DICLOSTIM 0.74 mg/ml Solution

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Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Diclostim

Contents of the leaflet

  1. Leaflet attached to the packaging: patient information
    1. Read the leaflet carefully before using the medicine, as it contains important information for the patient.
    2. Table of contents of the leaflet
  2. What is Diclostim and what is it used for
  3. Important information before using Diclostim
    1. When not to use Diclostim:
    2. Warnings and precautions
    3. Special precautions for certain patient groups using Diclostim
    4. Using Diclostim in patients with kidney and liver function disorders
    5. Using Diclostim in patients with hereditary fructose intolerance
    6. Using Diclostim in elderly patients
    7. Children and adolescents
    8. Diclostim and other medicines
    9. Pregnancy, breastfeeding, and fertility
    10. Driving and using machines
    11. Sodium
    12. Potassium
    13. Etanol
    14. Sodium benzoate (E 211)
    15. Cochineal red (E 124)
    16. Propylene glycol (E 1520)
    17. Sorbitol (E 420)
  4. How to use Diclostim
    1. Children under 14 years of age
    2. Adults and children over 14 years of age
    3. Using a higher dose of Diclostim than recommended
    4. Missing a dose of Diclostim
  5. Possible side effects
  6. How to store Diclostim
  7. Package contents and other information
    1. What Diclostim contains
    2. What Diclostim looks like and what the package contains
    3. Marketing authorization holder
    4. Manufacturer
    5. Date of last revision of the leaflet:

Leaflet attached to the packaging: patient information

Diclostim, 0.74 mg/mL (0.074%), mouthwash/throat rinse solution
Diclofenac

Read the leaflet carefully before using the medicine, as it contains important information for the patient.

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in this leaflet, they should inform their doctor or pharmacist. See section 4.
  • If after 7 days there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is Diclostim and what is it used for
  • 2. Important information before using Diclostim
  • 3. How to use Diclostim
  • 4. Possible side effects
  • 5. How to store Diclostim
  • 6. Package contents and other information

1. What is Diclostim and what is it used for

Diclostim contains the active substance diclofenac, which is a non-steroidal anti-inflammatory drug (NSAID).
When used topically in inflammatory conditions of the oral mucosa and throat, diclofenac has analgesic and anti-inflammatory effects.
Diclostim is used for the symptomatic treatment of inflammatory conditions of the oral mucosa and throat (e.g. symptoms of gingivitis, oral thrush, pharyngitis, post-dental procedures, symptoms of mechanical irritation).
If after 7 days there is no improvement or the patient feels worse, they should consult their doctor.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Important information before using Diclostim

When not to use Diclostim:

  • if the patient is allergic to diclofenac or any of the other ingredients of this medicine (listed in section 6).
  • if the patient has a hypersensitivity (allergy) to acetylsalicylic acid or other non-steroidal anti-inflammatory drugs (e.g. after administration of ibuprofen, ketoprofen, acetylsalicylic acid, an asthma attack, hives, or allergic rhinitis occurred).
  • in children under 14 years of age.
  • during the last three months of pregnancy.

Warnings and precautions

Before starting to use Diclostim, the patient should discuss it with their doctor or pharmacist.

  • During topical use of the medicine, especially long-term, hypersensitivity (allergy) may develop. In such a case, the use of the medicine should be discontinued and the patient should contact their doctor, who will prescribe appropriate treatment if necessary.
  • The patient should avoid contact between Diclostim and their eyes.

The patient should consult their doctor or pharmacist, even if the above warnings concern situations that occurred in the past.

Special precautions for certain patient groups using Diclostim

Using Diclostim in patients with kidney and liver function disorders

There are no special dosage recommendations for patients with kidney and liver function disorders. Theoretically, there is a possibility of accumulation of the medicine and its metabolites in the case of severe kidney failure, but its clinical significance is unknown.

Using Diclostim in patients with hereditary fructose intolerance

Due to the risk of swallowing, patients with hereditary fructose intolerance should not take this medicine.

Using Diclostim in elderly patients

No dosage adjustment is necessary.

Children and adolescents

Diclostim should not be used in children under 14 years of age.

Diclostim and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
There are no known interactions between this medicine and other medicines for topical use in the mouth.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine.
Diclostim should not be used during the last three months of pregnancy. During the first six months of pregnancy, Diclostim should not be used unless it is necessary and recommended by a doctor.
If use is necessary, the smallest possible dose should be given for the shortest possible time.
After oral administration of diclofenac-containing medicines (e.g. tablets), side effects may occur in the unborn child. It is not known whether the same risk applies to Diclostim when used in the mouth.
Diclostim should not be used in breastfeeding women.

Driving and using machines

Diclostim has no effect on the ability to drive vehicles or operate machines.
Diclostim contains sodium, potassium, ethanol, sodium benzoate (E 211), cochineal red (E 124),
propylene glycol (E 1520), and sorbitol (E 420)

Sodium

The medicine contains 58 mg of sodium per single dose (15 mL), which corresponds to 2.9% of the WHO-recommended maximum daily sodium intake of 2 g for adults.

Potassium

The medicine contains less than 3 mg of potassium per dose, which means it is considered "potassium-free".

Etanol

Diclostim contains 0.56 mg of alcohol (ethanol) per milliliter, which is equivalent to 0.58 mg/mL. The amount of alcohol in 15 mL of this medicine is equivalent to less than 1 mL of beer or 1 mL of wine. The small amount of alcohol in this medicine will not have noticeable effects.

Sodium benzoate (E 211)

Diclostim contains 312 mg of sodium benzoate in each single dose (15 mL), which may cause local irritation.

Cochineal red (E 124)

Diclostim contains cochineal red, which may cause allergic reactions.

Propylene glycol (E 1520)

Diclostim contains 75 mg of propylene glycol (E 1520) in each single dose (15 mL).

Sorbitol (E 420)

Diclostim contains 375 mg of sorbitol in each single dose (15 mL). Sorbitol is a source of fructose. If the patient has previously been diagnosed with intolerance to some sugars or has a rare genetic disorder, hereditary fructose intolerance, they should consult their doctor before taking the medicine or giving it to their child.

3. How to use Diclostim

This medicine should always be used exactly as described in the patient leaflet or as directed by a doctor or pharmacist. If in doubt, the patient should consult their doctor or pharmacist.
Recommended dose

Children under 14 years of age

Diclostim should not be used in children under 14 years of age.

Adults and children over 14 years of age

It is recommended to use the mouthwash/throat rinse solution 2 to 3 times a day. Each time, 15 mL of the solution (1 measuring cup) should be used undiluted or diluted with a small amount of water and the mouth should be rinsed for about 30-60 seconds.
After use, the solution should be spat out.
If symptoms worsen or do not improve after 7 days of using Diclostim, the patient should contact their doctor.
If the patient feels that the effect of the medicine is too strong or too weak, they should consult their doctor.

Accidental, unintentional swallowing of a single dose of the mouthwash/throat rinse solution does not pose a risk to the patient, as the potential swallowed dose of the medicine would be one-fifth to one-sixth of the recommended dose for general use.
There have been no reports of Diclostim overdose.
In patients with hereditary fructose intolerance, the body does not break down the fructose contained in this medicine, which, in the event of unintentional swallowing, may cause side effects.
In case of taking a higher dose of the medicine than recommended, the patient should immediately consult their doctor or pharmacist.

Missing a dose of Diclostim

In case of missing a dose, the patient should not take a double dose to make up for the missed dose, but should take it at the time resulting from the recommended dosing schedule.
In case of any further doubts about the use of this medicine, the patient should consult their doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Diclostim can cause side effects, although not everybody gets them.
During the use of the medicine (especially long-term), symptoms of irritation of the oral mucosa (e.g. burning) and cough may occur. Allergic reactions may also develop.
In such a case, the use of the medicine should be discontinued and the patient should contact their doctor, who will prescribe appropriate treatment.
It cannot be excluded that systemic side effects may occur in case of swallowing or long-term use of Diclostim.
Reporting side effects
If any side effects occur, including any possible side effects not listed in this leaflet, the patient should inform their doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw,
phone: 22 49-21-301, fax: 22 49-21-309, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, more information can be collected on the safety of the use of the medicine.

5. How to store Diclostim

The medicine should be stored out of sight and reach of children.
There are no special recommendations for the storage temperature of the medicine. Store in the original packaging to protect from light.
Do not use this medicine after the expiry date stated on the packaging after "Expiry date". The expiry date refers to the last day of the month stated.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Package contents and other information

What Diclostim contains

  • The active substance of the medicine is diclofenac. Each milliliter of the mouthwash/throat rinse solution contains 0.74 mg of diclofenac (Diclofenacum) (in the form of diclofenac sodium).
  • The other ingredients (excipients) are: sorbitol (E 420), acesulfame potassium (E 950), disodium edetate, sodium benzoate (E 211), choline chloride, sodium bicarbonate, disodium phosphate dihydrate, propylene glycol (E 1520), levomenthol, glycerol, blackcurrant flavor (propylene glycol E 1520, flavor enhancers, natural flavor enhancers, natural flavorings), peppermint flavor (propylene glycol E 1520, glycerol triacetate E 1518, natural flavor enhancers), lemon flavor (ethanol, water, flavor enhancers, natural flavor enhancers), cochineal red (E 124), sodium dihydrogen phosphate dihydrate, purified water.

What Diclostim looks like and what the package contains

Diclostim is a clear, bright red, homogeneous solution without mechanical impurities.
The packaging of Diclostim consists of a PET bottle with an HDPE screw cap, containing 150 mL, 200 mL, or 250 mL of the mouthwash/throat rinse solution, with a 15 mL measuring cup made of polypropylene, placed in a cardboard box. Not all pack sizes may be marketed.

Marketing authorization holder

Solinea Sp. z o.o.
Elizówka, Szafranowa 6
21-003 Ciecierzyn
Phone: 81 463-48-82

Manufacturer

Mako Pharma Sp. z o.o.
Kolejowa 231A
05-092 Dziekanów Polski
Medicofarma S.A.
ul. Tarnobrzeska 13
26-613 Radom

Date of last revision of the leaflet:

  • Diclostim
  • Country of registration
  • Dosage form
    Solution, 0.74 mg/ml
  • ATC code
    A01AD11
  • Active substance
  • Prescription required
    No
  • Manufacturer
  • Importer
    Mako Pharma Sp. z o.o. Medicofarma S.A.
  • Alternatives to Diclostim
    Dosage form: Gel, (3.3 mg + 1 mg)/g
    Active substance: various
    Prescription not required
    Dosage form: Gel, (3.3 mg + 1 mg)/g
    Active substance: various
    Prescription not required
    Dosage form: Gel, 15% + 0.34% + 0.32%
    Active substance: various
    Prescription not required

Online doctors for Diclostim

Discuss questions about Diclostim, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get Diclostim Prescription Online

1

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Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Diclostim?

Diclostim does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Diclostim?

The active ingredient in Diclostim is various. This information helps identify medicines with the same composition but different brand names.

Who manufactures Diclostim?

Diclostim is manufactured by Mako Pharma Sp. z o.o. Medicofarma S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Diclostim online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Diclostim is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Diclostim in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Diclostim in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Diclostim?

Other medicines with the same active substance (various) include Calgel, Calgel, Dentinox N. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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