Drugs Details

Drugs Info of K-Phos M.F., K-Phos Neutral, K-Phos No. 2, Neutra-Phos, Uro-KP-Neutral
Drugs Details
  • Drugs Type  : FDA
  • Date : 9th Feb 2015 02:02 am
  • Brand Name : K-Phos M.F., K-Phos Neutral, K-Phos No. 2, Neutra-Phos, Uro-KP-Neutral
  • Generic Name : potassium phosphate and sodium phosphate (Pronunciation: poe TASS ee um FOSS fate and SEW dee um FOSS fate)
Descriptions

Each tablet contains 852 mg dibasic sodium phosphate anhydrous, 155 mg monobasic potassium phosphate, and 130 mg monobasic sodium phosphate monohydrate. Each tablet yields approximately 250 mg of phosphorus, 298 mg of sodium (13.0 mEq) and 45 mg of potassium (1.1 mEq).

What are the possible side effects of potassium phosphate and sodium phosphate (K-Phos M.F., K-Phos Neutral, K-Phos No. 2, Neutra-Phos, Uro-KP-Neutral)?

Stop taking potassium phosphate and sodium phosphate and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may also to occur. Nausea, vomiting, stomach pain, and diarrhea are among the most common. These side effects usually lessen after a few days of therapy. Notify your doctor if you develop these side effects.

If you have kidney stones,...

Read All Potential Side Effects and See Pictures of K-Phos Neutral »

What are the precautions when taking potassium and sodium phosphate (K-Phos Neutral )?

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: infection with kidney stones, high phosphate/potassium/sodium levels, severe kidney disease.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: adrenal gland problems (e.g., Addison's disease), breathing problems (pulmonary edema), bone problems (e.g., osteomalacia, rickets), heart disease (e.g., heart failure,...

Read All Potential Precautions of K-Phos Neutral »

This monograph has been modified to include the generic and brand name in many instances.

Indications

K-PHOS® NEUTRAL (potassium and sodium phosphate) increases urinary phosphate and pyrophosphate. As a phosphorus supplement, each tablet supplies 25% of the U.S. Recommended Daily Allowance (U.S. RDA) of phosphorus for adults and children over 4 years of age.

Dosage Administration

K-PHOS® NEUTRAL (potassium and sodium phosphate) tablets should be taken with a full glass of water, with meals and at bedtime. Adults: One or two tablets four times daily; Pediatric Patients over 4 years of age: One tablet four times daily. For Pediatric Patients under 4 years of age, use only as directed by a physician.

How Supplied

White, film-coated, capsule-shaped tablet with the name BEACH and number 1125 imprinted on each tablet. Bottles of 100 (NDC 0486-1125-01) and 500 (NDC 0486-1125-05) tablets.

This monograph has been modified to include the generic and brand name in many instances.

Side Effects

Gastrointestinal upset (diarrhea, nausea, stomach pain, and vomiting) may occur with phosphate therapy. Also, bone and joint pain (possible phosphate-induced osteomalacia) could occur. The following adverse effects may be observed (primarily from sodium or potassium): headaches; dizziness; mental confusion; seizures; weakness or heaviness of legs; unusual tiredness or weakness; muscle cramps; numbness, tingling, pain, or weakness of hands or feet; numbness or tingling around lips; fast or irregular heartbeat; shortness of breath or troubled breathing; swelling of feet or lower legs; unusual weight gain; low urine output; unusual thirst.

Read the K-Phos Neutral (potassium and sodium phosphate) Side Effects Center for a complete guide to possible side effects

Learn More »

Interactions

The use of antacids containing magnesium, aluminum, or calcium in conjunction with phosphate preparations may bind the phosphate and prevent its absorption. Concurrent use of antihypertensives, especially diazoxide, guanethidine, hydralazine, methyldopa, or rauwolfia alkaloid; or corticosteroids, especially mineralocorticoids or corticotropin, with sodium phosphate may result in hypernatremia. Calcium-containing preparations and/or Vitamin D may antagonize the effects of phosphates in the treatment of hypercalcemia. Potassium-containing medications or potassium-sparing diuretics may cause hyperkalemia. Patients should have serum potassium level determinations at periodic intervals.

This monograph has been modified to include the generic and brand name in many instances.

Warnings

No Information Provided.

Precautions

General:   This product contains potassium and sodium and should be used with caution if regulation of these elements is desired. Occasionally, some individuals may experience a mild laxative effect during the first few days of phosphate therapy. If laxation persists to an unpleasant degree, reduce the daily dosage until this effect subsides or, if necessary, discontinue the use of this product.

Caution should be exercised when prescribing this product in the following conditions: Cardiac disease (particularly in digitalized patients); severe adrenal insufficiency (Addison's disease); acute dehydration; severe renal insufficiency; renal function impairment or chronic renal disease; extensive tissue breakdown (such as severe burns); myotonia congenita; cardiac failure; cirrhosis of the liver or severe hepatic disease; peripheral> or pulmonary edema; hypernatremia; hypertension; toxemia of pregnancy; hypoparathyroidism; and acute pancreatitis. Rickets may benefit from phosphate therapy, but caution should be exercised. High serum phosphate levels may increase the incidence of extra-skeletal calcification.

Information for Patients:   Patients with kidney stones may pass old stones when phosphate therapy is started and should be warned of this possibility. Patients should be advised to avoid the use of antacids containing aluminum, magnesium, or calcium which may prevent the absorption of phosphate.

Laboratory Tests:   Careful monitoring of renal function and serum calcium, phosphorus, potassium, and sodium may be required at periodic intervals during phosphate therapy. Other tests may be warranted in some patients, depending on conditions.

Drug Interactions:   The use of antacids containing magnesium, aluminum, or calcium in conjunction with phosphate preparations may bind the phosphate and prevent its absorption. Concurrent use of antihypertensives, especially diazoxide, guanethidine, hydralazine, methyldopa, or rauwolfia alkaloid; or corticosteroids, especially mineralocorticoids or corticotropin, with sodium phosphate may result in hypernatremia. Calcium-containing preparations and/or Vitamin D may antagonize the effects of phosphates in the treatment of hypercalcemia. Potassium-containing medications or potassium-sparing diuretics may cause hyperkalemia. Patients should have serum potassium level determinations at periodic intervals.

Carcinogenesis, Mutagenesis, Impairment of Fertility: No long term or reproduction studies in animals or humans have been performed with K-PHOS® NEUTRAL (potassium and sodium phosphate) to evaluate its carcinogenic, mutagenic, or impairment of fertility potential.

Pregnancy:    Teratogenic Effects: Pregnancy Category C. Animal reproduction studies have not been conducted with K-PHOS® NEUTRAL (potassium and sodium phosphate) . It is also not known whether this product can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. This product should be given to a pregnant woman only if clearly needed.

Nursing Mothers:   It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when this product is administered to a nursing woman.

Pediatric Use:    See DOSAGE AND ADMINISTRATION .

This monograph has been modified to include the generic and brand name in many instances.

OverDose

No Information Provided.

ContrainDications

This product is contraindicated in patients with infected phosphate stones, in patients with severely impaired renal function (less than 30% of normal) and in the presence of hyperphosphatemia.

This monograph has been modified to include the generic and brand name in many instances.

Clinical Pharamacology

Phosphorus has a number of important functions in the biochemistry of the body. The bulk of the body's phosphorus is located in the bones, where it plays a key role in osteoblastic and osteoclastic activities. Enzymatically catalyzed phosphate-transfer reactions are numerous and vital in the metabolism of carbohydrate, lipid and protein, and a proper concentration of the anion is of primary importance in assuring an orderly biochemical sequence. In addition, phosphorus plays an important role in modifying steady-state tissue concentrations of calcium. Phosphate ions are important buffers of the intracellular fluid, and also play a primary role in the renal excretion of hydrogen ion.

Oral administration of inorganic phosphates increases serum phosphate levels. Phosphates lower urinary calcium levels in idiopathic hypercalciuria.

In general, in adults, about two thirds of the ingested phosphate is absorbed from the bowel, most of which is rapidly excreted into the urine.

This monograph has been modified to include the generic and brand name in many instances.

Patient Information

Patients with kidney stones may pass old stones when phosphate therapy is started and should be warned of this possibility. Patients should be advised to avoid the use of antacids containing aluminum, magnesium, or calcium which may prevent the absorption of phosphate.

This monograph has been modified to include the generic and brand name in many instances.

Consumer Overview Uses

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

 

POTASSIUM/SODIUM PHOSPHATE - ORAL

 

(poh-TASS-ee-um/SO-dee-um FOSS-fate)

 

COMMON BRAND NAME(S): K-Phos

 

USES: This drug may be used in people who cannot get enough phosphorus from their diets. Phosphorus is a natural body mineral that is very important for building and maintaining bone. It helps control the amount of calcium in the body and urine.

 

HOW TO USE: Take this medication by mouth, usually 4 times a day with meals and at bedtime or as directed by your doctor. Take this medication with a full glass of water (8 ounces or 240 milliliters). Do not lie down for 10 minutes after taking this medication.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day.

Your dosage depends on your condition and response to therapy.

Take this medication 2-3 hours before or after taking any products containing magnesium, aluminum, or calcium. Some examples include quinapril, didanosine, vitamins/minerals, and antacids. Dairy products (e.g., milk, yogurt), calcium-enriched juice, sucralfate, bismuth subsalicylate, iron, and zinc are also included. These products bind with phosphate, preventing its full absorption.

Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval.

Consumer Overview Side Effect

SIDE EFFECTS: Nausea, vomiting, diarrhea, dizziness, or headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

When this medication is first started, there is a chance an old kidney stone will be passed.

Tell your doctor immediately if any of these unlikely but serious side effects occur: bone/joint aches, muscle cramps, stomach pain, swollen hands/legs/feet.

Tell your doctor immediately if any of these rare but very serious side effects occur: confusion, fast/irregular heartbeat, seizures, unusual weakness, tingling/numbness of the hands/feet, change in the amount of urine.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

 

Read the K-Phos Neutral (potassium and sodium phosphate) Side Effects Center for a complete guide to possible side effects

Learn More »

PRECAUTIONS: Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: infection with kidney stones, high phosphate/potassium/sodium levels, severe kidney disease.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: adrenal gland problems (e.g., Addison's disease), breathing problems (pulmonary edema), bone problems (e.g., osteomalacia, rickets), heart disease (e.g., heart failure, irregular heartbeat), high blood pressure, a certain hormone problem (hypoparathyroidism), kidney disease (including kidney stones), liver disease, certain muscle problem (myotonia congenita), pancreatitis, late pregnancy problems (preeclampsia), severe loss of body water (dehydration), severe burns/wounds, special diet (e.g., sodium- or potassium-restricted diet), swelling (edema).

This medication contains sodium. Consult your doctor for more information if you are on a salt-restricted diet or if increased salt intake could worsen your condition (e.g., congestive heart failure).

Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially swelling legs/feet (due to sodium and water retention).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Consumer Overview Missed Dose

DRUG INTERACTIONS: See also How to Use section.

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aspirin, digoxin, eplerenone, high blood pressure drugs (e.g., ACE inhibitors such as lisinopril, ARBs such as valsartan), potassium supplements/salt substitutes, vitamin products (e.g., vitamin D, calcium), certain "water pills" (e.g., potassium-sparing diuretics such as amiloride/spironolactone/triamterene).

If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

 

OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe diarrhea, muscle spasms.

 

NOTES: Do not share this medication with others.

Laboratory and/or medical tests (e.g., calcium/phosphorus/potassium/sodium levels, kidney tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

 

MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

 

STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from heat, light, and moisture. Do not store in the bathroom. Keep all medicines away from children and pets

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

 

Information last revised March 2013. Copyright(c) 2013 First Databank, Inc.

Patient Detailed Side Effect

Brand Names: K-Phos M.F., K-Phos Neutral, K-Phos No. 2, Neutra-Phos, Uro-KP-Neutral

Generic Name: potassium phosphate and sodium phosphate (Pronunciation: poe TASS ee um FOSS fate and SEW dee um FOSS fate)

  • What are potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • What are the possible side effects of potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • What is the most important information I should know about potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • Who should not take potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • How should I take potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • What happens if I miss a dose (K-Phos Neutral)?
  • What happens if I overdose (K-Phos Neutral)?
  • What should I avoid while taking potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • What other drugs will affect potassium phosphate and sodium phosphate (K-Phos Neutral)?
  • Where can I get more information?

What are potassium phosphate and sodium phosphate (K-Phos Neutral)?

Phosphorus is a naturally occurring substance that is important in every cell in the body. The majority of phosphorus in the body is found in the bones. The potassium and sodium salt forms of phosphorus are called phosphates.

Potassium phosphate and sodium phosphate is used to acidify the urine and lower the urinary calcium concentration. This may reduce rash and odor caused by ammonium in the urine. Potassium phosphate and sodium phosphate may also increase the antibiotic effect of methenamine (Hiprex, Urex). Potassium phosphate and sodium phosphate is also used as a phosphorus supplement to prevent and/or treat a phosphorus deficiency.

Potassium phosphate and sodium phosphate may also be used for purposes other than those listed in this medication guide.

K Phos Neutral

oblong, white, imprinted with BEACH, 11 25

What are the possible side effects of potassium phosphate and sodium phosphate (K-Phos Neutral)?

Stop taking potassium phosphate and sodium phosphate and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may also to occur. Nausea, vomiting, stomach pain, and diarrhea are among the most common. These side effects usually lessen after a few days of therapy. Notify your doctor if you develop these side effects.

If you have kidney stones, there is a possibility that you will pass old stones after starting treatment with potassium phosphate and sodium phosphate.

Less commonly, the following side effects have been reported:

  • headache;
  • dizziness or confusion;
  • weakness or heaviness of the legs;
  • diarrhea;
  • seizures;
  • unusual tiredness or weakness;
  • muscle cramps;
  • numbness, tingling, pain, or weakness of the hands or feet;
  • swelling of the feet or lower legs;
  • unusual weight gain;
  • increased thirst;
  • decreased urine; or
  • bone or joint pain.

Notify your doctor if you develop any of the side effects listed above.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

Read the K-Phos Neutral (potassium and sodium phosphate) Side Effects Center for a complete guide to possible side effects

Learn More »

What is the most important information I should know about potassium phosphate and sodium phosphate (K-Phos Neutral)?

Do not take antacids containing aluminum, calcium, or magnesium while taking potassium phosphate and sodium phosphate, except under the supervision of your doctor. Antacids may decrease phosphate absorption.

If you have kidney stones, there is a possibility that you will pass old stones after starting treatment with potassium phosphate and sodium phosphate.

Side Effects Centers
  • K-Phos Neutral

Patient Detailed How Take

Who should not take potassium phosphate and sodium phosphate (K-Phos Neutral)?

You cannot take potassium phosphate and sodium phosphate if you have

  • high levels of potassium in your body,
  • high levels of phosphorus in your body,
  • infected phosphate stones, or
  • severe kidney disease.

Before taking potassium phosphate and sodium phosphate, tell your doctor if you have

  • Addison's disease,
  • a bowel obstruction,
  • heart disease,
  • high blood pressure,
  • kidney disease,
  • liver disease or cirrhosis,
  • swelling or water retention,
  • high levels of sodium in your body,
  • low levels of calcium in your body,
  • hypoparathyroidism,
  • pancreatitis, or
  • rickets.

You may not be able to take potassium phosphate and sodium phosphate, or you may require a lower dose or special monitoring if you have any of the conditions listed above.

Potassium phosphate and sodium phosphate is in the FDA pregnancy category C. This means that it is not known whether potassium phosphate and sodium phosphate will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.

It is also not known whether potassium phosphate and sodium phosphate will harm a nursing infant. Do not take potassium phosphate and sodium phosphate without first talking to your doctor if you are breast-feeding baby.

How should I take potassium phosphate and sodium phosphate (K-Phos Neutral)?

Take potassium phosphate and sodium phosphate exactly as directed by your doctor or as directed on the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each tablet with a full glass of water.

The K-Phos Original tablets should be dissolved in 6 to 8 ounces (180 to 240 mL) of water. Let the tablets soak for 2 to 5 minutes, or more if necessary, and stir. If tablet particles remain, they can be crushed and stirred to speed dissolution. Drink the solution once the tablets are completely dissolved.

Do not swallow the Neutra-Phos capsules whole. They must be opened, and the contents mixed with water. Mix the Neutra-Phos powder and capsule contents with 75 mL (approximately one-third cup) of water, and drink the solution.

Do not take more of this medication than is recommended. If your symptoms are not being treated, notify your doctor.

Store potassium phosphate and sodium phosphate at room temperature away from moisture and heat.

Side Effects Centers
  • K-Phos Neutral

Patient Detailed Avoid Taking

What happens if I miss a dose (K-Phos Neutral)?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed.

What happens if I overdose (K-Phos Neutral)?

Seek emergency medical attention.

Most commonly, symptoms of an overdose include nausea, vomiting, diarrhea, dehydration, and severe and prolonged muscle cramps or paralysis.

What should I avoid while taking potassium phosphate and sodium phosphate (K-Phos Neutral)?

Do not take antacids containing aluminum, calcium, or magnesium while taking potassium phosphate and sodium phosphate, except under the supervision of your doctor. Antacids may decrease phosphate absorption.

What other drugs will affect potassium phosphate and sodium phosphate (K-Phos Neutral)?

Do not take antacids containing aluminum, calcium, or magnesium while taking potassium phosphate and sodium phosphate, except under the supervision of your doctor. Antacids may decrease phosphate absorption.

Before taking potassium phosphate and sodium phosphate, tell your doctor if you are taking any of the following medicines

  • calcium and/or vitamin D supplements;
  • potassium supplements or salt substitutes;
  • a diuretic (water pill) such as triamterene (Dyrenium, Dyazide, Maxzide), spironolactone (Aldactone), or amiloride (Midamor);
  • a heart medication such as guanethidine (Ismelin), diazoxide (Hyperstat, Proglycem), hydralazine (Apresoline), methyldopa (Aldomet), or reserpine (Ser-Ap-Es); or
  • a steroid medicine such as corticotropin (ACTH, Acthar), cortisone (Cortone), hydrocortisone (Cortef, others), prednisone (Orasone, Deltasone, others), prednisolone (Prelone, Pediapred, Delta-Cortef, others), methylprednisolone (Medrol, others), triamcinolone (Aristocort, Kenalog, Tri-Kort, Trilog, others), dexamethasone (Decadron), or betamethasone (Celestone).

You may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with potassium phosphate and sodium phosphate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

Your pharmacist has more information about potassium phosphate and sodium phosphate written for health professionals that you may read.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2013 Cerner Multum, Inc. Version: 1.05. Revision date: 12/15/2010.

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