Ciprofloxacin 500 mg dosis

Are you suffering from a bacterial infection that just won't go away? Ciprofloxacin 500 mg might be the solution you've been looking for. This powerful antibiotic is specially formulated to treat a wide range of bacterial infections, from urinary tract infections to respiratory tract infections.

What is Ciprofloxacin?

Ciprofloxacin is a type of antibiotic known as a fluoroquinolone. It works by inhibiting the growth and multiplication of bacteria in your body, effectively eliminating the infection causing them. With its broad spectrum of activity, Ciprofloxacin is highly effective against both gram-positive and gram-negative bacteria.

How does Ciprofloxacin 500 mg work?

When you take Ciprofloxacin 500 mg, the active ingredient is rapidly absorbed into your bloodstream, allowing it to reach the site of infection quickly. Once there, it penetrates the bacterial cells and inhibits the DNA gyrase and topoisomerase IV enzymes, preventing the bacteria from replicating and ultimately leading to their death.

What conditions can Ciprofloxacin 500 mg treat?

Ciprofloxacin 500 mg is commonly prescribed for various bacterial infections, including:

• Urinary tract infections
• Respiratory tract infections
• Skin and soft tissue infections
• Abdominal infections
• Bone and joint infections
• Gastrointestinal infections

How should I take Ciprofloxacin 500 mg?

It is important to follow your healthcare provider's instructions regarding the dosage and duration of Ciprofloxacin treatment. Typically, Ciprofloxacin 500 mg is taken orally with or without food, usually twice a day for 7 to 14 days, depending on the severity of the infection. Do not skip doses or stop taking the medication early, even if you start feeling better, as this may lead to the development of antibiotic-resistant bacteria.

What are the possible side effects?

Like any medication, Ciprofloxacin 500 mg may cause side effects in some individuals. Common side effects include nausea, diarrhea, stomach pain, and headache. If you experience severe or persistent side effects, it is important to contact your healthcare provider for further guidance.

"Ciprofloxacin 500 mg is a powerful antibiotic that can effectively treat various bacterial infections. Consult your healthcare provider to see if it is the right choice for you."

Conclusion

If you are struggling with a bacterial infection and need fast and reliable treatment, Ciprofloxacin 500 mg may be just what you need. With its broad spectrum of activity and proven efficacy, it can help alleviate your symptoms and get you back on track to good health. Remember to always consult your healthcare provider before starting any new medication.

What is Ciprofloxacin?

Ciprofloxacin is an antibiotic medication that belongs to the fluoroquinolone class of drugs. It is commonly prescribed to treat various bacterial infections, such as urinary tract infections, respiratory tract infections, skin infections, and gastrointestinal infections.

How does Ciprofloxacin work?

Ciprofloxacin works by inhibiting the activity of certain enzymes that are essential for the replication and survival of bacteria. This helps to kill the bacteria and halt the infection.

Uses of Ciprofloxacin

Ciprofloxacin is commonly used to treat:

• Urinary tract infections (UTIs)
• Respiratory tract infections, such as pneumonia and bronchitis
• Skin and soft tissue infections
• Gastrointestinal infections, including traveler's diarrhea

How to take Ciprofloxacin?

Ciprofloxacin is typically taken orally, either with or without food. It is important to follow the dosage instructions provided by your healthcare provider and to complete the full course of treatment, even if your symptoms improve.

Note: It is important to avoid taking Ciprofloxacin with dairy products or calcium-fortified foods, as they may reduce the effectiveness of the medication.

Possible Side Effects

Like any medication, Ciprofloxacin may cause side effects. Common side effects may include nausea, diarrhea, headache, dizziness, and rash. If you experience any severe or persistent side effects, it is important to seek medical attention.

Contraindications and Precautions

Ciprofloxacin should not be taken by individuals with a history of allergic reactions to fluoroquinolone antibiotics or who have experienced tendonitis or tendon rupture while taking this medication. It is important to inform your healthcare provider of any medical conditions or medications you are currently taking before starting treatment with Ciprofloxacin.

In conclusion, Ciprofloxacin is a widely used antibiotic medication that is effective in treating various bacterial infections. However, it is important to take it as prescribed and to be aware of possible side effects and contraindications. Always consult with a healthcare professional for personalized medical advice.

Uses of Ciprofloxacin

Treating Bacterial Infections

Ciprofloxacin is an antibiotic medication that is commonly used in the treatment of various bacterial infections. It belongs to a class of antibiotics called fluoroquinolones, and it works by inhibiting the growth of bacteria and preventing their reproduction.

Respiratory Tract Infections

Ciprofloxacin is often prescribed to treat respiratory tract infections such as pneumonia, bronchitis, and sinusitis. It is effective against a wide range of bacteria that can cause these types of infections, helping to alleviate symptoms and promote healing.

Urinary Tract Infections

Urinary tract infections (UTIs) are another common condition that can be treated with ciprofloxacin. This medication is effective in killing the bacteria responsible for the infection and reducing symptoms such as pain, urgency, and frequency of urination.

Skin and Soft Tissue Infections

Ciprofloxacin is also used to treat skin and soft tissue infections, including cellulitis, abscesses, and wound infections. It helps to eliminate the bacteria causing the infection and promotes healing of the affected area.

Gastrointestinal Infections

Certain gastrointestinal infections, such as traveler's diarrhea and infectious diarrhea, can be effectively treated with ciprofloxacin. This medication helps to eradicate the bacteria causing the infection, alleviating symptoms such as diarrhea and abdominal pain.

Preventing Anthrax

In addition to treating bacterial infections, ciprofloxacin can also be used as a preventive measure against anthrax. In the event of exposure to anthrax spores, ciprofloxacin can help to reduce the risk of developing the infection.

It is important to note that ciprofloxacin should only be used for the specific conditions and under the guidance of a healthcare professional. It is essential to complete the full course of treatment as prescribed to ensure the effectiveness of the medication and to prevent the development of antibiotic resistance.

Recommended Dosage of Ciprofloxacin

For Adults

For most adults with bacterial infections, a typical dosage of Ciprofloxacin is 500 mg, taken orally, twice a day. This dosage may vary depending on the specific infection and the individual's medical history. It is important to follow the instructions provided by your healthcare provider or pharmacist.

For Children

The dosage of Ciprofloxacin for children is based on their weight and the severity of the infection. It is typically prescribed at a rate of 10-20 mg per kilogram of body weight, taken orally, twice a day. It is important to consult with a pediatrician or healthcare provider for the appropriate dosage for your child.

For Elderly Patients

Elderly patients may require a lower dosage of Ciprofloxacin due to their reduced kidney function. It is important to consult with a healthcare provider for the appropriate dosage for elderly patients to ensure safe and effective treatment.

Duration of Treatment

The duration of treatment with Ciprofloxacin will vary depending on the specific infection being treated. In general, treatment should continue for at least 7-14 days. It is important to complete the full course of treatment as prescribed by your healthcare provider, even if symptoms improve before the medication is finished.

Special Considerations

If you have any underlying medical conditions, such as kidney or liver disease, or if you are taking any other medications, it is important to inform your healthcare provider before starting treatment with Ciprofloxacin. They can assess any potential drug interactions or adjust the dosage as needed.

Remember to always follow the recommended dosage and consult with your healthcare provider for personalized advice and guidance on the use of Ciprofloxacin. Taking the medication as prescribed is essential for successful treatment and minimizing the risk of antibiotic resistance.

Understanding the Dosage

When it comes to taking Ciprofloxacin 500 mg, understanding the dosage is important for effective treatment. This powerful antibiotic is commonly prescribed to treat a range of bacterial infections, from urinary tract infections to respiratory infections. The dosage will vary depending on the specific condition being treated, as well as the severity of the infection.

The recommended dosage:

• For most infections, the usual dosage is 500 mg taken orally every 12 hours for a duration determined by your healthcare provider.
• In some cases, a higher dosage of 1000 mg may be prescribed for more severe infections.
• It is important to follow your doctor's instructions and complete the full course of treatment, even if symptoms improve before the medication is finished.

Important things to know:

• Take the medication at the same time(s) every day to maintain a consistent level of the drug in your body.
• Avoid taking Ciprofloxacin with dairy products, as they can decrease the effectiveness of the medication.
• If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Ciprofloxacin 500 mg can be a highly effective treatment for bacterial infections when taken correctly. Always consult with your healthcare provider for the proper dosage and duration of treatment for your specific condition.

How to Take Ciprofloxacin?

Ciprofloxacin is a type of antibiotic medication that is commonly used to treat bacterial infections. It is important to take ciprofloxacin as prescribed by your healthcare provider to ensure its effectiveness in treating your infection.

Here are some important guidelines to follow when taking ciprofloxacin:

• Take ciprofloxacin exactly as directed by your doctor. Do not take more or less than the prescribed dosage, and do not stop taking it before completing the full course of treatment.
• Take ciprofloxacin with a full glass of water, at least one hour before or two hours after a meal. This helps to ensure proper absorption of the medication in your body.
• If you are taking ciprofloxacin as a liquid, measure the dose carefully using a special measuring spoon or cup. Do not use a regular table spoon, as it may not provide the accurate dosage.
• It is important to take ciprofloxacin at evenly spaced intervals throughout the day. This helps to maintain a constant level of the medication in your body, which is necessary for effective treatment.
• Avoid taking ciprofloxacin together with dairy products or calcium-fortified foods and beverages, as they can interfere with the absorption of the medication. It is recommended to wait at least two hours before consuming these products.
• If you are taking any other medications, including vitamins or herbal supplements, inform your doctor or pharmacist, as they may interact with ciprofloxacin and affect its effectiveness.
• If you experience any side effects while taking ciprofloxacin, such as nausea, diarrhea, or dizziness, contact your doctor immediately. These side effects could be a sign of an allergic reaction or a more serious condition.

By following these guidelines and taking ciprofloxacin as directed, you can increase the chances of effectively treating your bacterial infection and avoiding potential complications. Remember to always consult your healthcare provider for any questions or concerns regarding your medication.

Potential Side Effects of Ciprofloxacin

When taking Ciprofloxacin 500 mg, there are potential side effects that you should be aware of. While not everyone experiences these side effects, it is important to know what to watch out for.

Common Side Effects:

• Nausea and vomiting: Some individuals may experience mild to moderate nausea or vomiting after taking Ciprofloxacin 500 mg. It is recommended to take the medication with food to help reduce these symptoms.
• Dizziness: Ciprofloxacin can cause dizziness, which may be worsened by dehydration. It is important to stay hydrated while taking this medication and to avoid activities that require alertness until you know how it affects you.
• Diarrhea: Diarrhea is a common side effect of Ciprofloxacin. If you experience severe or persistent diarrhea, it is important to contact your healthcare provider, as it may be a sign of a more serious condition.
• Headache: Headaches are a common side effect of Ciprofloxacin. If you experience severe or persistent headaches, it is important to contact your healthcare provider.

Less Common Side Effects:

• Allergic reactions: Some individuals may have an allergic reaction to Ciprofloxacin, which can be serious. Signs of an allergic reaction include hives, difficulty breathing, and swelling of the face, lips, tongue, or throat. If you experience any of these symptoms, seek immediate medical attention.
• Tendonitis and tendon rupture: Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults. If you experience any pain, swelling, or weakness in your joints, contact your healthcare provider.

It is important to note that this is not a complete list of potential side effects. If you experience any unusual symptoms or have concerns about side effects while taking Ciprofloxacin 500 mg, it is important to contact your healthcare provider.

Common Side Effects

Gastrointestinal Issues

Some individuals may experience gastrointestinal issues after taking Ciprofloxacin 500 mg. These can include nausea, vomiting, diarrhea, and stomach pain. It is important to stay hydrated and avoid spicy or greasy foods while taking this medication to help reduce these side effects.

Allergic Reactions

Although rare, some individuals may have an allergic reaction to Ciprofloxacin 500 mg. Symptoms of an allergic reaction can include hives, itching, swelling of the face or throat, and difficulty breathing. If you experience any of these symptoms, it is important to seek immediate medical attention.

Tendonitis and Tendon Rupture

Ciprofloxacin 500 mg has been associated with an increased risk of developing tendonitis and tendon rupture, especially in individuals over 60 years old. Symptoms can include pain, swelling, and difficulty moving the affected joint. If you experience any of these symptoms, it is important to stop taking the medication and consult with your healthcare provider.

Central Nervous System Effects

Some individuals may experience central nervous system effects after taking Ciprofloxacin 500 mg. These can include dizziness, headache, confusion, and seizures. If you experience any of these symptoms, it is important to seek medical attention as soon as possible.

Photosensitivity

Ciprofloxacin 500 mg may make your skin more sensitive to sunlight, leading to a higher risk of sunburn or rash. It is important to avoid prolonged sun exposure and use sunscreen while taking this medication.

Other Side Effects

Other common side effects of Ciprofloxacin 500 mg may include changes in taste, insomnia, and a decreased appetite. If you experience any bothersome or persistent side effects, it is important to speak with your healthcare provider.

Severe Side Effects

Allergic Reactions

If you experience an allergic reaction to ciprofloxacin, it is important to seek medical attention immediately. Symptoms of an allergic reaction may include hives, difficulty breathing, swelling of the face or throat, and a rash. Anaphylaxis, a severe and potentially life-threatening reaction, can also occur. If you have a known allergy to ciprofloxacin or other fluoroquinolone antibiotics, it is important to avoid taking this medication.

Tendon Rupture

Ciprofloxacin has been associated with an increased risk of tendon rupture, particularly in the Achilles tendon. This risk is higher in older adults, those taking corticosteroids, and individuals who have previously experienced tendon problems. If you experience sudden pain or swelling in your tendons, or have difficulty moving the affected area, it is important to seek immediate medical attention.

Nervous System Effects

Ciprofloxacin can cause nervous system side effects, including seizures, hallucinations, and confusion. These side effects are more likely to occur in individuals with a history of epilepsy, kidney disease, or a decrease in blood flow to the brain. If you experience any changes in your mental state, such as agitation or unusual thoughts, it is important to consult your healthcare provider.

Other potential severe side effects of ciprofloxacin include:

• Irregular heartbeat
• Liver problems
• Severe diarrhea
• Blood disorders
• Inflammation of the pancreas
• Visual disturbances

If you experience any of these side effects while taking ciprofloxacin, it is important to contact your healthcare provider immediately. They will be able to assess your symptoms and determine the best course of action. Do not stop taking ciprofloxacin without consulting your healthcare provider, as this could worsen your condition or lead to antibiotic resistance.

It's essential to always read and follow the instructions provided with your medication, and to talk to your healthcare provider if you have any concerns or questions about the potential side effects of ciprofloxacin.

Precautions When Taking Ciprofloxacin

1. Follow the prescribed dosage and duration

It is important to strictly follow the prescribed dosage and duration of treatment when taking ciprofloxacin. Taking a different dosage or stopping the medication before completing the full course can lead to incomplete treatment and may increase the risk of developing antibiotic resistance.

2. Inform your healthcare provider of any medical conditions

Prior to taking ciprofloxacin, inform your healthcare provider of any existing medical conditions you may have. This includes conditions such as kidney or liver disease, diabetes, epilepsy, or a history of muscle weakness or tendon disorders. Providing this information will help your healthcare provider determine if ciprofloxacin is safe and appropriate for you to take.

3. Avoid certain medications and supplements

Some medications and supplements can interact with ciprofloxacin and affect its efficacy or increase the risk of side effects. Inform your healthcare provider about all the medications and supplements you are currently taking, including over-the-counter drugs, vitamins, and herbal products. This will help your healthcare provider identify any potential interactions and adjust your treatment accordingly.

4. Stay hydrated and avoid excessive sun exposure

Ciprofloxacin can increase the sensitivity of your skin to sunlight, increasing the risk of sunburns and skin damage. It is important to stay hydrated and avoid excessive sun exposure while taking this medication. If sun exposure cannot be avoided, make sure to use sunscreen and wear protective clothing.

5. Watch for signs of allergic reactions or severe side effects

While uncommon, ciprofloxacin can cause allergic reactions or severe side effects in some individuals. Watch for signs such as rash, itching, swelling, dizziness, difficulty breathing, or seizures. If any of these symptoms occur, seek immediate medical attention.

By following these precautions and discussing any concerns with your healthcare provider, you can ensure safe and effective use of ciprofloxacin for your specific condition.

Who Should Not Take Ciprofloxacin?

Pregnant Women

Ciprofloxacin is not recommended for use during pregnancy. It can harm the unborn baby and affect their development. It is important to discuss alternative treatment options with your healthcare provider if you are pregnant or planning to become pregnant.

Breastfeeding Women

Ciprofloxacin can pass into breast milk and may harm a nursing baby. It is important to avoid taking this medication while breastfeeding or discuss with your healthcare provider about stopping breastfeeding while taking Ciprofloxacin.

Children

Ciprofloxacin is not generally recommended for children, especially under the age of 18, as it can affect their bone and joint development. There are alternative antibiotics available that may be safer for children. Consult a pediatrician for appropriate treatment options.

People with a History of Allergy

If you have had an allergic reaction to Ciprofloxacin or any other fluoroquinolone antibiotics in the past, you should avoid taking this medication. Allergic reactions can range from mild skin rash to severe reactions like anaphylaxis, which can be life-threatening.

People with Certain Medical Conditions

Ciprofloxacin may not be suitable for individuals with certain medical conditions, such as kidney or liver disease, epilepsy, or myasthenia gravis. It is important to inform your healthcare provider about your medical history and all current medications you are taking before starting Ciprofloxacin.

Drug Interactions to Consider

When taking Ciprofloxacin 500 mg, it is important to be aware of potential drug interactions that may occur. These interactions can affect how the medication works and may lead to increased side effects or reduced effectiveness.

1. NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may increase the risk of tendon rupture when used with ciprofloxacin. It is recommended to avoid using these medications together, or to use them with caution and under the guidance of a healthcare provider.

2. Antacids: Ciprofloxacin should not be taken with antacids that contain aluminum, magnesium, or calcium, as they can reduce the absorption of the medication. It is advisable to separate the doses of ciprofloxacin and antacids by at least 2 hours.

3. Warfarin: Ciprofloxacin may increase the effects of warfarin, a blood-thinning medication. This can lead to an increased risk of bleeding. Regular monitoring of blood clotting times is recommended when taking these medications together.

4. Theophylline: Ciprofloxacin can increase the levels of theophylline in the blood, which can lead to increased side effects of theophylline such as nervousness, irritability, or rapid heartbeat. Close monitoring and potential dose adjustments may be necessary.

5. Oral Diabetes Medications: Ciprofloxacin may affect the blood sugar levels in individuals taking oral diabetes medications. Regular monitoring of blood glucose levels is recommended, and dose adjustments may be necessary.

6. Anticoagulants: Ciprofloxacin may increase the effects of anticoagulant medications, such as heparin or enoxaparin, leading to an increased risk of bleeding. Close monitoring of blood clotting times is important when these medications are used together.

It is important to provide your healthcare provider with a complete list of all medications you are taking, including over-the-counter drugs, supplements, and herbal products. This will help them determine if there are any potential drug interactions with ciprofloxacin and make appropriate recommendations.

FAQs about Ciprofloxacin 500 mg Dosage

1. What is Ciprofloxacin 500 mg used for?

Ciprofloxacin 500 mg is an antibiotic medication that is commonly used to treat bacterial infections such as urinary tract infections, respiratory tract infections, skin and soft tissue infections, and certain gastrointestinal infections.

2. How should I take Ciprofloxacin 500 mg?

It is important to follow the instructions provided by your healthcare provider regarding the dosage and administration of Ciprofloxacin 500 mg. Typically, the medication is taken orally with or without food, usually twice a day, or as directed by your doctor. It is important to complete the full course of treatment, even if you start feeling better.

3. Are there any side effects of Ciprofloxacin 500 mg?

Like any medication, Ciprofloxacin 500 mg may cause side effects. Common side effects include nausea, diarrhea, stomach pain, headache, and dizziness. Serious side effects such as tendon rupture, allergic reactions, and liver problems are rare but possible. If you experience any concerning or severe side effects, contact your healthcare provider immediately.

4. Can I drink alcohol while taking Ciprofloxacin 500 mg?

It is generally recommended to avoid alcohol while taking Ciprofloxacin 500 mg. Alcohol can increase the risk of certain side effects and may reduce the effectiveness of the medication. It is best to consult with your doctor or pharmacist for specific advice regarding alcohol consumption while taking this medication.

5. Can I take Ciprofloxacin 500 mg with other medications?

Ciprofloxacin 500 mg may interact with certain medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), anticoagulants, and medications that contain minerals or vitamins. It is important to inform your healthcare provider about all the medications you are taking to avoid any potential interactions. Your doctor can provide specific guidance regarding the use of Ciprofloxacin 500 mg with other medications.

6. How long should I take Ciprofloxacin 500 mg?

The duration of treatment with Ciprofloxacin 500 mg will depend on the type and severity of the infection being treated. It is important to complete the full course of treatment as prescribed by your doctor, even if your symptoms improve before the treatment is finished. Stopping the medication too soon may result in the return of the infection or the development of antibiotic-resistant bacteria.

7. Can I take Ciprofloxacin 500 mg if I am pregnant or breastfeeding?

Ciprofloxacin 500 mg should be used with caution during pregnancy and breastfeeding. It is best to consult with your healthcare provider before taking this medication if you are pregnant, planning to become pregnant, or breastfeeding. Your doctor can assess the potential risks and benefits for you and your baby.

Can I Drink Alcohol While Taking Ciprofloxacin?

Understanding the Interaction

When taking ciprofloxacin, it is important to be aware of any potential interactions with alcohol. Mixing ciprofloxacin and alcohol can increase the risk of certain side effects, as well as reduce the effectiveness of the medication.

Potential Side Effects

Drinking alcohol while on ciprofloxacin can cause symptoms such as dizziness, drowsiness, and difficulty concentrating. It can also increase the risk of experiencing stomach upset, nausea, and vomiting. Additionally, alcohol can impair judgment and coordination, which can be dangerous while on medication.

Reduced Effectiveness

Alcohol consumption can interfere with the way ciprofloxacin is metabolized in the body. This can lead to reduced levels of the medication in the bloodstream, potentially making it less effective in treating the underlying infection or condition.

Precautions to Take

If you are prescribed ciprofloxacin, it is best to avoid alcoholic beverages while taking the medication. It is important to follow your healthcare provider's instructions and adhere to the recommended dosage. If you have any concerns or questions, it is always best to consult with your doctor or pharmacist.

In conclusion, it is generally advised to avoid drinking alcohol while taking ciprofloxacin. Mixing the two can increase the risk of side effects and potentially reduce the effectiveness of the medication.

Can Ciprofloxacin Cause Tendon Damage?

One potential side effect of taking ciprofloxacin is tendon damage. Tendons are the fibrous tissue that connects muscles to bones, and they are essential for movement and stability in the body. While ciprofloxacin is generally a safe and effective antibiotic, it is important to be aware of the potential risk of tendon damage.

Studies have shown that ciprofloxacin can increase the risk of tendonitis and tendon rupture, especially in certain populations. The risk is highest in people who are over the age of 60, those who have had a previous tendon rupture, and those who are taking corticosteroids. It is important to discuss any potential risk factors with your healthcare provider before starting ciprofloxacin.

How Does Ciprofloxacin Cause Tendon Damage?

The exact mechanism by which ciprofloxacin causes tendon damage is not fully understood. However, it is believed that the drug may interfere with collagen synthesis, which is essential for the strength and integrity of tendons. This can lead to tendonitis, inflammation of the tendon, and in some cases, tendon rupture.

Tendon damage can occur in any tendon in the body, but it most commonly affects the Achilles tendon in the heel. Symptoms of tendon damage can include pain, swelling, and difficulty moving the affected joint. If you experience any of these symptoms while taking ciprofloxacin, it is important to contact your healthcare provider immediately.

Reducing the Risk of Tendon Damage

To help reduce the risk of tendon damage while taking ciprofloxacin, it is important to follow your healthcare provider's instructions and take the medication as directed. Avoid activities that put excessive strain on your tendons, such as running or jumping. If you experience any unusual pain or discomfort in your tendons, stop taking ciprofloxacin and consult your healthcare provider.

Your healthcare provider may also recommend additional measures to support tendon health, such as physical therapy exercises to strengthen the muscles and tendons, and the use of supportive devices like orthotics or braces.

In conclusion, while ciprofloxacin can be an effective antibiotic, it is important to be aware of the potential risk of tendon damage. Talk to your healthcare provider about any concerns or risk factors you may have, and follow their guidance to help reduce the risk of tendon problems.

 

 

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