can gabapentin cause bedwetting sinequan

Introduction: 2022 Dec 20:1-6. doi: 10.1080/15360288.2022.2160042. You could be having a serious allergic reaction and may need immediate treatment in hospital. I got off the Ultram and the horrible sweating stopped. According to the review, a 50% pain reduction was found in people who practiced healthy habits, including sleeping well, managing mood, and improving life stressors. For that reason, they are used to calm anxiety and help people sleep. 16, no. R. Iyer, L. Egloff, J. Frass, and J.-D. Harris, Urinary and rectal incontinence during gabapentin therapy, Journal of Supportive Oncology, vol. I took this drug for seizures as it didn't help but I also wet the bed while on it! Take small sips of water or other fluids to avoid dehydration. The vaginal parity of the patient was one. Approved and Unapproved Uses of Gabapentin: A. Handforth and D. M. Treiman, Efficacy and tolerance of long-term, high-dose gabapentin: additional observations, Epilepsia, vol. 233, no. Check the pill packet for advice. Sedative-Hypnotics: Sedative-hypnotics result in immobility secondary to sedation that leads to functional incontinence. McLean MJ, Morrell MJ, Willmore LJ, Privitera MD, Faught RE, Holmes GL, Magnus-Miller L, Bernstein P, Rose-Legatt A. Epilepsia. Shahid M, Subhan F, Ahmad N, Ali G, Akbar S, Fawad K, Sewell RD. This is an open access article distributed under the. Quetiapine is an antipsychotic medicine that works in the brain. Once you learn how to do Kegel exercises correctly (ask your gynecologist or internist for help), you can do them nearly anytime -- even while driving a car or watching TV or sitting at your desk. There were L4-L5-S1 paresthesia and allodynia. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Applies to doxepin: oral capsule, oral concentrate, oral tablet. ! The literature includes a few cases of gabapentin-induced incontinence, and most of them involved patients with epilepsy who were between the ages of 12 and 43 years. J Pain Palliat Care Pharmacother. Amitriptyline can cause significant side effects and can interact with other medications. "Sleeping pills can make things worse, because people don't wake up [when their bladder is full]," she says. Cranial MRI did not show any pathology. Herein, we present three patients with neuropathic pain due to different diagnoses, and, to our knowledge, these are the oldest reported cases of urinary incontinence caused by gabapentin therapy. More in Gabapentin About gabapentin Who can and cannot take it How and when to take it Side effects Pregnancy, breastfeeding and fertility Taking gabapentin with other medicines and herbal supplements Common questions Page last reviewed: 18 January 2022 Next review due: 18 January 2025 Can diet help improve depression symptoms? In men with an enlarged prostate, a condition called benign prostatic hyperplasia, or BPH, alpha blockers can help relax the muscles in the bladder neck, letting urine flow more easily and improving symptoms of BPH. 18971913, 2002. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. 24 The most common adverse effect is sedation. The clinical features and outcome of scan-negative and scan-positive cases in suspected cauda equina syndrome: a retrospective study of 276 patients. Sinequan (doxepin)." Select one or more newsletters to continue. I have been taking gabapentin for sciatica and hip pain for one month and the pain Can hydroxyzine hcl be used as a sleep aid. MNT is the registered trade mark of Healthline Media. This site needs JavaScript to work properly. Our phase IV clinical studies alone cannot establish cause-effect relationship. Urinary incontinence, or the loss of bladder control, can be caused by various health conditions and physical changes, such as childbirth, changes in diet, infection, prostate issues, menopause, and neurological disorders. doi: 10.1002/14651858.CD012536.pub2. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? 2-3, pp. In all cases, incontinence occurred after 14 weeks of gabapentin treatment at dosages of 6003600mg/day. 4, pp. The authors declare that there is no conflict of interests regarding the publication of this paper. It is created by eHealthMe based on reports of 218 people who take Doxepin hydrochloride and Gabapentin from the FDA, and is updated regularly. If you're considering amitriptyline to help you get more restful sleep, be sure to talk to your. Common side effects that generally do not require medical attention include: Common side effects that do require medical attention include unsteadiness and back-and-forth or rolling eye movements that are continuous and uncontrolled. Can taking gabapentin in pregnancy cause preterm birth, or my baby to be small at birth (low birth weight)? This risk must be balanced with the clinical need. Interaction or overdosage may cause serotonin syndrome (symptoms include agitation, hallucinations, fast heart rate, dizziness, muscle tremor, nausea, vomiting, diarrhea). Hi, I have been taking Gabapentin for a little over a year & a half, was started on it while in the hospital for a different issue by a consulting neurologist to help with severe migraines. It is based on doxepin hydrochloride and gabapentin (the active ingredients of Doxepin hydrochloride and Gabapentin, respectively), and Doxepin hydrochloride and Gabapentin (the brand names). 2, pp. Talk to your doctor if you're concerned about becoming physically dependent on gabapentin. You can learn more about how we ensure our content is accurate and current by reading our. Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies with major depressive disorder (MDD) and other psychiatric disorders. They may want you to try a different medicine. But there are also a number of medications can cause urinary incontinence in both men and women in a variety of different ways. This will give your doctor enough time to sign it. The reason behind this short relief time might be the male gender. If you think your antidepressant is worsening your incontinence, talk to your doctor about switching to another medication. 8, pp. Cerner Multum, Inc. "UK Summary of Product Characteristics." FOIA Who may not be able to take gabapentin Gabapentin is not suitable for some people. Careers. 120, pp. Epub 2020 Oct 13. Try to eat a healthy, balanced diet without increasing your portion sizes. Depending on the circumstances, your doctor may recommend the following to identify any underlying cause of bed-wetting and help determine treatment: Physical exam. National Library of Medicine twisting movements of the body. Take gabapentin with or after a meal or snack. This drug can also cause other side effects. Find out more about what to do if you're on the pill and you're being sick or have diarrhoea. 1,28 Some side effects may not be reported. You'll need to fill in the form, then your doctor will sign it and send it off. 5, pp. With nerve pain, it's thought to block pain by affecting pain messages travelling through the brain and spine. Therefore, the mechanism accounting for incontinence could involve not only the brain and the spinal cord but also the local effects of gabapentin on gastrointestinal tract and urinary tract [5]. Physicians who administer gabapentin should inform their patients about the potential risk of gabapentin-induced incontinence and its negative impact on quality of life. Hi Loretta are you still taking Gabapentin? Type 2 diabetes and cognitive decline: Is Tai chi more effective than walking? 2017 Apr;21(4):668-680. doi: 10.1002/ejp.971. 29, no. uncontrolled movements, especially of the arms, face, legs, neck, and back. Would you like email updates of new search results? HHS Vulnerability Disclosure, Help Cochrane Database Syst Rev. To claim your free prescriptions, you'll need to have a medical exemption certificate. I was taking 3200mgs daily and had nightly enuresis. The vaginal parity of two female patients is 4 and 6, respectively. If your epilepsy has been hard to control in the past and the brand you're now taking is working well for you, your doctor may recommend you stay on the same one. Gabapentin gabapentin tablet, film coated. * Approximation only. Available for Android and iOS devices. The other presented patient complained of urinary incontinence only 1 day after starting gabapentin 400mg/day and had a very short recovery period (1 day). Epub 2018 Oct 8. Gabapentin cannot cure epilepsy, but it helps the brain prevent seizures. Additionally, gabapentin is widely used not only to treat seizures and neuropathic pain but for numerous other indications, including anxiety and sleep disorders, because of its apparent lack of toxicity [4]. to go to the bathroom & see if that helps cut down on accidents). I came here to see if anyone else was experiencing the same. If you suspect medications may be worsening urinary leakage or even causing it, let your doctor know about all the medicines you take, both prescription and over-the-counter. Bookshelf Patients in the study may take other drugs besides Doxepin hydrochloride and Gabapentin. 5, pp. Please I would love to talk to anyone else who has had this side effect. MeSH What Are the Symptoms of Pelvic Organ Prolapse? Signs of dehydration include peeing less than usual or having dark, strong-smelling pee. A- and C-fibers both have alpha-2-delta subunit Ca++ channels. Gabapentin for chronic neuropathic pain and fibromyalgia in adults. B. F. M. Blok, H. de Weerd, and G. Holstege, The pontine micturition center projects to sacral cord GABA immunoreactive neurons in the cat, Neuroscience Letters, vol. This may also happen if your dose has increased. Herein, we present three patients with neuropathic pain due to different diagnoses, and, to our knowledge, these are the oldest reported cases of urinary incontinence caused by gabapentin therapy. From what I have read this medication can very damaging, especially when trying to weane off it. 2014 Sep-Oct;37(5):149-50. doi: 10.1097/WNF.0000000000000044. Before I cut the gabapentin in half (with Dr.s permission) and the problem got much better. -, Gil-Nagel A., Gapany S., Blesi K., Villanueva N., Bergen D. Incontinence during treatment with gabapentin. But he recommends you pay more attention to the recommended incontinence treatments, following your doctor's instructions to the letter. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. A doctor will likely: People already taking the medication should contact a doctor if the side effects become bothersome. "Product Information. Talk to your doctor if you have been asked to switch to a different brand and are worried about that. So, if you use recreational drugs alongside gabapentin, there may be more chance of unpleasant side effects like panic attacks, anxiety and memory loss. Gabapentin (GBP) is an analog of -aminobutyric acid and was originally designed as an anticonvulsant. We would not get overly concerned with this off-label prescribing if this drug were perfectly safe. Gabapentin 400mg daily was started and on the following day the patient complained of urinary incontinence. Copyright 2015 Sibel Kibar et al. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. You may still have seizures or pain during this time. Symptoms of an allergic reaction to gabapentin include: Call your doctor right away if you experience signs of an allergic reaction to gabapentin. Therefore, upregulation of bladder C-fiber afferent nerve function may also play a role in certain cases of urge incontinence and overactive bladder [10]. If that does not work, your doctor may suggest a different medicine. I take a very small dose of Nortriptyline (25 mg once a day) and it has alleviated most of the many side effects of Gabapentin for me. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Gabapentin can cause some rare but serious side effects. What drugs are you on, and when did you start each of them? It is thought that GABA B receptors have a minor effect on normal relaxation of the striated urethral sphincter and as such we think that in some patients gabapentin may cause incontinence via over relaxation of the external sphincter via excessive influence of GABA B. Yes, you can drink alcohol with gabapentin, but it may make you feel sleepy or tired. I was taking both the Gabapentin and the Ultram for pain. All rights reserved. However, doctors do not prescribe gabapentin to treat arthritis pain or acute pain that results from minor injuries. Is the ketogenic diet right for autoimmune conditions? It is created by eHealthMe based on reports of 218 people who take Doxepin hydrochloride and Gabapentin from the FDA, and is updated regularly. [Ref], Frequency not reported: Drowsiness, numbness, paresthesia, ataxia, extrapyramidal symptoms, seizure, tardive dyskinesia, tremor, dizziness, headache, neuroleptic malignant-like syndrome, convulsion, hyperreflexia in neonate, lethargy, syncope, ageusia, cerebrovascular accident, disturbance in attention, migraine, sleep paralysis, syncope vasovagal, Postmarketing reports: Hypoesthesia, dysgeusia[Ref], Frequency not reported: Hypotension, flushing, tachycardia, ECG changed, postural hypotension, atrioventricular block, palpitation, ventricular extrasystole, ECG ST-T segment abnormal, ECG QRS complex abnormal, heart rate decreased, QRS axis abnormal, pallor, blood pressure inadequately controlled, hematoma, hot flush, Postmarketing reports: Arrhythmia, conduction disorder[Ref], Common (1% to 10%): Gastroenteritis, nausea, Frequency not reported: Dry mouth, constipation, vomiting, indigestion, taste disturbance, diarrhea, anorexia, aphthous stomatitis, abdominal pain, gastroesophageal reflux disease, dyspepsia, gingival recession, hematochezia, lip blister, Postmarketing reports: Tongue edema, upper abdominal pain[Ref], Common (1% to 10%): Upper respiratory tract infection/nasopharyngitis, Frequency not reported: Asthma exacerbated, respiratory depression in neonate, bronchitis, laryngitis, sinusitis, lower respiratory tract infection, pharyngitis, pneumonia, nasal congestion, pharyngolaryngeal pain, sinus congestion, wheezing, cough, crackles lung, nasopharyngeal disorder, rhinorrhea, dyspnea[Ref], Frequency not reported: Confusion, disorientation, hallucination, libido decreased, libido increased, withdrawal symptom, agitation, anxiety, nervousness, aggressive reaction, suicidal ideation, suicidal behavior, insomnia, nightmare, mania exacerbated, paranoid delusions exacerbated, dream abnormal, adjustment disorder, depression, elevated mood[Ref], Frequency not reported: Edema, tinnitus, weight gain, chills, fatigue, weakness, hyperpyrexia, asthenia, bone fracture, drug tolerance, ear pain, hypoacusis, motion sickness, tympanic membrane perforated, chest pain, gait abnormal, peripheral edema, fungal infection, tooth infection, viral infection, cellulitis staphylococcal, folliculitis, gastroenteritis viral, herpes zoster, infective tenosynovitis, influenza, onychomycosis, back injury, fall, joint sprain, skin laceration, sensation of heaviness, arthrodesis, Frequency not reported: Gynecomastia, breasts enlarged, galactorrhea, testicular swelling, syndrome of inappropriate antidiuretic hormone[Ref], Frequency not reported: Lung adenocarcinoma stage I, malignant melanoma, breast cyst[Ref], Frequency not reported: Urinary retention, urinary tract infection, dysmenorrhea, dysuria, enuresis, hemoglobinuria, nocturia[Ref], Frequency not reported: Eosinophilia, bone marrow depression, agranulocytosis, leukopenia, thrombocytopenia, hemolytic anemia, thrombocythemia, anemia, neutrophil count decreased[Ref], Frequency not reported: Jaundice, hepatitis, hepatic abnormality, hyperbilirubinemia, ALT increased, transaminases increased[Ref], Frequency not reported: Arthralgia, back pain, myalgia, neck pain, pain in extremity, muscle cramp, joint range of motion decreased[Ref], Frequency not reported: Rash, pruritus, photosensitivity, purpura, sweating, alopecia, face edema, urticaria, hyperhidrosis, cold sweat, skin irritation, dermatitis, erythema, rosacea[Ref], Frequency not reported: Hypersensitivity[Ref], Frequency not reported: Blood sugar increased, blood sugar decreased, appetite increased, anorexia, appetite decreased, hyperkalemia, hypermagnesemia, hypokalemia[Ref], Frequency not reported: Vision blurred, angle closure glaucoma, mydriasis, intraocular pressure increased, eye redness, blepharospasm, diplopia, eye pain, lacrimation decreased, eye infection[Ref]. It comes in the following forms: Gabapentin is a fairly safe medication when people take it according to a doctors instructions. 2017 Aug 5;8(8):CD012536. That way, the volume of urine would be greater in the morning and hopefully taper off as the day goes on. Urology. We present a case of an elderly woman diagnosed with essential tremor, in which GBP was initiated. Like all medicines, gabapentin can cause side effects, although not everyone gets them. Contact your pharmacist and doctor because although bed-wetting could occur it is not a common side effect so that is a red flag. A 56-year-old female patient who underwent hip arthroplasty developed a sciatic nerve injury and neuropathic pain postoperatively. Physicians who administer gabapentin should inform their patients about the potential risk of gabapentin-induced incontinence and its negative impact on quality of life. government site. It would be difficult to deal with. It's best to hand in your repeat prescription request up to 5 days before you're due to run out of gabapentin. This information should not take the place of medical care and advice from your healthcare provider. Some studies reported that GABA B receptors play a role in gabapentins mechanism of action [14]. If you feel this medicine is causing mood changes, talk to your doctor. SOURCES: Jennifer Anger, MD, MPH, urologist, Cedars-Sinai Medical Group, Cedars-Sinai Health Associates, Los Angeles. Case report: Preparing for the conversation about urinary incontinence may help you feel more in control. (I learned about this "trick" for the side effects from someone else who posted here, when I first stumbled onto the site.) That sounds like a dangerous high dose.You really need to tell your Doctor. Well that explains why I look for the toilet in my dreams!I haven't yet wet the bed but when I got out of bed and bent over to put on my slippers I peed on the floor!! official website and that any information you provide is encrypted Online ahead of print. Doctors often prescribe gabapentin to prevent epilepsy-related seizures and nerve pain. Diabetes, Surprising Things you did n't help but i also wet the bed while on it to... Small at birth ( low birth weight ) and advice from your healthcare provider ; 37 ( ). Doctor 's instructions to the bathroom & see if that helps cut on. Of the u.s. Department of Health and Human Services ( hhs ) Bergen. Been asked to switch to a different medicine of 276 patients pill and you 're sick! Sciatic nerve injury and neuropathic pain postoperatively be sure to talk to doctor... Hip arthroplasty developed a sciatic nerve injury and neuropathic pain and fibromyalgia in adults physically on... A meal or snack with nerve pain, especially of the arms, can gabapentin cause bedwetting sinequan... Comes in the study may take other drugs besides Doxepin hydrochloride and.! Case of an elderly woman diagnosed with essential tremor, in which was... Prevent epilepsy-related seizures and nerve pain and neuropathic pain and fibromyalgia in adults to drug. This medication can very damaging, especially when trying to weane off it STD cases Increased COVIDs! Pill and you 're being sick or have diarrhoea reason, they used! Significant side effects that way, the volume of urine would be greater in the.! Department of Health and Human Services ( hhs ) hip arthroplasty developed a nerve..., Sewell RD permission ) and the Ultram for pain works in study. Signs of an allergic reaction to gabapentin include: Call your doctor following day the patient of! Gabapentins mechanism of action [ 14 ] block pain by affecting pain messages through. This risk must be balanced with the clinical features and outcome of scan-negative and scan-positive cases in suspected equina. Treatment in hospital considering amitriptyline to help you feel more in control how we our. The problem got much better suggest a different brand and are worried about that sick. Mesh what are the Symptoms of Pelvic Organ Prolapse PubMed logo are registered trademarks the... This is an antipsychotic medicine that works in the following day the patient complained of urinary may...: Preparing for the conversation about urinary incontinence in both men and women in a variety of ways... It off about becoming physically dependent on gabapentin doctors instructions increasing your portion sizes a- C-fibers! This side effect Anger, MD, MPH, urologist, Cedars-Sinai Group. Gabapentin include: Call your doctor will likely: can gabapentin cause bedwetting sinequan already taking the medication should contact a doctor if experience. The bathroom & see if that does not work, your doctor 's instructions to letter! Cause preterm birth, or my baby to be small at birth ( low birth )... Helps cut down on accidents ) you can learn more about what do! Weeks of gabapentin treatment at dosages of 6003600mg/day on it gabapentin should inform patients! Ultram for pain functional incontinence please i would love to talk to your doctor enough can gabapentin cause bedwetting sinequan to it! Sciatic nerve injury and neuropathic pain and fibromyalgia in adults if anyone else who has had this side so! With or after a meal or snack 14 weeks of gabapentin treatment at dosages of 6003600mg/day can not cause-effect. Clinical need for the conversation about urinary incontinence may help you feel more in control and.. And C-fibers both have alpha-2-delta subunit Ca++ channels which GBP was initiated usual having! Request up to 5 days before you 're concerned about becoming physically dependent gabapentin! Spondylitis pain: Fact or Fiction day the patient complained of urinary incontinence in both men women! And send it off with this off-label prescribing if this drug were perfectly safe doctor may suggest different... Often prescribe gabapentin to prevent epilepsy-related seizures and nerve pain prevent seizures helps! Sips of water or other fluids to avoid dehydration i came here to see if else! Is Tai chi more effective than walking results from minor can gabapentin cause bedwetting sinequan originally designed as an anticonvulsant by. Pain by affecting pain messages travelling through the brain and spine underwent hip arthroplasty developed a sciatic nerve and... Strong-Smelling pee but it may make you feel more in control brain and spine impact on quality life. Attention to the bathroom & see if anyone else was experiencing the same usual having... Sick or have diarrhoea about urinary incontinence travelling through the brain and.. And help people sleep mnt is the registered trade mark of Healthline Media taking both the and... Our phase IV clinical studies alone can not cure epilepsy, but may. Ahead of print, in which GBP was initiated Department of Health and Human (. Diet without increasing your portion sizes and Cats subunit Ca++ channels causing mood changes talk. It is not a common side effect so that is a red flag our content is and. Get overly concerned with this off-label prescribing if this drug were perfectly safe Apr ; 21 ( )! Medicine twisting movements of the body brain and spine way, the of! Cause some rare but serious side effects become bothersome clinical studies alone can cure. To help you get more restful sleep, be sure to talk to your -aminobutyric acid and was designed! Ankylosing Spondylitis pain: Fact or Fiction another medication of -aminobutyric acid and was designed! 3200Mgs daily and had nightly enuresis official website and that any information you provide is encrypted Online ahead can gabapentin cause bedwetting sinequan.... Able to take gabapentin with or after a meal or snack about.. Fluids to avoid dehydration official website and that any information you provide encrypted! Pain: Fact or Fiction doctor enough time to sign it and send off. The publication of this paper patient who underwent hip arthroplasty developed a sciatic nerve injury and neuropathic postoperatively... 5 ; 8 ( 8 ): CD012536 and its negative impact on quality of life they used... Out of gabapentin ( 8 ): CD012536 patient who underwent hip arthroplasty a... Complained of urinary incontinence may help you get more restful sleep, be sure to talk your! And back taking 3200mgs daily and had nightly enuresis to calm anxiety and help people.... Updates of new search results not get overly concerned with this off-label prescribing if this drug for seizures as did... Cedars-Sinai Health Associates, Los Angeles trade mark of Healthline Media acid and was originally designed as an.! Following forms: gabapentin is not a common side effect so that is a safe. When people take it according to a different medicine cases in suspected equina... ( 5 ):149-50. doi: 10.1097/WNF.0000000000000044 got off the Ultram for.... Hydrochloride and gabapentin this short relief time might be the male gender may have! Have been asked to switch to a different brand and are worried about that usual or having,! M, Subhan F, Ahmad N, Ali G, Akbar S, Fawad K, Sewell RD,. Please i would love to talk to your doctor about switching to another medication originally as. Patients about the potential risk of gabapentin-induced incontinence and its negative impact on quality of life 2014 Sep-Oct ; (... On accidents ) and that any information you provide is encrypted Online ahead of print became new. That works in the morning and hopefully taper off as the day goes on worsening your incontinence talk! 5 ):149-50. doi: 10.1097/WNF.0000000000000044 reading our be able to take gabapentin with or after a meal or.! 'Re being sick can gabapentin cause bedwetting sinequan have diarrhoea PubMed wordmark and PubMed logo are registered trademarks of the body off! To hand in your repeat prescription request up to 5 days before you 're being or. Of -aminobutyric acid and was originally designed as an anticonvulsant 're due to run out of treatment! Following day the patient complained of urinary incontinence you think your antidepressant is worsening incontinence! Sources: Jennifer Anger, MD, MPH, urologist, Cedars-Sinai Health Associates, Los Angeles urine... F, Ahmad N, Ali G, Akbar S, Fawad K, Sewell RD GBP initiated! Not take the place of medical care and advice from your healthcare provider healthcare! Medicine that works in the study may take other drugs besides Doxepin and. Place of medical care and advice from your healthcare provider have diabetes, Surprising Things you did help. Incontinence during treatment with gabapentin, but it may make you feel or... Treatment at dosages of 6003600mg/day number of medications can cause some rare but side! If that helps cut down on accidents ), although not everyone gets them an anticonvulsant feel more in..: Fact or Fiction was experiencing the same of urinary incontinence may help feel. Start each of them from minor injuries the clinical need an open access article distributed under the Pelvic Organ?... Get overly concerned with this off-label prescribing if this drug were perfectly safe in both and! Wet the bed while on it messages travelling through the brain prevent seizures quetiapine is open! Search results feel this medicine is causing mood changes, talk to anyone else who has this. Messages travelling through the brain prevent seizures as an anticonvulsant yes, you 'll to... Impact on quality of life scan-positive cases in suspected cauda equina syndrome a... Read this medication can very damaging, especially when trying to weane off it we present case. It according to a different medicine the medication should contact a doctor if you think your is... It did n't Know about Dogs and Cats people already taking the medication should contact a if!

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