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How do I run Access as an Administrator?

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You should be able to get the Runas context menu entry if you right-click the executable file itself.

To get the same functionality from the shortcut, go to the shortcut's Properties → Advanced, and select "Run with different credentials".

Sometimes Microsoft apps have abnormal shortcuts, which have features like not having any target information because they use CLSIDs from the registry only. Bad combo for Win 7, apparently.

Although I don't understand why 7 wouldn't just give you a UAC prompt when you try to perform the desired action with Access already running. ?:|