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@kuzeyxxxkuzey: Şampuan olmaktan Bıktık😭😭 #fenerbahçe #Futbol #galatasaray #beşiktaş #amedspor

Ali Atabay
Ali Atabay
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Monday 26 October 2026 22:46:21 GMT
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zeynel.aydin00
Zeynel Aydin :
hastayim sana
2026-10-26 23:03:29
2
er.alper1988_
Alp Er :
🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
2026-10-27 10:38:51
1
k.huseyinov
KAMRAN :
2026-10-29 10:12:45
0
azr03037
azər030 :
yaşasın Qarabağ və Qalatasaray 💓
2026-10-27 04:36:12
1
raufahmedov5
Rauf Ehmedov :
2026-10-29 04:19:21
0
ahmetaras386
ahmetaras386 :
biz fbli severiz
2026-10-27 06:25:27
1
cevherbahceci1
Cevher bahçeci :
çok eglenecukkkkk coooook
2026-10-27 03:40:55
1
kzmcesur
kzmcesur :
2026-10-27 00:34:00
1
bahtiyar.sakaryal
bahtiyar sakaryali :
😂😂
2026-10-26 23:43:10
1
user18474030468571
user1847403046857 :
🤣🤣🤣
2026-10-26 22:50:42
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kadir.oku5
Kadir Oku :
2026-10-27 02:14:20
0
berkail3
berkail :
🤣🤣🤣🤣🤣🤣
2026-10-28 15:12:41
1
dilet011
aslan kral :
❤️❤️😂😂😂💛💛
2026-10-28 15:36:48
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onur06417
Onur Zərnəli 064💙 :
🙏
2026-10-28 07:50:12
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user2716595495146
user2716595495146 :
❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️🙏🙏🙏🙏🙏🙏🙏🙏🙏
2026-10-27 13:15:08
2
asil82235
ASIL.ASLAN :
[Sevinç gözyaşları][Sevinç gözyaşları][Sevinç gözyaşları][Sevinç gözyaşları][Sevinç gözyaşları][Sevinç gözyaşları][Kalpleri ısıtan][Kalpleri ısıtan][Kalpleri ısıtan][Kalpleri ısıtan]
2026-10-27 12:06:18
1
faridaliyev19840212
DJ🎧FAR-MUSİC✨ :
🤣🤣🤣😁
2026-10-27 04:33:03
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Có cái băng mới đeo tay lúc thắng cũng ném luôn :))))) #týsaugiờhọc #xuhuong #tý #totenty #lớp2
Có cái băng mới đeo tay lúc thắng cũng ném luôn :))))) #týsaugiờhọc #xuhuong #tý #totenty #lớp2
The perfect end to a perfect day.
The perfect end to a perfect day.
💊💙 PHARMACY POP QUIZ #215 | PREGNANCY MEDICATION SAFETY! 🚨🤰 🎓 PHARMACY & NURSING STUDENTS! DO YOU KNOW THIS HIGH-YIELD PREGNANCY CONTRAINDICATION? 🤔 Which psoriasis medication requires avoiding pregnancy for at least THREE YEARS after stopping treatment? ⏳ YOU HAVE 5 SECONDS! A. Calcipotriene B. Hydrocortisone C. Acitretin D. Petrolatum ✅ CORRECT ANSWER: C. ACITRETIN! 🚨 💊 GENERIC: Acitretin 🏷️ BRAND: Soriatane 🔵 DRUG CLASS: Systemic retinoid / Vitamin A derivative 🧠 MECHANISM OF ACTION: Acitretin regulates the growth and differentiation of skin cells. ➡️ Helps normalize abnormal skin-cell development ➡️ Reduces excessive keratinization ➡️ Helps improve severe psoriasis 🎯 FDA-APPROVED INDICATION: ✅ Severe psoriasis in adults. ⭐ MOST IMPORTANT NAPLEX PEARL: 🚨 ACITRETIN IS CONTRAINDICATED DURING PREGNANCY! It can cause severe, potentially life-threatening fetal abnormalities. Unlike isotretinoin, acitretin has a MUCH LONGER pregnancy-avoidance period after discontinuation. 🤰 THE 3-YEAR RULE! Patients who can become pregnant must avoid pregnancy: ✅ For at least 1 MONTH BEFORE starting treatment ✅ DURING treatment ✅ For at least 3 YEARS AFTER stopping treatment 🚨 Why THREE years? Acitretin can be converted into ETRETINATE, especially when alcohol is consumed. Etretinate remains in the body much longer, potentially prolonging fetal exposure risk. 🍷 CRITICAL ALCOHOL WARNING! Patients who can become pregnant must avoid ALL alcohol-containing drinks, foods, and medications: ❌ DURING acitretin treatment ❌ For 2 MONTHS AFTER stopping acitretin 🚨 This is one of the most important NAPLEX counseling points! 💊 ADULT DOSING: 🔹 Typical initial dose: 25–50 mg orally ONCE DAILY. 🔹 Take with the MAIN MEAL. 🔹 Dose is individualized based on response and tolerability. ⚠️ IMPORTANT ADVERSE EFFECTS: 🔸 Dry lips and skin 🔸 Hair loss 🔸 Peeling skin 🔸 Dry eyes 🔸 Elevated triglycerides 🔸 Elevated liver enzymes 🔸 Joint and muscle discomfort 🚨 SERIOUS WARNINGS: ❌ EMBRYO-FETAL TOXICITY — BOXED WARNING ❌ HEPATOTOXICITY ❌ HYPERTRIGLYCERIDEMIA — may increase pancreatitis risk ❌ INTRACRANIAL HYPERTENSION ❌ VISUAL DISTURBANCES, including decreased night vision 💊 IMPORTANT DRUG INTERACTIONS: 🔹 METHOTREXATE: Contraindicated due to increased hepatitis risk. 🔹 TETRACYCLINES: Contraindicated because of intracranial hypertension risk. 🔹 VITAMIN A: Avoid supplements that may increase retinoid toxicity. 🔹 PROGESTIN-ONLY MINIPILLS: May be less effective and should not be relied upon for contraception with acitretin. 🔹 ALCOHOL: Can promote formation of long-lasting etretinate. 🩺 PHARMACIST MONITORING: ✅ Pregnancy testing according to prescribing requirements ✅ Liver function tests ✅ Fasting triglycerides and cholesterol ✅ Skin response ✅ Visual changes ✅ Signs of pancreatitis or liver injury ✅ Contraception adherence 🚨 PREGNANCY TESTING: Patients who can become pregnant generally require: ✔️ Two negative pregnancy tests before starting treatment. ✔️ Monthly pregnancy testing during treatment. ✔️ Pregnancy testing every 3 months for at least 3 years after stopping treatment. 💡 PATIENT COUNSELING: ✔️ Never use acitretin during pregnancy. ✔️ Follow the prescribed pregnancy-prevention program. ✔️ Use two effective contraception methods when required. ✔️ Avoid alcohol during treatment and for 2 months afterward. ✔️ Take with the main meal. ✔️ Do not donate blood during treatment or for at least 3 years afterward. ✔️ Avoid vitamin A supplements unless specifically directed. ✔️ Report severe abdominal pain, jaundice, headache, or vision changes. ✔️ Contact the prescriber immediately if pregnancy occurs. 🧠 NAPLEX MEMORY TIP: 💙 ACITRETIN = SORIATANE! 🚨 PREGNANCY = CONTRAINDICATED! 📅 AFTER STOPPING ACITRETIN = 3 YEARS! 🍷 AFTER STOPPING ACITRETIN = NO ALCOHOL FOR 2 MONTHS! 🩸 NO BLOOD DONATION FOR 3 YEARS! 🎓 BONUS NAPLEX QUESTION: Why must patients who can become pregnant avoid alcohol during acitretin treatment and for 2 months afterward? A. Alcohol decreases acitretin absorption B. Alcohol converts acitretin into long-lasting etretina
💊💙 PHARMACY POP QUIZ #215 | PREGNANCY MEDICATION SAFETY! 🚨🤰 🎓 PHARMACY & NURSING STUDENTS! DO YOU KNOW THIS HIGH-YIELD PREGNANCY CONTRAINDICATION? 🤔 Which psoriasis medication requires avoiding pregnancy for at least THREE YEARS after stopping treatment? ⏳ YOU HAVE 5 SECONDS! A. Calcipotriene B. Hydrocortisone C. Acitretin D. Petrolatum ✅ CORRECT ANSWER: C. ACITRETIN! 🚨 💊 GENERIC: Acitretin 🏷️ BRAND: Soriatane 🔵 DRUG CLASS: Systemic retinoid / Vitamin A derivative 🧠 MECHANISM OF ACTION: Acitretin regulates the growth and differentiation of skin cells. ➡️ Helps normalize abnormal skin-cell development ➡️ Reduces excessive keratinization ➡️ Helps improve severe psoriasis 🎯 FDA-APPROVED INDICATION: ✅ Severe psoriasis in adults. ⭐ MOST IMPORTANT NAPLEX PEARL: 🚨 ACITRETIN IS CONTRAINDICATED DURING PREGNANCY! It can cause severe, potentially life-threatening fetal abnormalities. Unlike isotretinoin, acitretin has a MUCH LONGER pregnancy-avoidance period after discontinuation. 🤰 THE 3-YEAR RULE! Patients who can become pregnant must avoid pregnancy: ✅ For at least 1 MONTH BEFORE starting treatment ✅ DURING treatment ✅ For at least 3 YEARS AFTER stopping treatment 🚨 Why THREE years? Acitretin can be converted into ETRETINATE, especially when alcohol is consumed. Etretinate remains in the body much longer, potentially prolonging fetal exposure risk. 🍷 CRITICAL ALCOHOL WARNING! Patients who can become pregnant must avoid ALL alcohol-containing drinks, foods, and medications: ❌ DURING acitretin treatment ❌ For 2 MONTHS AFTER stopping acitretin 🚨 This is one of the most important NAPLEX counseling points! 💊 ADULT DOSING: 🔹 Typical initial dose: 25–50 mg orally ONCE DAILY. 🔹 Take with the MAIN MEAL. 🔹 Dose is individualized based on response and tolerability. ⚠️ IMPORTANT ADVERSE EFFECTS: 🔸 Dry lips and skin 🔸 Hair loss 🔸 Peeling skin 🔸 Dry eyes 🔸 Elevated triglycerides 🔸 Elevated liver enzymes 🔸 Joint and muscle discomfort 🚨 SERIOUS WARNINGS: ❌ EMBRYO-FETAL TOXICITY — BOXED WARNING ❌ HEPATOTOXICITY ❌ HYPERTRIGLYCERIDEMIA — may increase pancreatitis risk ❌ INTRACRANIAL HYPERTENSION ❌ VISUAL DISTURBANCES, including decreased night vision 💊 IMPORTANT DRUG INTERACTIONS: 🔹 METHOTREXATE: Contraindicated due to increased hepatitis risk. 🔹 TETRACYCLINES: Contraindicated because of intracranial hypertension risk. 🔹 VITAMIN A: Avoid supplements that may increase retinoid toxicity. 🔹 PROGESTIN-ONLY MINIPILLS: May be less effective and should not be relied upon for contraception with acitretin. 🔹 ALCOHOL: Can promote formation of long-lasting etretinate. 🩺 PHARMACIST MONITORING: ✅ Pregnancy testing according to prescribing requirements ✅ Liver function tests ✅ Fasting triglycerides and cholesterol ✅ Skin response ✅ Visual changes ✅ Signs of pancreatitis or liver injury ✅ Contraception adherence 🚨 PREGNANCY TESTING: Patients who can become pregnant generally require: ✔️ Two negative pregnancy tests before starting treatment. ✔️ Monthly pregnancy testing during treatment. ✔️ Pregnancy testing every 3 months for at least 3 years after stopping treatment. 💡 PATIENT COUNSELING: ✔️ Never use acitretin during pregnancy. ✔️ Follow the prescribed pregnancy-prevention program. ✔️ Use two effective contraception methods when required. ✔️ Avoid alcohol during treatment and for 2 months afterward. ✔️ Take with the main meal. ✔️ Do not donate blood during treatment or for at least 3 years afterward. ✔️ Avoid vitamin A supplements unless specifically directed. ✔️ Report severe abdominal pain, jaundice, headache, or vision changes. ✔️ Contact the prescriber immediately if pregnancy occurs. 🧠 NAPLEX MEMORY TIP: 💙 ACITRETIN = SORIATANE! 🚨 PREGNANCY = CONTRAINDICATED! 📅 AFTER STOPPING ACITRETIN = 3 YEARS! 🍷 AFTER STOPPING ACITRETIN = NO ALCOHOL FOR 2 MONTHS! 🩸 NO BLOOD DONATION FOR 3 YEARS! 🎓 BONUS NAPLEX QUESTION: Why must patients who can become pregnant avoid alcohol during acitretin treatment and for 2 months afterward? A. Alcohol decreases acitretin absorption B. Alcohol converts acitretin into long-lasting etretina
la peor foto😭 #fyp #humor #mama #cumpleaños
la peor foto😭 #fyp #humor #mama #cumpleaños
Bé biết lật → mồ hôi nhiều → dễ chàm sữa 😭 May mà Thanh Tâm đã tìm được Kutieskin👇 #Kutieskin #chamsua #viemdacodia
Bé biết lật → mồ hôi nhiều → dễ chàm sữa 😭 May mà Thanh Tâm đã tìm được Kutieskin👇 #Kutieskin #chamsua #viemdacodia
আপনার চেহারা কেনো ভুলতে পারি না #bangladesh
আপনার চেহারা কেনো ভুলতে পারি না #bangladesh

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