rosukaa f tablet - Fenofibrate (145mg) + Rosuvastatin (10mg) medicine

Alviroz F 145mg/10mg Tablet: Complete Medicine Guide

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🏭 Troikaa Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category This medicine is not recommended during pregnancy. Both fenofibrate and rosuvastatin may cause harm to the developing fetus. Statins are contraindicated in pregnancy, and fibrates should be avoided unless clearly needed. Women of childbearing potential should use effective contraception while taking this medicine. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for lipid lowering in mixed dyslipidemia.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe muscle pain, tenderness, or weakness, especially with dark urine or fever.
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain.
  • Signs of allergic reaction such as rash, itching, swelling of face, lips, or throat, or difficulty breathing.
  • Severe abdominal pain radiating to the back, with nausea and vomiting.
  • Unusual bleeding or bruising.
  • Decreased urine output or swelling in legs.

If experiencing severe symptoms, call emergency services immediately.

What is rosukaa f tablet used for?

This medicine is a combination of fenofibrate and rosuvastatin used to treat mixed dyslipidemia by lowering triglycerides and LDL cholesterol while raising HDL cholesterol. It is taken once daily with food under medical supervision.

  • Generic Name: Fenofibrate (145mg) + Rosuvastatin (10mg)
  • Manufacturer: Troikaa Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 rosukaa f tablet के बारे में (Hindi Summary)

उपयोग: यह दवा फेनोफिब्रेट और रोसुवास्टेटिन का संयोजन है, जिसका उपयोग मिश्रित डिस्लिपिडेमिया के इलाज के लिए किया जाता है। यह ट्राइग्लिसराइड और एलडीएल कोलेस्ट्रॉल को कम करने और एचडीएल कोलेस्ट्रॉल को बढ़ाने में मदद करती है। इसे भोजन के साथ दिन में एक बार लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, मतली, पेट दर्द, कब्ज और मांसपेशियों में दर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें रैब्डोमायोलिसिस और लीवर की समस्या शामिल हो सकती है। मांसपेशियों में असामान्य दर्द या कमजोरी होने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि अवशोषण बेहतर हो और पेट की परेशानी कम हो। शराब का सेवन न करें क्योंकि इससे लीवर की समस्या बढ़ सकती है। अन्य दवाओं के बारे में डॉक्टर को बताएं। नियमित रूप से लीवर, किडनी और लिपिड प्रोफाइल की जांच कराएं। गर्भावस्था या स्तनपान के दौरान इस दवा का सेवन न करें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 rosukaa f tablet Uses & Benefits

[{"condition":"Mixed dyslipidemia","description":"This medicine is used to reduce elevated LDL cholesterol, total cholesterol, and triglycerides while increasing HDL cholesterol in patients with combined lipid abnormalities.","evidence":"Well-established"},{"condition":"Hypertriglyceridemia with high LDL","description":"It is prescribed when both triglycerides and LDL cholesterol are significantly elevated and lifestyle changes alone are insufficient.","evidence":"Well-established"},{"condition":"Primary hypercholesterolemia","description":"Used as an adjunct to diet when statin monotherapy does not achieve target LDL levels and triglycerides remain high.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Non-alcoholic fatty liver disease","description":"Sometimes prescribed off-label to improve liver enzymes and lipid profile in patients with fatty liver, but evidence is limited.","evidence":"Limited"},{"condition":"Diabetic dyslipidemia","description":"May be used off-label in patients with type 2 diabetes and mixed lipid disorders, though not specifically approved for this indication.","evidence":"Limited"}]

Primary treatment for: Mixed dyslipidemia

Also treats: Hypertriglyceridemia, Hypercholesterolemia, Diabetic dyslipidemia, Metabolic syndrome

📋 Drug Information

Generic Name(s)Fenofibrate (145mg) + Rosuvastatin (10mg)
Brand Namerosukaa f tablet
ManufacturerTroikaa Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with the evening meal to improve fenofibrate absorption and reduce stomach upset.
2
Monitor liver enzymes and lipid profile regularly as advised by your doctor.
3
Report any unexplained muscle pain, weakness, or dark urine immediately.
4
Avoid excessive alcohol consumption while taking this medicine to prevent liver damage.
5
Do not stop this medicine abruptly without consulting your doctor, as lipid levels may rebound.
6
Maintain a heart-healthy diet and regular exercise routine to maximize benefits.
7
Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High cholesterol
This medicine is commonly prescribed for this.
Likely Use
✅
High triglycerides
This medicine is effective for lowering triglycerides.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Joint pain
This medicine is not indicated for joint pain.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFenofibrate absorption is enhanced when taken with food; the micronized formulation is well absorbed. Rosuvastatin is absorbed orally, with peak plasma concentrations reached in about 3 to 5 hours. Food does not significantly affect rosuvastatin absorption but taking the combination with food is recommended to optimize fenofibrate absorption and reduce gastrointestinal upset.
DistributionFenofibrate is highly bound to plasma proteins, primarily albumin, and is distributed widely to tissues. Rosuvastatin is also highly protein-bound and is taken up by the liver via organic anion transporting polypeptide 1B1. Both agents have relatively large volumes of distribution.
Protein BindingFenofibrate is approximately 99% bound to plasma proteins. Rosuvastatin is approximately 88% bound to plasma proteins, mainly albumin.
MetabolismFenofibrate is rapidly hydrolyzed by esterases to fenofibric acid, the active metabolite. Fenofibric acid undergoes glucuronidation and is excreted mainly in urine. Rosuvastatin is minimally metabolized by cytochrome P450 enzymes, primarily CYP2C9, but the majority is excreted unchanged in feces and urine.
Half-LifeThe elimination half-life of fenofibric acid is approximately 20 hours. The elimination half-life of rosuvastatin is approximately 19 hours.
ExcretionFenofibrate is excreted mainly in urine as fenofibric acid glucuronide. Rosuvastatin is excreted primarily in feces (about 90%) and urine (about 10%), mostly unchanged.
BioavailabilityThe absolute bioavailability of fenofibrate is not well established but is increased when taken with food. The absolute bioavailability of rosuvastatin is approximately 20%.
Onset of ActionLipid-lowering effects begin within 1 to 2 weeks of starting therapy, but maximum therapeutic effect is usually seen after 4 to 6 weeks of consistent use.
Peak Plasma TimeFenofibric acid reaches peak plasma concentrations in about 4 to 8 hours after oral administration. Rosuvastatin reaches peak plasma concentrations in about 3 to 5 hours.
Duration of ActionThe lipid-lowering effect persists with once-daily dosing. The duration of action for each component is approximately 24 hours, allowing once-daily administration.

How It Works

This medicine combines two active ingredients with complementary lipid-lowering actions. Fenofibrate activates peroxisome proliferator-activated receptor alpha (PPAR-alpha), which increases the expression of genes involved in fatty acid oxidation and lipoprotein lipase activity. This leads to increased breakdown of triglyceride-rich particles and increased production of apolipoprotein A-I and HDL cholesterol. Rosuvastatin selectively inhibits HMG-CoA reductase, the enzyme that converts HMG-CoA to mevalonate, a rate-limiting step in cholesterol biosynthesis. This inhibition upregulates LDL receptors in the liver, enhancing clearance of LDL cholesterol from the blood. Together, these mechanisms provide broad-spectrum lipid control.

Mechanism Steps

1
Fenofibrate activates PPAR-alpha: Fenofibrate binds to and activates peroxisome proliferator-activated receptor alpha in the liver, leading to increased transcription of genes involved in lipid metabolism.
2
Increased fatty acid oxidation and lipoprotein lipase activity: Activation of PPAR-alpha enhances fatty acid oxidation and increases lipoprotein lipase activity, which breaks down triglycerides in VLDL and chylomicrons.
3
Rosuvastatin inhibits HMG-CoA reductase: Rosuvastatin competitively inhibits HMG-CoA reductase, reducing cholesterol synthesis in the liver.
4
Upregulation of LDL receptors: The reduced cholesterol synthesis leads to increased expression of LDL receptors on hepatocytes, which clear LDL cholesterol from the bloodstream.
5
Combined lipid lowering: The complementary actions result in reduced triglycerides, LDL cholesterol, and total cholesterol, with an increase in HDL cholesterol.

💡 How to Take rosukaa f tablet

Strength: Tablet containing fenofibrate 145 mg and rosuvastatin 10 mg.

1Take the tablet once daily with a meal to improve absorption and reduce stomach upset.
2Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet.
3Take it at the same time each day to maintain consistent blood levels.
4If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose.
5Do not take an extra dose to make up for a missed one.
6Follow your doctor's advice regarding diet and exercise while taking this medicine.

Dosage Information

Adult DosageThe usual adult dose is one tablet of fenofibrate 145 mg and rosuvastatin 10 mg taken orally once daily with food. The dose may be adjusted by the doctor based on lipid levels and tolerability. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose should be individualized based on renal and hepatic function. Regular monitoring is recommended.
Renal ImpairmentIn patients with mild to moderate renal impairment, no dose adjustment is usually needed. However, in severe renal impairment (eGFR <30 mL/min/1.73 m2), this medicine is contraindicated. Consult a doctor for individualized dosing.
Hepatic ImpairmentThis medicine is contraindicated in patients with active liver disease or unexplained persistent transaminase elevations. In patients with mild hepatic impairment, use with caution and monitor liver function closely.
Maximum Daily DoseThe maximum recommended daily dose is one tablet containing fenofibrate 145 mg and rosuvastatin 10 mg. Do not exceed this dose unless directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take with food
Improves fenofibrate absorption and reduces stomach upset.
Grapefruit juice
Avoid large amounts
May increase rosuvastatin levels and risk of side effects.
Alcohol
Limit or avoid
Increases risk of liver damage and may worsen lipid profile.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of rosukaa f tablet

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Stay hydrated and rest. Consult doctor if persistent or severe.
Nausea (Common (5-10%))
Take with food to reduce nausea. Avoid fatty meals. Consult doctor if vomiting occurs.
Abdominal pain (Common (5-10%))
Take with food. Avoid spicy foods. Consult doctor if pain is severe or persistent.
Constipation (Common (5-10%))
Increase fiber and water intake. Consult doctor if constipation persists beyond a week.
Muscle pain (Common (5-10%))
Report to doctor if muscle pain is unusual or severe. Do not ignore muscle tenderness.

🚨 Serious Side Effects

Rhabdomyolysis (Rare (<0.1%))
Seek immediate medical attention if you experience severe muscle pain, weakness, dark urine, or fever.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain immediately.
Pancreatitis (Rare (<0.1%))
Seek emergency care for severe abdominal pain radiating to the back, with nausea and vomiting.
Severe allergic reaction (Rare (<0.1%))
Call emergency services for swelling of face, lips, tongue, or difficulty breathing.

⚠️ Rare Side Effects

Interstitial lung disease
Report persistent cough, shortness of breath, or fever to your doctor.
Autoimmune myopathy
Consult doctor if muscle weakness persists after stopping the medicine.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Cyclosporine Major
Gemfibrozil Major
Protease inhibitors Major
Antacids Moderate
Colchicine Moderate
Fusidic acid Moderate
Oral contraceptives Minor
Thiazide diuretics Minor
Digoxin Minor

🚨 Major Interactions

  • Warfarin
  • Cyclosporine
  • Gemfibrozil
  • Protease inhibitors

⚡ Moderate Interactions

  • Antacids containing aluminum or magnesium
  • Colchicine
  • Fusidic acid

🍷 Alcohol Interaction

Drinking alcohol while taking this medicine can increase the risk of liver problems and may reduce the effectiveness of lipid-lowering therapy. It is advisable to limit alcohol intake or avoid it completely, especially if you have a history of liver disease or high triglycerides.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Active liver disease or unexplained persistent elevations of serum transaminases.","Severe renal impairment (eGFR

⚠️ Warnings & Precautions

["Muscle effects: Report unexplained muscle pain, tenderness, or weakness, especially if accompanied by malaise or fever. Discontinue if myopathy is suspected.","Liver effects: Monitor liver enzymes. Discontinue if signs of liver injury occur.","Kidney effects: Use with caution in patients with renal impairment. Dose adjustment may be needed.","Diabetes: May increase blood glucose levels. Monitor glycemic control.","Thyroid disease: May affect thyroid function tests. Monitor if symptoms occur.","Alcohol use: Avoid excessive alcohol consumption due to increased risk of liver damage.","Pregnancy: Contraindicated. Use effective contraception.","Breastfeeding: Do not breastfeed while taking this medicine.","Pediatric use: Safety and efficacy not established.","Elderly: Use with caution, monitor renal and liver function."]

🤱 Lactation Safety

It is not known whether fenofibrate or rosuvastatin are excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, this medicine should not be used during breastfeeding. Alternative treatments should be considered.

💊 Overdose Management

There is no specific antidote for overdose with this medicine. In case of suspected overdose, seek immediate medical attention. Treatment should be symptomatic and supportive. Monitor liver and kidney function, and creatine kinase levels. Hemodialysis is not expected to significantly enhance elimination of rosuvastatin or fenofibrate.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Take the tablet with food to improve absorption and reduce stomach upset. Avoid drinking large amounts of alcohol while on this medicine because it can increase the risk of liver problems. Inform your doctor about all other medicines you are taking, especially blood thinners, other cholesterol medicines, and certain antibiotics. Report any unexplained muscle pain, weakness, or dark urine immediately. Keep all scheduled appointments for blood tests to check liver function, kidney function, and lipid levels. Do not take this medicine if you are pregnant, planning to become pregnant, or breastfeeding. Store the tablets at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to muscle and liver side effects. Dose should be individualized based on renal and hepatic function. Regular monitoring of kidney and liver function is recommended.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy. Women planning pregnancy should stop this medicine and consult their doctor for alternative treatments. Effective contraception should be used while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery due to potential interactions with other medications and effects on liver and kidney function. Follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. No specific precautions are usually needed for routine dental procedures, but if you are taking blood thinners, additional bleeding precautions may be necessary.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve lipid profile.
🥗
Engage in regular aerobic exercise like brisk walking, swimming, or cycling.
😴
Eat a diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids.
💧
Limit intake of saturated fats, trans fats, and refined sugars.
🧘
Avoid smoking and limit alcohol consumption.
🌞
Manage stress through relaxation techniques like yoga or meditation.
🚭
Get adequate sleep to support overall cardiovascular health.

🏋️ Exercise Considerations

Moderate exercise is encouraged, but if you experience muscle pain, weakness, or cramps during exercise, stop and consult your doctor. Intense or unaccustomed exercise may increase the risk of muscle injury while on this medicine.

🥗 Diet Recommendations

Include omega-3 rich foods like fatty fish, flaxseeds, and walnuts.
Reduce intake of processed foods and sugary beverages.
Increase dietary fiber with oats, beans, and fruits.
Use healthy oils like olive oil and canola oil.
Stay well hydrated throughout the day.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness, muscle pain, or fatigue, avoid driving or operating heavy machinery until you feel well. Most patients can continue their normal daily activities.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects such as severe muscle pain, liver problems, or allergic reactions, seek immediate medical advice. Your doctor may adjust the dose or switch to an alternative treatment.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe when monitored appropriately. Regular monitoring of liver enzymes, kidney function, and lipid profile is essential. Rarely, long-term use may be associated with muscle toxicity, liver injury, or gallbladder disease. Patients should continue lifestyle modifications and attend regular follow-ups.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Therapeutic lifestyle changes

Diet, exercise, and weight management can complement medicine for lipid control.

Evidence: Well-established
Omega-3 fatty acid supplements

May help lower triglycerides but less effective than prescription medicines.

Evidence: Moderate
Niacin

Can improve lipid profile but often limited by side effects.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, inform your healthcare provider about all medicines you are taking before receiving any vaccine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, continue taking your dose at the usual local time; no major adjustments are needed for once-daily dosing. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with mixed dyslipidemia and a history of coronary artery disease.
He was started on this medicine after his lipid profile showed high triglycerides and LDL cholesterol despite statin therapy. Within 6 weeks, his triglycerides dropped by 40% and LDL by 35%. He experienced mild nausea initially, which resolved after taking the tablet with dinner. He continues regular monitoring and has had no serious side effects.
💡 Lesson: Taking this medicine with food improves tolerability and efficacy. Regular monitoring is key to safe long-term use.
👤 A 45-year-old woman with type 2 diabetes and diabetic dyslipidemia.
She was prescribed this medicine to manage high triglycerides and LDL cholesterol. She was advised to monitor her blood sugar closely. After 3 months, her lipid profile improved significantly, and her HbA1c remained stable. She reported mild muscle aches initially, which subsided with hydration and rest.
💡 Lesson: Patients with diabetes should monitor blood glucose while on this medicine. Mild muscle aches can occur but usually resolve; persistent pain should be reported.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Lipid-lowering effects begin within 1 to 2 weeks, but maximum effect is usually seen after 4 to 6 weeks of consistent use.

Q: Can I take this medicine without food?

A: It is best taken with food to improve absorption of fenofibrate and reduce stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember if less than 12 hours have passed. If more than 12 hours, skip it and continue with your regular schedule. Do not double dose.

Q: Are there any foods I should avoid?

A: Avoid large amounts of grapefruit juice and limit alcohol intake. Maintain a heart-healthy diet.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for rosukaa f tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken without food.
    Fact: Fenofibrate absorption is significantly improved when taken with food, so it should be taken with a meal.
  • Myth: Once cholesterol levels are normal, the medicine can be stopped.
    Fact: Cholesterol levels may rise again if the medicine is stopped. Continue as prescribed and consult your doctor before making any changes.
  • Myth: This medicine can replace a healthy diet and exercise.
    Fact: This medicine is an adjunct to diet and exercise. Lifestyle modifications are essential for optimal cardiovascular risk reduction.

🔄 Alternative Options

Generic Alternatives

  • Fenofibrate and rosuvastatin combination generic tablets

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Fenofibrate 145 mg + Rosuvastatin 10 mg","key_feature":"Potent LDL reduction with significant triglyceride lowering"},{"medicine":"Atorvastatin + Fenofibrate","composition":"Atorvastatin 10 mg + Fenofibrate 160 mg","key_feature":"Similar combination with different statin"},{"medicine":"Rosuvastatin alone","composition":"Rosuvastatin 10 mg","key_feature":"Statin monotherapy, less effective for high triglycerides"}]

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