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Questions, experiences and reviews (70)

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Are dental shots life-threatening?
I heard about people dying from using topical lidocaine anesthetic after a laser hair removal procedure. What about the lidocaine in dental shots? Is it dangerous too?

I am aware that some shots have epinephrine (adrenaline) in them and so I am requesting that my shot contains no epinephrine when I have my tooth extracted Tuesday, as I have a cardiac arrhythmia.

But I am afraid of having the toxic reaction associated with lidocaine, carbocaine, etc.

Are these drugs safe???? Am I risking my life when my dentist numbs me up?

Thannk you for any input.... :(
N o v a
10/29/09
Reply
  nothing to get worry about local anesthesic injection.lignocaine is safe and toxic reactions normally wont occur.

however toxicity is possible when the dosage goes excess.(your dentist will be knowing about this)

its true a small number of people has allergy to local anesthesia.(check whether you are allergic to local anesthesia)

hundreds,thousands of people get local anesthesia daily throughout the world before dental procedures without much problems.

regarding your cardiac problem,get a fitness certificate from cardiologist for undergoing dental therapy.

INFORM YOUR DENTIST ABOUT THE CARDIAC ARRYTHMIA YOU HAVE BEFORE HE STARTS THE PROCEDURE.

the adrenaline in local anesthesia is very low.no need to fear regarding this.
plain local anesthesia without adreanline are also available and can be used for you.

good luck
sibi
10/30/09
what are lincomycin hydrochloride and lidocaine hydrochloride gel use for?
miao
02/14/06
Reply
  Lincomycin hydrochloride is mainly used for fighting respiratory tract and soft tissue infections.

there's another type: It is indicated for the infections due to Staphylococcus,Streptococcus Pneumococcus and anaerobes. It may cause enteritis of pseudo-menbrane after prolonged administration. Patients with hepatic insufficiency should use prudently.

Lidocaine hydrochloride is used as a pain reliever. Lidocaine (lignocaine) belongs to a group of medicines known as local anaesthetics. Lidocaine acts to block temporarily the pathway of pain impulses along nerve fibres. This relieves or prevents pain in the area where it has been injected. This preparation is injected to provide local anaesthesia for minor procedures, such as dental surgery.


you can check out these websites. it's good. good luck!
.whatever.
02/14/06
Are dental shots (lidocaine, etc) dangerous?
I have to have a third molar removed and I can not have EPINEPHRINE in my shot so they are using Carbocaine instead.

I heard about people DYING from using TOPICAL numbing drugs such as Lidocaine after cosmetics procedures.

Can someone tell me why it is safer to have dental shots INJECTED and not die vs. someone who used it topically, absorbed into their bloodstream and they uh, DIED?
I am aware that the -caine anesthetics are neurotoxins and also can be toxic to the heart if too much is absorbed in the bloodstream.... so I am concerned about having these toxic reactions in the dentist's chair.

Can someone please tell me why it is safe?
Do they use a smaller amount at the dentist than you would get topically? I'm confused..... :(

Thanks so much..
N o v a
10/28/09
Reply
  In the cases of people dying after cosmetic procedures... it was the amount of topical numbing drugs that killed them. If I remember correctly... these people were having a procedure done on their legs, where topical numbing was rubbed all over the legs, and then the legs were wrapped in cloth or plastic (can't remember exactly). This massive amount of topical numbing agent caused rapid change in blood pressure. This is what killed them.

There are risks with dental injections... nerve damage, injection directly into the vein... therefore straight to the heart. These risks are very minimal and if administered correctly, are very safe.
naenae0011
10/28/09
Epinephrine?
Will epinephrine make me more aggressive?

Like, say for example that I am really timid in football. If I take epinephrine will it just make me go crazy and be relentless?

Thanks.
ABC
09/08/07
Reply
  I think it's more for getting over hives.

I wouldn't use it for sports.

Use visualization. See yourself in your imagination, from OUTSIDE yourself. See yourself playing sports. Now, see yourself being stronger & more aggressive, when it's necessary. See yourself being applauded by your teammates & your coach yelling, "Great!" at you.

That's better than weird drugs.
embroidery fan
09/08/07
what is it????
does anyone know what lidocaine hydrochloride jelly usp is used for??????
Tiffany W
07/14/08
Reply
  numbing something- frequently it is used on a urinary catheter before inserting it so it won't hurt as bad going in.
Danielle K
07/14/08
Allergy to Caine/Grave's Disease - Need Help Please?
I need to have a root canal done but my physicians are causing me to worry. I have Grave's Disease and an allergy to "caine" drugs. In the past, I have used Citanest (Prilocaine) with no trouble. I have a new medical insurance that is horrible and they are saying that I should not have the procedure unless it is a medical emergency. If so, they are saying not to use a local with epinephrine (could cause Thyroid Storm/Death). The infections that are ongoing from the need for dental work is ridiculous - 7 rounds of antibotics and the pain is exquisite. My questions are this:
1. What local anaestics do not contain epinephrine that are not Lidocaine/Procaine?
2. What are the risks if I do not have the root canal done?
3. Is there any other helpful advice that you can share?

Thank you in advance for answering. I appreciate the advice. If you need any further information, please e-mail through answers. Thanks again.
Patti-Patti
12/17/07
Reply
  The grave's disease could be from a deficiency in iodine, causing the goiter. The Thyroid gland needs iodine and the amino acid tyrosine to produce hormones. If you are deficient in either of these, many problems can happen in the body and the thryoid is one of them.

Your allergies could be from nutritional deficiencies as well. The antibiotics are very destructive to the body. If you do not have the nutrients your body needs to create a good immune system, the antibiotics will not work well at all. Antibiotics do no killing of germs, but cause the body to produce more macrophages from particular kinds of white cells in your body. If you are deficient, it's like beating a tired horse to make him walk faster, it's just not going to happen if he's really tired.

Bad teeth are another sign of being very deficient.

If you use fluoride toothpaste, drink fluoridated water, bathe without a shower filter, drink sodas and domestic beer, you are getting enough fluoride to make you iodine deficient. I would check yourself to see if this is the case. It's simple to do. Purchase a small bottle of "tincture of iodine" and rub a patch 2" x 3" on your forearm or on your chest. Note the time of day. You should be able to see the patch after 24 hours. If it goes away in a few hours, you are very deficient.

To help your body get rid of the deficiencies like this, you will need to take about 5 - 6 months of taking iodine supplements to correct the problem. Once you have done this, you may find you will have a more healthy thyroid.

Just so you know, when they put fluoride in the drinking water, many children develop goiters as well as adults. This is a very bad practice that is being done to water supplies.

In regard to your allergies, that can come from many places. Without knowing more about your diet, specific deficiencies, it is difficult to predict what is causing that. I suggest, if you can, locate a Certified Nutritional Therapist to test you and find out what you are deficient in and recommend a diet for you.

Additionally, infections in the mouth can be insidious and cause many problems with various organs in the body because there are neural links from the teeth to body organs. You need to address that issue as well, but usually these types of infections are from a huge mineral deficiency in the body. The American diet is not going to solve that issue for you.

good luck
onlymatch4u
12/17/07
ENDODONTISTS ONLY: Anesthesia w/o epinephrine?
I have trouble with epinephrine causing my heart to race following injection. I recently had a tooth flare up and I just know I will soon need root canal therapy. I've had several root canals, but I used to be able to tolerate the epinephrine. Now, I'm nervous because I know we can't use the epi this time! Can I actually get numb enough for root canal with just carbocaine? I'm NOT looking forward to this one- I need some reassurance please.
hope
04/12/08
Reply
  Yes, you can. You probably want to take a round of antibiotics right before you go for the root canal b/c infection can lessen the anesthesia. They can also put you on nitrous oxide gas which can help. In general, epi should only cause your heart to race when given improperly. This is why it is taught to aspirate during an injection to prevent putting the anesthetic into a vein. When it is injected in vein, the epi makes your heart race. But, they can use Mepivicaine plain. Which works fine, but doesn't last as long so they may give you some more.
spongebobrogers
04/12/08
What are some possible side effects from the recreational injection of Epinephrine?
Let's say I came into possession of a bunch of ampoules full of Epinephrine, and not knowing what else to do with them, I began injecting them recreationally. Sometimes on their own, but sometimes combined with other substances to see what happens.

Is there any possible ill effect from injecting several ampoules worth of Epinephrine after ingesting a cocktail of nutmeg and Vicodin with the aceto removed through a water distillation process?
Proust
01/01/09
Reply
  First of all, since you have so much criticism from people who think they are smarter than you by calling you dumb.

Water distillation is when you distill water. That really has nothing to do with removing acetominophen from pill binding.

You could very well die if you use to much. But guess what? You can die from to much of anything! Better stop pooping, eating, and drinking alchohol! Now, my question is are you dumb for asking the question or are the people who call you dumb stupid because they think that only a doctor of 8 or more years can understand epinephrine? I'm sorry to say, but you can only know so much about a single drug. I'm sure you are capable of knowing your body and the drug perfectly fine.

Some of the adverse side effect could come from the combination of the drugs. From the medical articles that I just read through, there is no interaction between epinephrine and hydrocodone (Vicodin). Nutmeg has not been studied very extensively, but I don't see interactions with that either. You are making yourself a guinea pig make sure to post if you suddenly have negative side effects. Don't be daring. Work up from a small dosage.

Know your body, know your mind, know your substance.
Wheel
01/02/09
Is lidocaine as available as cormac mcarthy says it is?
So on no country for old men, Javier Bardem blows up a car and strolls into a pharmacy to pick up a few things, one of them being the local anesthetic lidocaine. Can you really get Lidocaine in the injectable form at a pharmacy?
Bob B
01/25/09
Reply
im thinking about using a prescription lidocaine hydrochloride on my wrist for a tattoo will this help w pain?
nicoleb_99
06/03/09
Reply
Can you become allergic to lidocaine all of a sudden?
I was just perscribed lidocaine and was allergic to it - well - I felt dizzy, nausous, diarra, just icky. I also have this feeling when I go to the dentist. I have been ok with the dentist until 8 years ago when I passed out in the dentist office. And ever since then I am terrified about going to the dentist because of that. Was that a allergic reaction and can you become allergic to lidocaine and the dentist "caine"?
Had lidocaine in a mouthwash - had to swallow it.
skibum_us
11/02/07
Reply
  You can be allergic to just about anything, but you don't describe the usual allergic reaction. The dentist uses the same local anesthetic the doctors do, except their preps usually contain epinephrine as well- to restrict bleeding and extend the effectiveness. Epinephrine is the "fight or flight" chemical your body produces when you are stressed or frightened, and can cause all sorts of odd feelings- including the gut. To find out if you are truly allergic to it you would need to be specifically tested by an allergist. If you suspect you are, that would be a good thing to do, because allergies to medications that are injected can be quite deadly. They can show up all of a sudden, and can go from one mild to one life threatening reaction without warning. And since lidocaine is such a common local anesthetic, you would certainly need to know and have a medicalert tag to the effect. But what I think is you are dealing with an overstressed body in fear of the dentist, and the epinephrine isn't helping matters any. That's what it really sounds like. Still, get tested and find out for certain. Then if it's safe, you can always ask the dentist for a bit of a sedative first, which will help control the other reactions.

Note- you aren't supposed to swallow the mouthwash. You are supposed to swish in in your mouth and spit it out- not swallow it. You feel slighty icky because you just slightly anesthetized your esophogus, stomach and everything else. While it won't hurt you- it's not intended to be swallowed in much quantity.
The mom
11/02/07
Is there a difference between epinephrine and albuterol?
Is albuterol and epinephrine the same thing? I know people abuse epinephrine to lose weight or get a speed like effect, but is it the same as albuterol, if not why do people abuse albuterol then?
betty
05/29/07
Reply
  No they are not the same thing. Epinephrine is your "fight or flight" hormone. You are thinking of ephedrine (in weight loss products) Albuterol is used for people with asthma or other breathing problems. Epinephrine can help relax your airways and make it easier to breath similarly to albuterol....but they are not the same thing.
drwalsh03
05/29/07
Can Topical Lidocaine & Prilocaine Help Sunburn?
Well, title says most, but I got burned pretty bad, and I'm not sure if it will blister or not.. I have some sunburn relief stuff, and it has lidocaine & aloe vera, BUT I don't have it with me, I'm away from home. I found some other stuff here, and it's Lidocaine & Prilocaine, can it help me? (I mean can it help the pain, not the blistering?)
NikkiChikki
05/01/11
Reply
  Lidocaine is a topical anesthetic that will reduce the pain. Take an advil or aspirin, too.
Frank
05/01/11
How does an injection of epinephrine stop the inflammatory response?
When you are having an allergic reaction or extreme itching after a sunburn or rash, how does epinephrine work to stop it?
Sweetask
07/22/06
Reply
  I've never given epinephrine for extreme itchiing or sunburn, or even a rash. I've only ever given it for a life threatening allergic reaction, which we call anaphyllaxis. Besides giving the epinephrine, I also gave them injectable diphenhydramine and a steroid. I would imagine it help blocks the histamine receptors, and helps open the lungs up for better respirations. It's been too long since I've went to school to tell you exactly what goes on.
cajunrescuemedic
07/22/06
How can I increase Nor epinephrine production in my scalp?
I read that more Nor epinephrine produces more fatty acids and that's just what I need on my scalp.

Is there a product to do this?
David
01/10/07
Reply
  No. For whatever reason you feel you need fatty acids on your scalp, get some fish oil capsules and apply the oil to your scalp.

Norepinephrine is a hormone and a neurotransmitter and is the precursor of the hormone epinephrine, commonly known as adrenalin. It is released from the medulla of the adrenal glands as a hormone into the blood, but it is also a neurotransmitter in the nervous system where it is released from noradrenergic neurons during synaptic transmission. As a stress hormone, it affects parts of the human brain where attention and responding actions are controlled. Along with epinephrine, this compound affects the fight-or-flight response, activating the sympathetic nervous system to directly increase heart rate, release energy from glucose and glycogen, and increase muscle readiness.
Rickydotcom
01/10/07
lidocaine gel orally?
i was prescribed "liocaine hydrochloride oral topical solution, usp (viscous) 2%" and it looks and smells like aloe for a sunburn. and it tastes like cleaning products.

is it okay to mix the dose with listerine?
i can't take it alone.
Aly G
02/25/08
Reply
  put some sugar in it or kool aid powder
happyhouse96
02/25/08
How long will Epinephrine affect Blood test for Bilirubin?
I read that Epinephrine can affect results of bilirubin test -- how long does it take the body to rid itself of epinephrine - so test will not be affected?
steddiecat
08/08/06
Reply
  Well, I have never heard of epinephrine interfering with an assay for bilrubin. Its also highly unlikely, epinephrine has a very short 'half life' which means it is broken down and eliminated very quickly after production. For most people, the amount of epinephrine circulating at any given moment is extremely small.

If you are wondering whether being anxious about the test, and that the adrenaline you make may affect the test - no, it doesn't.

I work some of the time in a critical care unit, where we frequently have to run in an infusion of epinephrine and similar drugs, to support heart rate and blood pressure. I have never come across a problem.

Hope this helps.
Knick A
08/08/06
How long before lidocaine takes effect?
My doctor prescribed me a topical solution (gel) of lidocaine to put on some dog bites on my lower left leg for ease in cleansing the wound. Does anyone know how long before the solution takes effect? I want to clean them at the peak of the lidocaine's deadening properties as they are still very painful. Thanks.
red_heded_rebel
06/24/11
Reply
  If you apply the solution to the wounds, you should then apply some plastic wrap over it for about 1/2 hour to prevent evaporation and keep the gel on the area. After that, you should have fairly good anesthesia. Equally important is to remember to be gentle when cleaning the wounds. Do not use peroxide or alcohol or betadine as these actually slow down the healing. Better to gently cleanse with warm water and gentle shampoo and then blot dry. Apply a thin layer of antibiotic ointment or cream and cover with a non-adherent dressing and change it every other day to promote fastest healing.
wounddo
06/27/11
How long does lidocaine usually last for?
I got stitches last night and the area still feels numb, but i am not sure if it is because it is just bruised or if it is from the lidocaine.
One Love?
11/18/08
Reply
  There are two different kinds of lidocaine, each lasts a different duration.

1) Lidocaine ("Plain")
When injected in or under the skin, prevents sensory nerves from firing by depolarizing sensory nerve axons (the electrical wires of the nerves).
Because plain lidocaine is water soluble, it rapidly flushes away with nearby blood capillaries and veins. The half life for 1 milliliter of plain lidocaine injected below the skin (subcuticular) is about an hour.

2) Lidocaine with epinephrine (LidocaineE)
Works the same as plain lidocaine, except the epinephrine causes all the blood vessels in the area to constrict for hours.
Without blood flow to the area, the lidocaine does not get flushed away.
Depending on the location and the amount injected, LidocaineE can have a half-life up to 6 hours.

If your stitches were placed last night (presumably 24 hours ago), it's not lidocaine causing your numbness.

You probably cut several sensory nerves to the area. Your sensation probably will feel numb for several weeks.
Brrrr
11/18/08
where do you use lidocaine and septocaine?
just need to know, where exactly do you use lidocaine on the top of the teeth in the back, or bottom only. and also where do you use septocaine on the top or bottom of the teeth.

means each tooth is different i suppose, and so say tooth number 22...would you use lidocaine, or septocaine?

im studying to be a dental assistant, but i cant seem to find it in my book.
littledebbie_v6687
12/01/10
Reply
  Lidocaine and Septocaine are interchangeable and can be used anywhere depending on the dentist's preference. They can be used with or without epinephrine.
grandpa walleye
12/01/10
Does getting lidocaine injections into both sides of your thumb hurt?
I have had a splinter stuck under my thumbnail for about 6 months now. I went to the doctor and found out that I have to get two injections of lidocaine in my thumb (one on each side) to numb it so they can lift my nail up to get the splinter out. I want personal experiences about the lidocaine injections and also I want to know about anything else that might hurt while getting the splinter out.
TayLynn(:
07/22/11
Reply
  I take it you want the truth here, so yes lidocaine injections do hurt, i had them so i could have stitches and they sting, but you can't let it show cause otherwise you'll look a real dill. It's still better than the alternative, which is to wait till the thumb becomes infected and need more than just the nail removed. It only hurts for a few seconds and then you can't feel anything during the procedure, just some pulling feelings which feel weird not painful. Once the lidocaine wears off it will throb a bit and be quite sore, just have some painkillers and show off your war wounds to your friends. You must be pretty brave anyway to put up with having a splinter under your nail for so long. I hope this has been of help and take care.
bonnie
07/22/11
my boyfriend was injured today and has 10 stiches in his thumb he has percription meds but it still hurts?
terribly (he's no sissy boy) can i put lidocaine hydrochloride jelly 2% on it or would it harm the stitches we have to be careful they might amputate it so we can't do anything to bother the stitches until wendesday
auntie s
05/15/07
Reply
  Lidocaine is unlikely to affect the deep hurt. This sounds like a serious injury and I wouldn't mess with it. Call the doctor who treated him to see if you can get some prescription pain killers.
Still reading
05/15/07
lidocaine hydrochloride jelly USP, 2%?
my doctor put it in my bag? i have no clue what it's for??? is it for my tooth? -__- i used it and found this dot blister looking thing on my face. wtf O_O how do you use it? should i take it back...
-___- after i used it i found a dot on my face :/ ?? help
Chuck
10/17/10
Reply
  It's a painkiller, yes, probably for your tooth.

tx mom
TX Mom
10/17/10
Does lidocaine hydrochloride oral topical solution, 2 percent heal my conkor soar?
I got a prescription for it and i use it but i was wondering does it just numb it or does it actually heal the soar?
Saul R
06/02/11
Reply
  http://kidshealth.org/teen/diseases_conditions/mouth/canker.html
Cammie
06/02/11
where can a normal person buy viscous lidocaine?
im just wondering what stores i could go to to get some, my Dr gave me a catheter to wear at night and i need to know where to get viscous lidocaine to num down there be for insertion
JB
08/03/09
Reply
  First, very good Question!

I have read your question very carefully and I am a bit frustrated
because of the fact I can't ask you a few probing questions that
jumped into my mind as I was reading. However I would like to email you a few things that at the very least will offer some ensights or empower you with information that you may find helpful. If that's okay with you!

Physician
21 Years
M.D. F.A.C.C.
Ask me!
08/07/09
Can you scare someone who is having an allergic reaction to produce epinephrine?
If you scared someone enough, would they produce enough epinephrine (from the "fight or flight" response) to treat their allergic reaction and open up their airways?
Bob J
01/10/11
Reply
  Likely not. Even if it was possible, you'd have to keep it up until they got to the hospital.
ckm1956
01/12/11
can i take a pain reliever with augmentin?
i have a very very sore throat, just on one side. thanks to my not so friendly doctor he threw some augmentin and some viscous lidocaine at me. i have been taking both, but i cant get the lidocaine to go RIGHT where it hurts and I need to know if i can take aome advil or some tylenol. Thanks so much

ouch
leah
lkinnan23
02/01/08
Reply
  Yes you can either take Tylenol or Ibuprofen. It won't hurt a thing.
Tamara S
02/01/08
What happens if i drink epinephrine in my mouth?
I was wondering if I drink epinephrine in my mouth that it would have the same effect as it would if i would inject it in myself?
Christos Marathonitis
11/29/08
Reply
  If you need an epipen, then you need to inject it as directed. Drinking it will mess up how it works since it will have be delayed getting into your bloodstream.

If you don't want to use injections as your first choice you could ask your Dr. for an inhaler, but you should always have your epipen backup.
auraraine
11/29/08
Laser Fillings WITHOUT needles? Biolase?
I am a rare case who can not tolerate any of the -caine anesthestic drugs (Lidocaine, Carbocaine, Mepivicane, etc). I am not allergic, just intolerant due to other health conditions. I also can not tolerate the epinephrine in the drugs, but since I can't tolerate the drugs at all, that point doesn't really matter.

I have some invasive cavities that need to be filled. It is a simple filling, it's just that the cavity is close to the nerve.

I have heard that recent advancements in laser dentistry can make it so that hypodermic anesthesia is not required in many cases, but not all.

How far has laser dentistry come so that maybe I can get my fillings without the -caine drugs?

Please help me.
Comisado
08/29/09
Reply
  As long as you are not allergic, the dentist can give you the amide type of anesthesiants (lidocaine, etc)
Some like mepivacaine do not contain epinephrine, so that if you have some health conditions where we dont want to give adrenaline (epinephrine), you wont get any. but the anesthesic would not last long. Other anesthesics contain levonordephrine instead of epinephrine to compensate.
So as long as you are not alergic (EXTREMELY rare), the dentist can use mepivacaine plain, which might be the best option. And it does not last long.

As for the laser, it just cut differentely (micro-explosions instead of friction), but if the cavity go near the nerve, you still going to feel to much pain.
plmdmd
08/31/09
How safe is it to use pure lidocaine powder?
I would like to mix some with a cream as a pain relife for my back. The msds sheet that came with it makes me scared to even open it. Is it safe? If i mix 1 gram of lidocaine with 9 grams of cream does that give me a 10% Concentration?
Arthur And Jennifer D
01/16/09
Reply
  In the proper concentrations, it may be safe enough to use, but I would do some more extensive research into it to find the appropriate dose to be on the safe side.
Wiki says it does help topically with itching, burning, and pain from skin inflammation, but it does have several contraindications:

* Heart block, second or third degree (without pacemaker)
* Severe sinoatrial block (without pacemaker)
* Serious adverse drug reaction to lidocaine or amide local anaesthetics
* Concurrent treatment with quinidine, flecainide, disopyramide, procainamide (Class I antiarrhythmic agents)
* Prior use of Amiodarone hydrochloride
* Hypotension not due to Arrhythmia
* Bradycardia
* Accelerated idioventricular rhythm

Needless to say, I'd be rather careful when dealing with something like this. I would also note that there's a long list under drug interactions below that on Wiki, too.
Yes, if you mix 1 gram of Lidocaine into 9 grams of cream, it would be 10% Lidocaine... but you'd also want to make sure it was mixed really, really well so there aren't any globs of Lidocaine that might cause irritation (or worse). Good luck!
oldtimekid2
01/16/09

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Aerodynamix: @theladysoo No!! Lidocaine and epinephrine (sp?). Much more my kind of thing
CHIRO_EDGE: Read food labels carefully - pyridoxine hydrochloride or thiamin hydrochloride R chemical (man made) forms of B vitamins added to food.
Sewk53: @TairuPANdA I think they renamed it to Epinephrine.
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starcaaakes: The workout I had, gave me an epinephrine rush.
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