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탑신플러스연질캅셀 TABCIN PLUS SOFT CAP[Acetaminophen , Chlorpheniramine Maleate , Dextromethorphan HBr]
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전문의약품 | 삭제
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향정의약품
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알림: |
드럭인포에서는 의약품 인터넷 판매를 하지 않습니다. |
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유료회원 결재시에는 보다 다양한 약물정보를
이용하실 수 있습니다.
유료정보목록은 전문회원으로
로그인 하시면 확인 가능합니다.
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 | 허가정보 |
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| 항목 |
내용 |
청구코드(KD코드)
비급여점검코드
상한금액 |
비급여
[상병코드조회]
[질병코드집 다운로드]
[우리집건강주치의 바로가기]
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| 빠른조회 |
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| 제품성상 |
무색투명한 또는 엷은 보라색의 내용물이 든 보라색 투명한 장방형 연질캅셀
[제형정보 확인]
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| 포장·유통단위 |
8's |
| 보관방법 |
기밀용기, 실온(1-30℃)보관 |
| 약리작용 |
[조회]
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| 효능효과 |
[적응증 별 검색]
감기의 제증상(기침, 콧물, 비충혈, 두통, 재채기, 발열, 인후통)의 완화
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| 용법용량 |
* 절대 임의복용하지 마시고 반드시 의사 또는 약사와 상담하시기 바랍니다.
[처방약어]
[주성분코드:456100ACS 에 따른 심사지침열람]
성인 : 1회 2캅셀씩 4시간마다 복용하며 1일 4회를 초과하지 않도록 한다.
6~12세 어린이 : 1회 1캅셀씩 4시간마다 복용하며 1일 4회를 초과하지 않도록 한다.
6세이하 어린이 : 의사나 약사의 지시에 따른다.
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| 경고 |
매일 세잔 이상 정기적으로 술을 마시는 사람이 이 약이나 다른 해열진통제를 복용해야 할 경우 반드시 의사 또는 약사와 상의해야 한다. 이러한 사람이 이 약을 복용하면 간손상이 유발될 수 있다.
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| 신중투여 |
- 폐기종 또는 만성기관지염과 같은 호흡기계 질환을 가지고 있거나 녹내장, 전립선의 비대로 인해 배뇨곤란, 심장질환, 고혈압, 당뇨병, 갑상선질환을 가지고 있을 경우 의사에게 상담한 후 투약한다.
- 흡연, 천식, 폐기종으로 인한 만성적인 기침이나 과도한 담에 의한 기침인 경우는 의사의 지시없이 지속적으로 사용하지 않는다.
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| 이상반응 |
- 고용량에서 신경과민증, 현기증, 또는 불면이 나타날 수 있으므로 정해진 용량을 초과하지 말것.
- 인후통이 심하여 2일 이상 지속되거나 발열, 발진, 두통, 오심, 구토 등을 동반할 경우 즉시 의사에게 상담할 것. 이는 특히 어린이에게 있어 과도흥분을 유발할 수 있다.
- 이 약은 졸음을 유발할 수 있으며 알토올, 진정제, 신경안정제 등은 졸음효과를 상승시킨다.
- 지속적인 기침은 심각한 상태의 신호이므로 기침이 1주일이상 지속되고, 반복적으로 일어나거나 발열, 발적 또는 지속적인 두통이 동반되면 의사에게 상담할 것.
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| 일반적 주의 |
- 정해진 용법용량에 따른다.
- 의사의 지시없이 7일이상 복용하거나 발열에 대하여 3일이상 복용하지 말것. 또한 증상의 개선이 없거나 발열이 나타나면 의사에게 상담한다.
- 이 약을 복용하는 동안 알코올성 음료는 마시지 않는다.
- 복용하는 동안 졸음이 오는 경우가 있으므로 자동차 운정 또는 기계류의 운전조작을 피한다.
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| 상호작용 |
- 고혈압에 대해 처방 받은 약을 복용하고 있을 경우 의사에게 상담한 후 이 약을 복용한다.
- MAOI약물(우울증, 정신병, 파킨슨씨병에 대한 약물)을 복용하고 있거나 중단한지 2주내에는 이 약을 투여하지 않는다.
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| 임부에 대한 투여 |
[임부금기 성분 조회]
이 약을 투약하기 전에 의사와 상담한다.
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| 보관 및 취급상의 주의 |
- 어린이의 손이 닿지 않는 곳에 보관한다.
- 직사일광을 피하고 될 수 있는 한 습기가 적은 서늘한 곳에 보관한다.
- 오용을 피하고 다른 용기에 바꾸어 넣지 않는다.
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| Related FDA Approved Drug |
기준 성분: CHLORPHENIRAMINE MALEATEADVIL ALLERGY SINUS (CHLORPHENIRAMINE MALEATE; IBUPROFEN; PSEUDOEPHEDRINE HYDROCHLORIDE)
ANTAGONATE (CHLORPHENIRAMINE MALEATE)
CHILDREN'S ADVIL ALLERGY SINUS (CHLORPHENIRAMINE MALEATE; IBUPROFEN; PSEUDOEPHEDRINE HYDROCHLORIDE)
CHLOROHENIRAMINE MALEATE AND PHENYLPROPANOLAMINE HYDROCHLORIDE (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
CHLORPHENIRAMINE MALEATE (CHLORPHENIRAMINE MALEATE)
CHLORPHENIRAMINE MALEATE AND PHENYLPROPANOLAMINE HYDROCHLORIDE (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
CHLOR-TRIMETON (CHLORPHENIRAMINE MALEATE)
CODIMAL-L.A. 12 (CHLORPHENIRAMINE MALEATE; PSEUDOEPHEDRINE HYDROCHLORIDE)
COLD CAPSULE IV (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
COLD CAPSULE V (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
CONTAC (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
CONTAC 12 HOUR (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
DEMAZIN (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
DEXCHLORPHENIRAMINE MALEATE (DEXCHLORPHENIRAMINE MALEATE)
DRIZE (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
EFIDAC 24 CHLORPHENIRAMINE MALEATE (CHLORPHENIRAMINE MALEATE)
ISOCLOR (CHLORPHENIRAMINE MALEATE; PSEUDOEPHEDRINE HYDROCHLORIDE)
KLOROMIN (CHLORPHENIRAMINE MALEATE)
ORNADE (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
PHENETRON (CHLORPHENIRAMINE MALEATE)
PHENYLPROPANOLAMINE HYDROCHLORIDE W/ CHLORPHENIRAMINE MALEATE (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
POLARAMINE (DEXCHLORPHENIRAMINE MALEATE)
PSEUDOEPHEDRINE HYDROCHLORIDE AND CHLORPHENIRAMINE MALEATE (CHLORPHENIRAMINE MALEATE; PSEUDOEPHEDRINE HYDROCHLORIDE)
PYRIDAMAL 100 (CHLORPHENIRAMINE MALEATE)
TELDRIN (CHLORPHENIRAMINE MALEATE)
TRIAMINIC-12 (CHLORPHENIRAMINE MALEATE; PHENYLPROPANOLAMINE HYDROCHLORIDE)
기준 성분: ACETAMINOPHENACEPHEN (ACETAMINOPHEN)
ACETAMINOPHEN (ACETAMINOPHEN)
ACETAMINOPHEN AND CODEINE PHOSPHATE (ACETAMINOPHEN; CODEINE PHOSPHATE)
ACETAMINOPHEN AND HYDROCODONE BITARTRATE (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ACETAMINOPHEN AND PENTAZOCINE HYDROCHLORIDE (ACETAMINOPHEN; PENTAZOCINE HYDROCHLORIDE)
ACETAMINOPHEN, ASPIRIN AND CAFFEINE (ACETAMINOPHEN; ASPIRIN; CAFFEINE)
ACETAMINOPHEN, ASPIRIN, AND CODEINE PHOSPHATE (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
ACETAMINOPHEN, BUTALBITAL AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
ACETAMINOPHEN, CAFFEINE, AND DIHYDROCODEINE BITARTRATE (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
ALLAY (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 5/325 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 7.5/325 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 7.5/650 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANOQUAN (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BANCAP (ACETAMINOPHEN; BUTALBITAL)
BANCAP HC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
BUCET (ACETAMINOPHEN; BUTALBITAL)
BUTALBITAL ACETAMINOPHEN AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BUTALBITAL AND ACETAMINOPHEN (ACETAMINOPHEN; BUTALBITAL)
BUTALBITAL, ACETAMINOPHEN AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BUTALBITAL, ACETAMINOPHEN, AND CAFFEINE WITH CODEINE PHOSPHATE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
BUTALBITAL, ACETAMINOPHEN, CAFFEINE AND CODEINE PHOSPHATE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE (BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE PHOSPHATE)
BUTAPAP (ACETAMINOPHEN; BUTALBITAL)
CAPITAL AND CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 2 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 3 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 4 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODRIX (ACETAMINOPHEN; CODEINE PHOSPHATE)
CO-GESIC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
DARVOCET (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
DARVOCET A500 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DARVOCET-N 100 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DARVOCET-N 50 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DHC PLUS (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
DOLENE AP-65 (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
DRIXORAL PLUS (ACETAMINOPHEN; DEXBROMPHENIRAMINE MALEATE; PSEUDOEPHEDRINE SULFATE)
DURADYNE DHC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
EMPRACET W/ CODEINE PHOSPHATE #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
EMPRACET W/ CODEINE PHOSPHATE #4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
ESGIC (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
ESGIC-PLUS (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
EXCEDRIN (MIGRAINE) (ACETAMINOPHEN; ASPIRIN; CAFFEINE)
FEMCET (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
FIORICET (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
FIORICET W/ CODEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
HYDROCODONE BITARTRATE AND ACETAMINOPHEN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
HY-PHEN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
INFANTS' FEVERALL (ACETAMINOPHEN)
INJECTAPAP (ACETAMINOPHEN)
LORCET-HD (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
LORTAB (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
MEDIGESIC PLUS (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
NEOPAP (ACETAMINOPHEN)
NORCET (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
NORCO (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
OXYCET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE 2.5/APAP 500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE 5/APAP 500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE AND ACETAMINOPHEN (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
PAPA-DEINE #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PAPA-DEINE #4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PERCOCET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
PHENAPHEN W/ CODEINE NO. 2 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN W/ CODEINE NO. 3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN W/ CODEINE NO. 4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN-650 W/ CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHRENILIN (ACETAMINOPHEN; BUTALBITAL)
PHRENILIN FORTE (ACETAMINOPHEN; BUTALBITAL)
PHRENILIN WITH CAFFEINE AND CODEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
PROPACET 100 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
PROPOXYPHENE HYDROCHLORIDE AND ACETAMINOPHEN (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
PROPOXYPHENE NAPSYLATE AND ACETAMINOPHEN (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
PROVAL #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
ROXICET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ROXICET 5/500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ROXILOX (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
SEDAPAP (ACETAMINOPHEN; BUTALBITAL)
SYNALGOS-DC-A (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
TALACEN (ACETAMINOPHEN; PENTAZOCINE HYDROCHLORIDE)
TAVIST ALLERGY/SINUS/HEADACHE (ACETAMINOPHEN; CLEMASTINE FUMARATE; PSEUDOEPHEDRINE HYDROCHLORIDE)
TENCON (ACETAMINOPHEN; BUTALBITAL)
TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN (ACETAMINOPHEN; TRAMADOL HYDROCHLORIDE)
TRIAD (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
TRIAPRIN (ACETAMINOPHEN; BUTALBITAL)
TYCOLET (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
TYLENOL (ACETAMINOPHEN)
TYLENOL (CAPLET) (ACETAMINOPHEN)
TYLENOL (GELTAB) (ACETAMINOPHEN)
TYLENOL W/ CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 1 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 2 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLOX (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
TYLOX-325 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ULTRACET (ACETAMINOPHEN; TRAMADOL HYDROCHLORIDE)
VICODIN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
VICODIN ES (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
VICODIN HP (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
WYGESIC (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
ZYDONE (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
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| 정보요약 |
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드럭인포 의약품 요약/상세정보
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| 코드 및 분류정보 |
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| 제품정보 |
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| 항목 |
내용 |
청구코드(KD코드)
비급여점검코드
상한금액 |
비급여
[상병코드조회]
[질병코드집 다운로드]
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| 제품성상 |
무색투명한 또는 엷은 보라색의 내용물이 든 보라색 투명한 장방형 연질캅셀
[제형정보 확인]
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| 포장·유통단위 |
8's |
| 보관방법 |
기밀용기, 실온(1-30℃)보관 |
특수관리의약품
부가정보 |
유료정보입니다.
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| 복약정보 |
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| 항목 |
내용 |
| LACTmed 바로가기 |
[바로가기]
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| 약리작용 |
유료정보입니다.
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| 복약지도 |
유료정보입니다.
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| 임부에대한투여 |
| * |
전체임신 기간별로 여러등급이 존재할 수 있으며 가장 위험도가 높은 정보만 보여집니다. 단, 복합제의 경우 모든 복합제성분에 대한 임부투여등급이 표시된것은 절대 아니며 표시된것중에 가장 위험도가 높은 정보만 나타납니다.
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FDA : C등급
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| * |
상기 임부투여에 대한 정보는 전산처리 되면서 입력 오류 가능성이 존재합니다. 오류 가능성을 최소화하기 위하여 많은 노력을 기울이고 있으나, 그 정확성에 대하여 확신을 드릴 수 없습니다. 이에 대해 회사는 책임을 지지 않습니다.
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| * |
반드시 공신력 있는 문헌을 다시 한번 참고 하시기 바라며 의사 또는 약사의 판단에 따라 투여여부가 결정되어야 합니다.
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신장애, 간장애시
용량조절 |
유료정보입니다.
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| Pharmacokinetics |
유료정보입니다.
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| 병용금기 및 연령대금기 근거조회 |
[병용금기 및 연령대금기 근거조회]
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| 복약라벨 |
| 이미지 |
복약설명 |
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어지러움이 있을수 있습니다. |
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| * |
복약이미지는 모든 복약지도 사항을 표시한것은 아니며, 추가적으로 업데이트되거나 수정될 수 있습니다. |
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복약이미지의 표시여부는 실제 약물복용시 중요도에 따른것은 아니며 단순히 허가정보상 키워드를 기준으로 등록되었습니다. |
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귀하가 복약이미지 정보를 신뢰함은 전적으로 귀하의 책임입니다. 드럭인포는 이에 대한 어떠한 보증도 하지 않습니다. |
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| 조제시 주의 |
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| 심사정보 |
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| 학술정보 |
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| 항목 |
내용 |
| DUR (의약품사용평가) |
병용금기 :
고시된 병용금기 내용은 없습니다.
[상호작용/병용금기검색]
연령대금기 :
고시된 연령금기 내용은 없습니다.
[연령대금기상세검색]
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| 독성정보 |
Acetaminophen에 대한 독성정보 : 정보보기
Chlorpheniramine에 대한 독성정보 : 정보보기
Dextromethorphan에 대한 독성정보 : 정보보기
출처: 국립독성과학원 독성물질정보DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do |
| Mechanism of Action |
Acetaminophen에 대한 Mechanism_Of_Action 정보
Acetaminophen is thought to act primarily in the CNS, increasing the pain threshold by inhibiting both isoforms of cyclooxygenase, COX-1 and COX-2, enzymes involved in prostaglandin (PG) synthesis. Unlike NSAIDs, acetaminophen does not inhibit cyclooxygenase in peripheral tissues and, thus, has no peripheral anti-inflammatory affects. While aspirin acts as an irreversible inhibitor of COX and directly blocks the enzyme's active site, studies have found that acetaminophen indirectly blocks COX, and that this blockade is ineffective in the presence of peroxides. This might explain why acetaminophen is effective in the central nervous system and in endothelial cells but not in platelets and immune cells which have high levels of peroxides. Studies also report data suggesting that acetaminophen selectively blocks a variant of the COX enzyme that is different from the known variants COX-1 and COX-2. This enzyme is now referred to as COX-3. Its exact mechanism of action is still poorly understood, but future research may provide further insight into how it works.
Chlorpheniramine에 대한 Mechanism_Of_Action 정보
Chlorpheniramine binds to the histamine H1 receptor. This blocks the action of endogenous histamine, which subsequently leads to temporary relief of the negative symptoms brought on by histamine.
Dextromethorphan에 대한 Mechanism_Of_Action 정보
Dextromethorphan is an opioid-like drug that binds to and acts as antagonist to the NMDA glutamatergic receptor, it is an agonist to the opioid sigma 1 and sigma 2 receptors, it is also an alpha3/beta4 nicotinic receptor antagonist and targets the serotonin reuptake pump. Dextromethorphan is rapidly absorbed from the gastrointestinal tract, where it enters the bloodstream and crosses the blood-brain barrier. The first-pass through the hepatic portal vein results in some of the drug being metabolized into an active metabolite of dextromethorphan, dextrorphan, the 3-hydroxy derivative of dextromethorphan.
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| Pharmacology |
Acetaminophen에 대한 Pharmacology 정보
Acetaminophen (USAN) or Paracetamol (INN) is a popular analgesic and antipyretic drug that is used for the relief of fever, headaches, and other minor aches and pains. It is a major ingredient in numerous cold and flu medications and many prescription analgesics. It is extremely safe in standard doses, but because of its wide availability, deliberate or accidental overdoses are not uncommon. Acetaminophen, unlike other common analgesics such as aspirin and ibuprofen, has no anti-inflammatory properties or effects on platelet function, and so it is not a member of the class of drugs known as non-steroidal anti-inflammatory drugs or NSAIDs. In normal doses acetaminophen does not irritate the lining of the stomach nor affect blood coagulation, the kidneys, or the fetal ductus arteriosus (as NSAIDs can). Like NSAIDs and unlike opioid analgesics, acetaminophen does not cause euphoria or alter mood in any way. Acetaminophen and NSAIDs have the benefit of being completely free of problems with addiction, dependence, tolerance and withdrawal. Acetaminophen is used on its own or in combination with pseudoephedrine, dextromethorphan, chlorpheniramine, diphenhydramine, doxylamine, codeine, hydrocodone, or oxycodone.
Chlorpheniramine에 대한 Pharmacology 정보
In allergic reactions an allergen interacts with and cross-links surface IgE antibodies on mast cells and basophils. Once the mast cell-antibody-antigen complex is formed, a complex series of events occurs that eventually leads to cell-degranulation and the release of histamine (and other chemical mediators) from the mast cell or basophil. Once released, histamine can react with local or widespread tissues through histamine receptors. Histamine, acting on H1-receptors, produces pruritis, vasodilatation, hypotension, flushing, headache, tachycardia, and bronchoconstriction. Histamine also increases vascular permeability and potentiates pain. Chlorpheniramine, is a histamine H1 antagonist (or more correctly, an inverse histamine agonist) of the alkylamine class. It competes with histamine for the normal H1-receptor sites on effector cells of the gastrointestinal tract, blood vessels and respiratory tract. It provides effective, temporary relief of sneezing, watery and itchy eyes, and runny nose due to hay fever and other upper respiratory allergies.
Dextromethorphan에 대한 Pharmacology 정보
Dextromethorphan suppresses the cough reflex by a direct action on the cough center in the medulla of the brain. Dextromethorphan shows high affinity binding to several regions of the brain, including the medullary cough center. This compound is an NMDA receptor antagonist and acts as a non-competitive channel blocker. It is one of the widely used antitussives, and is also used to study the involvement of glutamate receptors in neurotoxicity.
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| Metabolism |
Acetaminophen에 대한 Metabolism 정보
# Phase_1_Metabolizing_Enzyme:Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2E1 (CYP2E1)
Chlorpheniramine에 대한 Metabolism 정보
# Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)Cytochrome P450 2D6 (CYP2D6)
Dextromethorphan에 대한 Metabolism 정보
# Phase_1_Metabolizing_Enzyme:Cytochrome P450 2D6 (CYP2D6)
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| Protein Binding |
Chlorpheniramine에 대한 단백결합 정보
72%
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| Half-life |
Acetaminophen에 대한 반감기 정보
1 to 4 hours
Chlorpheniramine에 대한 반감기 정보
21-27 hours
Dextromethorphan에 대한 반감기 정보
3-6 hours
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| Absorption |
Acetaminophen에 대한 Absorption 정보
Rapid and almost complete
Chlorpheniramine에 대한 Absorption 정보
Well absorbed in the gastrointestinal tract.
Dextromethorphan에 대한 Absorption 정보
Rapidly absorbed from the gastrointestinal tract.
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| Pharmacokinetics |
Acetaminophen의 약물동력학자료
- 단백결합 : 20-50%
- 대사 :
- 상용량에서 : 간에서 sulfate와 glucuronide 포합체로 대사되며, 소량은 microsomal mixed function oxidases에 의해 반응성이 매우 높은 중간대사체(acetylimidoquinone)로 대사된 후 glutathione 포합으로 비활성화된다.
- 중독량에서 (4g을 단 하루 복용한 정도까지도 포함된다) : glutathione 포합이 점점 불충분하게 되어 acetylimidoquinone 농도가 증가하게 되며 이것이 간세포 괴사를 유발하는 것으로 여겨지고 있다.
- 반감기
- 신생아 : 2-5 시간
- 성인
- 정상 신기능 : 1-3 시간
- 말기 신질환 : 1-3 시간
- 최대혈중농도 도달시간
- 경구 : 상용량 복용시 10-60분, 급성 중독량 복용시 지연될 수 있다.
Chlorpheniramine Maleate의 약물동력학자료
- 단백결합 : 69-72%
- 대사 : 간대사
- 반감기 : 20-24 시간
- 소실 : 대사체, 약물(3-4%)이 신배설되며, 48시간내에 전체의 35%가 소실된다.
Dextromethorphan HBr의 약물동력학자료
- 진해작용 발현시간 : 15~30분 이내
- 작용지속시간 : 6시간까지
- 대사 : 간대사
- 소실 : 주로 신배설
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| Biotransformation |
Acetaminophen에 대한 Biotransformation 정보
Approximately 90 to 95% of a dose is metabolized in the liver via the cytochrome P450 enzyme pathways (primarily by conjugation with glucuronic acid, sulfuric acid, and cysteine). An intermediate metabolite is hepatotoxic and most likely nephrotoxic and can accumulate after the primary metabolic pathways have been saturated.
Chlorpheniramine에 대한 Biotransformation 정보
Primarily hepatic via Cytochrome P450 (CYP450) enzymes.
Dextromethorphan에 대한 Biotransformation 정보
Hepatic. Rapidly and extensively metabolized to dextrorphan (active metabolite). One well known metabolic catalyst involved is a specific cytochrome P450 enzyme known as 2D6, or CYP2D6.
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| Toxicity |
Acetaminophen에 대한 Toxicity 정보
Oral, mouse: LD50 = 338 mg/kg; Oral, rat: LD50 = 1944 mg/kg. Acetaminophen is metabolized primarily in the liver, where most of it is converted to inactive compounds by conjugation with sulfate and glucuronide, and then excreted by the kidneys. Only a small portion is metabolized via the hepatic cytochrome P450 enzyme system. The toxic effects of acetaminophen are due to a minor alkylating metabolite (N-acetyl-p-benzo-quinone imine), not acetaminophen itself nor any of the major metabolites. This toxic metabolite reacts with sulfhydryl groups. At usual doses, it is quickly detoxified by combining irreversibly with the sulfhydryl group of glutathione to produce a non-toxic conjugate that is eventually excreted by the kidneys. The toxic dose of paracetamol is highly variable. In adults, single doses above 10 grams or 140 mg/kg have a reasonable likelihood of causing toxicity. In adults, single doses of more than 25 grams have a high risk of lethality.
Chlorpheniramine에 대한 Toxicity 정보
LD50 = 306 mg/kg in humans, mild reproductive toxin to women of childbearing age.
Dextromethorphan에 대한 Toxicity 정보
Not Available
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| Drug Interactions |
Acetaminophen에 대한 Drug_Interactions 정보
Anisindione Acetaminophen increases the anticoagulant effectWarfarin Acetaminophen increases the anticoagulant effectImatinib Increased hepatic toxicity of both agentsIsoniazid Risk of hepatotoxicityDicumarol Acetaminophen increases the anticoagulant effectDicumarol Increases the anticoagulant effectAcenocoumarol Increases the anticoagulant effect
Chlorpheniramine에 대한 Drug_Interactions 정보
Donepezil Possible antagonism of actionGalantamine Possible antagonism of actionRivastigmine Possible antagonism of actionEthotoin The antihistamine increases the effect of hydantoinFosphenytoin The antihistamine increases the effect of hydantoinMephenytoin The antihistamine increases the effect of hydantoinPhenytoin The antihistamine increases the effect of hydantoin
Dextromethorphan에 대한 Drug_Interactions 정보
Dihydroquinidine barbiturate Quinidine increases the toxicity of dextromethorphanQuinidine Quinidine increases the toxicity of dextromethorphanQuinidine barbiturate Quinidine increases the toxicity of dextromethorphanFluoxetine Combination associated with possible serotoninergic syndromeIsocarboxazid Possible severe adverse reactionMemantine Increased risk of CNS adverse effectsMoclobemide Increased CNS toxicityParoxetine Combination associated with possible serotoninergic syndromePhenelzine Possible severe adverse reactionRasagiline Possible severe adverse reactionSelegiline Combination associated with possible serotoninergic syndromeSibutramine Combination associated with possible serotoninergic syndromeTerbinafine Terbinafine increases dextromethorphan levelsTranylcypromine Possible severe adverse reaction
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CYP450
Drug Interaction |
[CYP450 Table직접조회]
Dextromethorphan에 대한 P450 table
Chlorpheniramine에 대한 P450 table
Acetaminophen에 대한 P450 table
SUBSTRATES
CYP 2E1
**acetaminophen**
chlorzoxazone
ethanol
INHIBITORS
CYP 2E1
disulfiram
INDUCERS
CYP 2E1
ethanol
isoniazid
SUBSTRATES
CYP 2D6
Beta Blockers:
S-metoprolol
propafenone
timolol
Antidepressants:
amitriptyline
clomipramine
desipramine
imipramine
paroxetine
Antipsychotics:
haloperidol
risperidone
thioridazine
aripiprazole
codeine
dextromethorphan
duloxetine
flecainide
mexiletine
ondansetron
tamoxifen
tramadol
venlafaxine
INHIBITORS
CYP 2D6
amiodarone
buproprion
**chlorpheniramine**
cimetidine
clomipramine
duloxetine
fluoxetine
haloperidol
methadone
mibefradil
paroxetine
quinidine
ritonavir
INDUCERS
CYP 2D6
N/A
SUBSTRATES
CYP 2D6
Beta Blockers:
S-metoprolol
propafenone
timolol
Antidepressants:
amitriptyline
clomipramine
desipramine
imipramine
paroxetine
Antipsychotics:
haloperidol
risperidone
thioridazine
aripiprazole
codeine
**dextromethorphan**
duloxetine
flecainide
mexiletine
ondansetron
tamoxifen
tramadol
venlafaxine
INHIBITORS
CYP 2D6
amiodarone
buproprion
chlorpheniramine
cimetidine
clomipramine
duloxetine
fluoxetine
haloperidol
methadone
mibefradil
paroxetine
quinidine
ritonavir
INDUCERS
CYP 2D6
N/A
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| Food Interaction |
Acetaminophen에 대한 Food Interaction 정보
Take without regard to meals.Avoid alcohol (may increase risk of hepatotoxicity).
Chlorpheniramine에 대한 Food Interaction 정보
Take with food.Avoid alcohol.
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| Drug Target |
[Drug Target]
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| SNP 정보 |
Name:Dextromethorphan (DB00514)
Interacting Gene/Enzyme:Cytochrome P450 2D6 (Gene symbol = CYP2D6) Swissprot P10635
SNP(s):CYP2D6*6 rs5030655 (T deletion, homozygote)
Effect:Poor drug metabolizer, lower dose requirements
Reference(s):Bradford LD, Gaedigk A, Leeder JS: High frequency of CYP2D6 poor and "intermediate" metabolizers in black populations: a review and preliminary data. Psychopharmacol Bull. 1998;34(4):797-804. [PubMed]
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| Description |
Acetaminophen에 대한 Description 정보
Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage. [PubChem]
Chlorpheniramine에 대한 Description 정보
A histamine H1 antagonist used in allergic reactions, hay fever, rhinitis, urticaria, and asthma. It has also been used in veterinary applications. One of the most widely used of the classical antihistaminics, it generally causes less drowsiness and sedation than promethazine. [PubChem]
Dextromethorphan에 대한 Description 정보
The d-isomer of the codeine analog of levorphanol. Dextromethorphan shows high affinity binding to several regions of the brain, including the medullary cough center. This compound is an NMDA receptor antagonist (receptors, N-methyl-D-aspartate) and acts as a non-competitive channel blocker. It is one of the widely used antitussives, and is also used to study the involvement of glutamate receptors in neurotoxicity. [PubChem]
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| Dosage Form |
Acetaminophen에 대한 Dosage_Form 정보
Capsule OralElixir OralLiquid OralSolution OralSolution / drops OralSuppository RectalSuspension OralSyrup OralTablet OralTablet, effervescent OralTablet, extended release Oral
Chlorpheniramine에 대한 Dosage_Form 정보
Syrup OralTablet OralTablet, extended release Oral
Dextromethorphan에 대한 Dosage_Form 정보
Capsule OralLiquid OralLozenge OralStrip OralSuspension OralSyrup OralTablet Oral
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| Drug Category |
Acetaminophen에 대한 Drug_Category 정보
Analgesics, Non-NarcoticAntipyretics
Chlorpheniramine에 대한 Drug_Category 정보
Anti-Allergic AgentsAntihistaminesAntipruriticsHistamine H1 Antagonists
Dextromethorphan에 대한 Drug_Category 정보
Analgesics, OpioidAntitussive AgentsExcitatory Amino Acid Antagonists
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| Smiles String Canonical |
Acetaminophen에 대한 Smiles_String_canonical 정보
CC(=O)NC1=CC=C(O)C=C1
Chlorpheniramine에 대한 Smiles_String_canonical 정보
CN(C)CCC(C1=CC=C(Cl)C=C1)C1=CC=CC=N1
Dextromethorphan에 대한 Smiles_String_canonical 정보
COC1=CC2=C(CC3C4CCCCC24CCN3C)C=C1
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| Smiles String Isomeric |
Acetaminophen에 대한 Smiles_String_isomeric 정보
CC(=O)NC1=CC=C(O)C=C1
Chlorpheniramine에 대한 Smiles_String_isomeric 정보
CN(C)CC[C@H](C1=CC=C(Cl)C=C1)C1=CC=CC=N1
Dextromethorphan에 대한 Smiles_String_isomeric 정보
COC1=CC2=C(C[C@H]3[C@H]4CCCC[C@@]24CCN3C)C=C1
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| InChI Identifier |
Acetaminophen에 대한 InChI_Identifier 정보
InChI=1/C8H9NO2/c1-6(10)9-7-2-4-8(11)5-3-7/h2-5,11H,1H3,(H,9,10)/f/h9H
Chlorpheniramine에 대한 InChI_Identifier 정보
InChI=1/C16H19ClN2/c1-19(2)12-10-15(16-5-3-4-11-18-16)13-6-8-14(17)9-7-13/h3-9,11,15H,10,12H2,1-2H3
Dextromethorphan에 대한 InChI_Identifier 정보
InChI=1/C18H25NO/c1-19-10-9-18-8-4-3-5-15(18)17(19)11-13-6-7-14(20-2)12-16(13)18/h6-7,12,15,17H,3-5,8-11H2,1-2H3/t15-,17+,18-/m1/s1
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| Chemical IUPAC Name |
Acetaminophen에 대한 Chemical_IUPAC_Name 정보
N-(4-hydroxyphenyl)acetamide
Chlorpheniramine에 대한 Chemical_IUPAC_Name 정보
3-(4-chlorophenyl)-N,N-dimethyl-3-pyridin-2-ylpropan-1-amine
Dextromethorphan에 대한 Chemical_IUPAC_Name 정보
Not Available
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| Drug-Induced Toxicity Related Proteins |
ACETAMINOPHEN 의 Drug-Induced Toxicity Related Protein정보
Replated Protein:Alpha-2A adrenergic receptor
Drug:acetaminophen
Toxicity:hepatic injury .
[바로가기]
Replated Protein:Myeloperoxidase
Drug:acetaminophen
Toxicity:respiratory burst.
[바로가기]
Replated Protein:Glucose-6-phosphate 1-dehydrogenase
Drug:acetaminophen
Toxicity:drug-induced hemolysis.
[바로가기]
Replated Protein:Ornithine decarboxylase
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Lactate dehydrogenase
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Transcription factor AP-1(JUN)
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Haptoglobin
Drug:acetaminophen
Toxicity:drug-induced hemolysis.
[바로가기]
Replated Protein:Alanine aminotransferase
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Beta-glucuronidase
Drug:acetaminophen
Toxicity:hepatotoxin-induced effects.
[바로가기]
Replated Protein:CYP2E1
Drug:Acetaminophen
Toxicity:idiosyncratic hepatotoxicity.
[바로가기]
Replated Protein:Cytochrome P450 2E1
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Sulfotransferase family cytosolic
Drug:acetaminophen
Toxicity:chronic hypoxia.
[바로가기]
Replated Protein:Cytochrome P450 3A4
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Caspase recruitment domain-containing protein
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
Replated Protein:Cytochrome P450 1A2
Drug:acetaminophen
Toxicity:hepatotoxicity.
[바로가기]
ACETAMINOPHEN (APAP) 의 Drug-Induced Toxicity Related Protein정보
Replated Protein:Cytochrome P450
Drug:acetaminophen (APAP)
Toxicity:renal functional changes, strain-dependent histopathological changes.
[바로가기]
MALEATE 의 Drug-Induced Toxicity Related Protein정보
Replated Protein:Intercellular adhesion molecule 1
Drug:maleate
Toxicity:hepatic injury.
[바로가기]
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최근정보수정일 2012-03-02
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본 수정일 정보는 허가정보 이외의 기타정보 수정일을 의미하므로, 허가정보수정일은 본문에 표기된 날짜를 참조하시기 바랍니다.
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| 알림 |
상세정보는 식품의약품안전처의 제품허가사항을 토대로 작성되었으며 요약정보는 상세정보 및 기타문헌을 기반으로 드럭인포에서 편집한 내용입니다. 제품허가사항의 목차와 다소 상이할 수 있습니다. |
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| 경고 |
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