These effects occurred at 2. The no effect dose for rat pup mortality was 0. In reproductive developmental studies in rats and rabbits with O-desmethylvenlafaxine ODV , the major human metabolite of venlafaxine, evidence of teratogenicity was not observed at exposure margins of 13 in rats and 0. There are no adequate and well-controlled studies in pregnant women. Effexor XR should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed. Such complications can arise immediately upon delivery. Reported clinical findings have included respiratory distress, cyanosis , apnea , seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia , hypotonia , hypertonia , hyperreflexia, tremor, jitteriness, irritability, and constant crying.

When treating a pregnant woman with Effexor XR during the third trimester, the physician should carefully consider the potential risks and benefits of treatment.

Labor And Delivery The effect of venlafaxine on labor and delivery in humans is unknown. Because of the potential for serious adverse reactions in nursing infants from Effexor XR, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Pediatric Use Two placebo-controlled trials in pediatric patients with MDD and two placebo-controlled trials in pediatric patients with GAD have been conducted with Effexor XR, and the data were not sufficient to support a claim for use in pediatric patients.

The safety of Effexor XR treatment for pediatric patients has not been systematically assessed for chronic treatment longer than six months in duration. In the studies conducted in pediatric patients ages , the occurrence of blood pressure and cholesterol increases considered to be clinically relevant in pediatric patients was similar to that observed in adult patients. Families and caregivers of patients should be advised to look for the emergence of such symptoms on a day-to-day basis, since changes may be abrupt.

Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medication. Interference with Cognitive and Motor Performance Clinical studies were performed to examine the effects of venlafaxine on behavioral performance of healthy individuals.

The results revealed no clinically significant impairment of psychomotor, cognitive, or complex behavior performance. However, since any psychoactive drug may impair judgment thinking, or motor skills, patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that venlafaxine hydrochloride therapy does not adversely affect their ability to engage in such activities.

Angle-Closure Glaucoma Patients should be advised that taking venlafaxine can cause mild pupillary dilation, which in susceptible individuals, can lead to an episode of angle-closure glaucoma. Pre-existing glaucoma is almost always open-angle glaucoma because angle-closure glaucoma, when diagnosed, can be treated definitively with iridectomy.

Open-angle glaucoma is not a risk factor for angle closure glaucoma. Patients may wish to be examined to determine whether they are susceptible to angle closure, and have a prophylactic procedure e.

Pregnancy Patients should be advised to notify their physician if they become pregnant or intend to become pregnant during therapy. Nursing Patients should be advised to notify their physician if they are breastfeeding an infant. Concomitant Medication Patients should be advised to inform their physicians if they are taking, or plan to take, any prescription or over-the-counter drugs, including herbal preparations and nutritional supplements, since there is a potential for interactions.

Alcohol Although venlafaxine has not been shown to increase the impairment of mental and motor skills caused by alcohol, patients should be advised to avoid alcohol while taking venlafaxine. Allergic Reactions Patients should be advised to notify their physician if they develop a rash, hives, or a related allergic phenomenon.

Laboratory Tests There are no specific laboratory tests recommended. Drug Interactions As with all drugs, the potential for interaction by a variety of mechanisms is a possibility. Alcohol A single dose of ethanol 0.

Additionally, administration of venlafaxine in a stable regimen did not exaggerate the psychomotor and psychometric effects induced by ethanol in these same subjects when they were not receiving venlafaxine. Cimetidine Concomitant administration of cimetidine and venlafaxine in a steady-state study for both drugs resulted in inhibition of first-pass metabolism of venlafaxine in 18 healthy subjects.

However, coadministration of cimetidine had no apparent effect on the pharmacokinetics of ODV, which is present in much greater quantity in the circulation than is venlafaxine.

The overall pharmacological activity of venlafaxine plus ODV is expected to increase only slightly, and no dosage adjustment should be necessary for most normal adults.

However, for patients with preexisting hypertension, and for elderly patients or patients with hepatic dysfunction, the interaction associated with the concomitant use of venlafaxine and cimetidine is not known and potentially could be more pronounced. Therefore, caution is advised with such patients. Venlafaxine also did not have any effect on the pharmacokinetics of diazepam or its active metabolite, desmethyldiazepam, or affect the psychomotor and psychometric effects induced by diazepam.

The mechanism explaining this finding is unknown. O-desmethylvenlafaxine ODV also was unaffected. Drugs Highly Bound to Plasma Protein Venlafaxine is not highly bound to plasma proteins; therefore, administration of venlafaxine to a patient taking another drug that is highly protein bound should not cause increased free concentrations of the other drug.

Drugs that Interfere with Hemostasis e. Epidemiological studies of the case-control and cohort design that have demonstrated an association between use of psychotropic drugs that interfere with serotonin reuptake and the occurrence of upper gastrointestinal bleeding have also shown that concurrent use of an NSAID or aspirin may potentiate this risk of bleeding.

Patients receiving warfarin therapy should be carefully monitored when venlafaxine is initiated or discontinued.

Therefore, the potential exists for a drug interaction between drugs that inhibit CYP2D6-mediated metabolism and venlafaxine. However, although imipramine partially inhibited the CYP2D6-mediated metabolism of venlafaxine, resulting in higher plasma concentrations of venlafaxine and lower plasma concentrations of ODV, the total concentration of active compounds venlafaxine plus ODV was not affected.

Additionally, in a clinical study involving CYP2D6-poor and -extensive metabolizers, the total concentration of active compounds venlafaxine plus ODV , was similar in the two metabolizer groups. Therefore, no dosage adjustment is required when venlafaxine is coadministered with a CYP2D6 inhibitor.

Ketoconazole A pharmacokinetic study with ketoconazole mg b. Because CYP3A4 is typically a minor pathway relative to CYP2D6 in the metabolism of venlafaxine, the potential for a clinically significant drug interaction between drugs that inhibit CYP3A4-mediated metabolism and venlafaxine is small.

The concomitant use of venlafaxine with a drug treatment s that potently inhibits both CYP2D6 and CYP3A4, the primary metabolizing enzymes for venlafaxine, has not been studied. These findings have been confirmed in a clinical drug interaction study comparing the effect of venlafaxine to that of fluoxetine on the CYP2D6-mediated metabolism of dextromethorphan to dextrorphan.

Imipramine Venlafaxine did not affect the pharmacokinetics of imipramine and 2-OH-imipramine. Imipramine did not affect the pharmacokinetics of venlafaxine and ODV. Effexor does cause some gastrointestinal distress.

As far as the body aches, this is something that needs to be addressed with your provider. This could be a sign that the liver is not responding well to the medication.

Please contact your provider and let him or her know about your symptoms. I just started taking the lowest dosage of Effexor for anxiety. It made my mouth extremely dry, and I was dizzy.

Is it worth taking again? Can I split the pill in half? Dry mouth and dizziness are listed in Effexor's package insert as two of the more common side effects associated with patients discontinuing Effexor.

My daughter is trying to wean herself off of Effexor, but she's going through crying jags and nervousness. What's the best way to wean off Effexor and onto another medicine, such as Paxil? All medications for your daughter should be taken exactly as prescribed by your daughter's physician.

She should not stop taking or decrease the dose of her medication without first talking to her physician. If her physician decides to discontinue the medication, then he or she should provide your daughter with instructions on how to wean herself off of it. It's approved for the treatment of depression, anxiety disorders, and panic disorders. The manufacturer recommendeds that patients gradually reduce the dosage, rather than abruptly stopping the medication.

If intolerable symptoms occur while decreasing the dose or after the medication has been stopped, then the physician may want to consider resuming the previous dosage and decreasing more gradually. Tapering of dosages should be individualized for each patient and done under the supervision of the treating physician. Dose reduction or discontinuation of Effexor can include the following symptoms: Please keep in mind that these are only possible symptoms that have been seen, and they are not guaranteed to occur.

Jennyfer Marsico, RPh Q: What are the side effects of Effexor? Has anyone ever experienced delusional behavior? Effexor venlafaxine belongs to the group of drugs known as selective serotonin and norepinephrine reuptake inhibitors SSNRIs and it works by affecting chemicals in the brain called neurotransmitters. Effexor is used for the treatment of depression, anxiety, and panic disorder.

According to the package insert, the most common side effects of Effexor are weakness, sweating, nausea, constipation, anorexia, vomiting, tiredness, dry mouth, dizziness, nervousness, anxiety, tremor, blurred vision, increased appetite, and sexual dysfunction in men.

Effexor has been associated with some more serious side effects, including seizures, an increased risk of bleeding, and increased blood pressure.

Effexor may also cause serotonin syndrome, especially if used in combination with other drugs that affect serotonin within the brain. Serotonin syndrome is a rare but serious and potentially fatal condition. Patients should be closely monitored for symptoms of serotonin syndrome, which include irritability, altered consciousness, confusion, mental status changes including hallucinations, increased heart rate and body temperature, sweating, tremor, rigidity, difficulty with coordination, as well as stomach cramping, nausea, vomiting, and diarrhea.

Some patients experience worsening symptoms or thoughts of suicide when they first start taking an antidepressant. If you experience mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive or agitated and restless, contact your health care provider.

How long can a person take a prescribed antidepressant medication such as Effexor 75 ml, and what are the side effects? In addition, Effexor XR venlafaxine, long-acting is used to treat generalized anxiety disorder GAD , social anxiety disorder, and panic disorder. Side effects may vary depending on the formulation of Effexor and for the condition for which Effexor is being used. Effexor and Effexor XR have been shown to maintain an antidepressant effect for up to 26 weeks. In addition, Effexor XR has been shown to maintain an antidepressant effect for up to 52 weeks.

According to prescribing information, when Effexor or Effexor XR is used for extended periods of times, the doctor should periodically reevaluate the long-term usefulness of Effexor or Effexor XR for the individual person. The most appropriate antidepressant and the duration of use often depend on many patient-specific characteristics. I've had no period for four years, but the hot flashes are stronger than ever! I was on Paxil for depression after my divorce with anxiety, and my doctor and I feel I am no longer depressed.

What do you think of low-dose Effexor for managing hot flashes? How long are women usually going through the worst of the hot flashes? At this point, my face and body turn bright red and sweaty without meds for hot flashes, making it hard to work otherwise. Without meds, my body reacts like it it is a fight or flight emergency!

Effexor venlafaxine is an antidepressant of the type that is called serotonin-norepinephrine reuptake inhibitors SNRIs. Effexor is approved by the FDA for the treatment of several conditions: Do not use Effexor for a condition for which it was not prescribed. If you would like more information, talk with your doctor. I'm on Effexor 75 mg once per day. There isn't really one pill that is the best since everyone responds to each medication differently.

If the Effexor is not working for you or if you are experiencing adverse reactions from it, then it would be best for you to speak with your doctor to determine if a change in medication is necessary. It is hard for me to make a recommendation because I am not sure what problems you are having with the Effexor.

Are there any herbs that interact with Effexor XR? This list may not be complete, but research suggests that St. John's wort, tryptophan, sour date nut, and griffonia should be avoided while taking Effexor XR. Remember to always include any herbal products you use in your medication history. Also, when prescribed a new medication, let your physician know of any herbal products you may also be using. My doctor wants me to try taking Effexor for 45 days, to treat anxiety.

But I'm also on several heart medications. Is it safe for me to take this drug? Effexor the generic is venlafaxine is an antidepressant that clinical studies have shown can also help reduce anxiety. It takes about a month to get the full effect, but some effects are seen within the first few days.

It isn't a "take as needed" medication, however. You would need to take it every day. If you decide to stop taking it, you should taper off its use, especially if you were on a high dose. At a low dose, Effexor increases the brain chemicals norepinephrine and serotonin, but at high doses, it also increases dopamine.

Effexor can be taken with most heart medications with no drug interactions. Keep in touch with your doctor to see if the dose needs to be adjusted up or down to find the right level for you.

Is Effexor the same as venlafaxine? Venlafaxine is the name of the ingredient in Effexor. The generic form of Effexor is called venlafaxine. They should have the same effects since they contain the same active ingredient.

In order for a product to be approved by the FDA as a generic equivalent, the drug must undergo thorough testing and evaluation to show that it is as safe and effective as the brand name product.

If you feel like the generic product is not working as effectively as the brand name product, speak with your physician to see if they would like you to continue with the brand rather than the generic.

Can Effexor cause excess mucus production and cough? Effexor venlafaxine is a serotonin-norepinephrine reuptake inhibitor used to treat depression, generalized anxiety disorder, social anxiety disorder and panic disorder. The most common side effects with Effexor are headache, insomnia, drowsiness, nervousness, dizziness, nausea, dry mouth, anorexia, constipation, sexual dysfunction, weakness and sweating.

Other side effects with Effexor include sinusitis sinus inflammation , infection, flu-like syndrome, shortness of breath and cough. This is not a complete list of the side effects associated with Effexor. Can Effexor cause muscle twitching or "electric shock" sensations? Effexor venlafaxine and Effexor XR venlafaxine extended-release are in a drug class called selective serotonin and norepinephrine reuptake inhibitors SNRIs.

Effexor XR is used to treat depression, generalized anxiety disorder GAD , social anxiety disorder, and panic disorder. Effexor and Effexor XR work by increasing the naturally occurring brain substances serotonin and norepinephrine, which in turn helps maintain mental balance. Side effects may vary depending on the formulation of Effexor and the condition for which Effexor is being used. Twitching is also a reported side effect with Effexor and Effexor XR. Effexor and Effexor XR increase levels of serotonin.

In rare cases, serotonin can be elevated to toxic levels, which could result in serotonin syndrome. Serotonin syndrome can be a dangerous condition and is characterized by having at least 3 of the following symptoms: In very serious cases, serotonin syndrome can present like neuroleptic malignant syndrome, which can cause: People who take Effexor and Effexor XR should be aware of worsening of their mental health condition and suicide risk during treatment.

People should let their doctor or healthcare provider know right away if they are experiencing: These symptoms should be looked for especially early during treatment and when the dose is adjusted up or down; however, people should look for these symptoms on a day-to-day basis, since these changes may be abrupt. These symptoms may be associated with an increased risk of suicidal thinking and behavior. Close monitoring by a doctor or healthcare professional and possibly a change in medication may be needed if these symptoms occur.

Abrupt discontinuation or dose reduction of Effexor and Effexor XR has been shown to be associated with new symptoms called discontinuation symptoms. Reported discontinuation symptoms include: Higher doses and longer duration of treatment are associated with a greater chance of discontinuation symptoms.

I am taking Effexor and it says to take with food, twice a day. Can I take the morning dose without food if I am fasting for a blood test? Effexor venlafaxine is a serotonin-norepinephrine reuptake inhibitor SNRI , which is often used to treat depression. The medication works by restoring the balance of serotonin and norepinephrine, natural substances in the brain, which helps to improve mood. Effexor works best if it is taken at the same time each day and if taken with food.

If you cannot take the medication with food, then take the medication with a full glass of water at the time you have been taking your morning dose. Continue to take this medication even if you feel well. Try to take the medication without missing any doses. Do not suddenly stop taking Effexor without first consulting with your doctor.

You could have unpleasant symptoms if the medication is stopped abruptly. How do I go about getting off of Effexor ER 75mg? I've tried to stop but it makes me sick. Effexor XR venlafaxine long-acting is in a class of medications called selective serotonin and norepinephrine reuptake inhibitors SNRIs. Effexor XR is used to treat depression. Effexor is also used to treat social anxiety disorder, which is also known as social phobia. Effexor XR is also used to treat panic disorder, both with or without agoraphobia fear of being places where help might not be available.

Effexor XR works by increasing levels of serotonin and norepinephrine, which are natural substances in the brain that help maintain mental balance. Abrupt discontinuation or dose reduction of Effexor XR at various doses has been shown to be associated with the occurrence of new symptoms called discontinuation symptoms.

These symptoms generally go away; however, there have been reports of serious discontinuation symptoms. People should be monitored for these symptoms when Effexor XR treatment is being discontinued. A gradual reduction in the dose of Effexor XR rather than abrupt stopping is recommended whenever possible, according to Effexor XR prescribing information. If intolerable discontinuation symptoms happen after a decrease in the Effexor XR dose or upon stopping Effexor XR, then resuming the previously prescribed dose may be considered by the doctor or healthcare provider, according to prescribing information.

After that time, the doctor or healthcare provider may continue decreasing the dose of Effexor XR, but at a more gradual rate. People should never stop an antidepressant medication without first talking to a healthcare provider. Can Effexor cause muscle pain in the legs? Effexor venlafaxine is a medication prescribed for the treatment of depression and anxiety.

The side effects commonly reported with Effexor therapy include nausea, loss of appetite, dry mouth, constipation, nervousness, insomnia, dizziness, sweating, sexual disturbances, an increase in blood pressure, an increase in heart rate, an increase in cholesterol and triglycerides. A search of the prescribing literature of Effexor does list muscle cramps, muscle spasms, and muscle weakness as rare side effects.

Dehydration is also listed as an uncommon side effect. Muscle cramping can also occur with dehydration. Muscles cramps can result from strenuous exercise, trauma, dehydration, electrolyte imbalances, as a side effect of medications as well as from nerve overstimulation.

Please ensure that you are well hydrated and consult with your doctor about your symptoms. A physical examination and blood lab values can assist your doctor in evaluating your symptoms. Please notify your doctor about any other medications that you are currently taking as well as any over the counter medications, vitamin formulations, herbal or natural supplements.

A potential for drug therapy interactions may occur with herbal and natural supplements as well as over the counter medications. Is Effexor causing my constipation? Effexor venlafaxine belongs to the group of drugs known as selective serotonin and norepinephrine reuptake inhibitors SSNRIs. Effexor affects chemicals in the brain called neurotransmitters and is used to treat depression, anxiety, and panic disorder.

According to the package insert, the most common side effects of Effexor are nausea, problems sleeping, tiredness, weakness, and dizziness. Constipation and vomiting have also been reported by patients taking Effexor. Constipation can have many causes and should be discussed with your healthcare provider.

Suddenly stopping Effexor can cause withdrawal symptoms that can include: Some lifestyle changes may help relieve constipation including eating more fiber, drinking plenty of fluids, getting regular exercise, and answering the call to use the bathroom. I take 75 mg of Effexor twice a day. If I don't take the second pill until the morning, what kind of side effects will I feel? Will it hurt if I miss a dose? I am also on Lopressor 50 mg, and I have a pacemaker.

Will I be okay through the night? It is important to take your medications exactly how prescribed by your physician. If your physician has instructed you to take your medication twice daily then ideally the medication would be taken approximately 12 hours apart.

For most patients this would mean taking one tablet in the morning and one in the evening. Effexor is approved for the treatment of depression, generalized anxiety, social anxiety, and panic disorder.

According to medical references, if a patient misses a dose of Effexor, the recommendation is to take the dose as soon as possible unless it is almost time for your next dose. If your next dose is almost due, then the recommendation is to skip the missed dose and return to your regular dosing schedule. Patients should not double doses. These recommendations are made for a missed dose that occurs rarely. If you are having difficulty taking both of your doses of Effexor each day, you may want to talk to your physician about Effexor XR.

Effexor XR is an extended release form of Effexor. This form of Effexor is recommended to be dosed once daily. A drug interaction report was performed on your two medications and there were no interactions detected. Jen Marsico, RPh Q: Can Effexor worsen tremors? How are tremors treated? Effexor venlafaxine is an antidepressant medication that belongs to a class of drugs called selective serotonin and norepinephrine reuptake inhibitors SSNRIs. It is primarily used to treat major depression, anxiety disorders, and panic disorders.

Effexor can also be used to treat other conditions, such as obsessive-compulsive disorder, bipolar disorder, and to prevent certain types of headaches. Common side effects of Effexor include changes in weight and appetite, nausea, dry mouth, constipation, dizziness, headache, abnormal dreams, insomnia, blurred vision, nervousness, increased sweating, and decreased interest in sex.

This would be considered a common or frequent side effect. Consult your doctor if you are experiencing tremors or worsened tremors with Effexor. It may be helpful to try a different medication. Your doctor is best able to make treatment recommendations based on your specific circumstances. Can Effexor help with pain? Effexor is also used by physicians for treating conditions, other than what the manufacturer intended, called off-label uses, including nerve pain, fibromyalgia, and migraines.

Effexor is part of a group of medications called SNRIs that act on two chemicals in the brain, serotonin and norepinephrine. These chemicals are involved in sending messages between nerves and when they become unbalanced they cause the symptoms of a variety of conditions. Effexor works to bring a balance to serotonin and norepinephrine which helps to relieve those symptoms. It is not entirely clear how Effexor works to treat nerve pain, but it does appear to block the nerve signals in the spinal cord and brain that correspond to nerve pain, which help to relieve the pain symptoms.

The most common side effects with Effexor XR were constipation, dizziness, dry mouth, insomnia, loss of appetite, nausea, nervousness, sexual side effects, sleepiness, sweating, and weakness. I have just been prescribed Effexor for hot flashes. Is it effective if you take it at night rather than in the morning? Effexor venlafaxine belongs to a class of medications known as serotonin norepinephrine reuptake inhibitors SNRIs.

Effexor is usually prescribed for the treatment of depression. Effexor XR venlafaxine extended-release capsules are also used for treating generalized anxiety disorder GAD , social anxiety disorder, and panic disorder. Effexor works by raising the amount of serotonin and norepinephrine, natural substances in the brain, that help maintain mental balance. In addition, Effexor is sometimes used for treating hot flashes hot flushes, sudden strong feelings of heat and sweating in women who have experienced menopause change of life or who are taking medication to treat breast cancer.

Effexor is available on the market as a tablet or extended-release capsule and is administered by mouth. The tablet is usually taken two or three times a day with food. The extended-release capsule is usually taken once daily in the morning or evening with food.

Take Effexor at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.

Take Effexor exactly as directed. Do not take more or less of it or take it more often or for a longer period of time than prescribed by your doctor. If you are concerned about the time of day your doctor has instructed you to take your dose of Effexor, consult with your doctor for further guidance. Anissa Lee, RPh Q: I take Effexor for hot flashes. One of the side effects is weight gain.

If you take a higher dose do you gain more weight than a lower dose? Effexor venlafaxine is an antidepressant that is used for various conditions, including hot flashes. Effexor belongs to a class of medications called serotonin norepinephrine reuptake inhibitors SNRIs.

SNRIs work by bringing a balance to serotonin and norepinephrine in the brain that may be causing your symptoms. According to the prescribing information for Effexor, weight gain was reported as a possible side effect of the medication. During clinical studies, up to one percent of patients taking Effexor gained some amount of weight. However, it is actually more common for patients to lose weight while taking this medication. Weight gain or weight loss does not appear to be dose related with this medication.

Therefore, it does not matter what dosage of Effexor you take with regard to changes in weight. Can Effexor cause an increase in blood pressure, cholesterol or blood sugar? I have recently been diagnosed wth pre-diabetes. I started a diet 2 months ago as recommended by my physician. I have cut out potatoes, pasta, bread and sugar and have lost 25 pounds, but the blood sugar has increased instead of declined. According to the prescribing information, Effexor venlafaxine can cause hypertension high blood pressure and elevated cholesterol levels.

In addition, hyperglycemia elevated blood sugar levels was an infrequently reported adverse event in 0. If you have been experiencing elevated blood glucose sugar levels, consult with your health care provider for proper evaluation, diagnosis of the underlying cause and to determine which treatment option best meets your needs.

Effexor is an antidepressant classified as a serotonin-norepinephrine reuptake inhibitor SNRI. Effexor is indicated for the treatment of major depressive disorder, anxiety and panic disorder. According to the prescribing information, the most commonly reported side effects, during clinical trials of Effexor, include weakness, sweating, nausea, constipation, vomiting, anorexia, dry mouth, feeling tired, dizziness, nervousness, anxiety, tremor and blurred vision.

It is important to avoid drinking alcohol, which can increase the side effects of Effexor. Effexor should be taken with food and a full glass of water. It is important to try and take Effexor at the same time each day. You can browse Drugs A-Z for a specific prescription or over-the-counter drug or look up drugs based on your specific condition. This information is for educational purposes only, and not meant to provide medical advice, treatment, or diagnosis.

Remember to always consult your physician or health care provider before starting, stopping, or altering a treatment or health care regimen. Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect.

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