (water on the lungs): 815 reports
- Pneumonia: 2,223 reports
- Pollakiuria (abnormally frequent passage of relatively small quantities or urine): 140 reports
- Protein - urine: 106 reports
- Pulmonary embolism (blockage of the main artery of the lung): 844 reports
- Quality of life decreased: 2,133 reports
- Rashes (redness): 1,770 reports
- Renal disorder (kidney disease): 141 reports
- Renal failure acute (rapid kidney dysfunction): 856 reports
- Renal failure chronic (long lasting kidney dysfunction): 188 reports
- Renal impairment (severely reduced kidney function): 568 reports
- Renal tubular necrosis (death of kidney tubules): 137 reports
- Respiratory acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease): 688 reports
- Restless leg syndrome (a powerful urge to move your legs): 842 reports
- Rheumatoid arthritis (a chronic progressive disease causing inflammation in the joints): 176 reports
- Scar: 132 reports
- Sedation: 135 reports
- Seizures (abnormal excessive or synchronous neuronal activity in the brain): 335 reports
- Sepsis (a severe blood infection that can lead to organ failure and death): 1,229 reports
- Septic shock (shock due to blood infection): 473 reports
- Serotonin syndrome (occurs when two drugs that affect the body's level of serotonin are taken together at the same time): 421 reports
- Shock (a life-threatening condition with symptoms like low blood pressure, weakness, shallow breathing, cold, clammy skin): 133 reports
- Sinus bradycardia (an unusually slow heartbeat due to heart disease): 111 reports
- Sinusitis (inflammation of sinus): 388 reports
- Skin discoloration - bluish (bluish colour of skin): 116 reports
- Skin ulcer: 126 reports
- Sleep apnea syndrome: 195 reports
- Small intestinal obstruction (blockage in small intestine): 166 reports
- Speech disorder: 334 reports
- Speech impairment (adult) (inability to speak (adult)): 500 reports
- Spinal osteoarthritis (joint cartilage loss in spine): 314 reports
- Stable angina (a constant chest pain): 159 reports
- Staphylococcal infection (an infection with staphylococcus bacteria): 274 reports
- Staphylococcal sepsis (blood infection by an infection with staphylococcus bacteria): 113 reports
- Stomatitis (inflammation of mucous membrane of mouth): 363 reports
- Stress and anxiety: 4,017 reports
- Stroke (sudden death of a portion of the brain cells due to a lack of oxygen): 445 reports
- Suicidal ideation: 617 reports
- Suicide attempt: 132 reports
- Surgery: 121 reports
- Swallowing difficulty: 735 reports
- Swelling: 275 reports
- Swelling face: 263 reports
- Swollen tongue (swelling of tongue): 169 reports
- Tachypnea: 151 reports
- Tardive dyskinesia (a disorder that involves involuntary movements): 17,542 reports
- Taste - impaired: 231 reports
- The flu (the flu is caused by an influenza virus): 233 reports
- Therapeutic agent toxicity (poisoning by ability to cure substance): 110 reports
- Thrombocytopenia (decrease of platelets in blood): 1,810 reports
- Thrombosis (formation of a blood clot inside a blood vessel): 231 reports
- Tinnitus (a ringing in the ears): 172 reports
- Tongue disorder (disease of tongue): 107 reports
- Tooth abscess (pus formation in tooth): 205 reports
- Toothaches (tooth pain): 156 reports
- Tooth extraction: 150 reports
- Tremor (trembling or shaking movements in one or more parts of your body): 2,630 reports
- Tricuspid valve incompetence (inefficient heart valve): 131 reports
- Trismus (reduced opening of the jaws): 113 reports
- Tumor: 134 reports
- Type 2 diabetes: 170 reports
- Upper gastrointestinal haemorrhage (upper gastrointestinal bleeding): 121 reports
- Upper respiratory tract infection: 304 reports
- Urinary incontinence (inability to control the flow of urine and involuntary urination): 235 reports
- Urinary retention (the inability to completely or partially empty the bladder): 289 reports
- Urinary tract infection: 1,137 reports
- Urination - painful: 251 reports
- Ventricular tachycardia (rapid heartbeat that originates in one of the lower chambers (the ventricles) of the heart): 153 reports
- Vision blurred: 351 reports
- Weakness: 2,699 reports
- Weight decreased: 1,588 reports
- Weight loss: 161 reports
- Wheezing (a high-pitched whistling sound made while you breath): 202 reports
- White blood cell count decreased: 539 reports
Browse all side effects of Clopra:
a b c d e f g h i j k l m n o p q r s t u v w x y zOtotoxicity treatments and more:
- Ototoxicity (1,631 reports)
COVID vaccines that are related to Ototoxicity:
- Ototoxicity in Moderna COVID Vaccine
- Ototoxicity in Pfizer BioNTech Covid Vaccine
- Ototoxicity in Johnson and Johnson Covid Vaccine
Common drugs associated with Ototoxicity:
- Carboplatin: 234 reports
- Cisplatin: 258 reports
- Etoposide: 170 reports
- Gentamicin: 147 reports
All the drugs that are associated with Ototoxicity:
- Ototoxicity (599 drugs)
All the conditions that are associated with Ototoxicity:
- Ototoxicity (337 conditions)
How the study uses the data?
The study uses data from the FDA. It is based on metoclopramide hydrochloride (the active ingredients of Clopra) and Clopra (the brand name). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
Who is eHealthMe?
With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
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