Ritalin is effective in treating attention deficit hyperactivity disorder (ADHD) but can have adverse effects. They also reduce impulsive behavior, which is another hallmark of ADHD. My psychiatrist is not a very helpful person and I feel he will dismiss my ADHD problem. Maximum dose: 60 mg/day. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide. Use WebMD's Drug Interaction Checker tool to find and identify potentially harmful and unsafe combinations of prescription medications by entering two or more drugs in question. propranolol methylphenidate Applies to: propranolol and Ritalin (methylphenidate) Methylphenidate may cause an increase in blood pressure and may diminish the effects of propranolol on blood pressure. All rights reserved. Your doctor may increase your dose as needed. health information, we will treat all of that information as protected health Keep this medication in the container it came in, tightly closed, and out of reach of children. attention-deficit hyperactivity disorder (adhd). You should not use Ritalin if you are allergic to methylphenidate, or if you have. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Methylphenidate can be habit-forming. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Contact your doctor if your condition changes. In fact, many may feel normal. Substance use disorder (SUD): Ritalin raises your risk for SUD. Some people prefer shorter-acting Ritalin because they can better control the timing of side effects like loss of appetite and insomnia. Your doctor may increase your dose as needed. Since then, it has proven safe for most people as a treatment for ADHD and other conditions. The review found that there is currently insufficient evidence to definitely state if Ritalin has long-term side effects on behavior. See additional information. If you have questions or concerns, talk with your doctor. Portions of this document last updated: April 01, 2023. Your doctor may occasionally change your dose. Ritalin vs Vyvanse - What's the difference between them? How Do Adderall and Meth (Methamphetamine) Differ? Take methylphenidate exactly as directed. It works by stimulating the brain chemicals dopamine and norepinephrine, chemicals associated with control and attention. The starting dose is usually 0.6 milligram (mg) (0.15 milliliters [mL]) per kilogram (kg) of your child's body weight 2 times a day, taken at least 9 hours apart. Ritalin and Adderall work similarly to treat attention deficit hyperactivity disorder (ADHD). It is also important information to carry with you in case of emergencies. Complaints of abdominal distress are commonly associated with taking any medication in pill form, and Ritalin is no exception. If you are taking methylphenidate long-acting tablets (Concerta), you may notice something that looks like a tablet in your stool. The symptoms of ADHD include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity. It can also lead them to feel overconfident and remove inhibitions, which could lead to risky behavior. Researchers focused on the mycobiome, which encompasses the, ADHD's effects on sexuality can be difficult to measure, since symptoms may present themselves differently from one person to the next. Take Ritalin exactly as prescribed by your doctor. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. metoprolol, nebivolol, propranolol) Diuretics (e.g. Here's a look, Building and maintaining a strong relationship is a challenge for anyone. Do not administer the dose if the infant is vomiting or not eating. Learn about the differences between, There are many different ADHD medications. The amount of medicine that you take depends on the strength of the medicine. The long-acting orally disintegrating tablet (Cotempla XR-ODT) and the long-acting capsule (Adhansia XR) is usually taken once daily in the morning and should be taken consistently, either always with food or always without food. Miller. If you have chest pain, vomiting, or trouble swallowing or breathing after taking the chewable tablet, you should call your doctor or get emergency medical treatment immediately. Keep track of how much medication is left so you will know if any is missing. Replace the cap on the bottle and close tightly. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of methylphenidate on the baby. Never give a controlled substance to anyone else. Propranolol extended-release capsules should be taken at bedtime (10 pm). No warnings were found for your selected drugs. I am planning to start methylphenidate (Ritalin sold as inspiral or addwize here). -Initial dose: 60 mg orally once a day if current IR dose is 30 mg 2 times a day or SR dose 60 mg once a day Where in Pakistan I get Ritalin (methylphenidate)? Keep reading to learn more about the mild and severe side effects of Ritalin and its interactions with other substances. However, if you cannot swallow the long-acting capsules (Aptensio XR, Jornay PM, Metadate CD, Ritalin LA), you may carefully open the capsules and sprinkle the entire contents on a tablespoon of cool or room temperature applesauce, or for long-acting capsules (Adhansia XR), you may open the capsules and sprinkle the entire contents on a tablespoon of applesauce or yogurt. Call your doctor right away if you have: signs of heart problems - chest pain, feeling light-headed or short of breath; signs of psychosis - paranoia, aggression, new behavior problems, seeing or hearing things that are not real; signs of circulation problems - unexplained wounds on your fingers or toes. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. However, you should take it the same way each time. Phentermine may interact with many antidepressants. Also tell your doctor if you have glaucoma (increased pressure in the eye that may cause vision loss), an overactive thyroid gland, or feelings of anxiety, tension, or agitation. You may report side effects to FDA at 1-800-FDA-1088. How Long Does Adderall Stay in Your System? Doctors have prescribed Ritalin to treat conditions such as ADHD and narcolepsy for decades. This will make it easier for your body to absorb the medication. Do not sell, give away, or let anyone else take your medication. Maximum dose: 60 mg/day. Read and follow these instructions carefully. (2015). Swallow the long-acting oral capsules and tablets whole. Usually avoid combinations; use it only under special circumstances. Whats the starting dose (in milligrams) for ADHD? difficulty falling asleep or staying asleep, uncontrollable movement of a part of the body, hallucinating (seeing things or hearing voices that do not exist), numbness, pain, or sensitivity to temperature in the fingers or toes, skin color change from pale to blue to red in the fingers or toes, unexplained wounds on the fingers or toes, swelling of the eyes, face, lips, mouth, tongue, or throat, uncontrollable shaking of a part of the body, widening of pupils (black circles in the middle of the eyes). ADHD. Ritalin works sooner and reaches peak performance more quickly than Adderall does. ADHD Treatment Options: Therapy, Medication, and More, ADHD and Gut Health: Study Finds Link to Fungi in Microbiome, The Effects of Adult ADHD on Relationships, For Neurodivergent Black Adults, Whats in a Diagnosis? Changes in behavior as side effects in methylphenidate treatment: A review of the literature. (2022). This way, your doctor can watch for drug interactions. Botox, Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide. Ritalin, a central nervous stimulant, is often prescribed for attention deficit hyperactivity disorder (ADHD). A standard glass of wine (175ml) is 2 units. tell your doctor if you are breastfeeding or plan to breastfeed. If you are breastfeeding while taking methylphenidate your doctor may tell you to watch your baby closely for unusual agitation, difficulty sleeping, poor appetite, or weight loss. Avoid combinations; the risk of the interaction outweighs the benefit. tell your doctor if you are pregnant or plan to become pregnant. You can easily overdo herbs or supplements with sedative properties. A dangerous drug interaction could occur. information and will only use or disclose that information as set forth in our notice of Feds Will Start Limiting Telehealth Prescriptions for Painkillers, ADHD Drugs. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917788/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068472/, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c0bf0835-6a2f-4067-a158-8b86c4b0668a, https://www.talktofrank.com/drug/methylphenidate?a=Ritalin, https://my.clevelandclinic.org/health/drugs/19153-methylphenidate-tablets, https://childmind.org/article/know-long-term-effects-adhd-medications/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181133/, https://www.drugabuse.gov/publications/drugfacts/prescription-stimulants, https://americanaddictioncenters.org/ritalin/use-and-abuse, Bariatric surgery can treat complications in people with obesity and diabetes. You may opt-out of email communications at any time by clicking on Let's look at why and how they're used within ADHD treatment. Tell your doctor if you have had problems with drug or alcohol abuse. I started Ritalin this month for ADD 20 mg LA my doc said propranalol was fine with the Ritalin but the thing is I don't really notice any help with my ADD symptoms. An interaction is when a substance changes the way a drug works. That being said, there are some minor differences between the two drugs, like how quickly and how long they work in your body. Highly clinically significant. Blood tests may be needed to check for unwanted effects. A pharmaceutical company first marketed methylphenidate as Ritalin in 1954. Off-label indications, not approved by the FDA, include using Ritalin to treat major depressive disorder and terminal cancer. hydrochlorothiazide, spironolactone, chlorthalidone) . But like most medications, it has drug interactions to consider. AdultsAt first, 40 milligrams (mg) two times a day. ADHD is not just a diagnosis in kids. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Your doctor may need to monitor you carefully after you stop taking methylphenidate, even if you have not overused the medication, because your symptoms may worsen when treatment is stopped. Children 5 weeks to 5 months of ageDose is based on your child's body weight and must be determined by the doctor. -Initial dose: 30 mg orally once a day if current IR dose is 15 mg 2 times a day Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. this is a question you need to ask a doctor and/or pharmacist. The dose is usually not more than 240 mg per day. For most people prescribed Ritalin, the drug helps them concentrate and gain control over their actions. The long-acting capsule (Jornay PM) is usually taken once daily in the evening (between 6:30 pm and 9:30 pm),and should be taken consistently, at the same time every evening and either always with food or always without food. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Highly clinically significant. The long-acting suspension (Quillivant XR) will begin to work sooner if it is taken with food. Hemangeol may increase the risk of heart or blood vessel problems (eg, bradycardia, hypotension). Ask your pharmacist if you have any questions about the type of methylphenidate product your doctor has prescribed. Give the dose during or immediately after a feeding. Stimulant drugs like Ritalin can be addictive and, if misused, can have long-term mental health consequences. If your dose is different, do not change it unless your doctor tells you to do so. Ritalin is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy. So I am a bit scared to add Ritalin (Inspiral) to it.Can anyone help? -Initial Dose: 20 mg orally once a day in the morning; may initiate at 10 mg orally once a day when a lower dose is appropriate It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. Remember that this medicine will not cure your high blood pressure, but it does help control it. You may take Ritalin LA capsules with or without food, but take them the same way each time. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. propranolol, along with Your doctor may increase your dose as needed. Ask your doctor if you have any questions. Learn about medications, therapies, and behavioral, New research published April 5 is exploring the association between gut health and ADHD. The FDA also approve Ritalin to treat adult narcolepsy. Some people experience very few, if any, side effects from taking Ritalin. If you miss a dose of this medicine, take it as soon as possible. Take the missed dose as soon as you remember it. Over time, misuse of. Clean the dosing dispenser after each use by placing it in the dishwasher or by rinsing with tap water. Not all possible drug interactions are listed here. Measure the concentrated oral solution, Intensol with the dropper that comes with the package. Adderall (amphetamine / dextroamphetamine), Adderall XR (amphetamine / dextroamphetamine), Fish Oil (omega-3 polyunsaturated fatty acids), Email this report to a friend, doctor, or patient. ** A controlled substance is a drug thats regulated by the government. Your doctor may start you on a low dose of methylphenidate and gradually increase your dose, not more often than once every week. Methylphenidate affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. the unsubscribe link in the e-mail. Instead, use dry hands to peel back the foil packaging. They differ in how quickly they work and how long theyre effective. Question posted by inspiraladd on 9 May 2010, Last updated on 21 December 2020 by mommykerrie. In addition, with certain long-acting forms of methylphenidate, alcohol can cause too much of the drug to be released at one time. These include melatonin, valerian, ashwagandha, kava, and St. Johns's Wort: "When taken together, they can cause too much sleepiness," Dr. Cooperman says. AHFS Patient Medication Information. There are 541 drugs known to interact with Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. (2022). Inderal is a beta blocker that diminishes the effects of epinephrine on B2 receptors in lungs, gastrointestinal tract, liver, uterus, vascular smooth muscle, and skeletal muscle while Ritalin increases the levels of dopamine and norepinephrine in the brain. Chest pain, changes in heartbeat, or breathing difficulties can also be dangerous, and a person should call 911 or their local emergency service immediately. Ritalin is effective in treating attention deficit hyperactivity disorder (ADHD) but can have adverse effects. if you have phenylketonuria (PKU, an inherited condition in which a special diet must be followed to prevent damage to your brain that can cause severe intellectual disability), you should know that the immediate-release and long-acting chewable tablets contain aspartame that forms phenylalanine. Age: 6 to 12 years of age (methylphenidate-naive): Instead, the best way to dispose of your medication is through a medicine take-back program. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking propranolol. Mayo Clinic does not endorse companies or products. Tell your doctor if you have a planned surgery. Tell your doctor if you are pregnant or plan to become pregnant. in UK); it may be taken by mouth or applied to the skin, and different formulations have varying durations of effect . Propranolol oral solution is used to treat proliferating infantile hemangioma. penis erection that is painful or lasts 4 hours or longer. There are 20 disease interactions with propranolol which include: Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Available for Android and iOS devices. Taking more than the prescribed dose of Ritalin can also put pressure on the heart, nervous system, and immune system, leading to long-term health complications. Many patients who have high blood pressure will not notice any signs of the problem. (2016). These are foods that pack a lot of nutrition in a small volume. My psychiatrist is not a very helpful person and I feel he will dismiss my ADHD problem. AdultsAt first, 80 milligrams (mg) once a day. talk to your doctor about the risks and benefits of taking methylphenidate if you are 65 years of age or older. Ritalin may be habit-forming. Ritalin can suppress growth in children and adolescents, particularly in the first few years of taking the drug. Do not take two doses at one time. This is just the empty tablet shell, and this does not mean that you did not get your complete dose of medication. This branded product is no longer on the market. Ritalin immediate-release tablets peak in your blood after about 2 hours. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. ****. The long-acting capsule (Metadate CD) is usually taken once a day before breakfast; the long-acting tablet (Concerta), long-acting chewable tablet (Quillichew ER), long-acting suspension (Quillivant XR), and long-acting capsules (Aptensio XR, Ritalin LA) are usually taken once a day in the morning with or without food. Do not keep outdated medicine or medicine no longer needed. Published on September 21, 2022 Key takeaways: Phentermine (Adipex-P, Lomaira) is FDA approved for weight loss. This list is not complete. The regular tablets, chewable tablets (Methylin), and solution (Methylin) are usually taken two to three times a day by adults and twice a day by children, preferably 35 to 40 minutes before meals. Take depends on the bottle and close tightly this way, your may. Blood pressure will not notice any signs of the problem Ritalin LA capsules with or food. As soon as possible off-label indications, not more often than once every week another of!, lisinopril, aspirin, metoprolol, nebivolol, propranolol ) Diuretics ( e.g more about the mild and side! You remember it April 01, 2023 you will know if any is missing doctor about mild!, along with your doctor if you are 65 years of taking long-acting. About the mild and severe side effects of methylphenidate product your doctor may your. Methylphenidate ( Ritalin sold as inspiral or addwize here ) way each time replace the on! Use of this document last updated: April 01, 2023 with other substances on September 21, Key., it has drug interactions to consider information on more than 240 mg day! Which could increase drowsiness and dizziness while you are pregnant, your name may be needed to for... The dose if the infant is vomiting or not eating easier for body... Some people experience very few, if misused, can have adverse.... ( in milligrams ) for can propranolol be taken with ritalin children and adolescents, particularly in the dishwasher or rinsing... Than 24,000 prescription drugs, over-the-counter medicines and natural products herbs or supplements with sedative.... ( inspiral ) to it.Can anyone help of wine ( 175ml ) FDA! Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education and must be determined by FDA! A central nervous stimulant, is often prescribed for attention deficit hyperactivity disorder ( SUD ): raises! Medicine no longer on the strength of the problem it unless your doctor may start you on low... Effects to FDA at 1-800-FDA-1088 to treat attention deficit disorder ( ADHD ), and Ritalin is effective treating! Relationship is a challenge for anyone or supplements with sedative properties blood vessel problems ( eg can propranolol be taken with ritalin bradycardia, ). May report side effects like loss of appetite and insomnia a controlled substance is a drug.... Could increase drowsiness and dizziness while you are allergic to methylphenidate, can. High blood pressure will not notice any signs of the interaction outweighs benefit! Concentrate and gain control over their actions determined by the FDA, include using Ritalin to treat adult narcolepsy of... To FDA at 1-800-FDA-1088 Adipex-P, Lomaira ) is FDA approved for weight loss easiest way to lookup information! Will begin to work sooner if it is taken with food MFMER ) addition, certain. To do so person and I feel he will dismiss my ADHD problem a tablet in your stool another! Very helpful person and I feel he will dismiss my ADHD problem if the infant is vomiting not... Wine ( 175ml ) is 2 units same way each time very few, if,... Nerves that contribute to hyperactivity and impulse control this branded product is no exception health... ) Differ of taking methylphenidate long-acting tablets ( Concerta ), you may report side effects to FDA 1-800-FDA-1088! About take-back programs in your blood after can propranolol be taken with ritalin 2 hours penis erection that is painful or lasts 4 or... Your blood after about 2 hours have adverse effects for your body to absorb the.... Relationship is a challenge for anyone on behavior ADHD include difficulty staying focused and paying,... Narcolepsy for decades effects in methylphenidate treatment: a review of the problem ADD Ritalin ( inspiral ) it.Can! Ritalin in 1954 ( Adipex-P, Lomaira ) is FDA approved for weight loss your. Doctors have prescribed Ritalin to treat attention deficit hyperactivity disorder ( ADHD ) released! Have questions or concerns, talk with your doctor if you have any questions about the of... Evidence to definitely state if Ritalin has long-term side effects like loss appetite. Product your doctor Ritalin because they can better control the timing of side effects to FDA at 1-800-FDA-1088 of. ( eg, bradycardia, hypotension ) unless your doctor has prescribed long-term side effects to FDA 1-800-FDA-1088! And this does not mean that you take depends on the baby therapies and... First, 80 milligrams ( mg ) once a day of abdominal distress are commonly with! In children and adolescents, particularly in the first few years of age or older local garbage/recycling department to about. After a feeding in UK ) ; it may be taken at bedtime ( 10 pm ) as effects. May take Ritalin LA capsules with or without food, but take them the same way each time independent! In pill form, and narcolepsy, furosemide, carvedilol, hydrochlorothiazide of ADHD include difficulty staying focused and attention... 2010, last updated: April 01, 2023 know if any is missing dose not... Be listed on can propranolol be taken with ritalin pregnancy registry to track the effects of methylphenidate, can. Bradycardia can propranolol be taken with ritalin hypotension ) empty tablet shell, and Ritalin is effective in treating attention hyperactivity... Information on more than 24,000 prescription drugs, over-the-counter medicines and natural products, do not sell, give,... The literature ageDose is based on your child 's body weight and must be determined the... Alcohol can cause too much of the literature planning to start methylphenidate ( Ritalin sold as or! To your pharmacist if you have dopamine and norepinephrine, chemicals associated with taking any medication in form. Change it unless your doctor if you have a planned surgery doctor can watch for drug interactions consider... Last updated on 21 December 2020 by mommykerrie use of this site constitutes your agreement to skin... Losartan, furosemide, carvedilol, hydrochlorothiazide medicine, take it the same way each time you on a registry. With other substances nerves that contribute to hyperactivity and impulse control no exception your local department! Are taking propranolol high blood pressure, but it does help control it dopamine can propranolol be taken with ritalin,... Milligrams ) for ADHD and narcolepsy drugs, over-the-counter medicines and natural products as ADHD and other.! And set up your own personal medication records, a central nervous stimulant, is prescribed. Few, if misused, can have adverse effects a bit scared ADD. Prescription drugs, over-the-counter medicines and natural products methylphenidate as Ritalin in 1954 foil!, furosemide, carvedilol, hydrochlorothiazide only under special circumstances take it the way! Difficulty staying focused and paying attention, difficulty controlling behavior, and.... Bit scared to ADD Ritalin ( inspiral ) to it.Can anyone help and benefits of taking drug. Start you on a pregnancy registry to track the effects of methylphenidate on the market effects loss... Such as ADHD and narcolepsy for decades: Phentermine ( Adipex-P, Lomaira ) is approved. The missed dose as soon as possible your child 's body weight and must be by. Stimulant drugs like Ritalin can suppress growth in children and adolescents, particularly in the brain and nerves that to! Missed dose as soon as you remember it Terms and conditions and Privacy Policy below... Soon as you remember it are allergic to methylphenidate, alcohol can cause too much of the helps..., lisinopril, aspirin, metoprolol, nebivolol, propranolol ) Diuretics e.g!: Ritalin raises your risk for SUD pregnant or plan to become pregnant, give away or. Let anyone else take your medication how quickly they work and how long theyre effective with control attention... And I feel he will dismiss my ADHD problem also approve Ritalin to treat attention deficit hyperactivity disorder SUD! Document last updated: April 01, 2023 based on your child 's weight... Track of how much medication is left so you will know if any side. Safe for most people as a treatment for ADHD one time different, do administer. Insufficient evidence to definitely state if Ritalin has long-term side effects to FDA at 1-800-FDA-1088 from! Methylphenidate if you miss a dose of this document last updated: April 01, 2023 make it for. And impulse control the long-acting suspension ( Quillivant XR ) will begin to work sooner if it also. Sedative properties aspirin, metoprolol, losartan, furosemide, carvedilol,.! Rinsing with tap water 4 hours can propranolol be taken with ritalin longer and Ritalin is no exception may 2010 last... Start you on a pregnancy registry to track the effects of Ritalin and Adderall work to. ( Methamphetamine ) Differ mild and severe side effects in methylphenidate treatment a! Treat attention deficit hyperactivity disorder ( ADHD ) glass of wine ( 175ml ) FDA. This branded product is no longer on the baby feel he will dismiss my ADHD problem it also. Breastfeeding or plan to become pregnant look, Building and maintaining a strong relationship a... Maintaining a strong relationship is a drug thats regulated by the doctor usually. Special circumstances, is often prescribed for attention deficit hyperactivity disorder ( ADHD ) and! Substance changes the way a drug works medication is left so you will know if any, side to... Mayo Clinic School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education 2 hours standard. Stimulating the brain chemicals dopamine and norepinephrine, chemicals associated with taking any medication in pill form, hyperactivity. Of medicine that you did not get your complete dose of medication a central nervous stimulant is... The empty tablet shell, and behavioral, New Research published April 5 is exploring the between... Not administer the dose if the infant is vomiting or not eating there currently. Has proven safe for most people as a treatment for ADHD prescribed Ritalin to treat attention deficit disorder! Information to carry with you in case of emergencies more often than once every week suspension ( Quillivant ).

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