General Information of Drug (ID: DM2HU9I)

Drug Name
Triamterene
Synonyms
Ademin; Ademine; Amteren; Anjal; Dazid; Diarol; Dinazide; Diren; Ditak; Diucelpin; Diurene; Diutensat; Diuteren; Dyberzide; Dyren; Dyrenium; Dytac; Dytenzide; Esiteren; Hidiurese; Hydrene; Hypertorr; Isobar; Jatropur; Jenateren; Kalspare; Masuharmin; Nephral; Noridil; Noridyl; Pterofen; Pterophene; Renezide; Reviten; Taturil; Teriam; Teridin; Triamizide; Triampur; Triamteren; Triamterena; Triamterenum; Triamteril; Triamterine; Triamthiazid; Tricilone; Trispan; Triteren; Triurene; Trizid; Turfa; Uretren; Urocaudal; Goldshield Brand of Triamterene; Jorba Brand of Triamterene; Pter ophene; SmithKline Beecham Brand of Triamterene; TRIAMTERENE USP; Thiazid Wolff; Triamteril complex; Wellspring Brand of Triamterene; Fluss 40; SKF 8542; T 4143; Ademin(e); Apo-triazide; Dyrenium (TN); Pteridine deriv. 11; SALI-PUREN; SK&F 8542; SK-8542; Tri-Span; Triamterena [INN-Spanish]; Triamterenum [INN-Latin]; SK&F-8542; Triamterene (JP15/USP/INN); Triamterene [USAN:INN:BAN:JAN]; 2,4,7-Triamino-6-fenilpteridina; 2,4,7-Triamino-6-fenilpteridina [Italian]; 2,4,7-Triamino-6-phenylpteridine; 6-PHENYL-2,4,7-TRIAMINO PTERIDINE; 6-Phenyl-2,4,7-pteridinetriamine; 6-Phenyl-2,4,7-triaminopteridine; 6-phenylpteridine-2,4,7-triamine
Indication
Disease Entry ICD 11 Status REF
Congestive heart failure BD10 Approved [1], [2], [3]
Edema MG29 Approved [1], [2], [3]
Hypertension BA00-BA04 Approved [1], [2], [3]
Therapeutic Class
Diuretics
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 253.26
Topological Polar Surface Area (xlogp) 1
Rotatable Bond Count (rotbonds) 1
Hydrogen Bond Donor Count (hbonddonor) 3
Hydrogen Bond Acceptor Count (hbondacc) 7
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 148.7 mcgh/L [4]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 46.4 mcg/L [4]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 1.1 h [4]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 2: low solubility and high permeability [5]
Clearance
The total plasma clearance of drug is 4.5 L/min [6]
Elimination
Upon oral ingestion, somewhat less than 50% of the oral dose reaches the urine [7]
Half-life
The concentration or amount of drug in body reduced by one-half in 1.5 - 2 hours [7]
Metabolism
The drug is metabolized via the CYP1A2 to form 4'-hydroxytriamterene [4]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 13.14811 micromolar/kg/day [8]
Unbound Fraction
The unbound fraction of drug in plasma is 0.42% [9]
Vd
The volume of distribution (Vd) of drug is 1.49 L/kg [6]
Water Solubility
The ability of drug to dissolve in water is measured as 0.029 mg/mL [5]
Chemical Identifiers
Formula
C12H11N7
IUPAC Name
6-phenylpteridine-2,4,7-triamine
Canonical SMILES
C1=CC=C(C=C1)C2=NC3=C(N=C(N=C3N=C2N)N)N
InChI
InChI=1S/C12H11N7/c13-9-7(6-4-2-1-3-5-6)16-8-10(14)18-12(15)19-11(8)17-9/h1-5H,(H6,13,14,15,17,18,19)
InChIKey
FNYLWPVRPXGIIP-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
5546
ChEBI ID
CHEBI:9671
CAS Number
396-01-0
DrugBank ID
DB00384
TTD ID
D00NKB
VARIDT ID
DR01341
INTEDE ID
DR1636
ACDINA ID
D00700

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Amiloride-sensitive sodium channel (ENaC) TTQM7TE SCNNA_HUMAN; SCNNB_HUMAN; SCNNG_HUMAN; SCNND_HUMAN Blocker [10]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Organic cation transporter 1 (SLC22A1) DTT79CX S22A1_HUMAN Substrate [11]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 1A2 (CYP1A2)
Main DME
DEJGDUW CP1A2_HUMAN Substrate [12]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Triamterene
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Spironolactone DM2AQ5N Major Increased risk of hyperkalemia by the combination of Triamterene and Spironolactone. Heart failure [BD10-BD1Z] [36]
Eplerenone DMF0NQR Major Increased risk of hyperkalemia by the combination of Triamterene and Eplerenone. Heart failure [BD10-BD1Z] [37]
Carvedilol DMHTEAO Moderate Increased risk of hypertriglyceridemia by the combination of Triamterene and Carvedilol. Heart failure [BD10-BD1Z] [38]
Amiloride DMRTSGP Major Increased risk of hyperkalemia by the combination of Triamterene and Amiloride. Heart failure [BD10-BD1Z] [36]
Digitoxin DMWVIGP Moderate Increased risk of hypokalemia by the combination of Triamterene and Digitoxin. Heart failure [BD10-BD1Z] [39]
Coadministration of a Drug Treating the Disease Different from Triamterene (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Promazine DMZAL7W Moderate Additive hypotensive effects by the combination of Triamterene and Promazine. Appearance/behaviour symptom [MB23] [40]
Linezolid DMGFPU2 Moderate Additive hypotensive effects by the combination of Triamterene and Linezolid. Bacterial infection [1A00-1C4Z] [41]
Cariprazine DMJYDVK Moderate Additive hypotensive effects by the combination of Triamterene and Cariprazine. Bipolar disorder [6A60] [40]
Sotalol DML60TN Moderate Increased risk of ventricular arrhythmias by the combination of Triamterene and Sotalol. Cardiac arrhythmia [BC9Z] [38]
Pentosan polysulfate DM2HRKE Moderate Increased risk of hyperkalemia by the combination of Triamterene and Pentosan polysulfate. Chronic pain [MG30] [42]
Phenylbutazone DMAYL0T Moderate Antagonize the effect of Triamterene when combined with Phenylbutazone. Chronic pain [MG30] [43]
Ketoprofen DMRKXPT Moderate Antagonize the effect of Triamterene when combined with Ketoprofen. Chronic pain [MG30] [43]
Levomilnacipran DMV26S8 Moderate Increased risk of hyponatremia by the combination of Triamterene and Levomilnacipran. Chronic pain [MG30] [44]
Olopatadine DMKMWQG Moderate Additive CNS depression effects by the combination of Triamterene and Olopatadine. Conjunctiva disorder [9A60] [45]
Drospirenone DM1A9W3 Moderate Increased risk of hyperkalemia by the combination of Triamterene and Drospirenone. Contraceptive management [QA21] [46]
Ardeparin DMYRX8B Moderate Increased risk of hyperkalemia by the combination of Triamterene and Ardeparin. Coronary thrombosis [BA43] [47]
Danaparoid DM6CLBN Moderate Increased risk of hyperkalemia by the combination of Triamterene and Danaparoid. Deep vein thrombosis [BD71] [47]
Sertraline DM0FB1J Moderate Increased risk of hyponatremia by the combination of Triamterene and Sertraline. Depression [6A70-6A7Z] [44]
Fluoxetine DM3PD2C Moderate Increased risk of hyponatremia by the combination of Triamterene and Fluoxetine. Depression [6A70-6A7Z] [44]
Vilazodone DM4LECQ Moderate Increased risk of hyponatremia by the combination of Triamterene and Vilazodone. Depression [6A70-6A7Z] [44]
Paroxetine DM5PVQE Moderate Increased risk of hyponatremia by the combination of Triamterene and Paroxetine. Depression [6A70-6A7Z] [44]
Selegiline DM6034S Moderate Additive hypotensive effects by the combination of Triamterene and Selegiline. Depression [6A70-6A7Z] [41]
Vortioxetine DM6F1PU Moderate Increased risk of hyponatremia by the combination of Triamterene and Vortioxetine. Depression [6A70-6A7Z] [44]
Duloxetine DM9BI7M Moderate Increased risk of hyponatremia by the combination of Triamterene and Duloxetine. Depression [6A70-6A7Z] [44]
Isocarboxazid DMAF1NB Moderate Additive hypotensive effects by the combination of Triamterene and Isocarboxazid. Depression [6A70-6A7Z] [41]
Milnacipran DMBFE74 Moderate Increased risk of hyponatremia by the combination of Triamterene and Milnacipran. Depression [6A70-6A7Z] [44]
Escitalopram DMFK9HG Moderate Increased risk of hyponatremia by the combination of Triamterene and Escitalopram. Depression [6A70-6A7Z] [44]
Tranylcypromine DMGB5RE Moderate Additive hypotensive effects by the combination of Triamterene and Tranylcypromine. Depression [6A70-6A7Z] [41]
Desvenlafaxine DMHD4PE Moderate Increased risk of hyponatremia by the combination of Triamterene and Desvenlafaxine. Depression [6A70-6A7Z] [44]
OPC-34712 DMHG57U Moderate Additive hypotensive effects by the combination of Triamterene and OPC-34712. Depression [6A70-6A7Z] [40]
Phenelzine DMHIDUE Moderate Additive hypotensive effects by the combination of Triamterene and Phenelzine. Depression [6A70-6A7Z] [41]
Carbamazepine DMZOLBI Moderate Increased risk of hyponatremia by the combination of Triamterene and Carbamazepine. Epilepsy/seizure [8A61-8A6Z] [48]
Eslicarbazepine DMZREFQ Moderate Increased risk of hyponatremia by the combination of Triamterene and Eslicarbazepine. Epilepsy/seizure [8A61-8A6Z] [49]
Nadolol DMW6GVL Moderate Increased risk of ventricular arrhythmias by the combination of Triamterene and Nadolol. Essential hypertension [BA00] [38]
Mefenamic acid DMK7HFI Moderate Antagonize the effect of Triamterene when combined with Mefenamic acid. Female pelvic pain [GA34] [43]
Cimetidine DMH61ZB Minor Decreased elimination of Triamterene caused by Cimetidine mediated competitive inhibition of renal tubular secretion. Gastro-oesophageal reflux disease [DA22] [50]
Carteolol DMFMDOB Moderate Increased risk of hypertriglyceridemia by the combination of Triamterene and Carteolol. Glaucoma [9C61] [38]
Metipranolol DMJMVKI Moderate Increased risk of hyperglycemia by the combination of Triamterene and Metipranolol. Glaucoma [9C61] [38]
Levobunolol DMTNFCQ Moderate Increased risk of hyperglycemia by the combination of Triamterene and Levobunolol. Glaucoma [9C61] [38]
Procarbazine DMIK367 Moderate Additive hypotensive effects by the combination of Triamterene and Procarbazine. Hodgkin lymphoma [2B30] [41]
Eprosartan DM07K2I Major Increased risk of hyperkalemia by the combination of Triamterene and Eprosartan. Hypertension [BA00-BA04] [51]
Acebutolol DM0TI4U Moderate Increased risk of hyperglycemia by the combination of Triamterene and Acebutolol. Hypertension [BA00-BA04] [38]
Aliskiren DM1BV7W Moderate Increased risk of hyperkalemia by the combination of Triamterene and Aliskiren. Hypertension [BA00-BA04] [52]
Moexipril DM26E4B Major Increased risk of hyperkalemia by the combination of Triamterene and Moexipril. Hypertension [BA00-BA04] [53]
Bisoprolol DM3UZ95 Moderate Increased risk of ventricular arrhythmias by the combination of Triamterene and Bisoprolol. Hypertension [BA00-BA04] [38]
Captopril DM458UM Major Increased risk of hyperkalemia by the combination of Triamterene and Captopril. Hypertension [BA00-BA04] [53]
Trandolapril DM4L6EU Major Increased risk of hyperkalemia by the combination of Triamterene and Trandolapril. Hypertension [BA00-BA04] [53]
Losartan DM72JXH Major Increased risk of hyperkalemia by the combination of Triamterene and Losartan. Hypertension [BA00-BA04] [51]
Nebivolol DM7F1PA Moderate Increased risk of hypertriglyceridemia by the combination of Triamterene and Nebivolol. Hypertension [BA00-BA04] [38]
Fosinopril DM9NJ52 Major Increased risk of hyperkalemia by the combination of Triamterene and Fosinopril. Hypertension [BA00-BA04] [53]
TAK-491 DMCF6SX Major Increased risk of hyperkalemia by the combination of Triamterene and TAK-491. Hypertension [BA00-BA04] [51]
Pindolol DMD2NV7 Moderate Increased risk of ventricular arrhythmias by the combination of Triamterene and Pindolol. Hypertension [BA00-BA04] [38]
Benazepril DMH1M9B Major Increased risk of hyperkalemia by the combination of Triamterene and Benazepril. Hypertension [BA00-BA04] [53]
Enalapril DMNFUZR Major Increased risk of hyperkalemia by the combination of Triamterene and Enalapril. Hypertension [BA00-BA04] [53]
Perindopril DMOPZDT Major Increased risk of hyperkalemia by the combination of Triamterene and Perindopril. Hypertension [BA00-BA04] [53]
Quinapril DMR8H31 Major Increased risk of hyperkalemia by the combination of Triamterene and Quinapril. Hypertension [BA00-BA04] [53]
Telmisartan DMS3GX2 Major Increased risk of hyperkalemia by the combination of Triamterene and Telmisartan. Hypertension [BA00-BA04] [51]
Irbesartan DMTP1DC Major Increased risk of hyperkalemia by the combination of Triamterene and Irbesartan. Hypertension [BA00-BA04] [54]
Lisinopril DMUOK4C Major Increased risk of hyperkalemia by the combination of Triamterene and Lisinopril. Hypertension [BA00-BA04] [53]
Potassium chloride DMMTAJC Major Increased risk of hyperkalemia by the combination of Triamterene and Potassium chloride. Hypo-kalaemia [5C77] [55]
Tolvaptan DMIWFRL Moderate Increased risk of hyperkalemia by the combination of Triamterene and Tolvaptan. Hypo-osmolality/hyponatraemia [5C72] [56]
Meclofenamic acid DM05FXR Moderate Antagonize the effect of Triamterene when combined with Meclofenamic acid. Inflammatory spondyloarthritis [FA92] [43]
Propiomazine DMKY8V1 Moderate Additive hypotensive effects by the combination of Triamterene and Propiomazine. Insomnia [7A00-7A0Z] [40]
ITI-007 DMUQ1DO Moderate Additive hypotensive effects by the combination of Triamterene and ITI-007. Insomnia [7A00-7A0Z] [40]
Porfimer Sodium DM7ZWNY Moderate Increased risk of photosensitivity reactions by the combination of Triamterene and Porfimer Sodium. Lung cancer [2C25] [57]
Propranolol DM79NTF Moderate Increased risk of hypertriglyceridemia by the combination of Triamterene and Propranolol. Migraine [8A80] [38]
Ozanimod DMT6AM2 Moderate Additive hypotensive effects by the combination of Triamterene and Ozanimod. Multiple sclerosis [8A40] [41]
Prochlorperazine DM53SRA Moderate Additive hypotensive effects by the combination of Triamterene and Prochlorperazine. Nausea/vomiting [MD90] [40]
Promethazine DM6I5GR Moderate Additive hypotensive effects by the combination of Triamterene and Promethazine. Nausea/vomiting [MD90] [40]
Sibutramine DMFJTDI Moderate Increased risk of hyponatremia by the combination of Triamterene and Sibutramine. Obesity [5B80-5B81] [44]
Rofecoxib DM3P5DA Moderate Antagonize the effect of Triamterene when combined with Rofecoxib. Osteoarthritis [FA00-FA05] [43]
Valdecoxib DMAY7H4 Moderate Antagonize the effect of Triamterene when combined with Valdecoxib. Osteoarthritis [FA00-FA05] [43]
Diclofenac DMPIHLS Moderate Antagonize the effect of Triamterene when combined with Diclofenac. Osteoarthritis [FA00-FA05] [43]
Naproxen DMZ5RGV Moderate Antagonize the effect of Triamterene when combined with Naproxen. Osteoarthritis [FA00-FA05] [43]
Etodolac DM6WJO9 Moderate Antagonize the effect of Triamterene when combined with Etodolac. Pain [MG30-MG3Z] [43]
Diflunisal DM7EN8I Moderate Antagonize the effect of Triamterene when combined with Diflunisal. Pain [MG30-MG3Z] [43]
Ibuprofen DM8VCBE Moderate Antagonize the effect of Triamterene when combined with Ibuprofen. Pain [MG30-MG3Z] [43]
Nabumetone DMAT2XH Moderate Antagonize the effect of Triamterene when combined with Nabumetone. Pain [MG30-MG3Z] [43]
Piroxicam DMTK234 Moderate Antagonize the effect of Triamterene when combined with Piroxicam. Pain [MG30-MG3Z] [43]
Safinamide DM0YWJC Moderate Additive hypotensive effects by the combination of Triamterene and Safinamide. Parkinsonism [8A00] [41]
Rasagiline DM3WKQ4 Moderate Additive hypotensive effects by the combination of Triamterene and Rasagiline. Parkinsonism [8A00] [41]
Abametapir DM2RX0I Moderate Decreased metabolism of Triamterene caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [58]
Ketorolac DMI4EL5 Moderate Antagonize the effect of Triamterene when combined with Ketorolac. Postoperative inflammation [1A00-CA43] [43]
Bromfenac DMKB79O Moderate Antagonize the effect of Triamterene when combined with Bromfenac. Postoperative inflammation [1A00-CA43] [43]
Levomepromazine DMIKFEL Moderate Additive hypotensive effects by the combination of Triamterene and Levomepromazine. Psychotic disorder [6A20-6A25] [40]
Fluphenazine DMIT8LX Moderate Additive hypotensive effects by the combination of Triamterene and Fluphenazine. Psychotic disorder [6A20-6A25] [40]
Triflupromazine DMKFQJP Moderate Additive hypotensive effects by the combination of Triamterene and Triflupromazine. Psychotic disorder [6A20-6A25] [40]
Meloxicam DM2AR7L Moderate Antagonize the effect of Triamterene when combined with Meloxicam. Rheumatoid arthritis [FA20] [43]
Sulindac DM2QHZU Moderate Antagonize the effect of Triamterene when combined with Sulindac. Rheumatoid arthritis [FA20] [43]
Celecoxib DM6LOQU Moderate Antagonize the effect of Triamterene when combined with Celecoxib. Rheumatoid arthritis [FA20] [43]
Oxaprozin DM9UB0P Moderate Antagonize the effect of Triamterene when combined with Oxaprozin. Rheumatoid arthritis [FA20] [43]
Flurbiprofen DMGN4BY Moderate Antagonize the effect of Triamterene when combined with Flurbiprofen. Rheumatoid arthritis [FA20] [43]
Fenoprofen DML5VQ0 Moderate Antagonize the effect of Triamterene when combined with Fenoprofen. Rheumatoid arthritis [FA20] [43]
Tolmetin DMWUIJE Moderate Antagonize the effect of Triamterene when combined with Tolmetin. Rheumatoid arthritis [FA20] [43]
Quetiapine DM1N62C Moderate Additive hypotensive effects by the combination of Triamterene and Quetiapine. Schizophrenia [6A20] [40]
Mesoridazine DM2ZGAN Moderate Additive hypotensive effects by the combination of Triamterene and Mesoridazine. Schizophrenia [6A20] [40]
Thioridazine DM35M8J Moderate Additive hypotensive effects by the combination of Triamterene and Thioridazine. Schizophrenia [6A20] [40]
Aripiprazole DM3NUMH Moderate Additive hypotensive effects by the combination of Triamterene and Aripiprazole. Schizophrenia [6A20] [40]
Iloperidone DM6AUFY Moderate Additive hypotensive effects by the combination of Triamterene and Iloperidone. Schizophrenia [6A20] [40]
Paliperidone DM7NPJS Moderate Additive hypotensive effects by the combination of Triamterene and Paliperidone. Schizophrenia [6A20] [40]
Loxapine DM8AI9U Moderate Additive hypotensive effects by the combination of Triamterene and Loxapine. Schizophrenia [6A20] [40]
Haloperidol DM96SE0 Moderate Additive hypotensive effects by the combination of Triamterene and Haloperidol. Schizophrenia [6A20] [40]
Perphenazine DMA4MRX Moderate Additive hypotensive effects by the combination of Triamterene and Perphenazine. Schizophrenia [6A20] [40]
Molindone DMAH70G Moderate Additive hypotensive effects by the combination of Triamterene and Molindone. Schizophrenia [6A20] [40]
Chlorpromazine DMBGZI3 Moderate Additive hypotensive effects by the combination of Triamterene and Chlorpromazine. Schizophrenia [6A20] [40]
Thiothixene DMDINC4 Moderate Additive hypotensive effects by the combination of Triamterene and Thiothixene. Schizophrenia [6A20] [40]
Trifluoperazine DMKBYWI Moderate Additive hypotensive effects by the combination of Triamterene and Trifluoperazine. Schizophrenia [6A20] [40]
Risperidone DMN6DXL Moderate Additive hypotensive effects by the combination of Triamterene and Risperidone. Schizophrenia [6A20] [40]
Amisulpride DMSJVAM Moderate Additive hypotensive effects by the combination of Triamterene and Amisulpride. Schizophrenia [6A20] [40]
Asenapine DMSQZE2 Moderate Additive hypotensive effects by the combination of Triamterene and Asenapine. Schizophrenia [6A20] [40]
Tacrolimus DMZ7XNQ Major Increased risk of hyperkalemia by the combination of Triamterene and Tacrolimus. Transplant rejection [NE84] [59]
Trimethoprim DMM7CHK Major Increased risk of hyperkalemia by the combination of Triamterene and Trimethoprim. Urinary tract infection [GC08] [60]
Methdilazine DMAUHQX Moderate Additive hypotensive effects by the combination of Triamterene and Methdilazine. Vasomotor/allergic rhinitis [CA08] [40]
Trimeprazine DMEMV9D Moderate Additive hypotensive effects by the combination of Triamterene and Trimeprazine. Vasomotor/allergic rhinitis [CA08] [61]
⏷ Show the Full List of 109 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
D&C red no. 33 E00261 19116 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sunset yellow FCF E00255 17730 Colorant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
⏷ Show the Full List of 7 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Triamterene 100 mg capsule 100 mg Oral Capsule Oral
Triamterene 50 mg capsule 50 mg Oral Capsule Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

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