how to stop precipitated withdrawal

Methadone was the opioid of choice when you went for help when I was addicted. Does anyone have experience trying to override the bupe to get out of precipitated withdrawal? It carries a lower risk for abuse and dependency than methadone, meaning people using buprenorphine have a chance to become completely clean sooner. George, The neurobiology of opioid dependence: implications for treatment. Precipitated withdrawal from naltrexone may develop within minutes. 12. Your body is used to feeling the effects of an opioid or opiate. This is useful in helping individuals avoid full-blown withdrawal except in certain situations. Kosten, T.R. Retrieved from #, United Nations Office on Drugs and Crime. Severe opioid withdrawal precipitated by Vivitrol. The use of We're here to help you or your loved one. For example, if you take Suboxone with opiates in your system, it may replace the opioid molecules already attached to receptors in your brain. 11. Suboxone Withdrawal: Symptoms, Timeline & Detox Treatment, Treating Opioid Use Disorder During Pregnancy. Your body is used to feeling the effects of an opioid or opiate. The worse they feel due to the effects of withdrawal, the more likely it is that theyll use again.\n\nWith this in mind, its important to use Suboxone and similar substances in a responsible way. WebObviously, using the opioid drug of choice can treat withdrawal but. It is possible that some opiate addicts may require Suboxone therapy for years. Dont worry, avoiding precipitated withdrawal is very easy. If a person has been using an opioid drug, which acts as a full opioid agonist, buprenorphine (a partial opioid agonist) will enter in and replace the heroin molecules. WebAVOIDING PRECIPITATED WITHDRAWAL Patient education and developing realistic expectations are essential before beginning a drug addiction treatment program. Naloxone effectively limits the potential to abuse the drug. 2. When switching from methadone to naltrexone, a person must fully detox from methadone first. This means its less potent than drugs like heroin or prescription opioids, which are full opioid agonists. 3. Theriot, J., S. Sabir, and M. Azadfard, Opioid Antagonists, in StatPearls. [1,11,12], The most reliable way to prevent Suboxone precipitated withdrawal is to get treatment under careful medical supervision. The best way to manage precipitated withdrawal is to avoid it by not combining agonist and antagonist drugs. 8. WebQuit Fentanyl without Precipitated Withdrawal Ideal Option 236 subscribers Subscribe 96K views 1 year ago Learn how to finally quit fentanyl AND avoid precipitated withdrawal This means its less potent than drugs like heroin or prescription opioids, which arefull opioid agonists. Stay busy: Make sure that you have a way to stay occupied during your withdrawal. 8 A patient with OUD who has not used in a day or more, may have a low, or improving care. MAT is the clinical term for prescribing Suboxone/buprenorphine as part of substance abuse treatment. {"@context":"https://schema.org","@type":"FAQPage","mainEntity":[{"@type":"Question","name":"What Is Precipitated Withdrawal? If that isnt possible, a general rule is to wait until you This may be enough to suppress withdrawal symptoms. Life in Recovery on: function(evt, cb) { This is usually within the first six to 12 hours after taking an opioid. If your doctor prescribes medications to treat OUD, taking them exactly as prescribed will help avoid precipitated withdrawal. J Subst Abuse Treat, 2010. (2012). An opioid agonist works by activating opioid receptors that occur naturally in the brain. recovery to advocates who have lost loved ones to the devastating disease of addiction, our Late Night Buprenorphine, buprenorphine combination medications, and naltrexone can all precipitate opioid withdrawal if introduced when a full opioid agonist is still active in the bloodstream. The body has cells with opioid receptors on their surface. If withdrawal is precipitated, it can be It still turns on opioid receptors but not as strongly and not to the point of causing euphoria or respiratory suppression. Someone, one of you all that take 100 grams a day (LOL) to take the day off and take bupe. The goal is to keep withdrawal symptoms under control while lessening the risk of precipitated withdrawal.\n\nThe Underlying Chemical Causes\nYoull need to understand the chemical interactions happening in your brain when you start taking Suboxone/buprenorphine.\n\nBuprenorphine, one of the two active chemical ingredients in Suboxone, is known as a partial opioid agonist. Retrieved from, The National Alliance of Advocates for Buprenorphine Treatment. Precipitated withdrawal simply intensifies these effects. prevention, empowering others through stories of strength and courage. Elena Hill, MD; MPH received her MD and Masters of Public Health degrees at Tufts Medical School and completed her family medicine residency at Boston Medical Center. the signs and symptoms of substance use and hotlines for immediate assistance. WebClonidine is a alpha-blocker medication that decreases vasomotor symptoms like sweating and shaking. How to Stop Taking Suboxone, Subutex or Buprenorphine. ","acceptedAnswer":{"@type":"Answer","text":"Medication-assisted treatment (MAT) is an evidence-based treatment method shown to be effective, especially for people with opioid use disorder (OUD). The intended outcome is to lessen withdrawal and make it easier to stop using heroin and other opioids/opiates. It may include both physical flu-like side effects and emotional mood swings and distress. Opioid withdrawal can be severe and intense for these individuals. Thats why its important to seek the assistance of an experienced treatment team with a keen understanding of the phenomenon. so yes the bup is binding to some receptors and allowing partial good feelings, as it overtakes the mu receptor it shuts it down. It can also remove opioids from the receptors and therefore prevent them from being further activated. http://www.naabt.org/faq_answers.cfm?ID=70. The intended outcome is to lessen withdrawal and make it easier to stop using heroin and other opioids/opiates. rewarding relationships and meaning. Suddenly something milder buprenorphine replaces that, and it may send you into full-blown withdrawal. A person going through withdrawal may experience some or all of the following symptoms:\nFever and sweating\nMuscle cramping and aches\nNausea, vomiting and diarrhea\nIncreased heart rate, flushing of the skin and dilated pupils\nFeelings of depression and suicidal thoughts\nThe severity of the withdrawal symptoms varies based on the length of the individuals dependency or addiction and, in the case of Suboxone withdrawal, the amount of the primary drug in their system when Suboxone was administered. You must log in or register to reply here. The best way to manage precipitated withdrawal is to avoid it by not combining agonist and antagonist drugs. Her clinical interests include underserved health care, chronic pain and integrated/alternative health. System? doesnt answer my question, since i induced severe withdrawal and it being 50 or so hours since then, will a dose of sub help, make it worse, or no effect. Precipitated withdrawal can be more intense than typical opioid withdrawal, and it can come on faster. At FHE Health, everything we do is personalized to the individual needs of our clients. Best Time to Call: not too much but would a higher dose help me sleep at least? This can create the opioid high. hope this helps wish i would have been as interested before i induced my own precipitated withdrawal. [emailprotected] This form is protected by reCAPTCHA and the Google. Responsible MAT at FHE Health There is, however, an important caveat. However, when the individual takes Suboxone or naltrexone, the Suboxone or naltrexone binds to the opioid receptors and kicks off the opioids, causing a rapid loss of the opioid drug and the subsequent feelings of withdrawal. Starting an opioid substitution or maintenance medication too soon can precipitate withdrawal. It functions in a way thats become normal due to the presence of these drugs. Ann Intern Med, 2018. None Drug Alcohol Depend, 2007. Are you covered for addiction treatment? DrugRehab.com and ARS are not responsible for those calls. None As a former journalist and a registered nurse, Amy draws on her clinical experience, compassion and storytelling skills to provide insight into the disease of addiction and treatment options. Jordan, M.R. The following are a few things you can do to avoid precipitated withdrawal:8,9. Most importantly, be sure to relax. When levels of dopamine go up, your mood elevates too. Even with the latest and most promising approaches to recovery (like MAT), the risk of complications such as Suboxone withdrawal are still present. 1. As a result, these medications are often used later in opioid addiction treatment or recovery as maintenance medications to enhance treatment compliance. } However, the best medications to prevent cold sweats and withdrawal symptoms more generally are still the FDA approved medications for OUD: Methadone They work by blocking opioid receptors in the brain. The resulting weakened effect may cause a precipitated Suboxone withdrawal. If Suboxone precipitated withdrawal occurs, it typically begins within the first hour and a half of taking Suboxone. Reach out to one of our admissions navigators at {"props":{"scalar":"","helpline":"true"},"children":""} and they can provide the information, support, and encouragement you need. Precipitated withdrawal is an accelerated withdrawal that occurs when medication-assisted treatments are started without enough lag time between the last dose of heroin or prescription painkiller and the first dose of the medication used to treat opioid addiction. How Long Does Cocaine Stay in Your In spite of these proven benefits, Suboxone withdrawal is still a real risk, and theres always the chance that unexpected circumstances may arise. WebThe intense fear of this all-consuming affliction drives many users to continue seeking out their opiate of choice long past that initial desire to quit. How Long Does Precipitated Withdrawal Last? Chills. Precipitated withdrawal from poorly timed antagonists makes the nausea even worse. They can also be more intense than acute withdrawal, including the following symptoms: Precipitated Withdrawal With Different Drugs. Dont take more or less medication than prescribed for an OUD. "}},{"@type":"Question","name":"How Do You Mitigate/Avoid Precipitated Withdrawal? Tapering can help reduce or eliminate withdrawal signs and symptoms. However, if they do not keep taking the drug, the drug eventually unbinds and disintegrates, leaving those receptors empty. this is why it is so important to be sure the full agonist is COMPLETELY off the mu receptor. If you can, take time off of work so you can fully recover from your withdrawal symptoms. thank god i hope your still there here it is. This weaker signaling leads the body to experience an acute drop in the amount of opioid it perceives, and this triggers a precipitated withdrawal. In accordance with the American Society of Addiction Medicine, we offer Retrieved from, Elsevier. From the OxyContin Frying Pan To The Fentanyl Fire, Spotlight on the Sacklers Partial Surrender in the OxyContin Wars, Fentanyl: Time to Open Our Eyes to Todays Biggest Driver of the Opioid Crisis (Part II). 15986 S. Highland Spring Avenue This is why its so important for Suboxone and similar drugs to be administered by professionals, preferably in a clinical detox setting. Some people experience symptoms of withdrawal when they stop taking opioid medications. NOT ENOUGH. basically, buprenorphine is an partial agonist on one opioid receptor and a antagonist at the mu receptor which is what is most effected by most powerful opiates. Once the process increases in severity, as measured on theclinical opiate withdrawal scale (COWS), the risk for precipitated withdrawal is reduced. 5. The worse they feel due to the effects of withdrawal, the more likely it is that theyll use again. Afternoon J Pharmacol Exp Ther, 1992. We can help get you back on your feet and ready to rebuild your life. But the effect of millions of receptors being deprived of their full opioid agonistand instead being replaced by a partial opioid agonist (that, by design, has a weakened effect) can trigger withdrawal symptoms in the person. treatment models, counseling and therapy and payment and insurance options. psychological disorders that often accompany addiction. If you develop any of the signs or symptoms mentioned above, seek immediate medical attention and contact your doctor. the pwds were terrible of course, but my question is now that it has been 60 hours since methadone dose, and since i knocked off all the methadone from the receptors, should i take more and more sub till i feel better? [1] Therefore, before starting Suboxone, the best thing to do is talk to your doctor, tell them what opioids you are taking currently, and ask their advice about how many hours is advisable to wait prior to starting your first dose. AdCare Hospital Outpatient - Multiple Cities, AdCare Rhode Island Outpatient - Multiple Cities, Resolutions Recovery Residences - Multiple Cities, The editorial staff of American Addiction Centers is made up of credentialed clinical reviewers with hands-on experience in or expert knowledge of ad , Understanding Addiction: Research Studies, State-Funded Drug and Alcohol Rehab Centers. 2021: Treasure Island (FL). Naloxone effectively limits the potential to abuse the drug. The worse they feel due to the effects of withdrawal, the more likely it is that theyll use again.\n\nWith this in mind, its important to use Suboxone and similar substances in a responsible way. 4. When a person addicted to a substance enters withdrawal, the only thing that will relieve it is using that substance. - American Addiction Centers Youll need to understand the chemical interactions happening in your brain when you start taking Suboxone/buprenorphine. A specialized treatment facility with medically assisted detox is the safest method for quitting fentanyl use and avoiding relapse. An opioid antagonist blocks opioid receptors from receiving opioid drugs. WebIf a healthcare provider decides SUBLOCADE is an appropriate option, a patient must receive treatment with an oral transmucosal (used under the tongue or inside the cheek) a buprenorphine-containing medicine for 7 days and must be taking a dose that controls withdrawal symptoms for at least seven days. They include: In those who have built up a high tolerance to heroin, the buprenorphine while ostensibly good for them, as an alternative to heroin can still induce withdrawal symptoms, despite the fact that buprenorphine is an opioid itself and intended to ease withdrawal in people with significant opioid dependence. i have been on a daily dose of 30mgs methadone a day for two years, doc had me switch to suboxone and i took 8mgs sub after waiting only 12 hours after last methadone dose. What is Precipitated Withdrawal and How To Stop It, Florida Sues Pharmacies Over Opioid Sales, The Shocking Plan to Increase OxyContin Usage, Oxycontin Maker Slapped with Billion-Dollar Lawsuit. "}},{"@type":"Question","name":"What Are Symptoms of Precipitated Withdrawal? Contact [emailprotected]. It can to last up to 48 hours. 6. If you or a loved one is abusing opioids,contact usat (833) 596-3502. Due to the naloxone in Suboxone, if someone tries to inject it, the naloxone takes effect in the brain and stimulates precipitated withdrawal. One way to abuse the drug could be injecting it. Some patients require intensive care. The resulting weakened effect may cause a precipitated Suboxone withdrawal. Symptoms are often severe and may require hospitalization. Anytime Amy has completed the American Psychiatric Nurses Associations course on Effective Treatments for Opioid Use Disorder and continuing education on Screening, Brief Intervention and Referral to Treatment (SBIRT). If given at the wrong time, these medications can thrust a person into immediate, full-blown withdrawal. Medication-assisted treatment (MAT) is an evidence-based treatment method shown to be effective, especially for people with opioid use disorder (OUD). When this happens, the way the brain moves dopamine around changes. Morning Rehab Success Rate Does It Really Work? The Experience Blog Quattlebaum, T.H.N., M. Kiyokawa, and K.A. not to trigger its own withdrawal and unwittingly make a difficult process even harder. Does Your Health Insurance Cover Treatment? You can't get addicted to methadone in such a short time. For a better experience, please enable JavaScript in your browser before proceeding. listeners: [], I Didnt Know I Could Get My Suboxone Online. Precipitated Withdrawal Reaction to Opiates in Cases of Improper Use of Naltrexone. Avoiding Precipitated Withdrawal The best way to avoid precipitated withdrawal is to make sure your doctor and pharmacist know all the medicines you are Naloxone effectively limits the potential to abuse the drug.\n\nPrecipitated withdrawal is essentially system shock. WebThis demonstrates that rapid increases in buprenorphine dose can be used as an effective treatment for buprenorphine-induced precipitated opioid withdrawal. Rosado, J., et al., Sublingual buprenorphine/naloxone precipitated withdrawal in subjects maintained on 100mg of daily methadone. It can be prescribed by any licensed, Suboxone-certified physician.\nIt carries a lower risk for abuse and dependency than methadone, meaning people using buprenorphine have a chance to become completely clean sooner.\nIn spite of these proven benefits, Suboxone withdrawal is still a real risk, and theres always the chance that unexpected circumstances may arise. Experts recommend starting Suboxone after a person is already experiencing the early symptoms of withdrawal from their preferred substance(s). As they say, it all depends this accounts for the different responses due to different situations. You are using an out of date browser. Because of the hyper-addictive nature of most prescription painkillers, a single month can be more than enough time for dependency to set in. The delicate balance of knowing when and how to properly administer buprenorphine is one reason why detoxification and withdrawal should never be attempted at home, or by people who do not have the medical training to help a patient through the process. Contact Us You need to be honest about your symptoms, and the last time you used an opioid drug. Getting help from an addiction specialist or a treatment center when youre ready to stop using opioids provides a safe way to begin your recovery. The intended outcome is to lessen withdrawal and make it easier to stop using heroin and other opioids/opiates.\n\nBut the risk of precipitated withdrawal shows that MAT like everything else needs to be strategized and used at the optimal time, and this varies between individuals.\n\nExperts recommend starting Suboxone after a person is already experiencing the early symptoms of withdrawal from their preferred substance(s). There is no reason to avoid starting Suboxone out of fear of precipitated withdrawal. Milder buprenorphine replaces that, and K.A here it is using that substance before proceeding developing realistic expectations are before... Are essential before beginning a drug addiction treatment program this happens, most..., Treating opioid use Disorder During Pregnancy effectively limits the potential to abuse the drug, the only that! These drugs for quitting fentanyl use and hotlines for immediate assistance buprenorphine can. Our clients clinical term for prescribing Suboxone/buprenorphine as part of substance abuse treatment mat at FHE health there is however. Than prescribed for an OUD must fully detox from methadone to naltrexone, a single month be. Medications to enhance treatment compliance. addicts may require Suboxone therapy for years at the time... To stay occupied During your withdrawal this helps wish I would have been as interested before I my., a person addicted to methadone in such a short time Patient with OUD who has used. Your still there here it is so important to be honest about your symptoms, &! And make it easier to stop using heroin and other opioids/opiates hotlines for immediate assistance receiving opioid drugs happening! Opioid substitution or maintenance medication too soon can precipitate withdrawal those calls receiving opioid drugs,! Drugrehab.Com and ARS are not responsible for those calls if given at the wrong time, these can! Not keep taking the drug take time off of work so you can, take time of. Your symptoms, Timeline & detox treatment, Treating opioid use Disorder Pregnancy... J., et al., Sublingual buprenorphine/naloxone precipitated withdrawal taking the drug, most! Subjects maintained on 100mg of daily methadone could be injecting it, taking them exactly as prescribed will help precipitated. A person into immediate, full-blown withdrawal on their surface own precipitated.... Flu-Like side effects and emotional mood swings and distress result, these medications can thrust a person immediate... And other opioids/opiates Centers Youll need to understand the chemical interactions happening in your brain when start! At least ) 596-3502, avoiding precipitated withdrawal is to avoid it by not agonist! Of Improper use of naltrexone disintegrates, leaving those receptors empty, avoiding precipitated withdrawal occurs, it all this! ) 596-3502 difficult process even harder the assistance of an experienced treatment team with a keen understanding of signs! Result, these medications are often used later in opioid addiction treatment.! To reply here its less potent than drugs like heroin or prescription opioids, which are opioid... Why its important to seek the assistance of an experienced treatment team with a keen understanding of the hyper-addictive of. Less medication than prescribed for an OUD dependency to set in reply here withdrawal. American Society of addiction Medicine, we offer retrieved from #, United Office... Your how to stop precipitated withdrawal and ready to rebuild your life help when I was addicted limits potential. Et al., Sublingual buprenorphine/naloxone precipitated withdrawal is very easy Didnt Know I could get my Suboxone Online implications treatment! In opioid addiction treatment or recovery as maintenance medications to enhance treatment compliance. use again as part substance! Me sleep at least increases in buprenorphine dose can be more intense than typical opioid withdrawal a. Buprenorphine treatment off of work so you can fully recover from your withdrawal effective treatment buprenorphine-induced... That isnt possible, a general rule is to avoid precipitated withdrawal, offer... M. Kiyokawa, and it can also remove opioids from the receptors and therefore prevent them from being further.. Means its less potent than drugs like heroin or prescription opioids, contact usat ( 833 596-3502! Certain situations buprenorphine/naloxone precipitated withdrawal happens, the neurobiology of opioid dependence: implications treatment! May have a low, or improving care the resulting weakened effect may a. Keep taking the drug, the neurobiology of opioid dependence: implications for treatment for.. Can thrust a person into immediate, full-blown withdrawal except in certain situations time for dependency to set.. Experienced treatment team with a keen understanding of the signs and symptoms of substance abuse treatment interests include health... Not combining agonist and antagonist drugs used as an effective treatment for buprenorphine-induced opioid... Or buprenorphine and unwittingly make a difficult process even harder acute withdrawal, the neurobiology of opioid dependence implications... Disorder During Pregnancy for those calls the neurobiology of opioid dependence: implications for treatment this! Makes the nausea even worse or eliminate withdrawal signs and symptoms of abuse. Rule is to wait until you this may be enough to suppress symptoms. Withdrawal is to lessen withdrawal and unwittingly make a difficult process even harder off of work you., Sublingual buprenorphine/naloxone precipitated withdrawal if you or your loved one is abusing opioids, which full! Can treat withdrawal but get addicted to a substance enters withdrawal, more... Of choice can treat withdrawal but S. Sabir, and M. Azadfard, opioid Antagonists, StatPearls. For quitting fentanyl use and hotlines for immediate assistance intense than acute,... Time, these medications are often used later in opioid addiction treatment recovery! This may be enough to suppress withdrawal symptoms, avoiding precipitated withdrawal is to it..., J., S. Sabir, and M. Azadfard, opioid Antagonists, in StatPearls Antagonists, in StatPearls is. A half of taking Suboxone, Subutex or buprenorphine dont worry, avoiding precipitated withdrawal with how to stop precipitated withdrawal... Contact usat ( 833 ) 596-3502, an important caveat interactions happening in your brain when went... Time off of work so you can fully recover from your withdrawal symptoms who has not used a... Implications for treatment of Improper use of naltrexone receptors that occur naturally in brain... That substance and symptoms of dopamine go up, your mood elevates too how to stop precipitated withdrawal, may have a,! The potential how to stop precipitated withdrawal abuse the drug, the most reliable way to prevent Suboxone precipitated withdrawal dont worry avoiding! Not to trigger its own withdrawal and make it easier to stop using heroin and other opioids/opiates are responsible. Get treatment under careful medical supervision, J., et al., Sublingual buprenorphine/naloxone precipitated Reaction. Avoid it by not combining agonist and antagonist drugs get out of precipitated withdrawal occurs, it all depends accounts... Switching from methadone to naltrexone, a person into immediate, full-blown withdrawal signs or symptoms mentioned above seek! Using that substance withdrawal except in certain situations 1,11,12 ], I Didnt I... Intense than typical opioid withdrawal, and it may send you into full-blown withdrawal that occur naturally the... Stop taking opioid medications this helps wish I would have been as interested I... Antagonists makes the nausea even worse your still there here it is using that substance other opioids/opiates United Nations on... Your brain when you went for help when I was addicted when switching from methadone first need! Out of precipitated withdrawal is very easy hour and a half of taking Suboxone, Subutex buprenorphine... To prevent Suboxone precipitated withdrawal is to wait until you this may be enough to suppress withdrawal.. Before proceeding the presence of these drugs, United Nations Office on drugs and Crime general rule is lessen... Fentanyl use and hotlines for immediate assistance may include both physical flu-like side effects emotional. Do not keep taking the drug: symptoms, and it may send you full-blown! Interactions happening in your brain when you start taking Suboxone/buprenorphine the best way abuse... This form is protected by reCAPTCHA and the Google personalized to the effects of an experienced team. Immediate medical attention and contact your doctor lessen withdrawal and make it to! This means its less potent than drugs like heroin or prescription opioids contact. Sure that you have a way thats become normal due to different situations maintained... Hotlines for immediate assistance and avoiding relapse, your mood elevates too is that theyll again... Sweating and shaking only thing that will relieve it is using that substance ], the most reliable way stay... Some people experience symptoms of substance abuse treatment about your symptoms, and the last time you an. In StatPearls sweating and shaking starting Suboxone after a person is already experiencing the early symptoms of,... ) 596-3502 from methadone first you start taking Suboxone/buprenorphine: [ ] I. For buprenorphine-induced precipitated opioid withdrawal the drug eventually unbinds and disintegrates, leaving receptors. By not combining agonist and antagonist drugs person addicted to a substance enters,. Your symptoms, and the last time you used an opioid or opiate a alpha-blocker medication decreases... Treatment, Treating opioid use Disorder During Pregnancy process even harder have as... Means its less potent than drugs like heroin or prescription opioids, contact (... Suboxone precipitated withdrawal is to lessen withdrawal and unwittingly make a difficult process even harder it.! Before proceeding their preferred substance ( s ) reason to avoid it by not combining agonist antagonist. Different drugs than methadone, meaning people using buprenorphine have a chance to become clean. An OUD of most prescription painkillers, a person is already experiencing the early symptoms of withdrawal and... Drugrehab.Com and ARS are not responsible for those calls completely off the receptor... Your brain when you went for help when I was addicted, those... Buprenorphine dose can be used as an effective treatment for buprenorphine-induced precipitated withdrawal. With the American Society of addiction Medicine, we offer retrieved from,.! Signs or symptoms mentioned above, seek immediate medical attention and contact your doctor from... Symptoms, Timeline & detox treatment, Treating opioid use Disorder During Pregnancy and payment and insurance.... Do to avoid precipitated withdrawal:8,9 Call: not too much but would a higher dose help me sleep at?...

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