CDC proposes softer guidance on opioid prescriptions
3 years, 1 month ago

CDC proposes softer guidance on opioid prescriptions

Associated Press  

NEW YORK — The nation’s top public health agency on Thursday proposed changing — and in some instances, softening — guidelines for U.S. doctors prescribing oxycodone and other opioid painkillers. But it also caused some doctors to become too quick to cut off patients taking prescription painkillers and too strict in keeping the drugs from patients who might benefit, CDC officials said. Mukkamala said the guidelines have been a barrier to patient care, with some pharmacists pointing to the CDC’s suggested limits and refusing to fill prescriptions as doctors wrote them. —The CDC would say doctors should consider having patients undergo urine tests to see if they are using other controlled and illicit drugs, but no longer would call on having such testing done annually.

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History of this topic

Opinion: Surgeons give patients too many opioids. A few simple steps could curb excess prescribing
9 months, 2 weeks ago

Opinion: Surgeons give patients too many opioids. A few simple steps could curb excess prescribing

LA Times  

America’s opioid epidemic is as bad as it has ever been. Some efforts to curb opioid prescribing have shown promise, including prescription drug monitoring programs, promotion of alternative analgesics, provider education and informing prescribing physicians when their patients die from opioid overdoses. Conventional strategies for curbing excessive opioid prescribing assume that surgeons are rational actors who, whenever they are informed …

Chronic pain patients struggle to get opioid prescriptions filled, even as CDC eases guidelines
2 years ago

Chronic pain patients struggle to get opioid prescriptions filled, even as CDC eases guidelines

CNN  

KHN — Jessica Layman estimates she has called more than 150 doctors in the past few years in her search for someone to prescribe opioids for her chronic pain. The first CDC guidelines “put everybody on notice,” said Dr. Bobby Mukkamala, chair of the American Medical Association’s Substance Use and Pain Care Task Force. Taking into account the perspective of …

Op-Ed: Opioids don’t do enough for chronic pain sufferers
2 years, 2 months ago

Op-Ed: Opioids don’t do enough for chronic pain sufferers

LA Times  

A protester gathers bottles of pills including OxyContin at a 2019 anti-opioid demonstration in front of the U.S. Department of Health and Human Services in Washington. A new form of cognitive therapy called pain reprocessing therapy — which according to researchers teaches people that “the brain actively constructs primary chronic pain in the absence of tissue damage and that reappraising …

Op-Ed: Finally, some promising news on opioids for patients in severe pain
2 years, 3 months ago

Op-Ed: Finally, some promising news on opioids for patients in severe pain

LA Times  

The U.S. remains in the midst of an ever-worsening drug overdose crisis. Meanwhile, physicians have had to balance the risk of criminal prosecution for prescribing opioids against their responsibility to treat patients’ pain. While some doctors were financially incentivized to overprescribe opioids, others caught scrutiny simply for providing relief to patients in debilitating pain. Tragically, recent studies found that chronic …

US agency softens opioid prescribing guidelines for doctors
2 years, 4 months ago

US agency softens opioid prescribing guidelines for doctors

Associated Press  

NEW YORK — The nation’s top public health agency on Thursday softened its guidelines for U.S. doctors prescribing oxycodone and other opioid painkillers. Opioids painkillers can be addictive — even when used under doctors’ orders — and were identified as a big reason for a rise in U.S. drug overdoses that began more than two decades ago. Some modifications were …

CDC updates opioid prescribing guidelines with new recommendations on tapering or continuing prescriptions
2 years, 4 months ago

CDC updates opioid prescribing guidelines with new recommendations on tapering or continuing prescriptions

CNN  

CNN — For the first time since 2016, the US Centers for Disease Control and Prevention has updated its guidelines for clinicians and patients on the use of prescription opioids to treat short-term and long-term pain. Advice for doctors and patients The guidelines recommend that when starting opioid therapy for any pain patient – acute, subacute or chronic – “clinicians …

CDC softens opioid prescribing guidelines for doctors
2 years, 4 months ago

CDC softens opioid prescribing guidelines for doctors

LA Times  

The Centers for Disease Control and Prevention revised its guidelines for U.S. doctors prescribing oxycodone, above, and other opioid painkillers. The nation’s top public health agency on Thursday softened its guidelines for U.S. doctors prescribing oxycodone and other opioid painkillers. Opioid painkillers can be addictive — even when used under doctors’ orders — and were identified as a big reason …

FDA chief says long-awaited opioid review still in the works
2 years, 7 months ago

FDA chief says long-awaited opioid review still in the works

Associated Press  

WASHINGTON — A long-awaited review of prescription opioid medications, including their risks and contribution to the U.S. overdose epidemic, is still underway at the Food and Drug Administration, the agency’s commissioner said Tuesday. Dr. Robert Califf wrote in a blog entry that the FDA is still studying “what revisions are needed to support appropriate use” of opioid painkillers and “lessons …

FDA chief’s long-promised opioid review faces skepticism
2 years, 8 months ago

FDA chief’s long-promised opioid review faces skepticism

Associated Press  

WASHINGTON — As U.S. opioid deaths mounted in 2016, the incoming head of the Food and Drug Administration promised a “sweeping review” of prescription painkillers in hopes of reversing the worst overdose epidemic in American history. “It seems like people love sort of looking back and fault-finding, but I’m much more interested in learning so we can go forward and …

FDA chief's long-promised opioid review faces skepticism
2 years, 8 months ago

FDA chief's long-promised opioid review faces skepticism

The Independent  

For free real time breaking news alerts sent straight to your inbox sign up to our breaking news emails Sign up to our free breaking news emails Sign up to our free breaking news emails SIGN UP I would like to be emailed about offers, events and updates from The Independent. In an interview with The Associated Press, Califf said …

Experts concerned about last year's sudden increase in opioid use
2 years, 9 months ago

Experts concerned about last year's sudden increase in opioid use

NL Times  

Last year, use of the heavy painkiller oxycodone increased sharply after years of decline. Loneliness from the coronavirus pandemic could also play a role in the sustained use of the painkillers, since they can also make people experiencing trauma feel better temporarily, said Kees Kramers, internist-clinical pharmacologist at Radboudumc and professor of Medicine Safety. The Appropriate Use of Opioids task …

US lifts barriers to prescribing addiction treatment drug
3 years, 11 months ago

US lifts barriers to prescribing addiction treatment drug

Associated Press  

The Biden administration is easing decades-old requirements that made it difficult for doctors to treat opioid addiction using medication. New guidelines announced Tuesday mean doctors and other health workers will no longer need extra hours of training to prescribe buprenorphine, a gold standard medicine that helps with cravings. Besides doctors, nurse practitioners, physician assistants, certified nurse midwives and some other …

US eases prescription requirements for opioid treatment
3 years, 11 months ago

US eases prescription requirements for opioid treatment

Al Jazeera  

The US Department of Health and Human Services has announced new rules easing the prescription of a medication that helps those suffering from opioid addiction. The guidelines announced on Tuesday mean doctors and other health workers will no longer need extra hours of training to prescribe buprenorphine, a gold standard medicine that helps with cravings. Acting Director of the Office …

Doctors who say no to opioid use face threats from patients
4 years, 1 month ago

Doctors who say no to opioid use face threats from patients

Associated Press  

One patient threatened to shoot Dr. Terry Hunt if physical therapy didn’t relieve his pain as effectively as opioids did. So when he heard about Tuesday’s attack at a medical clinic in Buffalo, Minnesota, that left one person dead and four injured, “the first thing I assumed is that it was something to do with pain medication,” said Hunt, who …

Over-the-counter codeine could be banned as fears of UK opioid addiction crisis grow
4 years, 7 months ago

Over-the-counter codeine could be banned as fears of UK opioid addiction crisis grow

The Telegraph  

Over-the-counter codeine could be banned amid fears of an opioid addiction crisis, a health watchdog has revealed. The possible move would form part of a mounting crackdown on the inappropriate use of painkillers following a report last year that indicated Britain is sliding towards a US-style opioid crisis. The first official mapping of dependence on heavy painkillers – described by …

Social deprivation adds to chronic pain. So swapping opiates for talking therapy won't be the silver bullet
4 years, 7 months ago

Social deprivation adds to chronic pain. So swapping opiates for talking therapy won't be the silver bullet

The Independent  

The best of Voices delivered to your inbox every week - from controversial columns to expert analysis Sign up for our free weekly Voices newsletter for expert opinion and columns Sign up to our free weekly Voices newsletter SIGN UP I would like to be emailed about offers, events and updates from The Independent. NICE is suggesting that the strong …

Doctors And Dentists Still Flooding U.S. With Opioid Prescriptions
4 years, 8 months ago

Doctors And Dentists Still Flooding U.S. With Opioid Prescriptions

NPR  

Doctors And Dentists Still Flooding U.S. With Opioid Prescriptions Enlarge this image toggle caption Tracy Lee for NPR Tracy Lee for NPR Despite widespread devastation caused by America's opioid epidemic, an investigation by NPR found that doctors and other health care providers still prescribe highly addictive pain medications at rates widely considered unsafe. Listen · 6:56 6:56 Medical Treatments NPR …

How the prescriptions doctors wrote may have helped fuel the U.S. opioid crisis
5 years, 6 months ago

How the prescriptions doctors wrote may have helped fuel the U.S. opioid crisis

LA Times  

More than 75% of patients in the U.S. and Canada filled a prescription for opioids following one of four common surgeries, compared with 11% of Swedes, a new study reports. More than 75% of patients in the U.S. and Canada filled a prescription for opioids following one of four common surgeries, compared with 11% of Swedes, researchers reported Wednesday in …

Revamped OxyContin was supposed to reduce abuse, but has it?
5 years, 8 months ago

Revamped OxyContin was supposed to reduce abuse, but has it?

Associated Press  

WASHINGTON — Dr. Raeford Brown was uniquely positioned to help the U.S. government answer a critical question: Is a new version of the painkiller OxyContin helping fight the national opioid epidemic? Nearly a decade ago, the FDA approved reformulated OxyContin and told the company, Purdue Pharma, that it would be evaluated on whether the new version decreased cases of addiction, …

Kirsten Gillibrand Faces Opioid Bill Backlash From Disability Community
6 years ago

Kirsten Gillibrand Faces Opioid Bill Backlash From Disability Community

Huff Post  

LOADING ERROR LOADING Following backlash from patients with chronic pain and people in the disability community, Sen. Kirsten Gillibrand on Wednesday found herself backpedaling on her recently introduced legislation to put a time limit on opioid prescriptions. While the legislation’s text hasn’t been submitted to Congress’ website yet, Gillibrand’s news release specified that the prescription limit was not meant for …

Op-Ed: Want to reduce opioid use? Nudge the doctors who prescribe them
6 years, 3 months ago

Op-Ed: Want to reduce opioid use? Nudge the doctors who prescribe them

LA Times  

An Orange County doctor was arrested by federal authorities in December on suspicion of illegally prescribing narcotics, “flooding Southern California with huge quantities of opioids,” according to the U.S. Attorney’s Office. For the record: This Op-Ed article wrongly identifies the affiliation of the researchers who found that doctors prescribe fewer opioids if they are notified of patient deaths from overdose. …

Opioids offer little chronic pain benefit and wane over time, study says
6 years, 3 months ago

Opioids offer little chronic pain benefit and wane over time, study says

CNN  

CNN — For adults with chronic pain, opioids offer narrow improvements over a placebo for pain and physical functioning, on average, according to a new analysis published Tuesday. “The benefits of opioids for managing chronic pain tend to be quite modest,” said study author Jason Busse, associate professor in the department of anesthesia at McMaster University’s school of medicine in …

Access to opoids needs to improve
6 years, 3 months ago

Access to opoids needs to improve

Deccan Chronicle  

Hyderabad: Less than two per cent of patients who experience intense pain, especially in end-stage cases, are able to access opoid drugs for palliative care, though it has been made easier due to recent amendments to the Narcotic Drugs and Psychotropic Substances Act. The most important segment which nows requires end-stage care is cancer patients for whom pain relief has …

The Government’s Solution To The Opioid Crisis Feels Like A War To Pain Patients
6 years, 8 months ago

The Government’s Solution To The Opioid Crisis Feels Like A War To Pain Patients

Huff Post  

Jay Lawrence, an energetic truck driver in his late 30s, was driving a semitrailer across a bridge when the brakes failed. “And then that they’re denied relief by a doctor with the one medicine proven effective for pain control for 50 centuries.” “The CDC guidelines have been weaponized.” - Dr. Stefan Kertesz The government’s aggressive focus on doctors and patients …

More Americans should carry overdose antidote to fight opioid crisis, says US surgeon general
6 years, 11 months ago

More Americans should carry overdose antidote to fight opioid crisis, says US surgeon general

The Independent  

Sign up for the daily Inside Washington email for exclusive US coverage and analysis sent to your inbox Get our free Inside Washington email Get our free Inside Washington email SIGN UP I would like to be emailed about offers, events and updates from The Independent. Read our privacy policy The US’s chief doctor wants more Americans to start carrying …

Surgeon General Warns About Opioid Overdose Epidemic, Urging Americans to Carry Naloxone
6 years, 11 months ago

Surgeon General Warns About Opioid Overdose Epidemic, Urging Americans to Carry Naloxone

CNN  

The US surgeon general has issued an advisory recommending that more Americans carry opioid overdose antidote naloxone. Naloxone can quickly reverse the effects of opioid overdose, slowing or stopping breathing. The drug is used by police officers, first responders, and emergency medical technicians to reverse opioid overdoses. The surgeon general emphasized that 'knowing how to use naloxone and keeping it …

Dentist group puts teeth in push to curb opioid painkillers
7 years ago

Dentist group puts teeth in push to curb opioid painkillers

Associated Press  

CHICAGO — The American Dental Association wants dentists to drastically cut back on prescribing opioid painkillers. The association announced a new policy Monday that “essentially says eliminate opioids from your arsenal if at all possible,” said Dr. Joseph Crowley, the group’s president. Dentists write fewer than 7 percent of U.S. opioid prescriptions, but new research shows that practice has increased …

These 10 ERs Sharply Reduced Opioid Use And Still Eased Pain
7 years, 1 month ago

These 10 ERs Sharply Reduced Opioid Use And Still Eased Pain

NPR  

These 10 ERs Sharply Reduced Opioid Use And Still Eased Pain Enlarge this image toggle caption John Daley / CPR News John Daley / CPR News One of the most common reasons patients head to an emergency room is pain. "Percocet or Vicodin," says Dr. Peter Bakes, an emergency medicine specialist at Swedish Medical Center in Englewood, Colo. "Medications that …

Doctors In Maine Say Halt In OxyContin Marketing Comes '20 Years Late'
7 years, 1 month ago

Doctors In Maine Say Halt In OxyContin Marketing Comes '20 Years Late'

NPR  

Doctors In Maine Say Halt In OxyContin Marketing Comes '20 Years Late' Enlarge this image toggle caption George Frey/Bloomberg via Getty Images George Frey/Bloomberg via Getty Images The maker of OxyContin, one of the most prescribed and aggressively marketed opioid painkillers, will no longer tout the drug or any other opioids to doctors. The announcement, made Saturday, came as drugmaker …

Why better pain management techniques are essential to solving the opioid crisis
7 years, 1 month ago

Why better pain management techniques are essential to solving the opioid crisis

ABC  

Australia is facing a critical public health issue of poorly managed pain. The combination of poor health outcomes, inappropriate prescribing for pain and non-prescription use of opioids has resulted in opioid-related deaths surpassing the national annual road toll. Opioids are best used for acute pain management, to manage severe pain after surgery, injuries or burns, pain from problems such as …

Questioning A Doctor's Prescription For A Sore Knee: 90 Percocets
7 years, 4 months ago

Questioning A Doctor's Prescription For A Sore Knee: 90 Percocets

NPR  

Questioning A Doctor's Prescription For A Sore Knee: 90 Percocets Enlarge this image toggle caption Education Images/UIG via Getty Images Education Images/UIG via Getty Images I recently hobbled to the drugstore to pick up painkillers after minor outpatient knee surgery, only to discover that the pharmacist hadn't yet filled the prescription. Post-surgical prescriptions for 45, 60 or 90 pills are …

Op-Ed: The opioid crackdown is making life untenable for chronic pain patients like me
7 years, 5 months ago

Op-Ed: The opioid crackdown is making life untenable for chronic pain patients like me

LA Times  

President Trump recently said that he intends to declare the opioid crisis a national emergency. The rate of misuse is much lower among patients who are prescribed opioid medication for chronic pain — 21% to 29%, according to the National Institute on Drug Abuse. An even smaller percentage of chronic pain patients develop a disorder — between 8% and 12%. …

A guide to prescribing painkillers ethically
7 years, 6 months ago

A guide to prescribing painkillers ethically

Daily Mail  

America's opioid crisis is getting worse. As a bioethicist working on the ethical and policy issues regarding prescription opioids, I am grateful to the National Academy of Medicine for inviting me to serve on this publication's authorship team, and for taking seriously the ethical component of the prescription opioid crisis. A National Academy of Medicine researcher has written a guide …

Groups seek ban on high-dose opioids citing overdose danger
7 years, 7 months ago

Groups seek ban on high-dose opioids citing overdose danger

Associated Press  

CHICAGO — Safety advocates and state health officials are formally calling on the Food and Drug Administration to ban high-dose opioid painkillers to prevent accidental overdose deaths among patients and people who abuse drugs. A petition filed Thursday asks the FDA to ban opioid pills that, when taken as directed, would add up to a daily dose of more than …

Intent On Reversing Its Opioid Epidemic, A State Limits Prescriptions
7 years, 7 months ago

Intent On Reversing Its Opioid Epidemic, A State Limits Prescriptions

NPR  

Intent On Reversing Its Opioid Epidemic, A State Limits Prescriptions Enlarge this image toggle caption Fanatic Studio/Getty Images Fanatic Studio/Getty Images A year ago, Maine was one of the first states to set limits on opioid prescriptions. Medd had already started to taper high doses among patients like Hodgdon before Maine put a cap on new prescriptions for opioids last …

Cutting down on opioids has made life miserable for chronic pain patients.
7 years, 7 months ago

Cutting down on opioids has made life miserable for chronic pain patients.

Slate  

On July 26, Todd Graham, 56, a well-respected rehabilitation specialist in Mishawaka, Indiana, lost his life. My doctor decided that she did not want to treat me anymore, didn’t give me a last prescription, and didn’t wait until I found another pain doctor who would help me.” For the past 30 years, Dr. R has been an advocate for better …

Don’t blame the surgeons: Long-term opioid use rarely starts with surgery, study finds
7 years, 7 months ago

Don’t blame the surgeons: Long-term opioid use rarely starts with surgery, study finds

LA Times  

Don’t blame the nation’s surgeons for an opiate-abuse crisis that now claims 142 lives daily in the United States. New research suggests that patients leaving the hospital after surgeries or inpatient procedures are rarely the ones whose long-term opioid use started with a doctor’s prescription. Instead, the patients who most frequently go on to use opioid medications for six months …

Doctors increasingly face charges for patient overdoses
7 years, 8 months ago

Doctors increasingly face charges for patient overdoses

CNN  

Story highlights Between 2011 and 2016, the number of doctors punished by the DEA jumped more than five times One challenge is whether and how to wean some patients off long-term opioids for chronic pain CNN — Doctors are increasingly being held accountable – some even facing murder charges – when their patients overdose on opioid painkillers they prescribed. “The …

The U.S. should rethink its entire approach to painkillers and the people addicted to them, panel urges
7 years, 8 months ago

The U.S. should rethink its entire approach to painkillers and the people addicted to them, panel urges

LA Times  

The report said some who are dependent on painkillers will turn to street drugs such as fentanyl and heroin. Dr. Leana Wen, health commissioner for the city of Baltimore, said the new report’s recommendations are “hard to argue with, because they are comprehensive and evidence-based.” But Wen, who has been an outspoken voice for broader access to addiction treatment, said …

FDA takes new steps to curb opioid abuse
7 years, 8 months ago

FDA takes new steps to curb opioid abuse

CNN  

Story highlights Makers of immediate-release products will have to provide prescriber training However, there is no mandate on physicians to take it FDA commissioner: "America is simply awash in immediate-release opioid products" CNN — To help curb the nation’s opioid overdose epidemic, US Food and Drug Administration Commissioner Scott Gottlieb announced, the agency will expand its requirements for prescription opioid …

Opioid Prescriptions Falling But Remain Too High, CDC Says
7 years, 8 months ago

Opioid Prescriptions Falling But Remain Too High, CDC Says

NPR  

Opioid Prescriptions Falling But Remain Too High, CDC Says Enlarge this image toggle caption Donald Gruener/iStockphoto/Getty Images Donald Gruener/iStockphoto/Getty Images The U.S. is in the midst of an opioid crisis. A new report out Thursday offers a bit of hope: Doctors are prescribing opioids less often, and the average dose they're giving patients has dropped, according to the Centers for …

Marijuana painkillers being made to combat opioid crisis
7 years, 9 months ago

Marijuana painkillers being made to combat opioid crisis

Daily Mail  

Companies are taking their first steps toward developing marijuana-based painkillers, alternatives to opioids that have led to widespread abuse in the US. A handful of drugmakers are taking their first steps toward developing marijuana-based painkillers, alternatives to opioid painkillers that more than 100 million Americans are on Companies such as Axim Biotechnologies Inc, Nemus Bioscience Inc and Intec Pharma Ltd …

Painkiller prescription limits dramatically reduce drug dependence among surgery outpatients, study finds
8 years ago

Painkiller prescription limits dramatically reduce drug dependence among surgery outpatients, study finds

The Independent  

Sign up to our free Living Well email for advice on living a happier, healthier and longer life Live your life healthier and happier with our free weekly Living Well newsletter Live your life healthier and happier with our free weekly Living Well newsletter SIGN UP I would like to be emailed about offers, events and updates from The Independent. …

Doctors’ opioid prescriptions vary widely, study says
8 years, 1 month ago

Doctors’ opioid prescriptions vary widely, study says

CNN  

Story highlights Within the same hospital, some doctors are three times more likely to prescribe an opioid Patients treated by high-prescribing doctors are more likely to become long-term users Which doctor a person happens to see at a local emergency room can have long-term consequences when it comes to opioid use. Within the same hospital, some doctors are three times …

Drugmakers fought domino effect of Washington opioid limits
8 years, 6 months ago

Drugmakers fought domino effect of Washington opioid limits

Associated Press  

When Washington state made one of the first major moves to place limits on opioid painkiller prescriptions, pharmaceutical companies fought back — using the Pain Care Forum, a national network of drug companies and opioid-friendly nonprofits, many of them funded by drugmakers. Alarm bells rang at the forum in 2007 after Washington state’s agency medical directors — spurred by overdose …

Many More People Seek Medical Help For Opioid Abuse
8 years, 8 months ago

Many More People Seek Medical Help For Opioid Abuse

NPR  

Many More People Seek Medical Help For Opioid Abuse Enlarge this image toggle caption John Moore/Getty Images John Moore/Getty Images Health care claims for people with opioid dependence diagnoses rose more than 3,000 percent between 2007 and 2014, according to an analysis of insurance records. The findings illustrate that the opioid problem is "in the general mainstream," says Robin Gelburd, …

Obama Administration Eases Restrictions On Doctors Who Treat Opioid Addiction
8 years, 8 months ago

Obama Administration Eases Restrictions On Doctors Who Treat Opioid Addiction

NPR  

Obama Administration Eases Restrictions On Doctors Who Treat Opioid Addiction Enlarge this image toggle caption Jamie Grill/Getty Images Jamie Grill/Getty Images The Obama administration is making it easier for people addicted to opioids to get treatment. Health and Human Services Secretary Sylvia Burwell announced new rules Wednesday to loosen restrictions on doctors who treat people addicted to heroin and opioid …

Opioid history: From ‘wonder drug’ to abuse epidemic
8 years, 10 months ago

Opioid history: From ‘wonder drug’ to abuse epidemic

CNN  

Does race impact the way we treat heroin addiction? Lisa Ling asks that question on “This Is Life” Sunday, October 16 at 10 p.m. Story highlights There's a long history of opioid addiction in the United States The FDA and CDC have started taking steps to address the opioid abuse epidemic CNN — The abuse of opioids, including prescription painkillers …

You asked, we answered: The best from our Reddit Q&A on OxyContin
8 years, 10 months ago

You asked, we answered: The best from our Reddit Q&A on OxyContin

LA Times  

The drugmaker Purdue Pharma launched OxyContin two decades ago with a bold marketing claim: One dose relieves pain for 12 hours, more than twice as long as generic medications. But our Los Angeles Times investigation found that OxyContin’s stunning success masked a fundamental problem: The drug wears off hours early in many people, exposing them to painful symptoms of withdrawal …

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