You can mix haldol and. Can you mix haldol and ativan in same syringe, 8mm film scanner. Clindamycin Reddit Acne Allopurinol, If caught acutely, lavage to get as much out of the stomach as possible, plus charcoal That would be best to ask a doctor or psychiatrist who is prescribing haldol--a discussion of what the Haldol (haloperidol) is being used to treat wou Haldol, (haloperidol) cogentin, and alcohol, is it okay to mix? Did you check med book? How to smoke a op Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Our members represent more than 60 professional nursing specialties. Each has advantages and disadvantages that should be considered. Pubic Lice Prevention Bactrim, Minimally clinically significant. The study is created by eHealthMe based on reports of 1,267 people who take Haldol and Cogentin from the FDA, and is updated regularly. Ketoconazole Cream And Eliquis Nortriptyline, We do not want respiratory depression or other serious side effects. These studies demonstrate that intramuscular haloperidol is both safe and effective in the treatment of agitation caused by virtually any etiology Roberts: Clinical Procedures in Emergency Medicine,5th ed. Read our [link]privacy policy[/link] for more info. No, it is not OK to mix the two in the same syringe.you saw the result first hand. It can also manifest as akesthesia, which can be thought of as a case of restless legs from hell. I was in jail 10 days total I only remember three of them they overdosed me I had to go to the emergency room. Drug interactions are reported among people who take Haldol and Cogentin together. I told him they were violating my civil rides by keeping me in the cell for more than 24 hours at a time. Up tp 24 hours or so: The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Malarone Vs Hydroxychloroquine Viagra Plus, The cookie is used to store the user consent for the cookies in the category "Analytics". These two drugs are compatible in syringe and should be mixed so that only one injection is needed. I would look the info up in a drug book or call a pharmacist. Hmmm.pharmacy told me not to mix haldol and Ativan. Can You Take Ivermectin With Antibiotics Propranolol, 2. The major potential adverse effects of acute one-time dose Haldol administration are exceedingly rare. Letrozole And Antidepressants Combimist L Inhaler, One of these is Q-T prolongation that can, potentially, cause dysrythmias. Most physicians would not recommend mixing haldol and benadryl in the same syringe. If it takes 2 hours for the drug to peak (I want to say . * Approximation only. ACCP represents our interests with the American Medical Association, the National Commission on Correctional Medicine, the American Correctional Association and others. AWSTATS. This cookie is set by GDPR Cookie Consent plugin. There is blood on his face and on the wall. Email this report to a friend, doctor, or patient, Drug class: anticholinergic antiparkinson agents. What characteristics allow plants to survive in the desert? I often stress the need for finding the etiology of agitation to our providers. Benzodiazepines when given to a patient with ethanol intoxication may be more likely to cause respiratory depression. It is not advised to mix medication in the same syringe . You can give Haldol and Ativan separately or mix them. Can be mixed in the same syringe as lorazepam or midazolam. ACCP needs your expertise! Antipsychotic medications commonly produce extrapyramidal symptoms as side effects. allnurses is a Nursing Career & Support site for Nurses and Students. When in doubt I always call pharmacy. Another is Neuroleptic Malignant Syndrome. Necessary cookies are absolutely essential for the website to function properly. Analytical cookies are used to understand how visitors interact with the website. I have found that "seasoned" nurses take short cuts that I know should not be done. 17,646 Posts. please excuse my ignorance, but if you're going to have to give two injections anyway due to the volume, why mix them? I discussed the use of ketamine for agitation in more detail in episode 18, along with 2 other unique options that dont put the patient at risk of respiratory failure. We mix Haldol and Ativan in a syringe together for combative patients and the benadryl potentiates the effect of all these. The dose is the same whether po or IM, so if a patient changes his mind and accepts oral meds, it is easy to change course. -The frequency of IM administration should be determined by patient response and may be given as often as every hour. Excellent series. On the other hand, lorazepam is an excellent choice for stimulant overdoses. Have you noticed how soon after your dose of Haldol you get the spasms? Has 32 years experience. That didnt like what I had to say. I like to use Ativan (lorazepam), myself. If releasing the hold on the patient will cause more trouble than it's worth, just work with whatever you got. Drug interactions are reported among people who take Haldol and Versed together. Chemotherapy has been shown to be effective in treating nausea and vomiting caused by nausea and vomiting. Haldol and ativan may be combined in the same syringe. Frequent redosing of benzodiazepines or antipsychotics may be necessary to control agitation, and the interval between doses may need to be much shorter than the every 15 to 30 minutes that would otherwise be recommended for these drugs. Coveram Lipitor, If you give Benadryl to everyone, you are treating the majority of patients needlessly. If I can't remember whether the insulin is drawn up clear before cloudy..whatever.. two shots.. patient safe. In debilitated adults give 1 to 2 mg/day PO in 2 to 3 divided doses initially. This means that it can safely be given to patients who are already taking antipsychotics. Phenergan Ingredients Viagra, There are no contraindications, to this. Required fields are marked *. It is not advised to mix medication in the same syringe . These two drugs are compatible in syringe and should be mixed so that only one injection is needed. The deputies take him down and strap him to a restraint chair. Buspirone (Buspar) is an example of a salative. Use a typewriter or computer if necessary. This study guide will help you focus your time on what's most important. 1. Geodon (ziprasidone) and Benadryl (diphenhydramine) are both antipsychotic medications. Dosages Preparation: 5 mg/ml vial Can you mix haldol and ativan in same syringe and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will . There are no contraindications, to this. Voting Question: can i mix Benadryl with Ativan and Haldol people should be controlled with Haldol? Benadryl and ativan (lorazepam) have not been tested for compatibility, so. Prazosin Mechanism Of Action Noroxin, They are not typically mixed together in the same syringe, as they work differently. Haldol (Haloperidol) and Ativan (Leziapam) are taken together as a single dose. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Success! What drugs should not be taken with Haldol? Versed (midazolam) is an acceptable alternative to Ativan. Does anyone else mix these in the same syringe and had. Otherwise, consult pharmacy department or a drug guide for best response. 6 are major, 314 are moderate, and 19 are minor. Could be facility/prescriber preference. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Haldol and Ativan are compatible, and usually given in the same syringe. Increase gradually as needed and tolerated. Create well-written care plans that meets your patient's health goals. I had to give this shot this week. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Print if this would be more legible than handwriting. These cookies ensure basic functionalities and security features of the website, anonymously. PsychNurseWannaBe, BSN, RN 747 Posts Specializes in LTC, Nursing Management, WCC. Yes. By using our website, you consent to our use of cookies. This is not a dumb question. TIPS FOR SAFE PRESCRIPTION WRITING** 1. Another reason to be concerned is that taking haloperidol at bedtime may make you feel sleepy or less alert the next morning. By clicking Accept All, you consent to the use of ALL the cookies. Dystonic reactions involve involuntary muscle contractions usually in the neck, shoulders or face, but also elsewhere. Conclusion While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. Copyright 2021 by Excel Medical. Episode 795: When can octreotide be discontinued in patients with variceal bleeding? Create well-written care plans that meets your patient's health goals. You can give Haldol and Ativan separately or mix them. And which ones should I draw up first? Can you mix Haldol Benadryl and Ativan in the same syringe? The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. Haldol and cogentin IM - Nursing Community / Nurses / Nursing Students More often we use cogentin which. Each had some 1 cc of haldol and 1 cc of cogentin. Because of the possibility of a dystonic reaction to IM Haldol, some practitioners give Benadryl 50mg IM at the same time as the Haldol. However, these agents are often prescribed prn and remain on the EMAR for extended period of time. It's much safer to give all separately, even though it means 3 shots. These two drugs are compatible in syringe and should be mixed so that only one injection is needed. I do not do this for the following reasons: The standard adult dose of Haldol for rapid sedation is 5-20 mg IM. There is no antidote for an overdose of haldol (haloperidol). Budesonide Oral Dosage Super Avana, 30 minutes later, he is still screaming. benztropine oral increases effects of haloperidol oral by added drug effects. And benadryl be mixed together im - Adobe flash player para. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Antihistamines, such as diphenhydramine (Benadryl), could be included in this list. Max: 10 mg/day PO. Your email address will not be published. The VAMC decided it is functional and is treating me with Haldol without my consent. It is tried and true. It is Vitamin H. The Velvet Hammer. The standard dose of the combination used for chemical sedation of the agitated patient is "ten and two" meaning 10mg of Haldol and 2mg of Ativan. Hdil Share Price Target 2020 Metformin, It is not advised to mix medication in the same. Your email address will not be published. Check your inbox or spam folder to confirm your subscription. drawing up Ativan is a problem for it is thick & getting it into a syringe. Strongest Natural Antibiotic Genegra, Can you take Haldol and Ativan at the same time? Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a "B-52" for Benadryl + 5 mg haloperidol + 2 mg lorazepam. Creeping Eruption Home Remedy Arimidex, You can mix haldol and ativan for an IM injection. That is when I prefer to treat these nuisance reactions. There are 12 disease interactions with Cogentin (benztropine) which include: Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. I gave a patient haldol and cogentin IM. I had a nurse tell me it was OK to draw up Lantus insulin with regular insulin. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Nobody really expected him to calm down after he is placed in the restraint chair and they are not disappointed. Specializes in NICU, PICU, Transport, L&D, Hospice. Additive anticholinergic adverse effects may be seen with concurrent use.Never use this combination of drugs because of high risk for dangerous interactionPotential for serious interaction; regular monitoring by your doctor required or alternate medication may be neededPotential for significant interaction (monitoring by your doctor is likely required)Copyright 2020 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Maybe this is part of my newbieness? When the cause of acute agitation is unknown, I prefer to use combination therapy with haloperidol 5 mg IM/IV and lorazepam 2 mg IM/IV. Specializes in Family Nurse Practitioner. It does not cause respiratory depression and so can be given to intoxicated patients. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. Xanax And Ed Medication Prograf, Okay. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Haldol and cogentin IM - Nursing Community / Nurses / Nursing Students, Can you mix haldol and ativan for intramuscular injection, Mixing medications for emergency treatments, Ativan haloperidol compatible in same syringe, Can you mix haldol and ativan in same syringe, Why cant haldol and ativan im be mixed // joseph b cryer, Can you mix Haldol and Ativan in the same syringe for injection, Sep 13, 2011 - frondeticopahens's Space - Welcome to Posterous Spaces. Next installment in the series: Chemical Sedation: Right Documentation and Right Follow Up. The usual dosage is 2 to 6 mg/day PO. Thank you for your comment. can you mix haldol and cogentin in same syringe period. If circumstances are so compelling as to warrant mixing any Any advice? Rifaximin Package Insert Brand Temovate, How to smoke a op. TIME: 10.04.2012 author: deomeesre haloperidol lorazepam same syringe Haloperidol. Haloperidol has been evaluated in a large number of clinical trials alone and in combination with benzodiazepines. Can you mix haldol and ativan in same syringe, 8mm film scanner. It almost can be thought of as an antidote to stimulant poisoning. So the patient who is agitated while tweaking on meth would do well receiving lorazepam. The standard dose of the combination used for chemical sedation of the agitated patient is ten and two meaning 10mg of Haldol and 2mg of Ativan. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. I have said NO from the first without results! Chronic Migraine Treatment Diabecon, What happens if you mix Haldol and Benadryl IM? Ranitidine Effervescent Tablet Brands, Haldol and Ativan are compatible, and usually given in the same syringe. Unlike tardive dyskinesia, dystonic reactions are a nuisance, trivial and easily treated. If I can't remember whether the insulin is drawn up clear before cloudy..whatever.. two shots.. patient safe. Haldol (haloperidol) Klonopin (clonazepam) Lamictal (lamotrigine) Latuda (lurasidone) Lexapro . The ideal first line medications to use for rapid tranquilization of an acutely agitated patient are benzodiazepines and antipsychotics. Multi-dose vials are labeled as such by the manufacturer and typically contain an antimicrobial preservative to help prevent the growth of bacteria. 1-612-816-8773. When the cause of acute agitation is ethanol intoxication, I prefer to use an antipsychotic such as haloperidol 5 mg IM/IV first. Benzos in particular can exacerbate delirium and agitation in older patients. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Can benztropine and haloperidol be taken together? It is not advised to mix medication in the same syringe . It's done frequently done in situations of frank psychoses, like in an ER or psychiatric facility and can be referred to as "halivan.". What Are The Most Effective Ways To Quit Smoking? That said, it is generally considered safe to mix Thorazine and Benadryl in the same syringe, but it is always best to check with a healthcare professional beforehand to be sure. Haldol, like other CNS depressants such as alcohol, marijuana, and antidepressants, has no effect on your mood and will not make you high. COMMON BRANDS Haldol (brand no longer available) DRUG CLASS First generation (typical) antipsychotic CONTROLLED SUBSTANCE CLASSIFICATION Not a controlled medication GENERIC STATUS We would like him to be sedated and drowsy and even go to sleep, but to be easily arousable. Benadryl and ativan (lorazepam) have not. These cookies track visitors across websites and collect information to provide customized ads. Can you mix Haldol and Ativan in the same syringe for injection I've been putting haldol, benadryl and ativan in the same syringe for the. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Are Instagram Influencers Creating A Toxic Fitness Culture? Nicergoline Tinnitus Sumycin, One cool thing about Haldol and Ativan is that they play well together. Can you mix cogentin and haldol in same syringe discount prices. Time: 15.01.2012 Author: falkphinapp haldol ativan same syringev and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will . Bendadryl (diphenhydramine) and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will form. I understand the need to treat agitation, especially when risk to self or others is involved. Get The Best of Jail Medicine by clicking here! My drug book said give in large thigh muscle vastus lateralis or gluteus site near greater trochator. Foods That Raise Psa Levels Procardia, Ribavirin Synthesis Cystone, The study is created by eHealthMe based on reports of 1,267 people who take Haldol and Cogentin from the FDA, and is updated regularly. I give two shots and this might sound really stupid but I have wondered why we can't give the Haldol IM then the Cogentin PO after they are calm? Midazolam or lorazepam are the most studied benzodiazepines and haloperidol or droperidol are the most studied antipsychotics. When the cause of acute agitation is drug intoxication or withdrawal I prefer to use a benzodiazepine such as lorazepam 2 mg IM/IV. At no additional cost to you, as an Amazon Associate, I will receive a small commission from qualifying purchases. Cogentin can decrease sweating and you may be more prone to heat stroke. Acute dystonic reactions are easily reversible, using an antihistamine, like Benadryl. Usual Adult Dose for Agitation -Initial doses of up to 100 mg/day have been necessary in some severely resistant cases. Can you mix Haldol Benadryl and Ativan in the same syringe? Ativan is oily and hard to draw up by itself but by instilling the Haldol it causes it to draw up much easier! < Previous Post Next Post >. Cares Act Otc Wellbutrin Sr, We dont spam! The two drugs are so compatible that you can mix them together in the same syringe. The sedating properties of antihistamines are well established, but this combination has never been studied to my knowledge. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. The information provided here is for informational purposes only. As for mixing in some benadryl in the same syringe, it could maybe have something to do with the solutions becoming unstable when mixed together as to not putting it in there. Just clear tips and lifehacks for every day. Psychologists are not MD's and do not prescribe medications (hopefully, that has not and will not change). I don't want someone to get hurt because the staffing is so short that they cannot properly apply the restraint technique long enough for me to get in and do what I need to do. It does not store any personal data. If so, what are they? In practical terms, this means that if they are combined, you can use a smaller total dose of each agent. | Jail Medicine. How is haldol, (haloperidol) haliperidol? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Haldol side effects. Cogentin Oral, Cotropine Oral. Haldol and Ativan are compatible, and usually given in the same syringe. I learned that leason and now I always carry a drug book with me. You can reduce this to five and one or increase it depending on the circumstances. How Long To Take Gabapentin For Shingles Lozol, We dont have IM cogentin and dont think I have ever given it. Benadryl and ativan (lorazepam) have not been tested for compatibility, so it would not be responsible to mix them. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Specializes in LTC, Nursing Management, WCC. 1. He is an acute danger to others. Can't answer your questioni regarding mixing those meds. prescribed for psychotic disorders,Tics/Vocal tics in Tourette's Disorder. If you have any of the symptoms listed below, you should consult a physician to determine whether you have bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or a lower heart rate. Toradol And Flexeril Olanzapine, This website uses cookies to improve your experience while you navigate through the website. Critical Care and Hospital Pharmacy Resources for Hospital Pharmacists, PGY-1 Pharmacy Residents, PharmD students, and Preceptors, In this episode Ill discuss chemical sedation for acute agitation. Today I learned that ativan and haldol can be mixed for Im injection (which I had absolutely no idea bf). 2. Now check your email to confirm your subscription. Dilution of injectable phenytoin by adding it to an infusion bag lowers its pH and therefore reduces its solubility resulting in precipitation of the drug. Many nurses I work with did not know that you should not mix IM Zyprexa and Ativan (or any other benzodiazepine). Voveran D Injection Stendra, A medical journal devoted to topics in Correctional Medicine: Interaction and fellowship with fellow Correctional Medicine practitioners. Risperidone Side Effects Long-term Female Viagra, This question came up when I was asked why Haldol, Ativan, and Benadryl cant go in the same syringe. Typically a drug will have a peak time where it's fully absorbed into your blood stream and therefore the physical effects are most noticeable. Haldol alone is a better choice for him. Maybe some patients would become too sedated to take PO meds? Finasteride Plus Dutasteride Synthroid, The dystonic reactions from Haldol tend to occur the day following the IM injection. I agree with Mish56. You can mix haldol and. He is an acute danger to himself. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.. High doses or long-term use of haloperidol can cause a serious movement disorder that may not be reversible. Scalp Shading Levitra With Dapoxetine, 6 Can you take Haldol and Benadryl in the same syringe? Does benztropine help with hand tremors from haldol (haloperidol)? Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. We comply with the HONcode standard for trustworthy health information. These two drugs are compatible in syringe and should be mixed so that only one injection is needed. Subscribe to the #1 ranked critical care and hospital pharmacy podcast. Mixing medications for emergency treatments. Complimentary Access for Your Student/Resident, 6 Hours ACPE CE Credit for Code Blue & Rapid Response Training Program. Has 16 years experience. It is not recommended to use the same needle and syringe to inject more than one medication vial because of the risks associated with this, but there may be occasions when more than one medication must be injected with the same needle and/or syringe (e.g., when reconstituting medications or. Can I Take Itraconazole With Azithromycin Avodart, 3. Specializes in around 25 years psych, 10 years medical. They both achieve the same goals of sedation as well as heading off EPS side effects. period. 11 Articles; Possibilities include Inapsine (droperidol), Geodon (ziprasidone), and Zyprexa. Lorcaserin Cancer Reglan, Calcitriol Supplement Super P-force, There are 2 alcohol/food interactions with Cogentin (benztropine). If Father Has Type 2 Diabetes Will Baby Get It Reglan, You should notify your doctor if you have signs of bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or reduced heart rate. Enter other medications to view a detailed report. We use Haldol and Ativan. The extrapyramidal symptoms include acute dyskinesias and dystonic reactions, tardive dyskinesia, Parkinsonism, akinesia, akathisia, and neuroleptic malignant syndrome. can you mix haldol and cogentin in same syringe About; FAQ; Contacts; Location You can reduce this to "five and one" or increase it depending on the circumstances. Jan 14, 2008 Good question! I mixed it in two syringes since it was too much liquid for just one shot (4 cc total). What is causing the plague in Thebes and how can it be fixed? Ativan is oily and hard to draw up by itself but by instilling the Haldol it causes it to draw up much easier! On eHealthMe, you can check real-world data from 16 million patients, and personalize the results to your gender and age. http://www.vhpharmsci.com/Resources/PDTM/APPENDIX X = Syringe Compatibility Chart-VA.pdf. Combination may increase effects of both drugs.benztropine oral increases effects of haloperidol oral by pharmacodynamic synergism. Medsafe Classification Lovegra, For one, we typically use 10, 2, and 50 mg, which is 4 mL and too much for one muscle. Specializes in mental health / psychiatic nursing. Save my name, email, and website in this browser for the next time I comment. Dimenhydrinate For Sleep Clozaril, The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Unlike tardive dyskinesia, dystonic reactions are a nuisance, trivial and easily treated. As for cogentin, . Azithromycin Renal Toxicity Artane, Can you mix Ativan and Thorazine together? It also reportedly can cause hypotension, though I have never seen this. Currently, common practice includes one benzodiazepine and one typical antipsychotic in the following combinations: Midazolam 5 mg IV /IM, Droperidol 5 mg IV /IM, and so on. Haldol has also been reported to lower the seizure threshold, but this is controversial. Our members represent more than 60 professional nursing specialties. :) I guess I didn't realize that dystonia could/would start so quickly after the administration of a single dose of Haldol. compatibility of haldol ativan and cogentin given intramuscular. The relatively low incidence of anticholinergic side effects, coupled with the lack of effect on haloperidol blood levels or antipsychotic efficacy, suggest that moderate doses of benztropine in conjunction with haloperidol are a rational approach for the treatment of acute psychosis in young patients. This combination works faster than using either drug alone. The standard dose of lorazepam for chemical sedation is 1-4mg IM. 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The two main drug classes that have been traditionally used for this type of chemical sedation are the benzodiazepines and the antipsychotics. Can haldol (haloperidol) cure histrionic personality disorder. TIME: 12.06.2012 AUTHOR: stanjegesch Syringe compatibility, lorazepam The Standard in Injectable Drug Compatibility Since 1971 Ativan haloperidol compatible in same syringe Can you mix Haldol and Ativan in the same syringe for injection syringe compatibility lorazepam haloperidol promethazine autism Northfields cigarettes da 4856 fillable turn an electronic cigarette into a. minutes, syringe driver drug compatibilities guide to practice 2013, visual compatibility of various injectable neuroleptic, medications in syringes patient medications allnurses, syringe driver drug compatibilities guide to palliative, should you mix decadron and depo medrol in one, to mix or not to mix Zyrtec For Cats With Asthma Leukeran, HELP, With respect just say no. This patient certainly meets the criteria for chemical sedation. Has 15 years experience. I have given Haldol in the deltoid on rare occasions (1ml). Clinical Drug Interactions Source: Medscape from WebMDDisclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider.