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  <title>Fluticasone Propionate Nasal Spray, USP 50 mcg per spray
 <br/>
    <br/>
Drug Facts
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            <paragraph>Fluticasone propionate (glucocorticold) 50 mcg</paragraph>
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            <paragraph>Temporarily relieves these symptoms of hay fever or other upper respiratory allergies:</paragraph>
            <list listType="unordered">
              <item>nasal congestion</item>
              <item>itchy, watery eyes</item>
              <item>itchy nose</item>
              <item>runny nose</item>
              <item>sneezing</item>
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            <paragraph>Only for use in the nose. Do not spray into your eyes or mouth.</paragraph>
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            <paragraph>
              <content styleCode="bold">Do not use</content>
            </paragraph>
            <list listType="unordered">
              <item>in children under 4 years of age</item>
              <item>to treat asthma</item>
              <item>if you have an injury or surgery to your nose that is not fully healed</item>
              <item>if you have ever had an allergic reaction to this product or any of the ingredients</item>
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          <text>
            <paragraph>
              <content styleCode="bold">Ask a doctor before use if you</content>have or had glaucoma or cataracts

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Ask a doctor or pharmacist before use if you are taking</content>
            </paragraph>
            <list listType="unordered">
              <item>medicine for HIV infection (such as ritonavir)</item>
              <item>a steroid medicine for asthma, allergies or skin rash</item>
              <item>ketoconazole pills (medicine for fungal infection)</item>
            </list>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">When using this product</content>
            </paragraph>
            <list listType="unordered">
              <item>the growth rate of some children may be slower</item>
              <item>stinging or sneezing may occur for a few seconds right after use</item>
              <item>do not share this bottle with anyone else as this may spread germs</item>
              <item>remember to tell your doctor about all the medicines you take, including this one</item>
            </list>
            <paragraph>
              <content styleCode="bold"/>
            </paragraph>
            <paragraph>
              <content styleCode="bold"/>
            </paragraph>
            <paragraph>
              <content styleCode="bold">Stop use and ask a doctor if</content>
            </paragraph>
            <list listType="unordered">
              <item>you have, or come into contact with someone who has, chicken pox, measles or tuberculosis</item>
              <item>your symptoms do not get better within 7 days of starting use or you get new symptoms such as severe facial pain or thick nasal discharge. You may have something more than allergies, such as an infection.</item>
              <item>you get a constant whistling sound from your nose. This may be a sign of damage inside your nose.</item>
              <item>you get an allergic reaction to this product. Seek medical help right away.</item>
              <item>you get new changes to your vision that develop after starting this product</item>
              <item>you have severe or frequent nosebleeds</item>
            </list>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">If pregnant or breast –feeding,</content>ask a health professional before use.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Keep out of reach of children.</content>
              <br/>  In case of overdose, get medical help or contact a Poison Control Center right away.

 </paragraph>
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                <content styleCode="italics">Directions</content>
              </content>
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            <list listType="unordered">
              <item>read the Quick Start Guide for how to:
  
   <list listType="unordered" styleCode="Disc">
                  <item>prime the bottle</item>
                  <item>use the spray</item>
                  <item>clean the spray nozzle</item>
                </list>
              </item>
              <item>shake gently before each use</item>
              <item>use this product only once a day</item>
              <item>do not use more than directed</item>
            </list>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">ADULTS AND CHILDREN 12 YEARS OF AGE AND OLDER</content>
            </paragraph>
            <list listType="unordered">
              <item>Week 1- use 2 sprays in each nostril once daily</item>
              <item>Week 2 through 6 months- use 1 or 2 sprays in each nostril once daily, as needed to treat your symptoms</item>
              <item>After 6 months of daily use – ask your doctor if you can keep using</item>
            </list>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">CHILDREN 4 TO 11 YEARS OF AGE</content>
            </paragraph>
            <list listType="unordered">
              <item>the growth rate of some children may be slower while using this product.
  
   <content styleCode="bold">Children should use for the shortest amount of time necessary to achieve symptom relief. Talk to your child’s doctor if your child needs to use the spray for longer than two months a year.</content>
              </item>
              <item>an adult should supervise use</item>
              <item>use 1 spray in each nostril once daily</item>
            </list>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">CHILDREN UNDER 4 YEARS OF AGE</content>
            </paragraph>
            <list listType="unordered">
              <item>
                <content styleCode="bold">do not use</content>
              </item>
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              <item>you may start to feel relief the first day and full effect after several days of regular, once-a-day use</item>
              <item>store between 4° and 30°C (39° and 86°F)</item>
              <item>keep this label and enclosed materials. They contain important additional information.</item>
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              <content styleCode="bold">
                <content styleCode="italics">Inactive ingredients</content>
              </content>
            </paragraph>
            <paragraph>benzalkonium chloride, dextrose, microcrystalline cellulose, phenylethyl alcohol, polysorbate 80, purified water, sodium carboxymethylcellulose</paragraph>
            <paragraph/>
            <paragraph/>
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          <title/>
          <text>
            <paragraph>
              <content styleCode="bold">
                <content styleCode="italics">Questions or comments?</content>
              </content>
            </paragraph>
            <paragraph>call toll-free 866-488-0312</paragraph>
            <br/>
            <paragraph>Distributed by: 
  <br/>
              <content styleCode="bold">Advagen Pharma Ltd.,</content>
              <br/>  East Windsor, NJ 08520 
  <br/>  Made in Italy

 </paragraph>
            <paragraph>Rev. 02, 01/2025</paragraph>
            <paragraph/>
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                <tr>
                  <td align="center">
                    <paragraph>
                      <content styleCode="bold">FLUTICASONE PROPIONATE NASAL SPRAY, USP</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td align="center">
                    <paragraph>
                      <content styleCode="bold">QUESTIONS &amp; ANSWERS</content>
                    </paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph/>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">
                <content styleCode="underline">WHAT FLUTICASONE PROPIONATE NASAL SPRAY
   
    <content styleCode="bold">, USP</content>IS, HOW TO USE IT, AND WHAT TO EXPECT
  
   </content>
              </content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">UNDERSTANDING FLUTICASONE PROPIONATE NASAL SPRAY, USP</content>
            </paragraph>
            <paragraph/>
            <paragraph>What Fluticasone Propionate Nasal Spray, USP is, and how it works.</paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What is Fluticasone Propionate Nasal Spray, USP?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">Fluticasone Propionate Nasal Spray, USP is an effective allergy medicine</content>that you can buy without a prescription. It works directly in the nose to help block your allergic reactions. Fluticasone Propionate Nasal Spray, USP relieves allergy symptoms caused by pollen, mold, dust and pets.

 </paragraph>
            <paragraph/>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What is the active ingredient in Fluticasone Propionate Nasal Spray, USP?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">The active ingredient in Fluticasone Propionate Nasal Spray, USP is called fluticasone propionate.</content>
            </paragraph>
            <paragraph/>
            <paragraph>Fluticasone propionate is a glucocorticoid – a substance produced naturally by your body to help fight inflammation. It works in your nose to relieve your allergy symptoms. Barely any of it travels through your body. It’s been prescribed by doctors for over 20 years, and used effectively by millions.</paragraph>
            <paragraph/>
            <paragraph>A glucocorticoid is a kind of steroid that is different from the anabolic (muscle-building) steroids sometimes misused by athletes. In fact, world class athletes are allowed to use glucocorticoids during competition to treat their allergies.</paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Who should not use Fluticasone Propionate Nasal Spray, USP?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">For complete guidance, check the
  
   <content styleCode="italics">Drug Facts</content>
              </content>label on the back of the Fluticasone Propionate Nasal Spray, USP package.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Can I use Fluticasone Propionate Nasal Spray, USP for asthma?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">No, Fluticasone Propionate Nasal Spray, USP is not a treatment for asthma.</content>Ask your doctor what medicine to take for your asthma.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Can I use Fluticasone Propionate Nasal Spray, USP for colds?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">No, use Fluticasone Propionate Nasal Spray, USP to treat only your allergies –</content>not your cold symptoms. If you’re not sure whether your symptoms come from allergies or a cold, ask your doctor.

 </paragraph>
            <paragraph/>
            <paragraph/>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What happens when you have allergies?</content>
              <br/>
              <content styleCode="bold">Allergies start when</content>allergens like pollen or pet dander enter your body and trigger your immune system to respond.
 
  <content styleCode="bold">Your body’s natural response</content>is to release multiple inflammatory substances, (also referred to as mediators) that cause your allergy symptoms.

 </paragraph>
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            <paragraph>
              <content styleCode="bold">How does Fluticasone Propionate Nasal Spray, USP work?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">Fluticasone Propionate Nasal Spray, USP works right in your nose</content>to help block your allergic reaction at the source to relieve the symptoms that make you uncomfortable.

 </paragraph>
            <paragraph/>
            <paragraph>Fluticasone Propionate Nasal Spray, USP acts on multiple inflammatory substances, including histamine, prostaglandins, cytokines, tryptases, chemokines and leukotrienes.</paragraph>
            <paragraph>Most common OTC allergy pills act on histamine alone.</paragraph>
            <paragraph>
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            </paragraph>
            <paragraph>Because of the way it works, it may take several days for Fluticasone Propionate Nasal Spray, USP to reach maximum effect. That’s why it’s best to use Fluticasone Propionate Nasal Spray, USP regularly, once a day. Fluticasone Propionate Nasal Spray, USP not only relieves sneezing, itchy nose, runny nose and itchy, watery eyes, but also relieves nasal congestion.</paragraph>
            <paragraph>
              <content styleCode="bold">What problems can Fluticasone Propionate Nasal Spray, USP help with?</content>
            </paragraph>
            <paragraph>Allergies can cause uncomfortable symptoms like congestion and itchy eyes. These symptoms can be triggered by allergens like pollen, mold, dust or pet dander.
 
  <content styleCode="bold">Fluticasone Propionate Nasal Spray, USP helps relieve a broad range of symptoms</content>from many allergens. For example, Fluticasone Propionate Nasal Spray, USP helps with:

 </paragraph>
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            <paragraph>
              <content styleCode="bold">Who should not use Fluticasone Propionate Nasal Spray, USP or check with a doctor first?</content>
            </paragraph>
            <paragraph>Some people should not use Fluticasone Propionate Nasal Spray, USP or need to check with a health professional first. This table offers a quick summary of these situations.</paragraph>
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              <thead>
                <tr>
                  <td styleCode="Botrule Lrule Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">If you…</content>
                    </paragraph>
                  </td>
                  <td align="justify" styleCode="Botrule  Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">Here’s what to do…</content>
                    </paragraph>
                  </td>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Are younger than 4</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Do not use Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Are pregnant or breast-feeding</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to a health professional before</paragraph>
                    <paragraph>using Fluticasone Propionate Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Have or had glaucoma or cataracts</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor before using Fluticasone Propionate Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Have an injury or surgery to your</content>
                      <content styleCode="bold">nose</content>that is not fully healed
    
     </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Do not use Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Have ever had an allergic reaction</content>to Fluticasone Propionate Nasal
    
     </paragraph>
                    <paragraph>Spray, USP or any of its ingredients</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Do not use Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Are taking a medicine for HIV infection (such as ritonavir)</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Are taking ketoconazole pills</content>(medicine for fungal infection)
    
     </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Are using a steroid medicine for asthma, allergies, skin rash, allergic reactions, inflammation or eye conditions</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate Nasal Spray, USP</paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">USING FLUTICASONE PROPIONATE NASAL SPRAY, USP</content>
            </paragraph>
            <paragraph>How to get the best results with Fluticasone Propionate Nasal Spray, USP.</paragraph>
            <paragraph>
              <content styleCode="bold">Read the Drug Facts label on the back of the package or the Quick Start Guide on the other side </content>for simple directions on using Fluticasone Propionate Nasal Spray, USP.

 </paragraph>
            <paragraph>Watch for purple color - it shows where there is different information for children ages 4-11, compared to users age 12 or older.</paragraph>
            <paragraph>
              <content styleCode="bold">If you still have questions </content>about using Fluticasone Propionate Nasal Spray, USP after reading the Quick Start Guide, read this section for answers.

 </paragraph>
            <paragraph>
              <content styleCode="bold">I know how to use a nasal spray. Why do I have to follow the directions?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">If you don’t use the spray bottle correctly, you might not get a full dose.</content>Without a full dose each time, you might not get the relief you deserve.

 </paragraph>
            <paragraph>
              <content styleCode="bold">Follow the simple directions in the Quick Start Guide</content>on other side

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">If my symptoms go away, should I stop using Fluticasone Propionate Nasal Spray, USP?</content>
            </paragraph>
            <paragraph>You may be tempted to stop using Fluticasone Propionate Nasal Spray, USP when you start to feel better.
 
  <content styleCode="bold">It’s important you keep using Fluticasone Propionate Nasal Spray, USP daily as long as you’re exposed to allergens</content>that bother you, like pollen, mold, dust or pet dander. This way you’ll keep feeling relief.

 </paragraph>
            <paragraph>If you suffer allergy symptoms only during certain times, like when pollen levels are high, you may stop using Fluticasone Propionate Nasal Spray, USP when that time ends. If you are age 12 or older and need to use daily for longer than 6 months or age 4-11 and need to use for longer than 2 months a year, check with your doctor.</paragraph>
            <paragraph/>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if I miss a dose by accident?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">If you miss a dose, just use your regular dose the next day.</content>Don’t add an extra dose to make up for it.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Can I keep using Fluticasone Propionate Nasal Spray, USP year round ?</content>
            </paragraph>
            <paragraph>Some people suffer from allergies all year. If you are age 12 or older and have used Fluticasone Propionate Nasal Spray, USP steadily for six months or age 4-11 and have used for two months a year, check with your doctor to make sure it’s OK to keep using Fluticasone Propionate Nasal Spray, USP daily.</paragraph>
            <paragraph>In fact, it’s a good idea for anyone with persistent allergies to talk with a doctor every so often about symptoms and medicines.</paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Can I share my Fluticasone Propionate Nasal Spray, USP?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">Do not share a bottle of Fluticasone Propionate Nasal Spray, USP.</content>
            </paragraph>
            <paragraph>Sharing the bottle can spread germs, because you insert the nozzle in your nose.</paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Can I spray Fluticasone Propionate Nasal Spray, USP in my eyes or mouth?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">No, Fluticasone Propionate Nasal Spray, USP is meant to work only in your nose</content>to relieve your allergy symptoms, including itchy, watery eyes.

 </paragraph>
            <paragraph>
              <content styleCode="bold">Never spray Fluticasone Propionate Nasal Spray, USP in your eyes or your mouth.</content>
            </paragraph>
            <paragraph>
              <renderMultiMedia referencedObject="L136140c9-945c-47ef-a060-70e890955846"/>
            </paragraph>
            <paragraph>
              <content styleCode="bold">Some decongestants may increase blood pressure. Does Fluticasone Propionate Nasal Spray, USP increase blood pressure?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">When used as directed, Fluticasone Propionate Nasal Spray, USP does not increase blood pressure.</content>
            </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Won’t I waste product by priming?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">It’s not a waste to prime the pump, because it helps you get a full dose.</content>Getting a full dose is important for getting the relief you deserve. See the Quick Start Guide for when and how to prime the pump.
 
  <content styleCode="bold">Don’t worry about running out due to priming.</content>There is enough medicine in the spray bottle to allow for priming sprays plus the number of sprays labeled on the bottle.
 
  <content styleCode="bold">Always point the spray bottle away from your face</content>when priming.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">How long should a bottle of Fluticasone Propionate Nasal Spray, USP last?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">This table shows roughly how long your bottle will last.</content>It assumes you follow the instructions for priming the pump, and that those age 12 or older use two sprays in each nostril every day while children age 4-11 use one spray in each nostril every day.

 </paragraph>
            <paragraph>After you’ve used the number of sprays shown on the label, each spray may not deliver a full dose — even if there is liquid left in the bottle.</paragraph>
            <table cellspacing="0" styleCode="Noautorules" width="40%">
              <tbody>
                <tr>
                  <td styleCode="Botrule Lrule Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">If the label says…</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">The bottle should</content>
                    </paragraph>
                    <paragraph>
                      <content styleCode="bold">last age 12+…</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">The bottle should</content>
                    </paragraph>
                    <paragraph>
                      <content styleCode="bold">last age 4-11…</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule">
                    <paragraph>
                      <content styleCode="bold">120 sprays</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>4 weeks</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>8 weeks</paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph>
              <content styleCode="bold">Is Fluticasone Propionate Nasal Spray, USP OK to use with other medicines?</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">You should tell your doctor about all the medicines you take, including Fluticasone Propionate Nasal Spray, USP. Fluticasone Propionate Nasal Spray, USP can be used with most non-prescription and prescription medicines.</content>However, there are a few medicines to look out for because they may cause the level of Fluticasone Propionate Nasal Spray, USP in your body to become too high.
 
  <content styleCode="bold">Just to be safe, check the table on next plane</content>to see if you’re taking any of these medicines.

 </paragraph>
            <table cellspacing="0" styleCode="Noautorules" width="40%">
              <col width="50%"/>
              <col width="50%"/>
              <thead>
                <tr>
                  <td styleCode="Botrule Lrule Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">If you’re taking…</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">Here’s what to do…</content>
                    </paragraph>
                  </td>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Medicines for HIV infection (such as ritonavir)</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Medicines with glucocorticoids</content>
                    </paragraph>
                    <paragraph>including some medicines for skin</paragraph>
                    <paragraph>rash such as eczema, asthma,</paragraph>
                    <paragraph>inflammation, allergic reactions or</paragraph>
                    <paragraph>eye conditions</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Ketoconazole</content>
                    </paragraph>
                    <paragraph>Pills for fungal infection</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist</paragraph>
                    <paragraph>before using Fluticasone Propionate</paragraph>
                    <paragraph>Nasal Spray, USP</paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph>
              <content styleCode="bold">What are the differences in the way children age 4-11 should use Fluticasone Propionate Nasal Spray, USP?</content>
              <br/>  Children age 4-11 should use a
 
  <content styleCode="bold">lower dose</content>of Fluticasone Propionate Nasal Spray, USP for a
 
  <content styleCode="bold">shorter period of time.</content>
            </paragraph>
            <table cellspacing="0" styleCode="Noautorules" width="40%">
              <tbody>
                <tr>
                  <td styleCode="Botrule Lrule Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Ages</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Children 4-11 years</content>
                    </paragraph>
                    <paragraph>
                      <content styleCode="bold">of age</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Users 12 years of age and older</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Dosage</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>1 spray in each nostril once daily</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>Up to 2 sprays in each nostril once daily</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule">
                    <paragraph>
                      <content styleCode="bold">Duration before checking with a doctor</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>Up to 2 months of use a year</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule">
                    <paragraph>Up to 6 months of daily use</paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph>
              <content styleCode="bold">Why is the use of Fluticasone Propionate Nasal Spray, USP for children age 4-11 limited to 2 months a year before checking with a doctor?</content>
              <br/>  When used long-term, intranasal glucocorticoids like Fluticasone Propionate Nasal Spray, USP may cause the growth rate of some children to be slower. Whether this will affect a child’s ultimate height is not known. As a precaution, children should use for the shortest amount of time necessary to achieve symptom relief. Talk to your child’s doctor if your child needs to use the spray for longer than 2 months a year.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">WHAT TO EXPECT</content>
              <br/>  What it’s like to use Fluticasone Propionate Nasal Spray, USP.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">How soon will I get relief? You may start to feel relief the first day you use Fluticasone Propionate Nasal Spray, USP.</content>Keep using it every day, though. It takes several days before Fluticasone Propionate Nasal Spray, USP builds up to full effectiveness.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">How long will the relief last?</content>
              <br/>
              <content styleCode="bold">Fluticasone Propionate Nasal Spray, USP is meant to control your symptoms every day, all day and all night.</content>To help you get this lasting relief, it’s important to use Fluticasone Propionate Nasal Spray, USP regularly, once a day.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Does Fluticasone Propionate Nasal Spray, USP cause a “rebound” effect?</content>
              <br/>
              <content styleCode="bold">No, Fluticasone Propionate Nasal Spray, USP does not cause a rebound effect.</content>
              <br/>  Some nasal decongestant sprays may cause your nasal passages to swell up even more when you use them too often or for longer than their label says you should (three days). This is sometimes called a “rebound effect.” Fluticasone Propionate Nasal Spray, USP is a different kind of medicine and does not cause any rebound effect. You can use Fluticasone Propionate Nasal Spray, USP for up to six months if you are age 12 or older or up to two months a year if you are age 4-11 before checking with a doctor.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Will Fluticasone Propionate Nasal Spray, USP make me drowsy? No, Fluticasone Propionate Nasal Spray, USP does not cause drowsiness.</content>Some allergy medications can cause drowsiness, but Fluticasone Propionate Nasal Spray, USP does not.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Why does Fluticasone Propionate Nasal Spray, USP have a smell?</content>
              <br/>
              <content styleCode="bold">The light floral scent you may notice</content>comes from one of the important ingredients in the Fluticasone Propionate Nasal Spray, USP formula. No fragrance is added to Fluticasone Propionate Nasal Spray, USP.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if little or nothing is spraying out?</content>
              <br/>
              <content styleCode="bold">Try priming the spray bottle.</content>It may take a few pumps to get the dispenser spraying again. If that doesn’t work, the spray nozzle may be clogged.

 </paragraph>
            <paragraph>You can clean it following the directions in the Quick Start Guide on the other side.</paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if I feel stinging in my nose, or I sneeze?</content>
              <br/>  Some people may feel a slight stinging, or may sneeze, after spraying Fluticasone Propionate Nasal Spray, USP in their nostrils.
 
  <content styleCode="bold">This feeling should go away</content>in a few seconds.

 </paragraph>
            <paragraph/>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if I feel or taste the medicine in my throat?</content>
              <br/>
              <content styleCode="bold">Generally, you can avoid this by taking a shallower breath</content>next time you spray Fluticasone Propionate Nasal Spray, USP into your nostrils. For example, take the kind of breath you would use to smell a flower.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if I have chicken pox, measles or tuberculosis or come into contact with someone who does? Stop using Fluticasone Propionate Nasal Spray, USP and ask your doctor.</content>
            </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if I’m having severe sinus pain?</content>
              <br/>  If you feel severe pain in your face, have thick nasal discharge, or think you may have a sinus infection,
 
  <content styleCode="bold">stop using Fluticasone Propionate Nasal Spray, USP and see your doctor.</content>Your doctor may want to consider if other medicines are needed.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">What if my symptoms aren’t better after one week?</content>
              <br/>  If you have used Fluticasone Propionate Nasal Spray, USP for a week and your allergy symptoms are not getting better,
 
  <content styleCode="bold">stop use and ask your doctor.</content>You may have an infection.

 </paragraph>
            <paragraph/>
            <paragraph>
              <content styleCode="bold">Does Fluticasone Propionate Nasal Spray, USP have side effects?</content>
              <br/>
              <content styleCode="bold">Serious side effects are rare</content>with Fluticasone Propionate Nasal Spray, USP because Fluticasone Propionate Nasal Spray, USP works in your nose, and barely any of it travels through your body. However, like all medicines, Fluticasone Propionate Nasal Spray, USP can cause side effects in some people.

 </paragraph>
            <paragraph>Here are some side effects that have been reported when using Fluticasone Propionate Nasal Spray, USP. If you have any concerns about side effects, talk with your doctor.</paragraph>
            <table cellspacing="0" styleCode="Noautorules" width="40%">
              <tbody>
                <tr>
                  <td styleCode="Botrule Lrule Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">Side effect</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">What could happen</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule Toprule">
                    <paragraph>
                      <content styleCode="bold">What to do</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Allergic reaction to</content>
                    </paragraph>
                    <paragraph>
                      <content styleCode="bold">the product</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Sudden swelling of face or tongue</item>
                      <item>A rash</item>
                      <item>Wheezing or feeling faint</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>If you feel any of these symptoms, stop using Fluticasone Propionate Nasal Spray, USP and see a doctor right away.</paragraph>
                  </td>
                </tr>
                <tr>
                  <td rowspan="2" styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Nose injury</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Severe or frequent nosebleeds</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Apply pressure to your nose. Stop using Fluticasone Propionate Nasal Spray, USP and see a doctor.</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Constant whistling sound that does not go away</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>This could be a sign of damage to your nose. Stop using Fluticasone Propionate Nasal Spray, USP and see a doctor right away.</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Eye Conditions</content>
                    </paragraph>
                    <paragraph>such as cataracts</paragraph>
                    <paragraph>or glaucoma</paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Cloudy vision</item>
                      <item>Reduced vision</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Have a yearly eye exam to check for these conditions. Read the
     
      <content styleCode="italics">Drug Facts</content>on the back of the Fluticasone Propionate Nasal Spray, USP package for more details.
    
     </paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Growth effects</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Slower growth rate in some children while using product</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor if you are concerned or if a child age 4-11 needs to use Fluticasone Propionate Nasal Spray, USP for longer than two months a year.</paragraph>
                  </td>
                </tr>
                <tr>
                  <td styleCode="Botrule Lrule Rrule" valign="top">
                    <paragraph>
                      <content styleCode="bold">Other side effects</content>
                    </paragraph>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <list listType="unordered">
                      <item>Headaches or sneezing</item>
                      <item>Bad taste or smell</item>
                      <item>Minor nosebleeds</item>
                      <item>Dry or irritated nose or throat</item>
                    </list>
                  </td>
                  <td styleCode="Botrule  Rrule" valign="top">
                    <paragraph>Talk to your doctor or pharmacist if you are concerned.</paragraph>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph>
              <content styleCode="bold">STILL HAVE QUESTIONS?</content>
            </paragraph>
            <paragraph>Call 866-488-0312</paragraph>
            <br/>
            <paragraph/>
            <paragraph>
              <renderMultiMedia referencedObject="IM53"/>
            </paragraph>
            <paragraph>Distributed by: 
  <br/>
              <content styleCode="bold">Advagen Pharma Ltd.,</content>
              <br/>  East Windsor, NJ 08520

 </paragraph>
            <paragraph>Made in Italy</paragraph>
            <paragraph>Rev 02, 01/2025</paragraph>
          </text>
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            <paragraph>
              <content styleCode="bold">FLUTICASONE PROPIONATE NASAL SPRAY, USP</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">QUICK START GUIDE</content>
            </paragraph>
            <table border="1" cellpadding="0" cellspacing="0" styleCode="Noautorules" width="75%">
              <tbody>
                <tr>
                  <td align="left" colspan="3" styleCode="botrule">
                    <paragraph>
                      <content styleCode="bold">HOW TO START GETTING ALLERGY RELIEF RIGHT NOW</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td align="left">
                    <paragraph>
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                  <td align="left">
                    <paragraph>
                      <content styleCode="bold">USE THE RIGHT DOSE</content>
                    </paragraph>
                    <paragraph>Fluticasone Propionate Nasal Spray, USP works best when you use it daily. Here’s how to get started.</paragraph>
                    <br/>
                  </td>
                  <td/>
                </tr>
                <tr>
                  <td align="center" colspan="3" styleCode="botrule">
                    <paragraph>
                      <content styleCode="bold">Children age 4-11</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td align="left">
                    <paragraph>
                      <content styleCode="bold">An adult should supervise use</content>
                      <br/>  Use one spray in each nostril
    
     </paragraph>
                    <paragraph>
                      <renderMultiMedia referencedObject="L4f8722d7-24a9-4c70-9218-1010d8163d60"/>
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                    <paragraph>Don’t use more than one spray in each nostril per day.</paragraph>
                  </td>
                  <td align="left">
                    <paragraph>
                      <content styleCode="bold">If you miss a dose,</content>just use your regular dose the next day. Don’t add an extra dose.
    
     </paragraph>
                    <paragraph>
                      <content styleCode="bold">Check with doctor</content>if a child needs to use Fluticasone Propionate Nasal Spray, USP for longer than two months a year.
    
     </paragraph>
                    <br/>
                  </td>
                  <td/>
                </tr>
                <tr>
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                    <paragraph>
                      <content styleCode="bold">Users age 12 or older</content>
                    </paragraph>
                  </td>
                </tr>
                <tr>
                  <td align="left">
                    <paragraph>
                      <content styleCode="bold">In your first week</content>
                    </paragraph>
                    <paragraph>Use two sprays in each nostril every day.</paragraph>
                    <paragraph>
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                    <paragraph>Don’t use more than two sprays in each nostril per day.</paragraph>
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                      <content styleCode="bold">After your first week</content>if your symptoms are under control, you may reduce to one spray in each nostril every day.
    
     </paragraph>
                    <br/>
                    <br/>
                    <paragraph>If your symptoms get worse, go back to two sprays in each nostril. 
      <br/>
                      <content styleCode="bold">If you miss a dose,</content>just use your regular dose the next day. Don’t add an extra dose.
    
     </paragraph>
                    <br/>
                    <br/>
                    <br/>
                    <br/>
                    <paragraph>
                      <content styleCode="bold">WARNING: Do not spray in your eyes. Only for use in your nose.</content>
                    </paragraph>
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                <tr>
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                    <paragraph>
                      <content styleCode="bold">KEEP IT CLEAN</content>
                    </paragraph>
                    <paragraph>A clean spray nozzle helps ensure a full dose. Clean it weekly, or if it’s clogged. Don’t try to unblock nozzle with pin or sharp object — that can damage it.</paragraph>
                  </td>
                  <td styleCode="Botrule Toprule"/>
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                <tr>
                  <td align="left">
                    <paragraph>
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                    <paragraph>Remove spray nozzle by grasping at base and pulling up.</paragraph>
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                    <paragraph>Aim away from your face and gently replace spray nozzle until you hear a soft click.</paragraph>
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                    <paragraph>Rinse under running tap, and dry at room temperature.</paragraph>
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                      <content styleCode="bold">If spray nozzle is clogged</content>, soak in warm water. Then repeat steps
     
      <content styleCode="bold">2</content>and
     
      <content styleCode="bold">3</content>.
    
     </paragraph>
                    <br/>
                  </td>
                </tr>
                <tr>
                  <td align="left" styleCode="Botrule">
                    <paragraph>
                      <content styleCode="bold">GET THE RELIEF YOU NEED.</content>
                    </paragraph>
                    <paragraph>
                      <content styleCode="bold">Fluticasone Propionate Nasal Spray, USP can relieve your allergy symptoms. For best results, it’s important to get a full dose. 
       <br/>  Here’s how, in five easy steps.
      </content>
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                    </paragraph>
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                    <paragraph>Gently shake the bottle.</paragraph>
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                    <paragraph>Remove clear cap</paragraph>
                    <br/>
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                      <content styleCode="bold">2. Prime</content>
                      <br/>
                      <content styleCode="bold">Do this when:</content>
                    </paragraph>
                    <list listType="unordered">
                      <item>Starting new bottle</item>
                      <item>Haven’t used it in a week</item>
                      <item>Just cleaned nozzle</item>
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                      <content styleCode="bold">Otherwise go to Step 3.</content>
                    </paragraph>
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                    <paragraph>Aim away from face.</paragraph>
                    <paragraph>Grasp spray bottle as shown. Pump until fine mist appears.</paragraph>
                    <paragraph>Pumped six times and still no mist? Spray nozzle may be clogged. See
     
      <content styleCode="bold">KEEP IT CLEAN</content>
                    </paragraph>
                    <br/>
                  </td>
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                      <content styleCode="bold">3. Blow</content>
                    </paragraph>
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                    <paragraph>Blow nose gently to clear nostrils.</paragraph>
                    <br/>
                    <paragraph>
                      <content styleCode="bold">4. Aim</content>
                    </paragraph>
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                    <paragraph>Close one nostril and put tip of spray nozzle in other nostril.</paragraph>
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                    <paragraph>Put just the tip into your nose.</paragraph>
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                    <paragraph>Aim slightly away from center of nose.</paragraph>
                    <br/>
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                  <td align="left">
                    <paragraph>
                      <content styleCode="bold">5. Breathe and Spray</content>
                    </paragraph>
                    <paragraph>While sniffing gently, press down on spray nozzle once or twice (according to dosing instructions). You’ll feel a light mist in your nose. Breathe out through your mouth.</paragraph>
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                      <content styleCode="bold">Repeat in other nostril</content>. Wipe spray nozzle with clean tissue and replace cap
    
     </paragraph>
                    <br/>
                  </td>
                </tr>
              </tbody>
            </table>
            <paragraph>Distributed by: 
  <br/>
              <content styleCode="bold">Advagen Pharma Ltd.,</content>
              <br/>  East Windsor, NJ 08520

 </paragraph>
            <paragraph>Made in Italy</paragraph>
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