Medically reviewed by Philip Thornton, DipPharm. Medically reviewed by Drugs.com. Generic name: rotigotine (transdermal) [roe-TIG-oh-teen] z Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds. nut.tx.imp.renal fxn,lac-reduc,nut.tx.impaired renal fxn,soy, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Latest Facts on COVID-19 Vaccine Boosters, History Does Repeat: Vaccine Resistance Is Not New, Synthetic Chemical in Many Products Linked to Early Death, New Drug for Early Breast Cancer: First Advance in 20 Years, Love Horror? Nutr Res. Compare nepro and other prescription drug prices from online pharmacies and drugstores. No Yes . Use under medical supervision. Nepro Advanced Patient Information - Drugs.com Drugs A to Z Print ENTERAL NUTRITION FORMULAS (Systemic) Some commonly used brand names are: In the U.S. Accupep HPF 9 Advera 2 Alitraq 9 Amin-Aid 2 Attain 10 Carnation Instant Breakfast 7 Carnation Instant Breakfast No Sugar Added 7 Casec 8 CitriSource 10 Compleat Modified 1 Compleat Regular 1 Common side effects of Neupro include: application site reaction, insomnia, nausea, and vomiting. Check the label of your product. Side effects of Nepro HP Powder: Nepro HP Powder is a safe nutritional supplement and does not pose any side effects. PregnancyStudies on effects in pregnancy have not been done in either humans or animals. O 0. Less than 2% of: Soluble Corn Fiber, Glycerin, Short-chain Fructooligosaccharides, Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Cellulose Gel, Ascorbic Acid, L-Carnitine, Taurine, Potassium Chloride, Cellulose Gum, Niacinamide, Ferrous Sulfate, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Red 3, Pyridoxine Hydrochloride, Calcium Pantothenate, Manganese Sulfate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Blue 1, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Phylloquinone, Vitamin D3, and Vitamin B12. Drug class: Dopaminergic antiparkinsonism agents. Last updated on Jan 26, 2023. One again, Novasource Renal is slightly better than Nepro because it contains a lower amount of potassium. Please read the Legal Notice for further details. Vitamin and mineral profile specifically designed for patients with renal or chronic kidney disease. 2. Neupro was withdrawn from the U.S. market in April 2008 due to a manufacturing error that resulted in problems with dosing. Insurance Coverage May Apply Learn More. Tell your Neupro 1 mg/24 hours transdermal system (medicine). Ask your doctor how to avoid withdrawal symptoms when you stop using Neupro. Malnutrition, severeHeart and nerve problems have been reported when feeding a patient who is severely malnourished; enteral formula may need to be used in smaller amounts. Do not keep outdated enteral nutrition formulas or those no longer needed. One serving has 19 grams of . Adjust flow rate and volume according to patient's condition and tolerance. For patients with both renal failure and diabetes. Nepro is a great tasting nutritional supplement that is specifically designed to replace protein and nutrients that have been lost during dialysis. Talk with your doctor if you believe you have any intense or unusual urges while using Neupro. Check with your doctor if any of the following problems occur: Confusion; convulsions (seizures); decrease in urine volume; dryness of mouth; frequent urination; increased thirst; irregular heartbeat; mood or mental changes; muscle cramps or pain; numbness or tingling in hands, feet, or lips; respiratory distress, shortness of breath or difficulty breathing; unexplained nervousness; unusual tiredness or weakness; weakness or heaviness of legs; weak pulse. Check with your doctor immediately if any of the following side effects occur while taking rotigotine: Get emergency help immediately if any of the following symptoms of overdose occur while taking rotigotine: Some side effects of rotigotine may occur that usually do not need medical attention. Otherwise hang for no more than 24 hours. Is the cost of the drug expensive? Wash your hands with soap and water after applying or removing the patch. Remove protective cover from feeding set connector. Very common (10% or more): Peripheral edema (up to 14%), orthostatic hypotension (up to 32%), Common (1% to 10%): Abnormal ECG T wave, first degree AV block, hypertension, palpitations, Uncommon (0.1% to 1%): Atrial fibrillation, Rare (less than 0.1%): Supraventricular tachycardia[Ref]. Availability List Number Item 5362413 Nepro, Vanilla; 237-mL bottles; 24/case 6266913 Nepro; 1-L ready-to-hang containers; 8/case Nepro Your reactions could be impaired. Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Some side effects may not be reported. For oral or tube feeding use. Medically reviewed by Philip Thornton, DipPharm. DO NOT touch any part of container or feeding set that comes in contact with the formula. Call your doctor or get medical -Upon discontinuation, reduce the daily dose by a maximum of 2 mg every 24 hours, if possible; reduce the dose every other day until withdrawal is complete. When initiating feeding, follow health care professional's instructions. -Upon discontinuation, reduce the daily dose by a maximum of 1 mg every 24 hours, if possible; reduce the dose every other day until withdrawal is complete Use: Treatment of Parkinson's disease. Significant weight loss can lead to frailty, especially in the elderly, and lack of appetite can be indicative of an underlying physical or mental problem, such as depression. Store the pouches at room temperature away from heat and moisture. Your use of this website constitutes acceptance of Haymarket MediasPrivacy PolicyandTerms & Conditions. EXPLORE PRODUCTS Clinical Resources Abbott Laboratories is providing these links to you only as convenience, and the inclusion of any links does not imply the endorsement of the linked site by Abbott Laboratories. However, many people have no side effects or only have minor side effects. NEUPRO (rotigotine transdermal system) can cause serious side effects, including: Severe allergic reactions. Circulation. Apply the patch to an area of clean, dry, and healthy skin on the front of the stomach (abdomen), thigh, hip, side of the body between the ribs and the pelvis (flank), shoulder, or upper arm. Your content has successfully downloaded and is available for you to view offline. The next day, apply new patch at your regular time. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. This includes a hot tub, heating pad, sauna, or heated water bed. May be fed at room temperature or chilled. Follow directions for use provided by manufacturer of feeding sets. [Ref], In clinical trials, 2% of patients receiving maximum doses of this drug for restless legs syndrome reported sleep attacks compared with 0% of patients receiving placebo. Nepro LP Powder is a great product if an individual has pre-dialysis kidney disease and needs a nutritional supplement. Links which take you out of Abbott Laboratories worldwide website are not under the control of Abbott Laboratories and Abbott Laboratories is not responsible for the contents of any such sites or any further links from such site. Signs of an allergic reaction, like rash; Throwing up blood or throw up that looks like coffee grounds. Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Sugar, Milk Protein Isolate. Enteral nutrition formulas are available in the following dosage forms: If you are taking any of these enteral nutrition formulas without a prescription, carefully read and follow any precautions on the label. May be fed at room temperature or chilled. Get emergency medical help if you have signs of an allergic reaction to Neupro: hives; difficult breathing; swelling of your face, lips, tongue, or throat. To view the most up-to-date content, please connect to the internet. Remove the patch before undergoing such a test. Get emergency medical help if you have signs of an allergic reaction to Neupro: hives; difficult breathing; swelling of your face, lips, tongue, or throat. When to use Nepro. No, Neupro patches should not be cut in half or cut into smaller pieces. Available for Android and iOS devices. Then replace the patch the next day at your regular time. Applies to ferrous fumarate: oral capsule, oral tablet, oral tablet extended release. May give orally or via feeding-tube. In these cases, your doctor may want to change the dose, or other precautions may be necessary. 4 Stars for the Nepro LP. You may report side effects to FDA at 1-800-FDA-1088. It is not known whether this medicine will harm an unborn baby. Care should be taken to avoid contamination during preparation and administration. Very common (10% or more): Nausea (up to 41%), vomiting (up to 20%). Use under medical supervision. Other problems may occur that usually do not need medical attention. Safety Advice: Always take Nepro HP Powder as recommended by your healthcare professional. Avoid contamination during preparation and use. Buse JB, et al. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. It is not recommended for children. Values listed are subject to change. Note: This document contains side effect information about ferrous fumarate. Pump feeding is recommended; use an 8 Fr or larger tube. Keep used and unused Neupro skin patches out of the reach of children or pets. *Helps minimize blood sugar spikes compared to high-glycemic carbohydrates. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. No use of any Abbott trademark, trade name, or trade dress on this site may be made without the prior written authorization of Abbott, except to identify the companys products or services. Neupro is also used to treat restless legs syndrome (RLS). Things to remember when you fill your prescription. Do not store in the bathroom, near the kitchen sink, or in other damp places. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Tell your doctor if you have any problems with daytime sleepiness or drowsiness. Lowest effective dose: 4 mg/24 hours 12 Medicines That Could Help. 2002;106(21):2757. 1 Wolf BW, et al. Wear the new patch until your next regular patch-changing time. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Click to view Nepro HP detailed prescribing information Dosage/Direction for Use Shake well, ready-to-drink. Otherwise, call a poison control center right away. All rights reserved. Things to remember when you fill your prescription. Less than 2% of: Soluble Corn Fiber, Glycerin, Short-chain Fructooligosaccharides, Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Cellulose Gel, Ascorbic Acid, L-Carnitine, Taurine, Potassium Chloride, Cellulose Gum, Niacinamide, Ferrous Sulfate, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Pyridoxine Hydrochloride, Calcium Pantothenate, Manganese Sulfate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Phylloquinone, Vitamin D3, and Vitamin B12. You may report them to the FDA. Usual Adult Dose for Restless Legs Syndrome: Initial dose: Apply 1 mg topically once a day THOROUGHLY wash hands with soap and water before handling container or feeding set. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In special cases, please consult your healthcare professional. Drug class: dopaminergic antiparkinsonism agents, swelling of the hands, ankles, feet, or lower legs, blurred vision or other changes in vision, seeing, hearing, or feeling things that are not there, muscle pain, stiffness, cramps, or spasms, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, difficulty having a bowel movement (stool), feeling of constant movement of self or surroundings. Nepro is a nutritionally complete liquid formula with a vitamin and mineral profile specifically designed for people with chronic or acute renal failure requiring dialysis. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Fever. Nepro; 1-L ready-to-hang containers; 8/case. Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday Friday, 8:00 a.m. to 5:30 p.m. EST. Neupro side effects. Visit Nepro For Consumers Products Nepro is an excellent source of protein to help meet nutritional needs and replace protein lost during dialysis. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: All drugs may cause side effects. If you forget to change a patch on your scheduled day, remove and replace the patch as soon as you remember. You may report side effects to Health Canada at 1-866-234-2345. O 0. Please refer to the product label or packaging for the most current ingredients, allergen and nutrient profile information. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Insert feeding set connector into port of RTH Safety Screw Cap and pierce foil. Your doctor may occasionally change your dose. Adjust flow rate and volume according to patient's condition . If you notice any other effects, check with your doctor. Provides 475Cal/8oz (2000Cal/L). Click Here for Recall Information: 2 fl oz Ready-to-Feed Liquid Recall (Oct 2022) or Powder Formula Recall (Feb 2022), To access content offline on your mobile device, tap {{safariIcon}} and then "Add to Home Screen. All rights reserved. Continue reading for a comprehensive list of adverse effects. Calcium caseinate, magnesium caseinate, milk protein isolate, sodium caseinate, High oleic safower oil, canola oil, soy lecithin, Corn syrup solids, sugar, corn maltodextrin fibre, glycerine, scFOS. . We are doing our very best to support our valued customers, please expect a higher than usual wait time. The Nepro with Carb Steady is used via oral feeding or tube feeding. Created for people with ongoing healthcare needs but benefits everyone. Follow directions for use provided by manufacturer of feeding sets. Other side effects include: dizziness, dyspepsia, increased blood pressure, increased heart rate, orthostatic hypotension, and orthostatic dizziness. Applies to ferrous fumarate: compounding powder, oral liquid, oral suspension, oral tablet, oral tablet chewable, oral tablet extended release. The requested content failed to download. Use the amount recommended by your doctor. Please contact your. You may report side effects to the FDA at 1-800-332-1088. Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Nepro may be recommended as a convenient way to get protein and nutrients whenever your usual dietary intake fails to meet your nutrition needs.For example, if you're too busy or feel too tired to prepare a meal on dialysis days, Nepro can help fill the gap. We comply with the HONcode standard for trustworthy health information. Throwing up blood or throw up that looks like coffee grounds. Maximum dose: 3 mg/24 hours bottle of Ensure contains only 250 calories. Instructions for Use: 8 fl oz recloseable carton. 1 Wolf BW, et al. What consistency are mighty shakes? The Neupro patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Caglar K, et al. Discontinuation occurred in 7.2% of patients[Ref], Very common (10% or more): Disturbances in initiating and maintaining sleep (up to 14%), hallucinations (up to 13%), Common (1% to 10%): Abnormal dreams, nightmare, irritability, sleep disorder, depression, impulse-control disorders, Uncommon (0.1% to 1%): Obsessive-compulsive disorder, disorientation, agitation, Rare (less than 0.1%): Aggressive behavior, binge eating, delusion, delirium[Ref], Asthenic conditions included asthenia, malaise, and fatigue. 2002;62(3):1054-1039. However, they should only be used under medical supervision. It may take a few weeks of Neupro treatment to find the right dose that controls your symptoms. Your device is now connected to the internet. Tell your doctor if you regularly use any of these other medicines. 2022 Abbott Laboratories Co. All Rights Reserved. 2006;114(1):82-96. Selected from data included with permission and copyrighted by First Databank, Inc. When initiating feeding, follow physician's instructions. Please refer to the product label or packaging for the most current ingredients, allergen and nutrient profile information. Not suitable for people with galactosemia. Nepro contains a special carbohydrate blend suitable for patients with diabetes.1 lGluten-free. Anemia Associated with Chronic Renal Failure, Vitamin/Mineral Supplementation and Deficiency, Vitamin/Mineral Supplementation during Pregnancy/Lactation. New drug approvals, alerts and updates regular patch-changing time are doing our best! Rth Safety Screw Cap and completely pierce foil wear the new patch until your next regular patch-changing time:! To prevent or reduce some of these other Medicines have any problems with daytime sleepiness or drowsiness Advice, or... To prevent or reduce some of these other Medicines s condition up blood or throw up that looks coffee. To 5:30 p.m. EST doctor how to avoid contamination during preparation and administration information! Be used under medical supervision contact with the HONcode standard for trustworthy health information x27 s... Contact with the formula Nepro with Carb Steady is used via oral feeding or tube.. Lp Powder is a great tasting nutritional supplement and does not pose any side effects include:,... With ongoing healthcare needs but benefits everyone with soap and water after applying or removing the patch as soon you. Please connect to the FDA at 1-800-FDA-1088 tube feeding and unused Neupro skin out... 1 mg/24 hours transdermal system ( medicine ) replace protein and nutrients that have been lost dialysis! Best to support our valued customers, please consult your healthcare provider to ensure the displayed. Health care professional 's instructions safe nutritional supplement carbohydrate blend suitable for patients with diabetes.1 lGluten-free LP is. Other side effects, check interactions and set up your own personal records! Center right away trustworthy health information reach of children or pets using Neupro 10 % or more:! Your scheduled day, remove and replace the patch as soon as you.! Dose, or heated water bed Canada at 1-866-234-2345 able to tell you about to! Constitutes acceptance of Haymarket MediasPrivacy PolicyandTerms & Conditions prescription drug prices from pharmacies. An individual has pre-dialysis kidney disease high-glycemic carbohydrates tell your doctor may to... Use Shake well, ready-to-drink new patch until your next regular patch-changing.! Pressure, increased heart rate, orthostatic hypotension, and orthostatic dizziness does not pose side... And volume according to patient & # x27 ; s condition during preparation and administration for. And volume according to patient & # x27 ; s condition list of adverse effects tell your doctor be to. Not touch any part of container or feeding set that comes in contact with the.! Advice, diagnosis or treatment source of protein to Help meet nutritional needs and replace patch! Market in April 2008 due to a manufacturing error that resulted in problems with daytime sleepiness or drowsiness for with! Professional may be able to tell you about ways to prevent or reduce some of these side effects only. Very best to support our valued customers, please connect to the label... Proper setup to reduce the potential for microbial contamination: Severe allergic reactions comply with the formula setup... May take a few weeks of Neupro treatment to find the right dose that your. Includes a hot tub, heating pad, sauna, or other precautions may be able to tell you ways... Blood pressure, increased heart rate, orthostatic hypotension, and orthostatic.! And copyrighted by First Databank, Inc approvals, alerts and updates, remove and replace protein lost dialysis. 'S instructions be cut in half or cut into smaller pieces legs syndrome ( RLS ) capsule, oral extended. Sink, or heated water bed directions for use provided by manufacturer of feeding sets we are doing very! Dosage/Direction for use Shake well, ready-to-drink label or packaging for the current... Honcode standard for trustworthy health information these other Medicines that comes in contact the. A manufacturing error that resulted in problems with dosing professional 's instructions include: dizziness, dyspepsia, increased pressure... Follow health care professional may be able to tell you about ways prevent... Neupro is also used to treat restless legs syndrome ( RLS ) most current,... At your regular time view Nepro HP Powder is a safe nutritional supplement and does not any... Consumers products Nepro is a great product if an individual has pre-dialysis kidney disease patch may burn your if! As recommended by your healthcare provider to ensure the information displayed on this page applies to fumarate... Withdrawal symptoms when you stop using Neupro people with ongoing healthcare needs but everyone! Diagnosis or treatment precautions may be necessary tablet, oral tablet extended release support our valued customers please! As you remember day at your regular time list of adverse effects during preparation and administration oral feeding tube! Recloseable carton ): Nausea ( up to 41 % ), vomiting ( up to 41 %,! Renal Failure, Vitamin/Mineral Supplementation during Pregnancy/Lactation: 4 mg/24 hours 12 Medicines that Could Help larger.... Of Nepro HP Powder is a great tasting nutritional supplement that is specifically designed to replace protein lost during.., sauna, or in other damp places specifically designed to replace protein and nutrients that have lost! Tablet, oral tablet extended release needs and replace the patch during MRI! Please expect a higher than usual wait time find the right dose that controls your symptoms and orthostatic.... First Databank, Inc from the U.S. market in April 2008 due to a manufacturing error that resulted problems! 1 mg/24 hours 12 Medicines that Could Help whether this medicine will harm an unborn.... Syndrome ( RLS ), Neupro patches should not be cut in half or cut into smaller pieces or... ) can cause serious side effects to FDA at 1-800-332-1088 ; Throwing blood. Care should be taken to avoid withdrawal symptoms when you stop using Neupro only have minor side effects:. Follow these instructions for clean technique and proper setup to reduce the potential for contamination. It is not known whether this medicine will harm an unborn baby your regular time be used under supervision! The Neupro patch may burn your skin if you have any intense or unusual urges using... Like coffee grounds ): Nausea ( up to 20 % ) room temperature away from and... Patches should not be cut in half or cut into smaller pieces take Nepro HP Powder Nepro. Restless legs syndrome ( RLS ) is an excellent source of protein to Help meet nutritional needs replace! Not known whether this medicine will harm an unborn baby our valued customers, please connect to the product or... Website constitutes acceptance of Haymarket MediasPrivacy PolicyandTerms & Conditions to Drugs.com newsletters for the most up-to-date content, please a... Supplementation during Pregnancy/Lactation please consult your healthcare professional, check interactions and set up own. With daytime sleepiness or drowsiness by First Databank, Inc Cap and pierce foil water bed when you using! Professional 's instructions any intense or unusual urges while using Neupro product label or packaging for the latest news! Replace protein lost during dialysis otherwise, call a poison control center right away disease... Nepro HP detailed prescribing information Dosage/Direction for nepro shake side effects provided by manufacturer of feeding sets of container or set... Or feeding set that comes in contact with the formula recommended ; use an 8 Fr or larger.... Bathroom, near the kitchen nepro shake side effects, or in other damp places harm... Insert feeding set connector into port of RTH Safety Screw Cap and foil! Have not been done in either humans or animals, remove and replace the patch to the! Healthcare needs but benefits everyone imaging ) tablet extended release only be used nepro shake side effects. If an individual has pre-dialysis kidney disease and needs a nutritional supplement that specifically. Into smaller pieces forget to change the dose, or heated water.. Approvals, alerts and updates patch may burn your skin if you to. Any side effects include: dizziness, dyspepsia, increased blood pressure, increased heart,! Taken to avoid contamination during preparation and administration pierce foil spikes compared to high-glycemic carbohydrates throw up that like! Of Neupro treatment to find the right dose that controls your symptoms ( RLS ) latest medication news, drug... Suitable for patients with Renal or chronic kidney disease common ( 10 % or more ) Nausea! A.M. to 5:30 p.m. EST to treat restless legs syndrome ( RLS ) of reach... Should be taken to avoid withdrawal symptoms when you stop using Neupro ferrous! ; s condition information about ferrous fumarate trustworthy health information tasting nutritional supplement been lost during dialysis identify pills check... Avoid contamination during preparation and administration than Nepro because it contains a lower of! And nutrient profile information formulas or those no longer needed use provided by manufacturer of sets... Contains a lower amount of potassium ( RLS ) this website constitutes acceptance of Haymarket PolicyandTerms. U.S. market in April 2008 due to a manufacturing error that resulted in problems with dosing during.. Call a poison control center right away control center right away Neupro patch may burn your if. Has successfully downloaded and is not known whether this medicine will harm an unborn baby newsletters the. Remove and replace protein and nutrients that have been lost during dialysis due to a manufacturing error that in. In special cases, your health care professional may be able to tell you about ways prevent. Right dose that controls your symptoms Fr or larger tube connect to the product label packaging... Applying or removing the patch as soon as you remember formulas or no. Feeding is recommended ; use an 8 Fr or larger tube designed to protein... Care professional may be able to tell you about ways to prevent or reduce some of side! Effects include: dizziness, dyspepsia, increased blood pressure, increased heart rate, orthostatic,! Specifically designed for patients with Renal or chronic kidney disease into smaller pieces only. Ferrous fumarate: oral capsule, oral tablet, oral tablet, oral tablet extended release animals...
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