ESPUMISAN 40 mg /Ml Drops

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Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
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 Espumisan

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. Espumisan
    1. Read the package leaflet carefully before using the medicine, as it contains important information for the patient.
    2. Table of Contents of the Package Leaflet
  3. What is Espumisan and what is it used for
    1. Espumisan is used:
  4. Important information before using Espumisan
    1. When not to use Espumisan
    2. Warnings and precautions
    3. Espumisan and other medicines
    4. Pregnancy, breastfeeding, and fertility
    5. Driving and using machines
    6. Espumisan contains sodium
  5. How to use Espumisan
    1. Dosage
    2. Method of administration
    3. Use of a higher than recommended dose of Espumisan
    4. Missing a dose of Espumisan
    5. Stopping the use of Espumisan
  6. Possible side effects
    1. Reporting side effects
  7. How to store Espumisan
  8. Contents of the package and other information
    1. What Espumisan contains
    2. What Espumisan looks like and what the package contains
    3. Marketing authorization holder and manufacturer
    4. Date of the last update of the package leaflet:

Package Leaflet: Information for the Patient

Espumisan

40 mg/ml, oral drops, emulsion
Simeticone

Read the package 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 package leaflet or as directed by your doctor or pharmacist.

  • Keep this package leaflet, you may need to read it again.
  • If you need advice or further information, consult your doctor.
  • If you experience any side effects, including those not listed in this package leaflet, tell your doctor or pharmacist. See section 4.
  • If you do not feel better or if you feel worse, you should contact your doctor.

Table of Contents of the Package Leaflet

  • 1. What is Espumisan and what is it used for
  • 2. Important information before using Espumisan
  • 3. How to use Espumisan
  • 4. Possible side effects
  • 5. How to store Espumisan
  • 6. Contents of the package and other information
Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

1. What is Espumisan and what is it used for

Espumisan contains the active substance simeticone, which is used to treat gastrointestinal disorders, reducing foaming of the gastrointestinal contents and as an auxiliary in diagnostic tests.
It can be used in all age groups.
The active substance of the medicine, simeticone, causes the disappearance of gas bubbles contained in the gastrointestinal masses and in the mucus of the gastrointestinal tract. This allows the released gases to be absorbed by the intestinal wall or removed from the gastrointestinal tract as a result of intestinal peristalsis.

Espumisan is used:

  • For symptomatic treatment of gastrointestinal disorders associated with excessive gas accumulation, such as, for example: bloating, infantile colic in infants over 1 month of age.
  • As an auxiliary in preparing for abdominal cavity tests, such as radiological and ultrasonographic examinations and gastroscopy.
  • As a defoaming agent in poisonings with surfactants (detergents).

If you do not feel better or if you feel worse, you should contact your doctor.

2. Important information before using Espumisan

When not to use Espumisan

Warnings and precautions

Before starting to use Espumisan, you should discuss it with your doctor or pharmacist.
Espumisan should not be used in infants under 1 month of age.
In case of new and/or persistent abdominal complaints, you should consult a doctor to determine the cause of the complaints and diagnose any underlying disease that may require treatment.

Espumisan and other medicines

No interactions with other medicines are known.

Pregnancy, breastfeeding, and fertility

There are no restrictions on the use of Espumisan in pregnant and breastfeeding women.

Driving and using machines

No special precautions are required.

Espumisan contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per ml, which means that the medicine is considered "sodium-free".

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to use Espumisan

This medicine should always be used in accordance with the package leaflet or as directed by your doctor or pharmacist.
In case of doubt, you should consult your doctor or pharmacist.

Dosage

Recommended dose:
Symptomatic treatment of gastrointestinal disorders associated with excessive gas accumulation

  • e.g., bloating, infantile colic:
AgeDosage in drops (ml)Frequency of administration
Infants over 1 month of age
  • 13 - 25 drops (corresponding to 0.5 - 1 ml) into a bottle with milk or before breastfeeding or after breastfeeding. The recommended maximum dose should not exceed 480 mg (i.e., 12 times a day).
Children from 1 to 6 years25 drops (corresponding to 1 ml)3 to 5 times a day
Children from 6 to 14 years
  • 25 - 50 drops (corresponding to 1 - 2 ml)
3 to 5 times a day
Adolescents over 14 years and adults50 drops (corresponding to 2 ml)3 to 5 times a day

Note: Espumisan can also be given to patients in the postoperative period.
Espumisan can be taken directly before a meal, during, or after a meal, and if necessary, also before bedtime.
Treatment should be continued until symptoms disappear. If necessary, Espumisan can be administered for a longer period.
In preparation for diagnostic tests of the abdominal cavity

  • Radiological and ultrasonographic examination:
The day before the examinationIn the morning on the day of the examination
3 times a day 2 ml (≈ 3 times 50 drops)2 ml (≈ 50 drops)
  • As an auxiliary substance administered together with the contrast agent suspension:
    • 4 - 8 ml (≈ 100 - 200 drops) per 1 liter of contrast agent used during the double-contrast examination.
  • In preparing patients for upper gastrointestinal endoscopy (gastroscopy):

Before endoscopy, 4 - 8 ml (≈ 100 - 200 drops).
If necessary, a few milliliters of the emulsion can be instilled through the instrumental channel of the endoscope during the examination to reduce foaming of the gastrointestinal contents.
As an antidote in poisonings with detergents (surfactants):
Depending on the severity of poisoning:
Note: If Espumisan is used as a first-aid measure after ingestion of a detergent, you should immediatelyconsult a doctor!

Method of administration

Shake before use.
To measure the correct number of drops, the bottle should be held vertically, with the opening facing downwards.
25 drops (1 ml of oral drops, emulsion) contain 40 mg of simeticone.
Since Espumisan does not contain sugar, it can also be administered to diabetic patients and patients with dietary disorders.

No cases of poisoning have been reported after using Espumisan.
The active substance of Espumisan, simeticone, causes the disappearance of foam in the gastrointestinal tract in a purely physical way and is biologically and chemically completely inactive.
Therefore, the possibility of poisoning can be practically excluded. Even large doses of Espumisan are well tolerated.

Missing a dose of Espumisan

In such a case, the missed dose can be taken at any time.

Stopping the use of Espumisan

In such a case, the symptoms may recur.
In case of any further doubts regarding the use of this medicine, you should consult your doctor or pharmacist.

AgeDosage
Children2.5 - 10 ml (≈ 63 drops to 1/3 of the bottle contents)
Adults
  • 10 - 20 ml (≈ 1/3 to 2/3 of the bottle contents)

4. Possible side effects

In the case of medicines containing simeticone, hypersensitivity reactions, including urticaria, rash, skin redness, itching, allergic skin inflammation, and other skin reactions have been reported. The frequency cannot be estimated from the available data (frequency unknown).
Other side effects have also been reported, but since the medicinal product is practically not absorbed from the gastrointestinal tract, side effects are very rare.

Reporting side effects

If you experience any side effects, including those not listed in this package leaflet, you should tell your doctor or pharmacist. 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: +48 22 49 21 301
Fax: +48 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, you can help provide more information on the safety of this medicine.

5. How to store Espumisan

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the label and packaging after the abbreviation EXP. The expiry date refers to the last day of the given month.
Note regarding shelf life after first opening: after the first opening of the package, Espumisan retains its shelf life for a period of 6 months.
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the package and other information

What Espumisan contains

The active substance of the medicine is simeticone.
25 drops (1 ml of oral drops, emulsion) contain 40 mg of simeticone.
The other ingredients are: macrogol stearate, glycerol monostearate 40-55, sodium hydroxide, sodium chloride, carbomer, sodium citrate, sucralose, potassium sorbate, purified water.

What Espumisan looks like and what the package contains

Milky white to yellowish emulsion, slightly viscous. Oral drops, emulsion.
Package: 30 ml glass bottle with a child-resistant closure, with a screw cap and dropper, in a cardboard box, containing 30 ml of oral drops, emulsion.

Marketing authorization holder and manufacturer

BERLIN-CHEMIE AG
Glienicker Weg 125
12489 Berlin, Germany
To obtain more detailed information about this medicine, you should contact the local representative of the marketing authorization holder:
Berlin-Chemie / Menarini Polska Sp. z o.o.
Phone: +48 22 566 21 00
Fax: +48 22 566 21 01

Date of the last update of the package leaflet:

Online doctors for Espumisan

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

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
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 Espumisan Prescription Online

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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 Espumisan?

Espumisan 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 Espumisan?

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

Who manufactures Espumisan?

Espumisan is manufactured by Berlin-Chemie AG. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Espumisan 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 Espumisan 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 Espumisan 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 Espumisan 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 Espumisan?

Other medicines with the same active substance (silicones) include Bobotic, Espumisan 100 mg/ml, Espumisan 100 mg/ml. 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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