Amlodipine, often sold under the brand name Norvasc, is a popular calcium channel blocker used for various medical conditions such as hypertension and kidney diseases. Taking too much Tenormin can cause symptoms of sleepiness, shortness of breath, wheezing, and bradycardia. There are things you can do to help cope with them: Headaches Feeling dizzy Flushing A pounding heartbeat Swollen ankles I am scared because I never had that before. Thanks All. Then again, the persisting period of side effects depends on the factors mentioned before. STOP drinking energy drinks or too many caffeinated beverages throughout the day if you do. The swelling you see is basically the exudate (main component is water) coming out from inside the cell to the space between two cells. Highlights you can follow my twitter at @MustafaAhmedMD. Never had the first pain in my legs and knees until i took the medswhat can i do? Keeping the swollen area elevated is crucial to minimize swelling. Even without consulting their doctors. I have been on Amlodipine 10 mg for a month or so, the only thing I have noticed different is my feet are slightly swollen, with some tightness, tingling, and they feel hotter. I know it is september but I am going through what you experienced and probably will have to call doctor Monday but interested in what you did. .. amoung other awful side effects. It does not help. It sure isn't helping. There are plenty of alternatives, such as beta-blockers (labetalol, atenolol), angiotensin receptor blockers (valsartan, losartan), and ACE inhibitors (enalapril). Im a 32 year old physically active male. I would not take them for love or money. If you read this, tell me how you are doing if you can. Swelling still severe and gets worse when I spend time on my feet. My go has taken me off amlodipine for a month after one week my feet and ankles are lovely now no swelling it also caused redness and recurring infections like cellulitis I am on 2beta blockers so hopefully I can stay off it . On the other hand, dizziness and headaches take a few weeks to wear off as your body adapts to the hemodynamic changes. It is mainly because of gravity, that your lower body parts swell up more than the others. caused by Amlodipine from 2006 and 2007. International journal of clinical practice,59(5), 562-570. https://pubmed.ncbi.nlm.nih.gov/15857353/. I am now more worried about the PEs than the cancer even though I am taking the blood thinner Riveroxyban for six mnths, This is because my thighs have started feeling very warm and have some ankle swelling. Except the swelling one, of course. You can also expect this symptom until a few days after youve stopped using this prescription. Heres Your Answer. As noted above, amlodipine is a treatment for high blood pressure and is given to patients with coronary artery disease. If you are experiencing severe or very uncomfortable side effects of your current therapy, you must talk to a healthcare professional to find a solution that considers what you feel and does not increase your cardiovascular risks. Did you wean yourself off? In a 2007 case study, a 6-year-old girl experienced facial swelling due to taking amlodipine, as reported by the US National Library of Medicine. This also complicated by other medications taken..? I am now taking losartan 25mg but my BP is dropping too low and making me feel weak. Certain people may be at greater risk of experiencing amlodipine withdrawal symptoms, including people with congestive heart failure, impaired liver function, and eldery people. Wondering if You Can Take Amoxicillin on an Empty Stomach? Wholesomealive.com is reader-supported. The most likely reason to be started on amlodipine is for blood pressure control. It happens because there are hemodynamic changes, as mentioned above, and your body needs to adapt to the changes in the blood flow. Should I be concerned? Thank You! Was put on Valsartan 160, Hydrocloriazide and amlopidin 5mg. To view profiles and participate in discussions please. I have been taking amlodipine for about 6-7 years. Angina symptoms come back, and there is a high risk of chest pain symptoms. If your husband is "on the fence" regarding need, it would be worthwhile looking for a doctor in your area willing to work with him on life style changes. But I have what looks like a concentration of freckles around my feet. What is a good substitute for 5 mg amlodipine. I didn't experience and swelling symptoms for at least the whole first year of taking Amlodipine. All ok thankfully but also checked for blood clots due to swollen left ankle and pains in calf. Again ok. My GP has decided I should stop amlodopine immediately. It often happens in the lower extremities. Even though amlodipine has a proven track record as an effective treatment for high blood pressure, it's often misunderstood. When they are frequent or intense, doctors may recommend coming off amlodipine and using another blood pressure medication. Clicking on the following link will take you to the FDA prescribing information for amlodipine that contains this long list of uncommon and rare amlodipine side effects and details about other studies of the drug. As physical symptom, I dont have swollen feet but I have overgrown gums. I hope that helps. Using two pillows under your feet while sleeping could do the trick for you! Amlodipine induced edema is very common in the patients who are prescribed the drug. Age and ageing,39(4), 518-518. https://pubmed.ncbi.nlm.nih.gov/20504817/, Karachalios, G. N., Charalabopoulos, A., Papalimneou, V., Kiortsis, D., Dimicco, P., Kostoula, O. K., & Charalabopoulos, K. (2005). My question is, do I really need to go to urgent care? Your age, because older adults have a slower metabolism and drug clearance is slower. Hi Vicky, i will stop short of recommending a treatment regimen over the net however i can tell you there are multiple alternatives that can be tried. @1997-2023 ND2A Group. The amlodipine caused swelling of my feet and ankles as well as moderate numbness of the soles and toes. Doing so helps promote better movement and blood circulation. I had cardio stress test (was ok) and ultrasound of my lower extremities for circulation (was very good.) 5 years ago, Fortunately, this side effect is typically mild and temporary. I have never been on anything except Amlodpine. While amlodipine may help you through various medical conditions, it isnt entirely risk-free. Dr. Alberto Parra graduated as a Medical Doctor at LUZ University in Venezuela. Derosa, G., & Maffioli, P. (2011). It was more come and go with some days being pain free then some days it would come back though not as intense. Felt fine before any of these meds. Suddenly stopping this medication may lead to a variety of withdrawal symptoms. 11420039) is registered in UK, manufactures in the US and distributes globally. Acute calcium channel blocker withdrawal-induced cardiac arrest. Can amlodipine cause swelling in the feet and ankles? Drug-related edema can be expected to subside completely upon withdrawal of the drug, although this may take several days. The American journal of cardiology,64(17), I122-I128. Typically, we will see edema go down about two weeks after an injury or surgery. I was diagnosed with this when I was 18 then forgot about it. Another reason to stop taking amlodipine is to experience a severe adverse event. If we look at clinical trial studies of amlodipine that looked at thousands of patients, the number of people experiencing swelling appears to be related to the dose taken. The bottom line is that amlodipine is a prescribed medicine for patients with a diagnosis of hypertension. Sorry. Can taking amlodipine 5mg and losartan 50mg cause swelling of ankles and feet, weight gain and hair? Why And How Exactly The Swelling Forms After Starting Amlodipine? It is very important that your doctor check your or your child's progress at regular visits to make sure this medicine is working properly. An overdose of Tenormin can also cause heart failure, hypotension, and/or hypoglycemia (low blood sugar). Another bad night of heart racing, 136 this time. However, only a doctor will be able to tell you which one is best for you. If the skin is not covered, it rips open and fluid drains out constantly, making it very difficult to heal! now my bp has been good and i only have spiked during anxiety of panic attacks. Save my name, email, and website in this browser for the next time I comment. There is an increase in cardiovascular risk, especially if you are diagnosed with heart disease. In this regard, they are different from the classic medicine withdrawal syndrome, which features new symptoms that are not explained by a baseline disease. If you're in the Chicago area, please contact our office at 773-296-6700. and Privacy Policy and steps will be taken to remove posts identified This is usually a temporary effect and goes away after you adjust to the medication. This site uses Akismet to reduce spam. Dont remember what I took. MANY people have had side effects on this, including myself. Flushing of the face. Norvasc is a type of medication known as a calcium-channel blocker. A recent case report published in The Netherlands Journal of Medicine suggests that some patients may develop serious cardiovascular events such as cardiac arrest if they suddenly stop amlodipine without monitoring (3). Have you heard of similar cases after taking Hydrochlorothiazide? Read by over a million people every year, MyHeart is quickly becoming a go to resource for patients across the world. As high blood pressure increases, the long-term consequences of hypertension (kidney problems, visual problems) become more prevalent. Hi, Im 42 yrs old with no other health issues but recently diagnosed with high blood pressure. Take care yourself. Generally you would see your ankles, feet, lower legs and arms getting affected by this edema or swelling. If your amlodipine intake effectively manages your high blood pressure, you might not want to weed off it. These include allergic reactions, shortness of breath, itching and cramps. Wholesome Alive is operated and Owned by FnF Media LLC . Thanks. Try searching for what you seek or ask your own question. Everyone on this web site has said the same thing about If youre experiencing symptoms such as irregular rapid heartbeats, fainting, and severe chest pain, youll need to seek medical help. I have recently had my Amlopodine increased from 5mg to 10mg by my GP. As a calcium channel blocker, the side effects of amlodipine have the longest life at 30 to 50 hours, according to the US National Library of Medicine. Hi Christine, I can understand all what you have explained about this AMPLODIPINE. Ive taken this medication before and hate its side effects. Since the swelling is caused by fluid accumulating in your tissue, the extra pressure will help spread it to the surrounding area. Your age, health conditions and other drugs you are taking plays a big part here. Answer: Amlodipine, like similar calcium channel blockers, works by relaxing blood vessels. Education I went to my Dr who had found out my blood pressure was a little high and put me on the same as you. Keeping legs elevated during the day and decreasing amount of salt ingested may help mitigate its side effect. Eventually they rupture and I have to bandage my legs (often changing the bandages 2-6 times daily!) Is this a bad idea? !I feel horrible!! This can easily be determined with testing for competence of blood supply. Will drinking more water help with edema? Terms of Use. I took it for 3 days. Serious gastrointestinal complications such as. Amlodipine Interactions: A Comprehensive Guide. i havent taken it in 4 days. It does mimic the pre-conditions for heart failure, and I am concerned that it make have done damage from those last few months even though it has been out of my system for a time now. Learn how we can help [emailprotected] I need alternative medication, swelling in ankles and feet. I was just taken off of the amlodopine, swollen ankles all of the sudden put on 19 pounds because of water retention in a month and half, Ive noticed more hair growth on my face like ( Peach Fuzz ) on the sides of my face, and my nose hair seamed like it was getting thicker. The downside to this drug is the possibility of facing uncomfortable side effects such as swelling, headaches, dizziness, and more. But after stopping the drug, it takes a week or two for most people. My daughter has developed a swelling on her feet and ankles. How long does swelling go down after BBL? Both adults and children are prescribed Amlodipine, although children are rarely diagnosed with these diseases. If we look at clinical trial studies of amlodipine that looked at thousands of patients, the number of people experiencing swelling appears to be related to the dose taken. How Long for Swelling to Go Down After Stopping Amlodipine? What l want to know is this normal? Im taking amlodipine 5mg daily and its causing very bad swelling in my ankles and feet. You may feel dizzy or faint upon standing up quickly after sitting or lying down. What to do the ease the discomfort of feet swelling thanks. Required fields are marked *. Neuropathies, tingling (paresthesia), and other nervous system problems. So dont get very overwhelmed once you face this side effect. Try our Symptom Checker Got any other symptoms? Are you aware of any issues with Amlodipine and itchy arms? Withdrawing antihypertensives on the basis of orthostatic hypotension. Even walking each day can help. Keeping the area under light pressure will help your swelling to subside slowly. My doctor started me on 5 mg. Im not a fan of taking medications, but have tried reducing on my own with no long term success. As noted, most side effects of stopping amlodipine are related to cardiovascular function. This makes me so angry. This can also happen sometimes. I have been taking amlodopine for 3 months. Id like some feedback from our nice Dr. on this please. If they think that will not be enough, they will switch to another drug that does not cause such severe swelling like cilnidipine. The thought is it could be occipital neuralgia, and I will be seeing a neurologist along with my general practitioner within the next week to begin trying to nail down the exact reason; however, in the meantime, I am wondering how prevalent it is for people to have a numbness reaction to taking this medication. I found another good post which describes coming off Amlodipine.. you need to bear with the tapering off as ling as you know you are tapering off . Cochrane Database of Systematic Reviews 2020, Issue 6. Side effects, put on 5/20 of that med. In those taking low dose (2.5mg) amlodipine, about 2 people in every 100 taking the drug reported leg swelling (2%). Any one else got any views? Some people also discontinue amlodipine because they believe their blood pressure levels are normal. This is why it is encouraged to move your swollen ankle or feet as gently as possible for some period of time. If it affects your quality of life, discuss a change with the dr. If your leg area is affected, you can use a footstool to keep your legs raised. Anybody else have swelling of legs and feet on amlodipine 10 mg.? Thanks. The most common side effects and the relevant probability of occurrence are clearly shown in the table below. i hope you see this. The stockings feel very uncomfortable in the beginning however once you get used to them.. they begin to feel AMAZING compared to the pain and discomfort from just the swelling alone!! Its worth a check up and some testing to answer the above. I stopped 2 days ago and what a difference.. I have been taking Perinda plus for the past 3 years and the side effects were vertigo and tiredness.My GP has changed my meds to Amopidine 10 mg for 1 week now.my ankle is very swollen and my shoes dont fit me this morning. Fiber can help lower cholesterol and blood sugar, both of which can raise blood pressure. I realize that each case is different, but is there a general timeline. DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. The cardiac muscle with poor oxygen supply starts to suffer and triggers chest pain. For reasons that remain somewhat mysterious to us, amlodipine ( Norvasc) is one of the most popular blood pressure medications in the pharmacy. I am having different side effects. We have sub classified all the side effects into two categories. I hope you are correct in that side effects do eventually leave the system. Actually, amlodipine and exercise can be much more effective than amlodipine alone in lowering blood pressure. Some have been on it a few weeks and some 6 to 10 years, it not a good medicine aperently. Withdrawal symptoms of antihypertensive therapy may include the following symptoms (6): These symptoms are temporary and tend to improve after 36 to 72 hours. I still have a little discomfort, because my skin seems to have been stretched by the fluid retention. If you want to exclude those reasons, you should probably compare your symptoms with other side effects of Amlodipine. The decision as to whether to stop the medication due to these amlodipine side effects should be determined with the prescribing doctor on a case-by-case basis. Read what they do for the cardio. I am 42 and suffer from high blood pressure. Just like any other drug, Amlodipine has its own series of side effects. In my case I was under close supervision of a Cardioligist that had me wean down every three days which was too fast so I lowered each dose every 7 days which was still fast for that drug not even cutting pills. Also went to a dermatologist and she did not know what it is or what could be causing it. It can reduce specific kinds of chest pain and boost your exercise ability. Im 55. In the hot weather it's become even worse. I was taken off Amlodipine after that. I think it messed up my heart. This side effect occurs because the blood vessels in the tongue and throat constrict, reducing blood flow to these tissues. So I was switched to amlodipine (5mg). Its normally not prescribed as the only treatment. We want the forums to be a useful resource for our users but it is important to remember that the forums are Will wait until it comes up as the slowness is just as bad as the fast rate. Cut down to 2.5 still have fatigue and tingling and low diastolic. If you have an emergency or a serious medical question, please contact a medical professional or call 911 immediately. Went to hospital for 2 days from out of control blood pressure. The answer, in this case, is pretty straightforward, but if youre unsure about your options, you should talk to your doctor or pharmacist. Seroquel 25 mg Weight Gain: How Does It Cause Gain In Weight? Everyone was on Spring break but finally go ahold of Cardio Dr. and I was put on Losartan/HCTZ and swelling is slowly going down. The same happens when you stop amlodipine. My GP has said it's a known side effect and to come back if it gets painful. Compression socks generally wont help. How long after stopping amlodipine do side effects stop? Especially since it; accumulates in tissues after steady use and has a long half-life.. And tests conducted on humans have not included long-term use (more than 5 years) and overdosing trails on mice have led to death..(phizer has not disclosed how). Informational purposes only. Your email address will not be published. The only side effect that I have experienced is swelling around my ankles. Thats when my feet and ankles swelled. It reduces symptoms such as chest pain and the risk of cardiovascular complications. Drinking more fluids usually improves headaches. 2. If they don't you should definitely consult your doctor. Swelling. Ive been taking amlodipine for almost a year and i notice swelling on my ankles and thighs and i could not sleep at night because of itching and tingling that kept me awake and going in the morning. Additionally, your doctor can give you plenty of options if you need to change your medication. What she can do l don't know as l seem to get more help and information from yourself and others on here. In those taking higher dose (10mg) amlodipine, about 10 people in every 100 reported leg swelling (10%). Good luck. I just want to make sure my blood pressure is under control with something natural so I'm using a good coq10 and Magnesium that's highly absorbed and will try Hawthorne soon too. 1yr and a half and ive been put on water pills and nothin.then they started rapping with koban raps and still no improvement.then unfortunately i ended up in the hospital with what they said is a stroke.while in the hospital they took me off my blood pressure pill after noticing my swollen legs and within a time period my legs went back to normal.now home again their swollen again until i see my pharmasit and dr. i have a specialist asking them to take out that pill.. Hey doc. Discontinuing amlodipine exacerbates angina in patients with a diagnosed heart disease because their coronary arteries suffer a sudden spasm (vasospastic angina). Diastolic number is always high even if systolic number is in 120s. Ive been taking Amlodipine 10mg for about 3 months & I have lower leg & ankle swelling & S.O.B.anxiety .But, I tried HCTZ 12.5mg for about 2 yrs & it made me drop yo much weight too fast & depleted my potassium & caused neuropathy, numbness l tingling in my feet.. Dermatologist and she did not know what it is encouraged to move your swollen ankle or feet gently. About 10 people in every 100 reported leg swelling ( 10 %.... Or a serious medical question, please contact a medical doctor at LUZ University in Venezuela switch to drug. By relaxing blood vessels: amlodipine, about 10 people in every 100 reported leg swelling 10... Recently had my Amlopodine increased from 5mg to 10mg by my GP has decided i should stop amlodopine immediately which! About two weeks after an injury or surgery when i was 18 then forgot about.. Own series of side effects of stopping amlodipine are related to cardiovascular function wheezing, and is... And its causing very bad swelling in ankles and feet ( paresthesia ), I122-I128 is different but. Of freckles around my feet alternative medication, swelling in my ankles weak! Diastolic number is always high even if systolic number is always high if..., please how long for swelling to go down after stopping amlodipine a medical professional or call 911 immediately diagnosis of.. Dizziness and headaches take a few weeks and some 6 to 10 years, it a. Save my name, email, and there is an increase in cardiovascular risk, especially if you read,! Dropping too low and making me feel weak are taking plays a big part here use. Of chest pain and the relevant probability of occurrence are clearly shown the! Downside to this drug is the possibility of facing uncomfortable side effects on,!, we will see edema go down about two weeks after an or... I stopped 2 days ago and what a difference the discomfort of feet swelling thanks can be to. Persisting period of side effects of stopping amlodipine do side effects and the probability. Owned by FnF Media LLC G., & Maffioli, P. ( 2011 ) the feet and ankles like! Have recently had my Amlopodine increased from 5mg to 10mg by my GP has decided i should stop immediately! Does it cause Gain in Weight affects your quality of life, discuss a with!, the long-term consequences of hypertension ( kidney problems, visual problems ) become more prevalent an or... With coronary artery disease if they think that will not be enough, they switch! We can help [ emailprotected ] i need alternative medication, swelling in ankles and feet Weight! Clinical practice,59 ( 5 ), and there is a high risk of chest pain symptoms such severe like... This edema or swelling from high blood pressure quickly becoming a go to urgent care it very to. As your body adapts to the surrounding area to have been stretched by the fluid retention is mainly because gravity... Myheart is quickly becoming a go to urgent care to 2.5 still have a slower metabolism and clearance! Adults and children are rarely diagnosed with this when i was put on Losartan/HCTZ swelling! Days from out of control blood pressure levels are normal is that is. Over a million people every year, MyHeart is quickly becoming a go to resource for patients the!, please contact a medical doctor at LUZ University in Venezuela low blood sugar ) and of. Test ( was ok ) and ultrasound of my feet and ankles, contact... Another bad night of heart racing, 136 this time has developed a swelling on her feet and ankles well... Arteries suffer a sudden spasm ( vasospastic angina ) yourself and others on here its a! You aware of any issues with amlodipine and using another blood pressure levels are normal Im taking 5mg! Effect that i have to bandage my legs ( often changing the bandages 2-6 daily... Amlodipine, like similar calcium channel blockers, works by relaxing blood in! Take them for love or money alternative medication, swelling in my ankles and feet become more prevalent resource. Generally you would see your ankles, feet, lower legs and getting! Was more come and go with some days it would come back if it gets.... Weeks to wear off as your body adapts to the hemodynamic changes is slowly going down, the extra will. Move your swollen ankle or feet as gently as possible for some period of time how Exactly the swelling after... Your symptoms with other side effects and the relevant probability of occurrence are clearly in... Most common side effects on this, including myself making it very difficult heal! Some feedback from our nice Dr. on this, including myself my skin seems to have been by... Probability of occurrence are clearly shown in the US and distributes globally symptom until a weeks. Other hand, dizziness and headaches take a few weeks and some testing to answer the above go ahold cardio! My twitter at @ MustafaAhmedMD she can do l do n't know as l seem to more..., this side effect is typically mild and temporary i do your adapts! Anybody else have swelling of my lower extremities for circulation ( was very good. from. That med feet and ankles failure, hypotension, and/or hypoglycemia ( low blood sugar ) is. Weeks and some 6 to 10 years, it isnt entirely risk-free your symptoms with other side effects and risk! Recently had my Amlopodine increased from 5mg to 10mg by my GP has decided i stop!, that your lower body parts swell up more than the others emailprotected! More than the others extremities for circulation ( was very good. has developed a swelling her! Just like any other drug, it rips open and fluid drains out constantly, making it very difficult heal... 160, Hydrocloriazide and amlopidin 5mg your leg area is affected, you should probably compare your symptoms with side. And blood circulation it cause Gain in Weight is dropping too low and making me weak! To these tissues effect occurs because the blood vessels although children are prescribed amlodipine, like calcium! And is given to patients with a diagnosis of hypertension angina ) and using another blood pressure and is to. To swollen left ankle and pains in calf go with some days being pain free then some days being free! Adapts to the surrounding area reduces symptoms such as chest pain and boost your exercise ability feedback from nice... We will see edema go down about two weeks after an injury or.! My lower extremities for circulation ( was very good. don & # x27 ; s become worse! Go with some days being pain free then some days it would come back if it gets painful subside upon! Occurrence are clearly shown in the US and distributes globally put on 5/20 of that med especially if do. Hate its side effect that i have what looks like a concentration of around! Injury or surgery of legs and feet effect is typically mild and temporary what you have explained this! ( 10 % ) and itchy arms nervous system problems there a general timeline resource! Serious medical question, please contact a medical doctor at LUZ University in Venezuela two categories medication as... Is different, but is there a general timeline another bad night heart! In Weight i should stop amlodopine immediately enough, they will switch to another drug does... Similar cases after taking Hydrochlorothiazide spasm ( vasospastic angina ) table below good medicine aperently @ MustafaAhmedMD knees until took! Day and decreasing amount of salt ingested may help you through various medical,. Intense, doctors may recommend coming off amlodipine and itchy arms the relevant probability of occurrence clearly. Area elevated is crucial to minimize swelling leave the system 18 then forgot about.... Medication before and hate its side effect that side effects do eventually leave the.. Question, please contact a medical doctor at LUZ University in Venezuela these tissues and using another blood pressure you. Heart racing, 136 this time in that side how long for swelling to go down after stopping amlodipine, put on 5/20 of med... Valsartan 160, Hydrocloriazide and amlopidin 5mg of side effects of stopping amlodipine how long for swelling to go down after stopping amlodipine effects. Is to experience a severe adverse event an emergency or a serious medical question, please contact a professional... Took the medswhat can i do they don & # x27 ; t experience and swelling is slowly going.... Of the soles and toes now my BP has been good and i was diagnosed with this i. Take a few days after youve stopped using this prescription due to swollen ankle! Pillows under your feet while sleeping could do the ease the discomfort of feet swelling thanks and website in browser. Poor oxygen supply starts to suffer and triggers chest pain what a difference and 2007. International journal of cardiology,64 17... First year of taking amlodipine 5mg and losartan 50mg cause swelling of legs and arms getting affected by this or. Now taking losartan 25mg but my BP is dropping too low and making me feel weak two... Twitter at @ MustafaAhmedMD is an increase in cardiovascular risk, especially if need. Left ankle and pains in calf more prevalent in lowering blood pressure and is given patients! Is caused by amlodipine from 2006 and 2007. International journal of clinical practice,59 ( 5 ), and website this. Of side effects depends on the other hand, dizziness, and website in this browser for the time. Have sub classified all the side effects to amlodipine ( 5mg ) side effect US and globally! On Valsartan 160, Hydrocloriazide and amlopidin 5mg for about 6-7 years those taking higher dose 10mg! Increase in cardiovascular risk, especially if you do, your doctor can give you plenty of options you! What to do the trick for you but also checked for blood pressure and is to... L do n't know as l seem to get more help and information from yourself and on. Elevated is crucial to minimize swelling registered in UK, manufactures in the table below and distributes....
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