{"id":630693,"date":"2024-12-10T12:21:51","date_gmt":"2024-12-10T17:21:51","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630693"},"modified":"2025-12-08T14:16:59","modified_gmt":"2025-12-08T19:16:59","slug":"clonazepam-and-trazodone","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/clonazepam-and-trazodone\/","title":{"rendered":"Is it safe to take clonazepam and trazodone together?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Feeling anxious and having trouble sleeping can hurt one\u2019s mental health. Sometimes, your healthcare provider may prescribe certain medications to help with these issues. Two common drugs prescribed are clonazepam and trazodone.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=ebc11109-e7bf-452d-b675-4b3236d54164&amp;audience=consumer\"><span style=\"font-weight: 400;\">Clonazepam<\/span><\/a><span style=\"font-weight: 400;\"> is a generic prescription medication <\/span><span style=\"font-weight: 400;\">used to treat seizures or panic disorder. It belongs to a class of drugs called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\">. With its pronounced sedative effects, healthcare providers frequently prescribe clonazepam for off-label, unapproved uses such as anxiety, insomnia, and other medical conditions. <\/span><span style=\"font-weight: 400;\">In the United States, both clonazepam and trazodone are available as brand-name drugs with a generic option. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/klonopin\/what-is\"><span style=\"font-weight: 400;\">Klonopin<\/span><\/a><span style=\"font-weight: 400;\"> is the brand name for clonazepam.<\/span><\/p>\n<p><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=ed3039d8-3d27-4b71-a4b0-812943c9457f&amp;audience=consumer\"><span style=\"font-weight: 400;\">Trazodone<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription medication approved by the Food and Drug Administration (FDA) to treat<\/span> <a href=\"https:\/\/www.singlecare.com\/conditions\/depression-causes\"><span style=\"font-weight: 400;\">depression<\/span><\/a><span style=\"font-weight: 400;\">, a common mental health condition. Trazodone is a generic prescription that healthcare providers may often prescribe off-label to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\"> if other treatments don\u2019t work. <\/span><span style=\"font-weight: 400;\">Brand-name versions of trazodone, including Desyrel, Desyrel Dividose, Trialodine, and Oleptro, have all been discontinued in the United States.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare providers may prescribe both clonazepam and trazodone for insomnia even though they\u2019re FDA approved for use as sleep aids. But there are important things to consider, even if they\u2019re prescribed under the guidance of a healthcare provider.\u00a0<\/span><\/p>\n<h2 id=\"can-you-take-trazodone-and-clonazepam-together\"><span style=\"font-weight: 400;\">Can you take trazodone and clonazepam together?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes, in some cases, you can take clonazepam and trazodone together. But it&#8217;s not something you should do without talking to your healthcare provider first. Clonazepam can help reduce <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\">, while trazodone can improve sleep, so healthcare providers may prescribe both drugs together for people who have severe anxiety along with sleep problems.\u00a0<\/span><\/p>\n<h3 id=\"warnings-and-side-effects-of-taking-trazodone-with-clonazepam\"><span style=\"font-weight: 400;\">Warnings and side effects of taking trazodone with clonazepam<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Combining clonazepam and trazodone can increase side effects like dizziness, drowsiness, confusion, and difficulty concentrating. Older adults might experience impairments in thinking, judgment, and motor coordination while taking both drugs. Avoid <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/alcohol-anti-anxiety-medication\/\"><span style=\"font-weight: 400;\">alcohol<\/span><\/a><span style=\"font-weight: 400;\"> and activities requiring mental alertness, such as driving, until you know how these medications affect you. Always inform your healthcare provider about any prescription and over-the-counter (OTC) medications, natural supplements, vitamins, and herbs you\u2019re taking. Don&#8217;t stop using any medications without consulting your healthcare provider first.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2798875\"><span style=\"font-weight: 400;\">2022 study<\/span><\/a><span style=\"font-weight: 400;\"> looked at whether treating sleep disorders with benzodiazepines, compared to other medications like trazodone, hydroxyzine, and Z-drugs (zolpidem, zaleplon, eszopiclone), increases the risk of drug overdose in young people. The study found that young people using benzodiazepines had a higher risk of overdose compared to those using other sleep medications. This highlights the need for caution when prescribing benzodiazepines to young people.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Benzodiazepines can be habit-forming and carry risks of abuse, misuse, and addiction, which can lead to respiratory depression, overdose, or death. As a result, benzodiazepines are classified as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/controlled-substances-act\/\"><span style=\"font-weight: 400;\">controlled substances<\/span><\/a><span style=\"font-weight: 400;\"> by the Drug Enforcement Administration (DEA)\u2014specifically as <\/span><a href=\"https:\/\/www.dea.gov\/drug-information\/drug-scheduling\"><span style=\"font-weight: 400;\">Schedule IV drugs<\/span><\/a><span style=\"font-weight: 400;\">, which have a low risk of dependency and abuse but more risk than Schedule V drugs.<\/span><\/p>\n<h2 id=\"how-to-take-clonazepam-with-trazodone\"><span style=\"font-weight: 400;\">How to take clonazepam with trazodone<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It&#8217;s important to take medications like trazodone and clonazepam together only if your healthcare provider approves. They will decide whether the benefits outweigh the risks, considering factors like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your age and overall health<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other medications or supplements you&#8217;re using<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How severe your symptoms are<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your risk for side effects<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If your healthcare provider decides it&#8217;s okay for you to take both medications, they&#8217;ll give you specific instructions. Here are some general tips:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Take each medication exactly as prescribed. Don&#8217;t change the dose or timing without talking to your healthcare provider first, and do<\/span><span style=\"font-weight: 400;\"> not stop using either of the medications without first talking to your healthcare provider.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Usually, you&#8217;d take clonazepam earlier in the day for anxiety and trazodone closer to bedtime for sleep. But always follow your healthcare provider&#8217;s instructions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your healthcare provider may start with low doses of each medication and slowly increase the doses if needed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Be aware and careful with activities like driving or operating machinery, especially when you first start taking these drugs together. They can make you very sleepy and slow down your reaction time.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/aasm.org\/clinical-resources\/practice-standards\/practice-guidelines\/\"><span style=\"font-weight: 400;\">American Academy of Sleep Medicine\u2019s practice guidelines<\/span><\/a><span style=\"font-weight: 400;\"> recommend the use of low-dose trazodone as a second-line treatment option for secondary insomnia when treating concurrent depression or anxiety. The drug is a third-line treatment option when other first- and second-line treatment options (e.g., melatonin agonists and benzodiazepine agonists such as zolpidem and temazepam) are ineffective for treating chronic primary insomnia.<\/span><\/p>\n<h2 id=\"is-clonazepam-or-trazodone-better\"><span style=\"font-weight: 400;\">Is clonazepam or trazodone better?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Clonazepam and trazodone are different types of medications, even though they might be used to treat some of the same problems. Which one is &#8220;better&#8221; depends on what it&#8217;s used for and how a person&#8217;s body responds.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a benzodiazepine, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/klonopin\"><span style=\"font-weight: 400;\">Klonopin<\/span><\/a><span style=\"font-weight: 400;\"> (clonazepam) works by increasing the effectiveness of a chemical messenger in the brain called gamma-aminobutyric acid (GABA), which reduces the excitability of neurons, leading to a calming effect. Clonazepam is also used <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> (without FDA approval) to treat other conditions such as anxiety, restless leg syndrome, sleepwalking, and Tourette syndrome. Clonazepam is available as an oral tablet and an orally disintegrating tablet, which can be helpful for people who have difficulty swallowing traditional oral tablets or capsules.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470560\/\"><span style=\"font-weight: 400;\">Trazodone<\/span><\/a><span style=\"font-weight: 400;\"> is a serotonin antagonist and reuptake inhibitor (SARI) that works by increasing serotonin levels in the brain. This causes trazodone to have a sedative effect, causing sleepiness. For this reason, it is sometimes prescribed off-label for conditions such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-sleep-better\/\"><span style=\"font-weight: 400;\">insomnia<\/span><\/a><span style=\"font-weight: 400;\">, anxiety, and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/fibromyalgia-symptoms\"><span style=\"font-weight: 400;\">fibromyalgia<\/span><\/a><span style=\"font-weight: 400;\">. Although the American Academy of Sleep Medicine doesn\u2019t recommend trazodone as a first-choice medication for insomnia, healthcare professionals may prescribe it because it causes fewer side effects than <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/insomnia-treatment-and-medications\"><span style=\"font-weight: 400;\">other medications for sleep issues<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Several studies have compared these drugs for specific uses:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sleep disorders:<\/b><span style=\"font-weight: 400;\"> In a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5842888\/\"><span style=\"font-weight: 400;\">systematic review<\/span><\/a><span style=\"font-weight: 400;\">, trazodone was more effective than benzodiazepines (the class of drugs that includes clonazepam) for treating insomnia in patients with depression. Trazodone improved sleep quality with fewer side effects.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anxiety disorders: <\/b><span style=\"font-weight: 400;\">Research published in <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4857865\/#\"><i><span style=\"font-weight: 400;\">Clinical Psychopharmacology and Neurosci<\/span><\/i><i><span style=\"font-weight: 400;\">ence<\/span><\/i><\/a><span style=\"font-weight: 400;\"> showed that clonazepam was more effective than placebo in treating generalized anxiety disorder. It worked quickly and was well-tolerated by patients. While trazodone can help with anxiety, especially when it&#8217;s related to depression, it&#8217;s not typically a first-choice treatment for anxiety disorders.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Parkinson&#8217;s disease: <\/b><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10072-022-06188-4\"><span style=\"font-weight: 400;\">2022 study<\/span><\/a><span style=\"font-weight: 400;\"> evaluated trazodone, clonazepam, and melatonin safety and efficacy in improving sleep quality in patients with Parkinson&#8217;s disease. After four weeks, all treatments led to better sleep. Still, melatonin was more effective at reducing symptoms of REM sleep behavior disorder, while trazodone improved daytime sleepiness more than clonazepam.\u00a0<\/span><\/li>\n<\/ol>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"clonazepam-vs-trazodone-comparison-chart\"><span class=\"title\">Clonazepam vs. trazodone: Comparison chart<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><span style=\"font-weight: 400;\">Clonazepam<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Trazodone<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Drug class<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Benzodiazepine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antidepressant (serotonin modulator)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Standard dosage and forms<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tablets or disintegrating tablets, 0.25\u20134 mg\/day, often divided into several doses<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For depression, doses usually range from 150\u2013400 mg per day\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For sleep issues, lower doses of 25\u2013100 mg at bedtime are common<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Risks and restrictions to consider<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can be habit-forming<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shouldn&#8217;t be stopped suddenly<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can cause withdrawal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid alcohol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caution with certain types of glaucoma<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rare risk of priapism in men<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Don&#8217;t use within 14 days of taking MAOIs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May increase bleeding risk with blood thinners<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can cause low blood pressure<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Side effects<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unsteadiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Memory problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slurred speech<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blurred vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Average cost without insurance<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$31 for 30, 0.5 mg tablets of generic clonazepam<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$38 for 30, 50 mg tablets of generic trazodone\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">SingleCare cost<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/clonazepam#coupon-prices\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/trazodone-hcl#coupon-prices\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Learn more<\/span><\/td>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/clonazepam\/what-is\"><span style=\"font-weight: 400;\">More clonazepam details<\/span><\/a><\/td>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/trazodone-hcl\/what-is\"><span style=\"font-weight: 400;\">More trazodone details<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><small>Prescription drug prices often change. These are the most accurate medication prices at the time of publishing in ZIP code 23666 as of 12\/08\/25. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available.<\/small><\/p>\n<p><span style=\"font-weight: 400;\">When deciding between clonazepam and trazodone, healthcare providers consider several factors:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The main symptoms being treated (anxiety, depression, sleep problems, etc.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How quickly the medication needs to work<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potential side effects and how they might affect the patient<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risk of dependence (which is higher with clonazepam)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other health conditions the patient might have<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other medications the patient is taking<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For example, if someone has both depression and insomnia, a healthcare provider might choose trazodone because it can help with both issues. But if someone has severe panic attacks and needs quick relief, clonazepam might be a better choice.<\/span><\/p>\n<h2 id=\"bottom-line\"><span style=\"font-weight: 400;\">Bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Remember, the choice between clonazepam and trazodone (or using both) should always be<\/span><\/p>\n<p><span style=\"font-weight: 400;\">made by a healthcare provider who knows your complete medical history.<\/span> <span style=\"font-weight: 400;\">While it&#8217;s possible to take clonazepam and trazodone together in some cases, it&#8217;s crucial to do so only under a healthcare provider&#8217;s guidance. These medications can interact with each other and with other drugs you might be taking. Always follow your healthcare provider&#8217;s instructions carefully, and only change your dosage after talking to them first.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Feeling anxious and having trouble sleeping can hurt one\u2019s mental health. Sometimes, your healthcare provider may prescribe certain medications to help with these issues. Two common drugs prescribed are clonazepam and trazodone.\u00a0 Clonazepam is a generic prescription medication used to treat seizures or panic disorder. It belongs to a class of drugs called benzodiazepines. With [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":630694,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[9777,788],"coauthors":[21032],"class_list":["post-630693","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-anxiety","tag-drug-safety","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Is it safe to take clonazepam and trazodone together?<\/title>\n<meta name=\"description\" content=\"Taking Klonopin (clonazapam) with trazodone increases the risk of side effects like like dizziness, drowsiness, confusion, and difficulty concentrating.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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