Profound sedation, respiratory depression, coma, and death may result if coadministered. When this medication is started, symptoms of anxiety (such as restlessness) may sometimes get worse before they improve. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. Use Caution/Monitor. Use Caution/Monitor. Monitor Closely (1)fosaprepitant will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. affecting hepatic/intestinal enzyme CYP3A4 metabolism. rizatriptan and buspirone both increase serotonin levels. Monitor Closely (1)duvelisib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. butabarbital will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. rifapentine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. tranylcypromine, buspirone. fluvoxamine and buspirone both increase serotonin levels. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Use Caution/Monitor. Mechanism: pharmacodynamic synergism. Consider dose reduction of sensitive CYP3A4 substrates. Avoid or Use Alternate Drug. Reserve concomitant prescribing of these drugs in patients for whom other treatment options are inadequate. buspirone and dextromethorphan both increase serotonin levels. Monitor sensitive CYP3A4 substrates for effectiveness if coadministered. lumefantrine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. DRUG INTERACTIONS: See also How to Use section.Drug interactions may change how your medications work or increase your risk for serious side effects. Serious - Use Alternative (1)buspirone and dextromethorphan both increase serotonin levels. primidone. Modify Therapy/Monitor Closely. Avoid or Use Alternate Drug. Serious - Use Alternative (1)erythromycin lactobionate will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases effects of the other by serotonin levels. Use Caution/Monitor. Dosage adjustment may be necessary if lemborexant is coadministered with other CNS depressants because of potentially additive effects. Monitor Closely (1)buspirone and ergotamine both increase serotonin levels. Risk of acute hypertensive episode.Serious - Use Alternative (1)linezolid and buspirone both increase serotonin levels. Monitor Closely (1)lumefantrine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. In some cases, monitoring at a higher level of care for tapering CNS depressants may be appropriate. Avoid or Use Alternate Drug. Dosage for Buspar Use Caution/Monitor. Will not prevent withdrawal from other anxiolytics, such as benzodiazepine, Restlessness syndrome associated with therapy, Use in severe renal/hepatic impairment not recommended, Use with MAO inhibitors may result in hypertensive reaction (use not recommended), Lactation: Excretion in milk unknown/not recommended. Serious - Use Alternative (1)abametapir will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases toxicity of the other by sedation. duvelisib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Iloperidone is a time-dependent CYP3A inhibitor and may lead to increased plasma levels of drugs predominantly eliminated by CYP3A4. hydrocodone, buspirone. Either increases toxicity of the other by pharmacodynamic synergism. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Adjust dosage of CYP3A4 substrates, if clinically indicated. Modify Therapy/Monitor Closely. Methylene blue may increase serotonin as a result of MAO-A inhibition. In others, gradually tapering a patient off of a prescribed benzodiazepine or other CNS depressant or decreasing to the lowest effective dose may be appropriate. Avoid or Use Alternate Drug. Use Caution/Monitor. Limit dosages and durations to the minimum required. Mechanism: pharmacodynamic synergism. Monitor Closely (1)lapatinib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. and nefazodone 250 mg b.i.d experienced lightheadedness, asthenia, dizziness, and somnolence, adverse events also observed with either drug alone. It may help you think more clearly, relax, worry less, and take part in everyday life. Either increases effects of the other by Other (see comment). Monitor Closely (1)griseofulvin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. protriptyline and buspirone both increase serotonin levels. Coadministration of buprenorphine and benzodiazepines or other CNS depressants increases risk of adverse reactions including overdose, respiratory depression, and death. Contraindicated. Monitor Closely (1)levoketoconazole will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adjust dose of drugs that are CYP3A4 substrates as necessary. Coadministration of CNS depressants can result in serious, life-threatening, and fatal respiratory depression. Other (see comment). Limit dosages and durations to the minimum required. Use Caution/Monitor. Monitor Closely (1)buspirone, dextroamphetamine transdermal. Adjust dose of drugs that are CYP3A4 substrates as necessary. Monitor closely for signs of respiratory depression and sedation. buspirone and pentazocine both increase serotonin levels. Modify Therapy/Monitor Closely. Monitor Closely (1)elagolix will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid coadministration of sensitive CYP3A4 substrates with ivosidenib or replace with alternate therapies. Subsequent dose adjustment of either drug should be . Avoid or Use Alternate Drug. Use Caution/Monitor. almotriptan and buspirone both increase serotonin levels. anastrozole will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Last updated on Apr 1, 2023. Reduce starting dose of buspirone to 2.5 mg PO qDay. Either increases toxicity of the other by Other (see comment). Concomitant therapy should be discontinued immediately if signs or symptoms of serotonin syndrome emerge and supportive symptomatic treatment should be initiated. 7 diphenhydramine interactions to know about There are many possible interactions with diphenhydramine. Serious - Use Alternative (1)lonafarnib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. Risk of acute hypertensive episode. abametapir will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. Risk of acute hypertensive episode. Mitotane is a strong inducer of cytochrome P-4503A4; monitor when coadministered with CYP3A4 substrates for possible dosage adjustments. Pseudoephedrine is a decongestant (sympathomimetic). Do not drive, use machinery, or do anything that needs alertness until you can do it safely. trazodone and buspirone both increase serotonin levels. Use Caution/Monitor. methylprednisolone will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)fosphenytoin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)idelalisib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)desipramine and buspirone both increase serotonin levels. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvYnVzcGFyLWJ1c3Bpcm9uZS0zNDI5MTM=, View explanations for tiers and Use Caution/Monitor. If unavoidable, reduce CYP3A substrate dose according to product labeling. buspirone and isoniazid both increase serotonin levels. isocarboxazid, buspirone. Monitor Closely (1)letermovir increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. buspirone and mirtazapine both increase serotonin levels. Use Caution/Monitor. Istradefylline 40 mg/day increased peak levels and AUC of CYP3A4 substrates in clinical trials. Avoid or Use Alternate Drug. Either increases effects of the other by sedation. Use Caution/Monitor. Risk of acute hypertensive episode.Serious - Use Alternative (1)selegiline transdermal and buspirone both increase serotonin levels. Monitor Closely (1)crizotinib increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. carbamazepine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor (1)acetazolamide will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)crofelemer increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. buspirone and morphine both increase serotonin levels. Use Caution/Monitor. Modify Therapy/Monitor Closely. Modify Therapy/Monitor Closely. Modify Therapy/Monitor Closely. Concomitant use of barbiturates, alcohol, or other CNS depressants may increase the risk of hypoventilation, airway obstruction, desaturation, or apnea and may contribute to profound and/or prolonged drug effect. Mechanism: pharmacodynamic synergism. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert. Monitor Closely (2)cenobamate, buspirone. Your list will be saved and can be edited at any time. Tell your doctor if you are pregnant before using this medication. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Contraindicated. Avoid or Use Alternate Drug. rifabutin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. Monitor Closely (1)fedratinib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of acute hypertensive episode. cimetidine will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)indinavir will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Animal models indicate that the major active metabolite, 1-PP, has one-fourth of the activity of buspirone. fluvoxamine will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. The clinical effect of buspirone in alleviating the symptoms of generalized anxiety disorders typically takes 2 to 4 weeks to achieve. Most Monitor Closely (1)butabarbital will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. buspirone and meperidine both increase serotonin levels. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug are: antidepressants (including SSRIs such as fluoxetine, tricyclic antidepressants such as amitriptyline/nortriptyline, trazodone), haloperidol.Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. . Use Caution/Monitor. Modify Therapy/Monitor Closely. Monitor Closely (1)oxcarbazepine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)buspirone increases toxicity of buprenorphine, long-acting injection by pharmacodynamic synergism. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Serious - Use Alternative (1)rifampin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. . Monitor Closely (1)buspirone and mirtazapine both increase serotonin levels. prescription products. Serious - Use Alternative (1)escitalopram and buspirone both increase serotonin levels. rucaparib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. Avoid or Use Alternate Drug. Crofelemer has the potential to inhibit CYP3A4 at concentrations expected in the gut; unlikely to inhibit systemically because minimally absorbed. Use Caution/Monitor. Either increases effects of the other by sedation. Either increases toxicity of the other by sedation. Monitor Closely (1)prednisone will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor Closely (1)buspirone and ganaxolone both increase sedation. griseofulvin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Either increases effects of the other by pharmacodynamic synergism. Minor (1)cyclophosphamide will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Cobicistat is a CYP3A4 inhibitor; contraindicated with CYP3A4 substrates for which elevated plasma concentrations are associated with serious and/or life-threatening events. Limit dosages and durations to the minimum required. Use Caution/Monitor. Coadministration increases risk of CNS depression, which can lead to additive impairment of psychomotor performance and cause daytime impairment. Dose reduction may be needed for coadministered drugs that are predominantly metabolized by CYP3A. Use Caution/Monitor. Tell your doctor right away if you develop any unusual/uncontrolled movements (especially of the face, mouth, tongue, arms, or legs).Get medical help right away if you have any very serious side effects, including: easy bleeding/bruising, shortness of breath, chest pain, fast/irregular heartbeat.A very serious allergic reaction to this drug is rare. Reduce starting dose of buspirone to 2.5 mg PO qDay. Prevention Resources Introduction Ozempic (semaglutide) is a brand-name prescription drug used to manage blood sugar levels in adults with type 2 diabetes. Risk of acute hypertensive episodes. buspirone, metoclopramide intranasal. St John's Wort will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Follow the manufacturer's Patient Instruction Sheet or ask your pharmacist how to split the tablet to get your dose.Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor or pharmacist says you may do so safely. selegiline and buspirone both increase serotonin levels. Modify Therapy/Monitor Closely. Use Caution/Monitor. Modify Therapy/Monitor Closely. Modify Therapy/Monitor Closely. Serious - Use Alternative (1)amitriptyline and buspirone both increase serotonin levels. Use Caution/Monitor. Consider lower buspirone doses. hydrocortisone will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid taking selinexor with other medications that may cause dizziness or confusion. Modify Therapy/Monitor Closely. If unavoidable, reduce CYP3A substrate dose according to product labeling. Either increases toxicity of the other by serotonin levels. artemether/lumefantrine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated (1)selegiline transdermal, buspirone. Concomitant therapy should be discontinued immediately if signs or symptoms of serotonin syndrome emerge and supportive symptomatic treatment should be initiated. Serious - Use Alternative (1)buspirone, vilazodone. Use Caution/Monitor. Monitor Closely (1)almotriptan and buspirone both increase serotonin levels. Tecovirimat is a weak CYP3A4 inducer. Use Caution/Monitor. Avoid or Use Alternate Drug. Monitor Closely (1)enzalutamide will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)ritonavir will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Stiripentol is a CYP3A4 inhibitor and inducer. Risk of acute hypertensive episodes. Monitor Closely (1)tecovirimat will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. Monitor Closely (1)nilotinib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases toxicity of the other by serotonin levels. If serotonin syndrome occurs, discontinue dextroamphetamine transdermal and concomitant serotonergic drug(s). Use Caution/Monitor. Modify Therapy/Monitor Closely. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Do not double the dose to catch up. Minor/Significance Unknown. Talk to your doctor if you are using marijuana (cannabis).If you are taking other medications for anxiety, do not suddenly stop them unless directed by your doctor. voriconazole will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Be sure to mention any of the following: anticonvulsants such as carbamazepine (Tegretol), phenobarbital, and phenytoin (Dilantin, Phenytek); dexamethasone; diazepam (Valium); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin, others); haloperidol (Haldol); ketoconazole; itraconazole (Onmel, Sporanox); medications . Monitor Closely (1)belzutifan will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. If coadministration unavoidable, monitor for adverse reactions and reduce CYP3A substrate dose in accordance with product labeling. Lasmiditan may cause sedation, as well as other cognitive and/or neuropsychiatric adverse reactions. buspirone, lisdexamfetamine. Serious - Use Alternative (1)erythromycin ethylsuccinate will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. selegiline transdermal, buspirone. Use Caution/Monitor. stiripentol, buspirone. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. This medication is used to treat anxiety. apalutamide will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. crofelemer increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)hydrocodone, buspirone. Use Caution/Monitor. Contraindicated. Monitor Closely (1)nevirapine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Use Caution/Monitor. Monitor Closely (1)methylprednisolone will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Consider increasing CYP3A substrate dose if needed. buspirone and lsd both increase serotonin levels. Monitor Closely (1)buspirone, lisdexamfetamine. Use Caution/Monitor. Monitor Closely (1)encorafenib, buspirone. Use Caution/Monitor. Use lowest dose possible and monitor for respiratory depression and sedation. 5-HTP and buspirone both increase serotonin levels. Coadministration may result in hypotension, profound sedation, respiratory depression, coma, and death. Monitor Closely (1)iloperidone increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Profound sedation, respiratory depression, coma, and death may result if coadministered. Is an azaspirodecanedione; high affinity for serotonin 5HT1A and 5HT2 receptors and moderate affinity for dopamine D2 receptors, but no effect on benzodiazepine GABA receptors, No anticonvulsant, muscle relaxant, or sedative effects, Metabolites: 1-pyrimidinylpiperazine (1-PP), Excretion: Urine (29-63%); feces (18-38%). Avoid or Use Alternate Drug. Avoid or substitute another drug for these medications when possible. But high blood pressure, heart disease, and prostate problems are also more common in men as they get older.And many of the medications that are taken for these conditions interact . phenobarbital will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)voxelotor will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. rifampin will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fedratinib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)quinupristin/dalfopristin will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Risk of acute hypertensive episode. buspirone decreases effects of ioflupane I 123 by receptor binding competition. lofepramine and buspirone both increase serotonin levels. Either increases effects of the other by serotonin levels. Although vasodilators work well, they may cause some side effects. Adjust dose based on clinical assessment. Use Caution/Monitor. Monitor Closely (1)lurasidone, buspirone. To view formulary information first create a list of plans. Initiate with lower doses and monitor for signs and symptoms of serotonin syndrome, particularly during initiation or dosage increase. Use Caution/Monitor. Monitor Closely (1)aprepitant will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. buspirone and desvenlafaxine both increase serotonin levels. Concurrent use is not recommended. Consult your pharmacist or local waste disposal company. Monitor Closely (1)zolmitriptan and buspirone both increase serotonin levels. For 2 weeks after abametapir application, avoid taking drugs that are CYP3A4 substrates. Avoid or Use Alternate Drug. Encorafenib both inhibits and induces CYP3A4 at clinically relevant plasma concentrations. Use Caution/Monitor. crizotinib increases levels of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)cimetidine will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)itraconazole will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. oliceridine, buspirone. oxcarbazepine will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Combination may increase risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. Call your doctor for medical advice about serious side effects or adverse reactions. Monitor Closely (1)saquinavir will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. restrictions. dexamethasone will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Either increases effects of the other by sedation. Monitor Closely (1)grapefruit will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Use Caution/Monitor. Adjust dose based on clinical assessment. encoded search term (buspirone (BuSpar)) and buspirone (BuSpar), Shortage of Antianxiety Drug Leaves Patients in the Lurch, Dyspnea in Advanced Cancer: 'Dying Long Before Death', Antidepressant May Aid in Treatment of Anxiety. The recipient will receive more details and instructions to access this offer. STORAGE: Store at room temperature away from light and moisture. Use Caution/Monitor. Serious - Use Alternative (1)tucatinib will increase the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)buspirone and SAMe both increase serotonin levels. This information does not assure that this product is safe, effective, or appropriate for you. Tapering CNS depressants increases risk of CNS depression, coma, and take part in life! Will decrease the level or effect of buspirone by affecting hepatic/intestinal enzyme CYP3A4.... Have been scientifically tested to the same degree as the drugs listed in the table.. Contraindicated with CYP3A4 substrates, if clinically indicated blue may increase serotonin levels as.. Be needed for coadministered drugs that are predominantly buspirone contraindications red viagra by CYP3A disorders typically takes 2 4. 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