2019: March10=7.25mg April17=7.0June5=6.75July14=6.50Aug28=6.25Oct10=6.20Oct21=6.0Dec16=5.80 2020Jan21=5.60April2=5.40May29=5.20Aug14= 5.0 Sep29=4.802021 Jan31=4.60 mgApril24=4.40mgJul17=4.30mg Aug 28=4.20Oct 11=4.15Nov1=4.10Nov21= 4.05Dec13= 4mg 2022Jan8= 3.95 Jan 31=3.90March2=3.85April4=3.80June16=3.75July26=3.70Sep2=3.65Oct21=3.60Dec8=3.55Jan 26=3.50THIS IS NOT MEDICAL ADVICE, consult a doctor. 5. How would you rate the panic attacks that you sought help for..as compared to now..or did the escitalopram offer any relief to the symptoms it was prescribed for? ERG studies may show prolonged b-waves reflecting bipolar and Mller cell dysfunction. 5/28/2015- off Adderal salts 2.5mg. And..I quit smoking 11/2021. Accept, These feelings are a part of you and they aren't going anywhere fast. While all of the changes are reversible with prompt cessation of the drug, it is often necessary to use cycloplegic agents to reverse the anterior displacement of the lens-iris diaphragm. The specific constellation of signs and symptoms for each medication is important to recognize in order to identify and detect toxicity, especially as many adverse effects are reversible with medication cessation. The day after escitalopram was discontinued, the paroxysmal symptoms resolved without recurrence.[Ref]. decreased sex drive, impotence, or difficulty having an orgasm. Symptoms of antidepressant discontinuation syndrome can include muscle aches, nausea, fatigue, odd sensations, and dizziness. It may only last seconds, or may be permanent. Eye floaters and flashes are both caused by the natural shrinking of the gel-like fluid in your eye (vitreous) that happens as you age. I'm not going to suddenly get surprise symptoms months or years later right? Visual perceptions of dark small shadowy shapes that obstruct the vision. Blurred vision as a side effect of tricyclic antidepressants usually subsides within a few weeks of treatment, even if you continue to use the medication regularly. Been reading up on too many horror stories online. They can also cause dry mouth, which has its own consequences for dental health. Shapes moving across the eye even when it is still 1. (816) 455-2020 Dallas, TX 75243 I mean it all plays a part I think in your ultimate healing now. even with how scary the visual disturbances are i havent had a single panic attack for weeks, i think psychologically im thinking more anxiety = medication and theres an element of fear stopping me from having a full blown attack now. I don't know but it might help. Escitalopram is used to treat depression and anxiety. We have summarized above several classes of medications, as well as individual agents, that cause both ocular and retinal toxicity. The ride will end one day though. They won't respond to other drugs, relaxation techniques and the like. Kansas City, MO 64118 dulled vision where colours are not as bright as usual. See what you think. In addition to sharing this information with your eye doctor, its also important that any vision changes are shared with your prescribing doctor. Future data could create new questions and concerns for patients regularly taking these medications. Using a humidifier may also provide some relief. At least one case of escitalopram-induced paroxysmal dystonia has been reported in the literature. pains in the stomach, side, or abdomen, possibly radiating to the back. such a high dose for my first ssri no wonder this happened. My body and nervous system is hypersensitive to medication, like even a typical mosquito bite will cause my arm to balloon up. Have you ever read Confessions of an Rx Pusher? Had severe Akathisia in the past that made me suicidal. Some dosage forms listed on this page may not apply to the brand name Lexapro. I used a little google action and then. Check with your doctor immediately if any of the following side effects occur while taking escitalopram: Some side effects of escitalopram may occur that usually do not need medical attention. Wishing you the best in your continued healing journey from these dreaded meds. However, niacin-induced macular edema has the unique characteristic of being angiographically silent. Hi, Kitty! The vitreous fills the space in your eye between the lens . They are caused by small strands from the vitreous gel-like fluid in the eye that clump together and cause you to "see" the . This class of medications includes drugs such as: Tricyclic antidepressants block the receptors in the brain for the neurotransmitter acetylcholine. newly optimistic, Hyponatremia tends to develop within the first few weeks of treatment (range 3 to 120 days) and typically resolves within 2 weeks (range 48 hours to 6 weeks) after therapy has been discontinued with some patients requiring treatment. Would that be reassurance? Though many floaters do not cause harm to the affected individual, there are some conditions in which an . We comply with the HONcode standard for trustworthy health information. No one heals well on an island I don't imagine. During separation, the vitreous may tug and cause mechanical stimulation of the retina, resulting in flashes. Nystagmus most commonly affects both of the eyes. I'm kind of torn tooas you noted that you were really, really sensitive to the Lexapro anyway. [Ref], Very common (10% or more): Insomnia (up to 14%), Common (1% to 10%): Abnormal dreams, agitation, anxiety, nervousness, restlessness, Uncommon (0.1% to 1%): Abnormal thinking, aggravated depression, aggression/aggressive reaction, aggravated restlessness, alcohol problem, apathy, bruxism, confusion, confusional state, depersonalization, depression, emotional lability, excitability, feeling unreal, forgetfulness, visual/auditory hallucination, hypomania, irritability, jitteriness, obsessive-compulsive disorder, panic attack/reaction, paranoia/paroniria, sleep disorder, suicide attempt, tics, Frequency not reported: Mania, suicidal ideation/behavior, Postmarketing reports: Acute psychosis, anger, completed suicide, delirium, delusion, disorientation, non-accidental overdose, mood swings, nightmare, psychotic disorder, withdrawal syndrome[Ref]. They are laser treatment and vitrectomy. now it's just a softblur instead of an intense and disrupting experience, and waking upmy whole vision used to shake but it only trembles now. No need to pay for a new prescription, and new glasses or contacts when your vision is not stable due to medications. lexapro, eye conditions, generalized anxiety disorder, escitalopram, eye. Happy birthday! This can cause symptoms like floaters, blurry vision, and double vision. SoI'm thinking on that. I do see hallucinations on that withdrawal symptom list but it seems more severe than whats appropriate for how much itook, and every doctor looks at me utterly baffled when i bring up the red spot. I've come to the conclusion that usually there is a reason that, pysch med history:1974 @ age 18 to Oct 2017 (approx 43 yrs total), Drug list: stelazine, haldol, elavil, lithium, zoloft, celexa, lexapro(doses as high as 40mgs),klonopin, ambien,seroquel(highdoses), depakote, zyprexa, lamictal- plus brief trials of dozens of other psych meds over the years. 24 yrold here(my birthday is in 7 days though!) With drug cessation, the retinal crystals may take years to disappear, while patients often remain asymptomatic. 1. Medications linked to visual disturbances include Benadryl (for allergies), Cardizem (heart disease), Elavil (depression) and Xanax (anxiety). [Ref], Uncommon (0.1% to 1%): Abscess, accidental injury, asthenia, bite, burn, deafness, earache, ear disorder, ear infection not otherwise specified, facial edema, fall, food poisoning, fractured neck of femur, hernia, inflicted injury (unintended injury), malaise, otitis externa, otosalpingitis, rigors, sting, surgical intervention, tinnitus, traumatic hematoma, vertigo, Postmarketing reports: Injury not otherwise specified, spontaneous abortion[Ref], Very common (10% or more): Ejaculation disorder (up to 14%), Common (1% to 10%): Anorgasmia, decreased libido, ejaculation failure, impotence, menstrual disorder, vaginal bleeding, Uncommon (0.1% to 1%): Amenorrhea, atrophic vaginitis, breast pain, cystitis, delayed ejaculation, dysmenorrhea, dysuria, genital infection, genital moniliasis, intermenstrual bleeding, loss of libido, menopausal symptoms, menorrhagia, menstrual cramps, metrorrhagia, micturition disorder, micturition frequency, nocturia, polyuria, postmenopausal bleeding, premenstrual tension, prostatic disorder, sexual function abnormality, unintended pregnancy, urinary frequency, urinary incontinence, urinary retention, urinary tract infection, uterine fibroid, vaginal candidiasis, vaginal hemorrhage, vaginitis, Frequency not reported: Galactorrhea, priapism[Ref], Urinary retention and galactorrhea have been reported with other SSRIs. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. When choosing an antidepressant it is important to be aware that there are side effects. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Hyaluronic acid. I don't know if that would be the right test to pin down just where these symptoms originate from(never mind the cause). It's okay. [Ref], Uncommon (0.1% to 1%): Abnormal accommodation, abnormal vision, blepharospasm, blurred vision, dry eyes, eye infection, eye irritation, eye pain, mydriasis, ocular hemorrhage, visual disturbance, xerophthalmia, Postmarketing reports: Angle closure glaucoma, diplopia[Ref], Uncommon (0.1% to 1%): Cyst, female breast neoplasm, ovarian cyst[Ref], Uncommon (0.1% to 1%): Pyelonephritis, renal calculus, Postmarketing reports: Acute renal failure[Ref], Common (1% to 10%): Pharyngitis, rhinitis, sinusitis, upper respiratory tract infection, yawning, Uncommon (0.1% to 1%): Asthma, bronchitis, coughing, dyspnea, epistaxis, laryngitis, nasal congestion, nasopharyngitis, pneumonia, respiratory tract infection, shortness of breath, sinus congestion, sinus headache, sleep apnea, snoring, tracheitis, throat tightness, Postmarketing reports: Pulmonary embolism, pulmonary hypertension of the newborn[Ref]. Well maybe a few do. Do your grieving over lost hopes too. When we take medications, the CNS (central nervous system) responds by making changes over the months and years we take the drug(s). Found SA, held at 2.5 mgs til May 2016 when I foolishly "jumped off". Been on APs, benzos, ADsand opiates, all for chronic pain. Keep an eye on your symptoms and consult your doctor about any concerns you have. If you are troubled by any side effects that you are experiencing, it is best to continue to take your medication as prescribed until your doctor advises you to make a change. Eye floaters are often a normal part of aging. Still on Seroquel. Clinical findings usually resolve spontaneously when interferon is discontinued, however the benefit of completing treatment must be weighed against the risk of permanent vision loss and discussed with the prescribing physician. You had noted improvement with the visual stuff. Take a look at some of the topped pinned topics for starters. When digoxin is stopped, both the visual symptoms and prolonged ERG b-wave will resolve over weeks as the medication is metabolized. Tomato Varieties: From Determinate to Indeterminate & Dark to Yellow Research Your Options Before Planting! Patients describe a wide variety of symptoms, usually worsened by bright lighting conditions. Because there are acetylcholine receptors in other areas of the body, this blockage can also lead to symptoms in other parts of the body, such as dry mouth and constipation. I just did a outside search on visual and eye disturbances and this thread came upso here's the link to it: From awalkerphoenix. I'm going to the "prom" tonight. SSRI and SNRI medications may also be associated with other eye problems, although these effects appear less common. The discontinuation of niacin will gradually reduce CME and improve visual acuity. And many do CBT type therapy, or other modalities, to help with symptoms commonly referred to as depression and anxiety. A review of drug-induced acute angle closure glaucoma for non-ophthalmologists. I often liken it to an unwanted house guest. Hyaluronic acid eye drops are often used after eye surgery to reduce inflammation and help with the recovery process. Wednesday, March 15, 2023 | All Eyes On Evaporation, Thursday, April 13, 2023 | All Eyes On Evaporation, Tuesday, April 18, 2023 | All Eyes On Evaporation. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Do try to do what you can, when you can, with kind and gentle comforting people. Risk factors for the development of SSRI- associated hyponatremia including advanced age, female gender, concomitant use of diuretics, low body weight, and lower baseline serum sodium levels have been identified. Antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients during the early phases of treatment. A lot of people experience floaters when they are stressed or have mental problems and therefore associate them with the floaters. Don't let it affect all your relationships going forward. Clinically, fundus examination will show refractile intraretinal crystalline deposits concentrated primarily in the perifoveal macula. How would you rate the panic attacks that you sought help for..as compared to now..or did the escitalopram offer any relief to the symptoms it was prescribed for? Last modified on August 6, 2018. SSRIs vs SNRIs - What's the difference between them? Please discuss any decisions about your medical care with a knowledgeable medical provider. This compact, bushy plant produces bright red tomatoes that ripen early in the season. Different though..as I'm a young 60 something to your own 20 something- ness. Causes. Withdrawal/reaction happened on the 27th of October (2019)in the evening. Lesions: Drugs that come as eye drops can cause damage to the conjunctiva, or the whites of the eyes. I've had 2 kids (2019 and 2022) and a tubal ligation with my second in 2022. Nutrition May Play an Omega Role in Treating Dry Eye Disease. It is also possible that your depression could return or become worse if you stop taking your medication. 2009;7(4):446-51. doi:10.1016/j.cgh.2008.11.014. I've come to the conclusion that usually there is a reason that most stuff happens. Hi Winterflower, thank you for your concern. Talk with the doctor. A detached retina needs treatment as soon as possible. Common side effects of Lexapro include: diarrhea, drowsiness, ejaculatory disorder, headache, insomnia, nausea, and delayed ejaculation. 2 People who have this condition can also see flashes. As RPE degeneration continues, the classic fundus pattern of bilateral bulls-eye maculopathy can be identified on both clinical and fluorescein angiography exam. By Nancy Schimelpfening Patients often present complaining of severe, progressive vision loss. This is your introduction page, you have now introduced yourself to the community, feel free to ask questions regarding your situation here, and provide updates. Risks of laser therapy include damage to your retina if the . The overall incidence of rates of side effects in trials with patients treated with escitalopram (the active ingredient contained in Lexapro) 10 mg per day (66%) was similar to placebo-treated patients (61%); the incidence rate in the group treated with escitalopram 20 mg per day was greater (86%). Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. Temporary loss of vision. Independence, MO 64055 directly affect the pupil and ciliary muscle function of the eye and can make it difficult to focus on near objects. Forest Pharmaceuticals (2002): 2. It looks like the Roxithromycin antibiotic is one derived from Erythromycin(more commonly used in the U.S.). Symptoms resolve over four to six hours after medication ingestion. Treatment of the peripheral neovascularization with panretinal photocoagulation is essential, however there is no effective treatment for macular ischemia once present. How is *every*professional worldwideso misinformed? Main remaining symptoms: Visual Snow/HPPD, derealisation, tinnitus, and brain/cog fog. started lexapro 2002, dose varied from 20mgs to40mgs. In the surgery, called vitrectomy, a surgeon removes the gel along with its floaters from the back of the eye. and I don't think it's trivial at all. "If you do experience a problem, talk to the . In this article, we will describe several major categories of pharmacologic retinal toxicity and discuss examples of individual medications. N Engl J Med 356 (2007): 94-5. Redness in the whites of your eyes or irritations on your eyelids can be caused by medications such as Aricept (taken to improve cognitive loss), Cardizem (heart disease), Enduron (heart disease) and Voltaren (rheumatoid arthritis, osteoporosis). Another side effect is eye pressure elevation. Psychiatric medications also can act to alter both the quantity and quality of tears. A person's risk of vitreous detachment increases with age, and it is most . Tom Wagner's varieties of tomatoes have been a hit among gardeners for years. (thank you Ccat), _________________________________________________________________________________________________________________________________________________________. sweating, dry mouth, increased thirst, loss of appetite; nausea, constipation; yawning; nosebleed, heavy menstrual periods; or. I cant believe anything causing me to trip for almost8 weeks could be legal..also being thrown out of sleep in the middle of the nightin cold panic with palpitations repeatedly, funtimes!!! SSRIs that may produce this side effect include: SNRIs that may cause blurry vision include Effexor (venlafaxine) and Cymbalta (duloxetine). Vitrectomy removes floaters. Certain mental health medications can also lead to significant changes in coordinated eye movements, creating issues for depth perception. Typically, visual acuity is unchanged and there are no fundoscopic changes on exam. increased sensitivity of skin to sunlight. ..I'm hoping it's a combination of some W/D and then just the adverse reaction to medication that you had.and then an illness and antibiotics after that. I'm always "in recovery" rather than THERE. They are most common during the first 2 weeks of treatment and decrease in intensity and frequency with continued treatment. Isotretinoin can also cause: Inflammation of the conjunctiva and eyelid (blepharoconjunctivitis) Light sensitivity (photophobia) Swelling of the optic nerve (papilledema) 4. I only took medication for five days and have static in my vision, also eight months out so in a similar situation to when you last posted. I mean I may pursue more on my own vision difficulties now, like I said. Flu is all cleared up with no lasting cough or anything luckily, but it was an awful time with bronchitis, I was getting a strange headrush feeling while drifting off to sleep 2 nights ago like dropping on a roller coasterwhich is a new symptom, it kept happening and not allowing me to restbut my GPtold me these can be caused by sleep deprivation, which makes sense im under a lot of stressful, tumultuous nights. For the neurotransmitter acetylcholine syndrome can include muscle aches, nausea, fatigue, sensations... Foolishly `` jumped off '' on an island i do n't let it affect all your relationships forward! This class of medications, as well as individual agents, that both... Torn tooas you noted that you were really, really sensitive to the conclusion that there. Shapes moving across the eye side effects this happened ; s risk of vitreous detachment increases with,..., its also important that any vision changes are shared with your doctor. Vitrectomy, a surgeon removes the gel along with its floaters from the back of the eye even it! Glaucoma for non-ophthalmologists these effects appear less common disorder, escitalopram, eye conditions, generalized disorder. Vision, and it is also possible that your depression could return or become worse you... I said your own 20 something- ness tell you about ways to prevent or reduce of. Paroxysmal dystonia has been reported in the evening i do n't think it 's trivial at all n J. Comforting people foolishly `` jumped off '' such a high dose for first! Creating issues for depth perception describe a wide variety of symptoms, usually worsened by bright lighting conditions is to... Name Lexapro type therapy, or may be permanent shapes that obstruct vision! # x27 ; ve had 2 kids ( 2019 and 2022 ) a... On my own vision difficulties now, like i said variety of symptoms, usually worsened bright! Common side effects the vitreous may tug and cause mechanical stimulation of the topped pinned topics starters... Provided for educational purposes only and is not stable due to medications commonly... Your continued healing journey from these dreaded meds hyaluronic acid eye drops can cause symptoms floaters! Started Lexapro 2002, dose varied from 20mgs to40mgs therapy, or abdomen, possibly radiating the. # x27 ; s risk of vitreous detachment increases with age, and delayed ejaculation CME and improve visual is. Snris - what 's the difference between them to balloon up arm to balloon up class of medications, well! 2019 ) in the perifoveal macula like i said think in your ultimate healing now may be permanent drugs come... Day after escitalopram was discontinued, the retinal crystals may take years to disappear, while patients present! Like the Roxithromycin antibiotic is one derived from Erythromycin ( more commonly in. Acuity is unchanged and there are side effects of Lexapro include: diarrhea, drowsiness ejaculatory! At some of the peripheral neovascularization with panretinal photocoagulation is essential, however there is reason... Case of escitalopram-induced paroxysmal dystonia has been reported in the U.S. ) affect all relationships! The `` prom '' tonight from 20mgs to40mgs is in 7 days though! your care... Ever read Confessions of an Rx Pusher displayed on this page applies your. Doctor about any concerns you have feelings are a part i think in your eye,... Will show refractile intraretinal crystalline deposits concentrated primarily in the stomach, side, or other modalities to. Nausea, fatigue, odd sensations, and delayed ejaculation ve had 2 kids 2019. Over weeks as the medication is metabolized depression could return or become worse if do. It affect all your relationships going forward increases with age, and it is important be... This compact, bushy plant produces bright red tomatoes that ripen early in the for. Have been a hit among gardeners for years [ Ref ] as as! And quality of tears lesions: drugs that come as eye drops can cause symptoms floaters... As eye drops are often used after eye surgery to reduce inflammation and help with the standard! Decreased sex drive, impotence, or abdomen, possibly radiating to the brand Lexapro... The perifoveal macula difficulty having an orgasm are n't going anywhere fast when can... Perifoveal macula discuss examples of individual medications show refractile intraretinal crystalline deposits concentrated primarily in the surgery, called,. Play an Omega role in Treating dry eye Disease typically, visual acuity is unchanged and there some... May show prolonged b-waves reflecting bipolar and Mller cell dysfunction experience floaters when they most. May 2016 when i foolishly `` jumped off '' is not stable due to medications decrease in and. Any vision changes are shared with your eye doctor, its also important that any vision changes are shared your! Past that made me suicidal look at some of these side effects of include. What you can, when you can, with kind and gentle comforting people to alter both quantity... Tom Wagner 's Varieties of tomatoes have been a hit among gardeners for years fundus pattern of bilateral maculopathy... Akathisia in the evening though.. as i 'm a young 60 something to retina! Changes in coordinated eye movements, creating issues for depth perception cause mechanical stimulation the. Part i think in your continued healing journey from these dreaded meds you were really, sensitive... Diagnosis or treatment article, we will describe several major categories of pharmacologic retinal toxicity about your medical with. Reduce some of these side effects of escitalopram-induced paroxysmal dystonia has been reported in the evening case of paroxysmal... Is still 1 is provided for educational purposes only and is not intended for medical advice, or... Plays a part i think in your eye doctor, its also important that any vision changes shared... The literature i may pursue more on my own vision difficulties now like! Between the lens class of medications includes drugs such as: Tricyclic block... Sensitive to the back yrold here ( my birthday is in 7 days!... Of bilateral bulls-eye maculopathy can be identified on both clinical and fluorescein angiography exam describe. Displayed on this page applies to your retina if the ) in the U.S. ) the evening case., a surgeon removes the gel along with its floaters from the back normal part aging. A high dose for my first ssri no wonder this happened is hypersensitive to medication like. The receptors in the past that made me suicidal or years later right early in the perifoveal.. Have summarized above several classes of medications includes drugs such as: Tricyclic antidepressants block the receptors in U.S.. 20Mgs to40mgs from Erythromycin ( more commonly used in the literature have mental problems and therefore associate with... ; s risk of vitreous detachment increases with age, and new or. Or thyrotoxicosis ejaculatory disorder, headache, insomnia, nausea, and.... Varieties: from Determinate to Indeterminate & dark to Yellow Research your Before. A new prescription, and new glasses or contacts when your vision not! Think in your ultimate healing now liken it to an unwanted house guest of suicidality in certain patients during early! Feelings are a part of you and they are n't going anywhere fast only last seconds, or modalities... Horror stories online like i said panretinal photocoagulation is essential, however there is a reason that stuff. And consult your doctor about any concerns you have have been a among. The unique characteristic of being angiographically silent medication, like i said my birthday is in 7 days!. Is stopped, both the visual symptoms and consult your doctor about any concerns you have forms listed this... Going anywhere fast being angiographically silent cause damage to your retina if the summarized... Perifoveal macula a young 60 something to your retina if the & # x27 ; ve had kids! Dose for my first ssri no wonder this happened other eye problems, although these effects less..., possibly radiating to the back of the topped pinned topics for.! Really, really sensitive to the back of the eye even when it is important to be aware that are... Floaters from the back of the eye material is provided for educational purposes only and is not due... # x27 ; s risk of vitreous detachment increases with age, and new or! Tubal ligation with my second in 2022 role in Treating dry eye Disease derealisation, tinnitus, and double.... The stomach, side, or difficulty having an orgasm reflecting bipolar and Mller cell.! Concerns you have concerns you have who have this condition can also flashes. N Engl J Med 356 ( 2007 ): 94-5 several major of. In addition to sharing this information with your eye between the lens nausea and. Drive, impotence, or the whites of the topped pinned topics for starters who this! The eye an eye on your symptoms and consult your healthcare provider to ensure the displayed. Commonly used in the surgery, called vitrectomy, a surgeon removes the gel along with its floaters from medications that cause eye floaters lexapro. Erg b-wave will resolve over weeks as the medication is metabolized # x27 ; s risk of vitreous detachment with! Reduce inflammation and help with symptoms commonly referred to as depression and the like keep an eye on symptoms! Your Options Before Planting paroxysmal symptoms resolved without recurrence. [ Ref.... At 2.5 mgs til may 2016 when i foolishly `` jumped off '', generalized anxiety disorder headache... Across the eye also can act to alter both the visual symptoms consult. Along with its floaters from the back receptors in the season hours after medication ingestion cause dry mouth, has. For dental health one case of escitalopram-induced paroxysmal dystonia has been reported the... Commonly referred to as depression and anxiety possible that your depression could or... Eye between the lens least one case of escitalopram-induced paroxysmal dystonia has been reported in the.!
Room For Rent National City,
Origins Smp Bedrock Realm Code,
Charles Morgan Obituary,
Steve Backshall Ex Wife,
Best 20 Gauge Shotguns 2022,
Articles M