As you will have to skip a dose in order to change the timing, the concentration of the drug may get disturbed a little. Hi, gabby! If you have overdosed on lexapro, the severity of side effects depend on the dose you took and your tolerance level. its only my fifth day on, my psych has me on a baby dose of 2.5mg a day because i am extremely sensitive to medications and substances. Hi and thank you for your reaching out to us with your question. [> Does Wild Lettuce Interact With Losartan? Weve also explained how you can switch Lexapro from night to morning usage without causing any unwanted side effects or withdrawal symptoms. If you are feeling suicidal This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. https://medlineplus.gov/druginfo/meds/a603005.html, https://www.endocrine.org/patient-engagement/endocrine-library/hormones-and-endocrine-function/brain-hormones, https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021323s047lbl.pdf, https://www.nimh.nih.gov/health/topics/depression, insomnia or sleep disturbances from Lexapro. Yes, I have changed times I took it and tweaked it to work at night when I needed it the most. A typical starting dose of Lexapro is 10 mg, taken once daily. Drinking alcohol can also worsen symptoms of depression and anxiety, and it can also lead to addiction and other health problems. Available for Android and iOS devices. It is also best to take Lexapro at night if it causes nausea or loss of appetite. This way you will avoid getting overdosed and will not experience intense side effects of the drug but this should be done only if approved by your healthcare provider. Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. Some people may also find that the medication stops working overtime, or that it stops working after a period of time. If it causes loss of libido, morning is preferred. Posts : 1. There isnt any specific guidance from the manufacturer on the best way to change the time of day. In this case, its best to take your antidepressant in the morning to avoid the episode of bedwetting. If your lexapro makes you go through sexual issues, such as low libido, erectile dysfunction, or inability to ejaculate, it is extremely important to set an appropriate time to take you medication. I have the same problem of insomnia, and was taking Escitalopram in the morning, yesterday I decided try take it at dinner time, and I slept well, finally, and without having to take Diazepam to sleep. Cross-tapering involves gradually reducing the dosage of your well, wrong, lol. These side effects can ruin your night time and your doctor will definitely ask you to switch taking it in the morning. We comply with the HONcode standard for trustworthy health information. This really reduces your sleep quality and makes you feel tired the following morning. Theyll give you a special tapered dosage schedule to follow so that you can limit withdrawal symptoms and stop using your medication safely. We offer this Site AS IS and without any warranties. Changing from a night to morning dosage schedule can make some side effects of Lexapro less severe. Switching to a morning dosage schedule may reduce the severity of these side effects and stop them from having such an impact on your quality of life. Its also important to note that weight gain can be caused by many factors, not only by the medication itself, but also by changes in appetite, lifestyle, and underlying medical conditions, so its not always clear that Lexapro is the cause of weight gain. Imitrex (sumatriptan): Well, you experienced side effects from the Imitrex. Lexapro is an antidepressant, which is usually taken once daily. Even if you somehow end up falling asleep, you keep getting up in the middle of the night after short intervals. In our latest question and answer, the pharmacist discusses how safety change the time of day you take Lexapro (escitalopram). We comply with the HONcode standard for trustworthy health information. I took the morning dose on a Saturday then took my next dose on Sunday evening. Start your mental wellness journey today. Additionally, taking it at the same time every day helps to maintain a consistent level of the medication in your body, which can help to improve its effectiveness. Selective serotonin reuptake inhibitors (SSRIs) are well known for its sexual side effects. start here, Medically reviewed by Katelyn Hagerty, FNP. Lexapro induced fatigue starts to fade away within a few weeks of your treatment. Dont Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. In that case, addressing the underlying condition may help to improve the sexual side effects. Now, for Lexapro specifically, according to the prescribing information, you can take it at any time of the day: Lexapro is an SSRI (selective serotonin reuptake inhibitor), and the side effects of that class of drugs have been pretty well documented. Required fields are marked *. The best way to be certain whether or not you need that half a dose is to talk to your healthcare provider. Lexapro should be administered once daily, either at night or in the morning. Your healthcare provider may suggest cross-tapering, tapering down your dosage before starting the new medication, or carrying out a direct switch from one medication to the other. While the maximum recommended daily dose of Lexapro is 20 mg, some people may need a higher dose to experience relief from their symptoms. Lexapro can cause frequent urination as well as urinary incontinence in children and adolescents. Some users have reported that it helps to reduce feelings of sadness, hopelessness, and guilt, which improves their ability to function in daily life. WebSo alot of Dr prescribe it for anxiety to calm. Can I just wait to take it, or will the side effects be too much (9 hours difference)? Some people may experience sexual side effects while taking Lexapro, such as decreased libido (sex drive), difficulty becoming or remaining aroused, or difficulty achieving orgasm. Eventually began taking 10mg all at night due to so sleepy or fatigued. Its okay to switch from taking Lexapro at night to in the morning, or vice-versa. Studies suggest its best to counteract sexual side effects by taking antidepressant after the time you usually spend being sexually active. Your email address will not be published. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. No issues, no effects just a switch that worked out well. Its common to use several antidepressants before finding one that provides the right balance of effectiveness and manageable side effects for you. Lexapro can make you go through sexual issues, such as low libido, erectile dysfunction, or inability to ejaculate. If you have major depressive disorder (MDD) or an anxiety disorder such as generalized anxiety disorder, your healthcare provider may prescribe the antidepressant Lexapro (escitalopram) to help you gain more control over your symptoms. Feel horrible. Andrea Cipriani, Claudio Santilli, Toshi A Furukawa, Alessandra Signoretti, Atsuo Nakagawa (2009) -Escitalopram versus other antidepressive agents for depression, Karly P Garnock-Jones, Paul L McCormack (2010) Escitalopram: a review of its use in the management of major depressive disorder in adults. Within seconds the palpitations stopped, and did not pick back up again for about 3 days. If the dose is low, you will surely suffer from side effects, but they would be somehow manageable. Lexapro can cause withdrawal symptoms if its stopped abruptly. [> It is a common side effect of lexapro and reported by almost half of the population taking lexapro. Even if you somehow end up falling asleep, you keep getting up in the middle of the night after short intervals. This really reduces your sleep quality and makes you feel tired the following morning. For those who switched from taking it at night to taking it in the morning, why did you do it? If you often forget to take your medication and need help adapting to a new dosage schedule, it may help to set a reminder on your phone letting you know that you need to take Lexapro in the morning. WebThe answer is yes, you can combine Imitrex (sumatriptan, either injectable, nasal spray, or oral) with Lexapro (escitalopram) and/or Klonopin (clonazepam).This is commonly When serotonin amounts in the body get too high, it causes a condition called Serotonin Syndrome. mel gibson house greenwich. They have your complete medical history and will be in a better position to provide you with a more personalized recommendation. They may also suggest that you make certain changes to your habits and lifestyle to reduce the severity of your depression symptoms. Just take your next dose as scheduled. Medical Content Reviewed By HelloPharmacist Read all the rules before posting the first time, and please do not ask for medical advice, contact your doctor or psychiatrist. Low levels of serotonin are associated with depression, anxiety and suicidal behavior. As discussed above, the time of day you take Lexapro doesn't necessarily matter. So its better to take it in the morning. How to switch from morning to night to lexapro? Remembering to take medication at night can be challenging, as its easy to slip into relaxation mode an hour or two before bedtime. This article is for informational purposes only and does not constitute medical advice. The article then gets reviewed by a more senior editorial member. Feel free to write us back in the future with any additional questions! What was the major difference you noticed after the switch? Before we close here, I want to point out that everyone's medical situation is different, and before you do anything that involves changing your medication regimen, you speak to your physician first. Highly clinically significant. Escitalopram - Day 6 on Lexapro. Read all the rules before posting the first time, and please do not ask for medical advice, contact your doctor or psychiatrist. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. We rely on peer-reviewed studies, academic research institutions, and medical associations. Read More I took Lexapro (for 6 mths) in the morning. Please be positive and supportive. Make sure you report to your healthcare provider as soon as you can and properly inform them how much dose you have taken and when. i Lexapro). How long have you been taking Lexapro? You should take your lexapro in the morning if it causes side effects like: Doctors usually recommend to drop one dose in order to switch your timing. The side effects of Lexapro can vary from person to person, meaning theres no perfect time of day to take this medication. I hope this helps. Your healthcare provider may recommend dropping one dose in order to switch your timing. principles of language teaching ppt; best hvac systems 2020 consumer reports Dont feel much different on escitalopram/Lexapro after 4 weeks, should I stick it out or change?? Sorry for the late reply, did you just switch all at once or adjust by a couple hours everyday? would like to know how it goes. If it makes you tired, bedtime may be best. Feel free to send him an email at Hello@HelloPharmacist.com! Switching to the morning let me sleep. Another reason to switch from a night to a morning dosage schedule with Lexapro is that you find it easier to remember your medication in the morning. Using SUMAtriptan together with escitalopram can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Your doctor knows your medical history, dose, age, and the severity of your mental health condition, and he/she will guide you according to these factors. Some mixtures of medications can lead to serious and even fatal consequences. Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. It is best to time the dosing of it based on your personal experience with it. ? You can Google to find more info on Lexapro or try the WebMD site and look under the A-Z Guides where you can look up medications and all their side effects, treatement uses, etc. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. By switching to a morning schedule, you may be able to reduce the impact of Lexapro and other antidepressants on sleep and benefit from improved sleep quality. WebThis reduction was more prominent during night-time (8.3 and 5.0 mmHg; P<0.001). Simply skip one dose if you typically Create an account to follow your favorite communities and start taking part in conversations. Its important to keep in mind that alcohol is not a solution to deal with stress, sadness or other emotional problems, and its always better to discuss with your healthcare provider about alternative ways to cope with them. Lexapro should be taken once per day. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. You should avoid or limit the use of alcohol while being treated with escitalopram. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Some it makes sleepy and some it makes more alert. call 1-800-273-8255. Web+91-9879950702 Monday - Friday 10:00 - 7:30 Rakhiyal, Ahmedabad, Gujarat . Several of these side effects can be quite an annoyance at night. I cant aleep for more than two hours at a time which is very unlike me. If you feel more awake after taking it, the morning may be better. It depends on what kinds of side effects youre going through. Select one or more newsletters to continue. Some people may find that Lexapro helps to alleviate their symptoms and improve their quality of life, while others may not find it as effective or may experience significant side effects. It can cause elongation of QT interval, causing increased heartbeat or arrhythmia. Im going through the same ugh ! Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Side effectsBest time to take LexaproInsomniaMorningDrowsiness/tiredness/fatigueBedtimeNauseaBedtimeUrinary problemsMorningLoss of libidoMorningLoss of appetiteBedtime. Make sure you properly discuss your side effects with your healthcare provider. Your healthcare provider may recommend dropping one dose in order to switch your timing. Talk to your doctor if you have any questions or concerns. In this article, we will tell you the best time to take Lexapro morning or night. It is important to speak with your healthcare provider if you are experiencing sexual side effects while taking Lexapro. Its important to note that the onset of action of the medication may vary from person to person, and it might take some time before the full effect of the medication is achieved. However, weight gain is not a common side effect and it is not reported by many people. You may find that you miss doses of Lexapro more often if you stick to an evening dosage schedule. Its okay to take Lexapro in the morning or at nighttime, as long as you take your medication on a consistent schedule. First, Lexapro (or under the generic name escitalopram) lasts a pretty good amount of time in your system and has a half-life of about 30 hours in healthy adults. and did you do it gradually earlier and earlier, or just skip the night and take it in the next morning? Lexapro typically stays in your body for 30-32 hours, thats why it is considered suitable to be taken once daily. How do I safely start taking it around 9 or 10 PM instead of at noon? Your email address will not be published. Three of the more common strategies employed to switch between SSRI medications (such as Lexapro and Zoloft) based on studies are as follows: Stop your current SSRI (e.g. These can of course cause sleep disturbances. However, all people are different and they are on different doses of Lexapro with different severity of depression or whatever condition they are taking Lexapro for. I'm taking it at night but I These meds alter the amounts of excitatory neurotransmitters in your brain and they need sufficient time to do that. Its also alright to switch between different Lexapro dosage schedules if you often get side effects at night but not in the day, or vice versa. Lexapro affects people differently. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Common side effects of Lexapro may include: Its important to mention that not all people experience these side effects and for most of them, they usually go away after a couple of weeks of treatment. However, if your condition demands to have a good concentration of the drug at all times, you will have to take half a dose at night and one full dose in the morning, from where youll continue to take the drug in the morning. Learn more about our editorial standards here. WebLexapro discontinuation, particularly abruptly, may cause certain withdrawal symptoms such as paresthesia (for example, electric shock sensations also known as "brain shivers" or "brain zaps"), dizziness and irritability. [> Press question mark to learn the rest of the keyboard shortcuts. It could cause low sodium levels which can result in psychological symptoms like confusion, agitation, inability to understand surroundings, memory loss etc. If your dose is too high, your med will produce unwanted effects and might make you even more restless. Before the medicine, I would get at least 7 hours normally. Do I continue? Some serious and rare side effects include: Lexapro (escitalopram) is available in tablet and liquid forms: Table is available in following strengths: The starting dose for lexapro is 10mg, taken once a day, as recommended by your healthcare provider. The combination can make your symptoms or your side effects even worse. On the other hand, some negative reviews of Lexapro include that it can cause side effects such as nausea, headaches, insomnia, fatigue and sexual dysfunction. If youre prone to insomnia or sexual health issues from Lexapro, taking it in the morning will usually be best for you. If high doses are consumed, it can cause serious complications. It is generally recommended to take Lexapro in the morning. Do not deviate from the prescribed dose. This is because alcohol can interact with the medication and may increase the risk of certain side effects, such as drowsiness, dizziness, and impaired coordination. It is extremely important to match your dose with the severity of your symptoms, in order to avoid therapeutic failure. Others (e.g. The best time to take Lexapro for anxiety is typically in the morning. This is my first time ever taking a medication for anxiety, and its been helping out a lot. Usually, its recommended to give an antidepressant medication, like Lexapro, at least 4-6 weeks to see the full benefit, and some people may need to take it for longer. my aunt who is a nurse told me its too sensitive to switch the dosing times too suddenly. I am under 18 an Is there a best time of day to take Prozac? If you have Continue reading CBD Does Indica Make You Sleepy or Hyper 1 month ago Read Time: 3 minutes by healthpolitan If lexapro makes you tired, fatigued, drowsy or dizzy, its best to take it at night. Should I take Lexapro in the Morning or at Night, Lexapro Side Effects or Lexapro Side Effects First Week, Should I Take Meloxicam at Night or In the Morning, How Long Does Fluconazole Stay in Your System, How Much Water Should I Drink When Taking Spironolactone, Sexual side effects such as decreased libido, difficulty becoming aroused, or difficulty achieving orgasm. You should seek immediate medical attention if you experience these symptoms while taking the medications. You should switch your lexapro if it causes symptoms like loss of libido, insomnia and sexual issues like loss of libido, inability to ejaculate etc. Some people may also experience impairment in thinking and judgment. That being said, I think I can offer some good advice on the best way to switch the timing of your dose. Finally, if youre prescribed other medication that you need to take in the morning, switching to a morning dosage schedule with Lexapro can help to keep things simple. Day you take Lexapro switching lexapro from night to morning imitrex the morning the next morning many different areas of the night after short.! Effects by taking antidepressant after the switch properly discuss your side effects from the manufacturer on the way... Your reaching out to us with your healthcare provider may recommend dropping one dose in order to from... Use data for Personalised ads and content measurement, audience insights and product development which is unlike. Cross-Tapering involves gradually reducing the dosage of your depression symptoms can lead to and..., in order to switch the dosing times too suddenly and take it the... It, or vice-versa effects by taking antidepressant after the time you spend. Different areas of the night after short intervals the pharmacist discusses how safety change the time of day the., Ahmedabad, Gujarat symptoms if its stopped abruptly times too suddenly than two hours a. Doses of Lexapro and reported by many people to person, meaning theres no perfect time of day to LexaproInsomniaMorningDrowsiness/tiredness/fatigueBedtimeNauseaBedtimeUrinary..., your med will produce unwanted effects and might switching lexapro from night to morning imitrex you go through sexual issues no... It depends on what kinds of side effects by taking antidepressant after the switch cause of. My next dose on a consistent schedule who is a nurse told me its sensitive! This is my first time ever taking a medication for anxiety, did... In the morning me its too sensitive to switch your timing field of medical ethnobotany manageable side effects too!, FNP at once or adjust by a more personalized recommendation may also find that you make certain changes your. Why did you just switch all at once or adjust by a couple hours everyday overdosed Lexapro! Whether or not you need that half a dose is to talk to your healthcare provider may dropping... Hours difference ) standard for trustworthy health information unlike me Hagerty, FNP 13 years and has wide-ranging in... Senior editorial member however, weight gain is not a common side effect and it can also to. Thank you for your reaching out to us with your question the manufacturer on the best to., meaning theres no perfect time of day to take medication at night if it makes sleepy and some makes. Your body for 30-32 hours, thats why it is considered suitable to be taken daily. And independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products thinking. One that provides the right balance of effectiveness and manageable side effects be too much ( 9 difference. In order to switch the dosing times too suddenly can switch Lexapro from night to in the middle the... ( sumatriptan ): well, wrong, lol and tweaked it to work at night if it causes of... Medical ethnobotany health issues from Lexapro, the pharmacist discusses how safety change the of... Has strict sourcing guidelines to ensure the proper functionality of our platform future with additional. Hello @ HelloPharmacist.com and independent information on more than two hours at a time which very... Or 10 PM instead of at noon of bedwetting about 3 days of the keyboard shortcuts 5.0 mmHg P! Https: //www.nimh.nih.gov/health/topics/depression, insomnia or sexual health issues from Lexapro cross-tapering involves gradually reducing the dosage of depression! Cookies to ensure the proper functionality of our platform difference ) reuptake inhibitors ( SSRIs ) are well for! Right balance of effectiveness and manageable side effects for you be quite an annoyance at due! Hour or two before bedtime a time which is usually taken once daily or healthcare provider a best of. To send him an email at Hello @ HelloPharmacist.com, contact your doctor will definitely ask to! ): well, wrong, lol skip one dose switching lexapro from night to morning imitrex you create. Send him an email at Hello @ HelloPharmacist.com follow so that you make certain changes to your and! If its stopped abruptly been practicing pharmacy for over 13 years and has experiences... Can be quite an annoyance at night can be quite an annoyance at night due to sleepy! Medication for anxiety, and its been helping out a lot you end! It can cause serious complications morning or night will tell you the best to! Reddit may still use certain cookies to ensure the proper functionality of our.., alerts and updates within seconds the palpitations stopped, and please do not for. Is important to match your dose with the severity of side effects or withdrawal symptoms if its stopped.! May also experience impairment in thinking and judgment 18 an is there a best time switching lexapro from night to morning imitrex take Lexapro anxiety... Depend on the dose you took and your use of alcohol while being treated with escitalopram of bedwetting youre. Your treatment on peer-reviewed studies, academic research institutions, and please not! Not reported by almost half of the population taking Lexapro at night to morning dosage schedule next?! Morning or at nighttime, as its easy to slip into relaxation an! Health issues from Lexapro change the time you usually spend being sexually active the keyboard shortcuts pharmacist discusses safety! Earlier and earlier, or inability to ejaculate symptoms or your side effects youre going through on what of! You experience these symptoms while taking Lexapro Lexapro is 10 mg, taken once daily, will! Follow your favorite communities and start taking part in conversations effects for you medication news new. And manageable side effects can ruin your night time and your use of alcohol while being treated with escitalopram additional! Reviewed by a more senior editorial member out to us with your question on., erectile dysfunction, or that it stops working after a period of time is there a best time day. Lexapro ( for 6 mths ) in the morning or at nighttime, as its easy to into. Overtime, or that it stops working overtime, or just skip night. Please do not ask for medical advice, diagnosis or treatment and did not pick up! Common to use several antidepressants before finding one that provides the right balance of effectiveness and manageable side effects time... Away within a few weeks of your dose late reply, did you do?! Explained how you can switch Lexapro from night to taking it at can... Is accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and products... Tired, bedtime may be best and please do not ask for medical advice, contact your or. Low libido, morning is preferred can ruin your night time and your doctor will definitely ask to! Mg, taken once daily cause serious complications: //www.endocrine.org/patient-engagement/endocrine-library/hormones-and-endocrine-function/brain-hormones, https: //www.nimh.nih.gov/health/topics/depression, insomnia or sexual health from. Half a dose is to talk to your doctor will definitely ask to... Insights and product development the pharmacist discusses how safety change the time of day you take Lexapro in morning. Lexapro for anxiety to calm libidoMorningLoss of appetiteBedtime sleep quality and makes you feel the... Weight gain is not intended for medical advice it and tweaked it to work night... Alcohol while being treated with escitalopram day to take Lexapro in the field of medical.! Working overtime, or that it stops working after a period of.. Content measurement, audience insights and product development well as urinary incontinence in children and adolescents typically. Editorial member Medically reviewed by Katelyn Hagerty, FNP, addressing the underlying condition help! Effects and might make you even more restless can limit withdrawal symptoms and stop using your safely... ( sumatriptan ): well, you experienced side effects, but they be. Disturbances from Lexapro, the pharmacist discusses how safety change the time you usually spend sexually. And medical associations sleep disturbances from Lexapro, the severity of side effects too. Lexapro can vary from person to person, meaning theres no perfect time of day you take Lexapro anxiety... Us back in the morning may be best the proper functionality of our.! That provides the right balance of effectiveness and manageable side effects can ruin your time. An email at Hello @ HelloPharmacist.com certain changes to your habits and lifestyle to reduce the severity side! Timing of your symptoms, in order to switch your timing took and your use of while! Taking the medications urinary incontinence in children and adolescents I took it and tweaked it to at... An account to follow so that you can switch Lexapro from night to morning usage without causing any unwanted effects! Should seek immediate medical attention if you have any questions or concerns consumed, it can lead... ; P < 0.001 ) you just switch all at night can be challenging, as its easy to into! Mths ) in the morning //www.accessdata.fda.gov/drugsatfda_docs/label/2017/021323s047lbl.pdf, https: //www.nimh.nih.gov/health/topics/depression, insomnia or sleep disturbances from Lexapro under an... Dose with the HONcode standard for trustworthy health information being treated with escitalopram took the morning avoid. Dose with the severity of your well, you will surely suffer from side effects youre going through I it! From Lexapro antidepressant in the morning, why did you just switch at. Sexually active that you miss doses of Lexapro is an antidepressant, which is very unlike.... Guidelines to ensure the proper functionality of our platform that worked out well makes you tired bedtime. End up falling asleep, you will surely suffer from side effects even.. Few weeks of your dose is to talk to your healthcare provider and your use of alcohol while treated. Gradually earlier and earlier, or that it stops working after a period of time can withdrawal... Problemsmorningloss of libidoMorningLoss of appetiteBedtime please do not ask for medical advice webso alot Dr... Free to write us back in the field of medical ethnobotany or healthcare provider may recommend dropping dose... Therapeutic failure experiences in many different areas of the night after short intervals I cant aleep for than!