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What is 4th tab

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The 4th item on the prescription (Rx) reads:
4) T. the fastest strong of SAS - however, the handwriting is difficult to fully decipher here.
Looking more carefully at the image, the 4 items listed appear to be:
  1. T. Cepanvel-D (or Cepan-D) - with dosage 1 → α → q
  2. T. Monte-Le (or similar) - with dosage 1 → α → 1
  3. T. Cencee Strong - with dosage 1 → α → p
  4. T. the fastest strong (possibly Defamet Strong or similar brand) - of SAS / OD/BD
The 4th tab is most likely T. Defamet Strong or a similarly named tablet - the handwriting on item 4 is cursive and partially unclear. Could you confirm the drug name or provide a clearer image? It appears to be a Strong formulation tablet, possibly an anti-inflammatory or nutritional supplement combination.
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