Meperidine Withdrawal Help - Kansas

Never ever Stop Stopping
Our physicians are on a mission to serve, assistance, and elevate the lives of people we offer through Medication- Assisted Therapy (FLOOR COVERING). Floor covering is thought about the most efficient treatment for opioid use disorder by the CDC, SAMHSA, FDA and other federal companies. We are happy to report 95% of our patients state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Kansas
What is Opioid withdrawal?To understandopioid withdrawal, it is very important to initially understand what taking opioids over a long period of time does to ones body. Taking an opioid daily for 3 weeks or longer results in an adjustment in brain chemistry which can be specified as medicine resistance. This indicates that with time, even more of the drug is required to achieve the same end result (ecstasy, discomfort control, or control or anxiety/depression). Dependence does not always indicate dependency nevertheless, which is identified by continuously food craving as well as continually busying oneself with the need to get more of the medicine. If someone who is dependent on opioids stops suddenly, they will likely have both physical as well as emotional signs and symptoms of withdrawal as the body is no longer obtaining a medication that it hinges on. One of the most common withdrawal signs are flu- like in nature and also include:
1. Drippy nose

2. Muscle aches

3. Upset stomach, nausea or vomiting, vomiting, diarrhea

4. Chills/sweats.

5. Quick heart beat.

6. Goosebumps on the skin.

7. Anxiety.

8. Failure to rest.

9. Tiredness.


There are 2 primary means of entering into withdrawal:.

1) All of a sudden quiting all opioid use without tapering down initially (spontaneous withdrawal).

2) Taking an opioid antagonist like naloxone (had in suboxone) or naltrexone too early (precipitated withdrawal).





For How Long Does Opioid Withdrawal Last?
If you ask anyone who has experienced opioid withdrawal, the answer is that it is fairly awkward as well as in some conditions, life- threatening. Withdrawals can begin as early as a few hrs and also normally last 3-5 days. Nevertheless, depending upon the intensity of addiction as well as the sort of drug used, signs might last as much as 3-6 weeks (methadone). A rough rule of thumb is an onset of symptoms take place after 2 to 3 times the half-life of the taken out opioid.
Exists Anything to Make Withdrawals Easier?
While the essential oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on pleasing your bodys physical reliance to opioids and reducing desires, we also have added therapy to aid ease the various other unpleasant symptoms of withdrawal. Below is a listing of signs with matching treatment medications:.
1) Muscle pains, headache- acetaminophen, advil, and also naproxen.

2) Muscle mass spasm- cyclobenzaprine, baclofen, and methocarbamol.

3) Nausea, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Inability to rest (sleeping disorders) - diphenhydramine, hydroxyzine, melatonin, trazodone, and doxepin.

7) Stress and anxiety, impatience, restlessness- diphenhydramine, hydroxyzine, and also clonidine.


The Household MD Specializes in Opioid Addiction and Withdrawal Treatment.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Get going today by arranging an online browse through with among our board- licensed physicians. Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered and also are here to make recovery easy. Visit this site to arrange currently!

MEDICATION- ASSISTED TREATMENT Kansas

 
At the Household MD, we believe there are multiple roads that lead from dependency to recuperation
What is Medication Assisted Treatment (FLOOR COVERING)?

Prior to we begin discussing therapy for opioid dependency, it is essential to know what is defined as opioid dependency. Opioid addiction is defined by a strong, compulsive urge to consume opioid drugs, even when they are no longer clinically called for. Opioid addiction remains at epidemic levels in the U.S and also the numbers are only anticipated to climb. Below are some quick facts:

-More than 263,000 individuals died from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals died from opioid overdose in simply this past year ending in April 2021.
-10.1 million individuals mistreated prescription opioids this past year.
-Overdose deaths including opioid have actually increased a minimum of 6 times given that 1999.

Its clear that opioids have a high potential for triggering dependency in individuals, also when they are taken as suggested. Although there are numerous roads torecovery, only one is called the most effective by the CDC and also authorized by several federal agencies (FDA, SAMHSA, and also other firms), and that is Medication- assisted treatment.Medication- assisted therapy( FLOOR COVERING) involves the use of medication, in conjunction with cognitive or behavior modification, to give an all natural method to treatingopioid dependency.

Here at The Family members MD, we combine reducing edge innovation with floor covering treatment inOlatheKansas.
Although MAT has conserved numerous people from opioid associated complications as well as death, less than 20% of those suffering from opioid dependency have accessibility to it.In enhancement to geographical restraints, there is a lack of doctors that are trained in its application. According to SAMHSA, less than 7 percent of physicians are effectively waivered to treat opioid dependency. Tele- MAT solutions, like we offer atThe Family MD, is one method to boost access to look after those that might not or else be able to do so due to set you back, lack of accessibility to or absence of availability of recommending physicians.

The M inMATstands for certain FDA accepted drug that is utilized to lower desires and physiologic dependence on opioids. While there are several solutions as well as suppliers, every one of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial 2, buprenorphine and methadone, are both partial and complete opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all three are accepted for therapy of opioid dependency, perhaps the best one for a lot of individuals is buprenorphine/naloxone (Suboxone) due to its favorable profile. Since it is just a partial agonist, it prevents the sensations of euphoria when taken, reduces desires at the very same time, and also dissuades IV shot. For this reason, buprenorphine/naloxone (Suboxone) is the only FDA authorized therapy that is suggested at The Family members MD. With greater than 95% of people withdrawal free at 5 days, our results are a testament to our competence when managing opioid dependency. Schedule an appointment currently to talk about further how we can best assist you accomplish long-term sobriety.


CHANGE FROM METHADONE Kansas.


What is Methadone?

Methadone is among 3 medicines that is FDA approved for the therapy of opioid usage.
problem, as aMedication- assisted treatment( FLOOR COVERING). It is the initial of the MAT drugs (accepted in the 1960s) as well as is one of the most greatly researched.Unlike the other two medicines that are utilized in MAT, methadoneis a full opioid agonist, which implies it brings all the threats that any type of other opioid off the street would have.These consist of ecstasy, threat of breathing anxiety, possibility of overdose, and also hallucinations among other things. Due to this, other MAT drugs such asSuboxonehave currently come to be a lot more liked as a result of its minimal negative effects profile. Olathe Kansas.



For How Long Does Methadone Withdrawal Last?

If switching over fromMethadoneto one more MAT drug, such asSuboxone, it is initially vital to.
decrease the amount of methadone one is on to 30 mg daily for at least one week. As soon as secure on this dosage, methadone is ceased entirely and also suboxone started when mild- moderate withdrawal symptoms begin to embed in, which is typically after 36 hrs however might vary relying on dependency extent. After three to 5 days, withdrawal is generally total as well as individual is currently effectively on Suboxone.

The Family Members MD Specializes in Methadone Dependency as well as Withdrawal Therapy.

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid clients.
overcome methadone addictionand withdrawal.Get began today by arranging an online visit with among our board- accredited doctors.Whether youre at home, at the workplace, or on lunch break, weve got you covered and are here to make healing easy.Click right here to schedule now.

 

  

Just how it functions
It is necessary to very first quit all methadone use. You should wait until you have mild to modest withdrawal signs (generally 12- 72 hours) before taking your first dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very uncomfortable and might be dangerous. Proceed as directed by your physician and thats it. Usually 95% of our clients do not have any type of withdrawal signs and symptoms after the initial 5-7 days of beginning Suboxone. You may additionally ask for added medication to aid relieve withdrawal signs and symptoms to make sure that you can continue with your daily activities (job, institution, and so on) without missing a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Olathe Kansas 

 What is Norco?

Norco is a combination pain medication, containing both acetaminophen as well as hydrocodone. It is utilized to deal with modest to severe pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and also it is one of the most often recommended opioid in the United States. It is typically for short-term discomfort and also is often made use of as an antitussive (cough suppressant). When over used, it can also be squashed and also snorted. It takes around ten to half an hour for you to really feel the effects ofNorcowhen taken as well as effects can last approximately 4 to 6 hrs. Various other brand name which contain both hydrocodone as well as acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


How Much Time Does Norco Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins regarding 6 to twelve hours after last usage. Signs and symptoms commonly come to a head around day 3 and also are generally significantly decreased by 7 to ten days. Often it is possible to last longer than 10 days depending on the extent of the dependency and it differs on a situation by case basis.


The Household MD Specializes in Norco Addiction and also Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Get going today by scheduling a digital check out with among our board- licensed doctors. Whether youre in the house, at the office, or on lunch break, weve got you covered as well as are right here to make recovery simple. Click here to arrange currently.





Exactly how it functions
It is essential to initial quit all Norco use. You must wait until you have moderate to modest withdrawal symptoms (typically 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both extremely uncomfortable and might be dangerous. Proceed as routed by your medical professional which it. Typically 95% of our patients do not have any type of withdrawal signs and symptoms after the first 3-5 days of startingSuboxone. You might likewise ask for extra drug to help alleviate withdrawal symptoms so that you can continue with your daily activities (work, institution, and so on) without missing a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Olathe Kansas


What is Oxycodone?

Oxycodone is a prescription opioid drug that was first made in 1916 from thebaine, an ingredient of poppy plant. It is made use of for treatment of moderate to serious pain and also is recognized for being highly habit forming. It generally starts to regulate pain within fifteen mins and can for up to six hours with the instant launch formulation. It is also marketed under the brand names Roxicodone as well as OxyContin (which is the prolonged release kind), to name a few. The prolonged release type is slowly launched right into the body and also gives all the time pain control. As a result of the slower onset, it has less possibility for abuse compared tooxycodonewhich has a quicker beginning of action.



How Much Time Does Oxycodone Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts concerning eight to twelve hrs after last use. Signs commonly come to a head around day three and hardly ever last longer than 5 to seven days. As always, there can be an extended withdrawal phase relying on the severity of addiction and also depending on individual elements.

The Family Members MD Specializes in Oxycodone Dependency as well as Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomeoxycodone addictionandwithdrawal. Start today by arranging a virtual see with one of our board- accredited physicians. Whether youre in your home, at the office, or on lunch break, weve obtained you covered and are below to make recovery easy. Click here to arrange now.

 

 

Just how it functions
It is important to first quit all oxycodone use. You must wait up until you have mild to moderatewithdrawal signs( normally 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both really uneasy and may be dangerous. Proceed as routed by your medical professional which it. Generally 95% of our individuals do not have any kind of withdrawal symptoms after the very first 3-5 days of starting Suboxone. You might also request additional medication to help alleviate withdrawal signs and symptoms to ensure that you can proceed with your day to day tasks (job, institution, and so on) without avoiding a beat.

THERAPY FOR FENTANYL WITHDRAWAL Olathe Kansas


What is Fentanyl?

Fentanyl is an artificial opioid, which means that it is produced by pharmaceutical companies in the laboratory. It is a really effective opioid as well as has to do with 50- 100 times extra stronger than morphine. Because of its effectiveness, it is primarily being made use of for discomfort management treatment of cancer individuals. Of note, several individuals are uninformed they are purchasingfentanyllaced products when they acquire opioids. Distributors do this due to the fact that it makes medicines more affordable, enhances potency, boosts habit forming properties, and also therefore, makes thesefentanyllaced drugs incredibly hazardous even in small doses. Onset to activity is 3 to 5 minutes if utilized intravenously. Other usual forms that it is produced in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), as well as in an injectable kind (Sublimaze).



How Much Time Does Fentanyl Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts regarding six to twelve hrs after last use. Signs commonly peak around day 3 and also rarely last longer than five to 7 days. However, it might happen depending upon the severity of addiction or instance by case basis.

The Family MD Specializes in Fentanyl Addiction as well as Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help individuals overcomefentanyladdiction andwithdrawal. Start today by arranging a virtual check out with among our board- licensed physicians. Whether youre at home, at the office, or on lunch break, weve obtained you covered and also are right here to make healing simple. Visit this site to arrange currently.





Just how it functions
It is necessary to first quit all Fentanyl use. You have to wait until you have light to modest withdrawal symptoms (usually 12- 72 hrs) prior to taking your very first dosage ofSuboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely awkward and also may threaten. Proceed as routed by your medical professional which it. Typically 95% of our patients do not have any kind of withdrawal symptoms after the initial 3-5 days of starting Suboxone. You may additionally request extra medicine to assist relieve withdrawal signs to ensure that you can proceed with your day to day tasks (work, college, etc) without avoiding a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Olathe Kansas

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the therapy of serious pain. It is extra generally understood asOpanaor Numorphan. It is dramatically more powerful than morphine and is used to treat discomfort that is less competent to other opioid drugs. In 2017, the FDA asked the maker of oxymorphone to remove its item from the United States market as well as because has actually been inaccessible in the United States. However, prolonged release oxymorphone solutions are still offered in the US because of its a little lower misuse potential. The instant release controls discomfort 5-10 mins if taking IV, as well as after thirty minutes if taken by mouth, and then last 3-4 hrs. If taking the extensive launch, discomfort control lasts 12 hours.

 

How Long Does Oxymorphone/Opana Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to forty eight hours after last use. Symptoms typically intensify at two to five days and peak during the first week.
 

The Family MD Specializes in Oxymorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome oxymorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is essential to first quit all oxymorphone usage. You should wait up until you have mild to moderate withdrawal symptoms (typically 12- 72 hours) before taking your initial dose of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both extremely unpleasant and may threaten. Proceed as guided by your doctor which it. Normally 95% of our people do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You might also ask for added medicine to aid alleviate withdrawal symptoms to make sure that you can proceed with your daily tasks (work, school, and so on) without avoiding a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Olathe Kansas

 

What is Tramadol?

When it was initially accepted in 1995, tramadol was ruled out an opiate even though its device of action was similar. Nonetheless, because of all the situations of misuse and dependency, the FDA ultimately designated tramadol as a dangerous drug in 2014. Compared with various other dangerous drugs nevertheless, tramadol has less potential for abuse. As a result of this, tramadol is among the lots of usual treatments for osteoarthritis and other excruciating problems.


The Length Of Time Does Tramadol Withdrawal Last?

The onset of withdrawal signs and symptoms approximately begins about thirty- 6 to seventy- 2 hours after last usage. Symptoms normally last five to 8 days. As always, there can be an extended withdrawal phase relying on the extent of dependency as well as relying on individual factors.


The Family MD Focuses On Tramadol Addiction as well as Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help people get over tramadol addiction and also withdrawal. Start today by setting up a virtual browse through with among our board- licensed medical professionals. Whether youre in the house, at work, or on lunch break, weve got you covered as well as are below to make recovery easy. Go here to arrange currently.

 

 

How it works

It is essential to initial quit all tramadol usage. You need to wait till you have mild to modest withdrawal symptoms (usually 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both extremely awkward as well as may be dangerous. Proceed as directed by your physician which it. Usually 95% of our individuals do not have any withdrawal signs and symptoms after the first 3-5 days of beginning Suboxone. You may additionally ask for extra medication to aid ease withdrawal signs to make sure that you can continue with your daily activities (job, institution, and so on) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Olathe Kansas

 

 What is Codeine?

Codeine is an opiate that is commonly found is prescription- grade cough suppressants. Tylenol 3, a popular painkiller, is codeine combined with acetaminophen. Because codeine- based cough syrups are less regulated that some other opiates considered to be more dangerous (Such as morphine and oxycodone), it is relatively easy to start getting and abusing it. Once ingested, codeine is converted into morphine in the body, thus producing similar effects but to a lesser degree.  

 

 How Long Does Codeine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week. The final phase of codeine withdrawal can last anywhere from one week after last dose and can linger for months.

The Family MD Specializes in Tramadol Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome tramadol addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is important to first stop all methadone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous.  Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR MORPHINE WITHDRAWAL Olathe Kansas

 

 What is Morphine?

Morphine is considered the classic opioid analgesic with which other painkillers are compared. It is a non- synthetic narcotic that is derived from opium and has a high potential for abuse. Traditionally morphine was almost exclusively used by injection, but the variety of pharmaceutical forms that it is marketed as today supports its use by oral and other routes of administration.  

 

How Long Does Morphine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week.

The Family MD Specializes in Morphine Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome morphine addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

 

How it works

It is important to first stop all morphine use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR HYDROMORPHONE WITHDRAWAL Olathe Kansas

 
What is Hydromorphone?

Hydromorphone, also commonly known as dilaudid, is an opioid medication used to treat severe pain. It is a semi- synthetic opioid that is derived from morphine, however it is 2-8x more potent than morphine. It has higher addictive potential because of its shorter duration to onset and causes greater sedation. It is used to treat pain that is not controlled by other opiate medications.  

 

 How Long Does Hydromorphone Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to eight hours after last use. Symptoms typically intensify and peak at one to two days. After three days the symptoms should start to subside and are generally resolved after the first week.

The Family MD Specializes in Hydromorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome hydromorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

  

How it works

It is important to first stop all hydromorphone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .
 

TREATMENT FOR MEPERIDINE WITHDRAWAL Olathe Kansas

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has an abuse possible comparable to that of morphine, however it must not be used for treatment of chronic pain. Meperidine needs to only be made use of in the treatment of acute episodes of extreme pain as a result of the danger of seizures from the accumulation of meperidine metabolites, specifically normeperidine, if it is made use of long-term. In addition to seizures, it can also trigger serotonin syndrome if utilized in mix with particular medications. It is offered in intramuscular, subcutaneous, intravenous, syrup, as well as tablet types.



How Much Time Does Meperidine Withdrawal Last?

The onset of withdrawal symptoms approximately begins concerning three- twenty 4 hrs after last usage. Signs typically come to a head around three days and begin to lower in intensity after the very first week. Some signs and symptoms may be presented for an extended period of time depending upon the severity of the dependency.

The Household MD Specializes in Meperidine Dependency and also Withdrawal Treatment

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help people overcome Meperidine dependency and withdrawal. Get started today by setting up an online visit with among our board- certified medical professionals. Whether youre in the house, at work, or on lunch break, weve obtained you covered and also are right here to make healing very easy. Go here to schedule now.







Exactly how it works

It is important to initial stop all Meperidine use. You need to wait up until you have moderate to moderate withdrawal signs and symptoms (usually 12- 72 hours) before taking your initial dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really unpleasant and also may be dangerous. Proceed as guided by your medical professional and thats it. Typically 95% of our patients do not have any kind of withdrawal symptoms after the very first 5-7 days of beginning Suboxone. You may likewise request added medicine to help relieve withdrawal signs and symptoms to make sure that you can proceed with your everyday tasks (job, institution, and so on) without skipping a beat.