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ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER

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About the medicine

How to use ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

PACKAGE LEAFLET

Package Leaflet:Information for the patient

Elymbus 0.1 mg/g eye gel in single-dose container

bimatoprost

Read the entire package leaflet carefully before starting to use this medicine,as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, ask your doctor or pharmacist.
  • This medicine has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Contents of the package leaflet

  1. What is Elymbus and what is it used for
  2. What you need to know before using Elymbus
  3. How to use Elymbus
  4. Possible side effects

5 Conservation of Elymbus

  1. Contents of the container and additional information

1. What is Elymbus and what is it used for

Elymbus is a medicine for glaucoma. Elymbus belongs to a group of medicines called prostamides.

Elymbus eye gel is used to reduce high pressure in the eye in adults. This medicine can be used alone or with other eye drops called beta-blockers that also reduce pressure.

The eye contains a clear, watery liquid that keeps the inside of the eye healthy. This liquid is constantly drained out of the eye and new liquid is produced to replace it. If the liquid does not drain quickly enough, the pressure inside the eye increases. This medicine works by increasing the drainage of the liquid. This reduces the pressure inside the eye. If this pressure is not reduced, it could lead to a disease called glaucoma and damage your vision.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before using Elymbus

Do not use Elymbus:

  • If you are allergic to bimatoprost or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Elymbus.

Consult your doctor if:

  • you have any respiratory problems.
  • you have liver or kidney problems.
  • you have had cataract surgery in the past.
  • you have low blood pressure or a slow heart rate.
  • you have had a viral infection or inflammation of the eye.

During treatment, Elymbus may cause fat loss around the eye, which can lead to deepening of the eyelid fold, sunken eyes (enophthalmos), drooping of the upper eyelid (ptosis), stretching of the skin around the eye (involution of the dermatocalasis), and the white part of the eye becoming more visible (inferior scleral exposure). The changes are usually mild, but if they worsen, they can affect your field of vision. The changes may disappear if you stop using Elymbus. Elymbus may also cause darkening and growth of the eyelashes, as well as darkening of the skin around the eyelid. The color of the iris may darken. These changes may be permanent and more visible if only one eye is being treated.

Children and adolescents

Elymbus has not been studied in children under 18 years of age and should not be used in patients under 18 years of age.

Other medicines and Elymbus

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Elymbus may pass into breast milk, so you should not use it if you are breastfeeding.

Driving and using machines

After applying Elymbus, you may experience blurred vision for a short time. Do not drive or use machines until you can see clearly.

3. How to use Elymbus

Follow the instructions for administration of this medicine exactly as indicated by your doctor or pharmacist. If you are unsure, ask your doctor or pharmacist.

Elymbus should only be used in the eye. The recommended dose is one drop in each eye that needs treatment, once a day, at night.

If you use Elymbus with another eye medication, you should administer it at least 15 minutes before Elymbus. Elymbus should be used last.

Do not use the medicine more than once a day, as this may reduce the effectiveness of the treatment.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

Users of contact lenses

If you use contact lenses, you should remove them before using Elymbus. After applying Elymbus, you should wait 15 minutes before putting your contact lenses back in.

Instructions for use

This medicine should be administered in the eye.

Follow these instructions to use the eye drops:

  1. Wash your hands and sit or stand comfortably.
  2. Open the pouch containing 10 single-dose containers.
  3. Separate one single-dose container from the strip.

Hand holding four medicine vials with an arrow indicating the point of grip and rotation of the vial

  1. Twist the tip of the single-dose container as shown. Do not touch the tip after opening the container.

Medicine vial with cap twisting in a clockwise direction, curved arrow indicating rotation

  1. Use your finger to gently separate the lower eyelid of the affected eye.
  2. Tilt your head back and look up at the ceiling.
  3. Place the tip of the single-dose container close to the eye, without touching it.
  4. Gently press the single-dose container so that one drop falls into the eye, then remove your finger from the lower eyelid.

Hand holding a syringe injecting liquid into the skin with a visible drop and an arrow indicating direction

  1. Repeat the operation in the other eye, if your doctor has indicated it. Each single-dose container contains enough for both eyes.
  2. Release the lower eyelid and close your eyes for a moment.
  3. Wipe away any excess that runs down your cheek. If a drop does not reach your eye, try again.
  4. Discard the single-dose container after use. Do not save it for later use. As the sterility of the single-dose container cannot be guaranteed after opening (preservative-free eye gel), a new single-dose container should be opened before each use.
  5. Wipe away any excess liquid with a clean cloth.
  6. Place the unused single-dose containers inside the pouch. Unused single-dose containers should be used within 1 month of opening the pouch.

If you use more Elymbus than you should

If you have applied more drops in the eye than you should, it is unlikely to cause you any serious harm. Apply the next dose at the usual time. If you are concerned, talk to your doctor or pharmacist.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to use Elymbus

If you forget to apply Elymbus, use one drop as soon as you remember and then return to your usual routine. Do not apply a double dose to make up for the forgotten dose.

If you stop using Elymbus

Elymbus should be used every day for it to work well. If you stop using Elymbus, the pressure inside the eye may increase, so consult your doctor before stopping treatment.

If you have any other questions about using this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following side effects may occur with Elymbus:

Common side effects

May affect up to 1 in 10 people

Affecting the eye

  • Mild redness
  • Eye pain
  • Eye irritation
  • Redness and eye discomfort
  • Sensation of having something in the eye
  • Dry eye
  • Itchy eye
  • Temporary difficulty seeing clearly

Uncommon side effects

May affect up to 1 in 100 people

Affecting the eye

  • Small epithelial erosions in the eye, with or without inflammation
  • Sensations such as numbness, tingling, and pinching in the eye
  • Inflamed eyelids
  • Loss of eyelashes
  • Longer eyelashes
  • Sensitivity to light
  • Increased tearing
  • Darker eyelashes
  • Darker eyelid color
  • Swollen eyelid
  • Dry, red, and itchy eyelid skin

Affecting the body

  • Dizziness

The following side effects have been observed with bimatoprost eye drops in solution (0.1 mg/ml, formulation with preservatives):

Very common side effects

May affect more than 1 in 10 people

Affecting the eye

  • Mild redness (up to 29% of people)
  • Fat loss in the eye area that can cause deepening of the eyelid fold, sunken eyes (enophthalmos), drooping of the eyelids (ptosis), stretching of the skin around the eye (involution of the dermatocalasis), and the white part of the eye becoming more visible (inferior scleral exposure).

Common side effects

May affect up to 1 in 10 people

Affecting the eye

  • Small epithelial erosions in the eye, with or without inflammation
  • Irritation
  • Itchy eyes
  • Longer eyelashes
  • Irritation when instilling the drop in the eye
  • Eye pain

Affecting the skin

  • Red and itchy eyelids
  • Darker skin color around the eye.
  • Hair growth around the eye.

Uncommon side effects

May affect up to 1 in 100 people

Affecting the eye

  • Darker iris color
  • Eye fatigue
  • Inflammation of the eye surface
  • Blurred vision
  • Loss of eyelashes

Affecting the skin

  • Dry skin
  • Flaking of the eyelid margin
  • Swollen eyelid
  • Itching

Affecting the body

  • Headache
  • Feeling unwell

Side effects of unknown frequency

Affecting the eye

  • Macular edema (inflammation of the retina in the back of the eye that can lead to worsening of vision)
  • Darker eyelid
  • Dryness
  • Sticky eyes
  • Sensation of a foreign body in the eye
  • Eye inflammation
  • Increased tearing
  • Eye discomfort
  • Sensitivity to light

Affecting the body

  • Asthma
  • Difficulty breathing
  • Symptoms of allergic reaction (inflammation, redness of the eye, and skin rash)
  • Dizziness
  • High blood pressure
  • Discoloration of the skin (periocular)

In addition to the side effects described above, the following side effects have been observed with another medicine that contains a higher concentration of bimatoprost (0.3 mg/ml):

  • Eye burning
  • An allergic reaction in the eye
  • Inflamed eyelids
  • Difficulty seeing clearly
  • Inflammation of the clear layer that covers the eye
  • Tearing
  • Darker eyelashes
  • Retinal hemorrhage
  • Inflammation inside the eye
  • Cystoid macular edema (inflammation of the retina in the back of the eye that leads to worsening of vision)
  • Eyelid twitching
  • The eyelid has contracted away from the eye surface
  • Redness of the skin around the eye
  • Weakness
  • An increase in blood test results that show liver activity

Reporting side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines Monitoring System: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Conservation of Elymbus

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date that appears on the box, pouch, and single-dose containers after EXP. The expiration date is the last day of the month indicated.

This medicine does not require special temperature conditions for storage.

After the first opening of the pouch:use the single-dose containers within 1 month.

To help you remember, write the date of first opening of the pouch.

Keep the unused single-dose containers inside the opened pouch to protect them from light.

After the first opening of the single-dose container:use immediately and discard the single-dose container after use.

Medicines should not be disposed of through wastewater or household waste. Deposit the containers and medicines you no longer need at the SIGRE collection point in your pharmacy. If you have any doubts, ask your pharmacist how to dispose of the containers and medicines you no longer need. This will help protect the environment.

6. Contents of the container and additional information

Composition of Elymbus

The active ingredient is bimatoprost. Each gram of gel contains 0.1 mg of bimatoprost.

The other ingredients are: sorbitol, carbomer, sodium acetate trihydrate, macrogol, sodium hydroxide (pH adjustment), water for injectable preparations.

Appearance of the product and contents of the container

Elymbus is a colorless, opalescent eye gel in single-dose containers. It is presented in single-dose containers inside a pouch with 10 units.

Each single-dose container contains 0.3 g of product.

The boxes contain 10, 30 (3 pouches with 10), or 90 (9 pouches with 10) single-dose containers.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Laboratoires THEA

12, rue Louis Blériot

63100 CLERMONT-FERRAND

France

Manufacturer

LABORATOIRE UNITHER

1 rue de l’Arquerie

50200 Coutances

France

You can request more information about this medicine from the local representative of the marketing authorization holder:

LABORATORIOS THEA, S.A.

C/ Enric Granados nº 86-88, 2ª planta

08008 Barcelona

Spain

This medicine is authorized in the Member States of the European Economic Area under the following names:

Germany, Austria, Belgium, Bulgaria, Cyprus, Croatia, Denmark, Slovakia, Slovenia, Spain, Estonia, Finland, Greece, Netherlands, Hungary, Ireland, Iceland, Italy, Latvia, Lithuania, Luxembourg, Norway, Poland, Portugal, Czech Republic, Romania, Sweden ……………………………………………………………… Elymbus

France ……………………………………………………………………………… Elumibus

Date of the last revision of this package leaflet: May 2023

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

Online doctors for ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER

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Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Andrei Popov

General medicine 7 years exp.

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.

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Yevgen Yakovenko

General surgery 12 years exp.

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.

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Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

  •  Neuroimaging
  •  Musculoskeletal system (MSK)
  •  Angiography
  •  Abdomen and pelvis
  •  Soft tissues

Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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Frequently Asked Questions

Is a prescription required for ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER?
ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER?
The active ingredient in ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER is bimatoprost. This information helps identify medicines with the same composition but different brand names.
Who manufactures ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER?
ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER is manufactured by Laboratoires Thea. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER 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 ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ELYMBUS 0.1 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER?
Other medicines with the same active substance (bimatoprost) include ABIPROST 0.3 mg/ml EYE DROPS SOLUTION IN SINGLE-DOSE CONTAINERS, AMIRIOX 0.3 mg/ml EYE DROPS SOLUTION, BIMATOPROST STADA 0.3 mg/ml EYE DROPS SOLUTION IN SINGLE-DOSE CONTAINERS. 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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