Capsaicin Patches (Qutenza®) Introduction This Leaflet Tells You About Capsaicin 8% Patches (Also Known As Qutenza®)
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Issue 3 Combinations Were Banned in the Month of March, 2016
344 FDC’s REGIMEN Banned in CHIPS India The Health Ministry has banned 344 ‘Fixed HIP C S ✪ Dose Combination’ (FDC) ✪ drugs, leading to an immediate suspension of the manufacturing and sale of some popular medicines in India. Fixed drug combinations have mushroomed in the market as the Pharmaceutical companies ✪ in their quest for newer products and to increase G ✪ UNTUR FR Drug Information News Letter its sales, mix and match ingredients into a single OM C EATION molecule to market them as newer remedies. 344 of such ONCEPT TO CR Jan-Mar 2016, Volume 1, Issue 3 combinations were banned in the month of March, 2016. Keeping in view of the Risk that is associated with these Fixed drug combinations and safer alternatives being available in the market, the Ministry moved ahead with its decision to ban all the 344 fixed drug combinations. Simethicone, *fixed dose combination of Magaldrate + Papain + Fungul Here is the list of 344 banned fixed Drug Combinations in India Diastase + Simethicone, *fixed dose combination of Rabeprazole + Zinc + Domperidone, *fixed dose combination of Famotidine + Oxytacaine + *Aceclofenac + Paracetamol + Rabeprazole, *Nimesulide + Diclofenac, *Diphenoxylate + Atropine + Furazolidone, * Combikit of Fluconazole Magaldrate,*fixed dose combination of Ranitidine + Domperidone + *Nimesulide + Cetirizine + Caffeine, *Nimesulide + Tizanidine, Tablet, Azithromycin Tablet and Ornidazole Tablets, *Ciprofloxacin + Simethicone,*fixed dose combination of Alginic Acid + Sodium *Paracetamol + Cetirizine + Caffeine*Diclofenac + -
Ascorbic Acid/ Paracetamol/ Phenylephrine Hydrochloride PSUSA/00000255/202006 List of Nationally Authorised Medicinal Products
11 February 2011 Human Medicines Evaluation Division List of nationally authorised medicinal products Active substance: ascorbic acid/paracetamol/phenylephrine hydrochloride Procedure no.: PSUSA/00000255/202006 Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000 An agency of the European Union © European Medicines Agency, 2021. Reproduction is authorised provided the source is acknowledged. Member State where Product full name MRP/DCP or CP National Authorisation MAH of product in the member product is (in authorisation country) Authorisation number Number state authorised OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/06 KFT. HU OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/05 KFT. HU OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/11 KFT. HU Blackcurrant Coldrex Powders not available PL 02855/0271 OMEGA PHARMA LTD UK AZIENDE CHIMICHE RIUNITE TACHIFLUDEC polvere per soluzione orale gusto ANGELINI FRANCESCO - menta not available 034358073 A.C.R.A.F. S.P.A. IT AZIENDE CHIMICHE RIUNITE TACHIFLUDEC polvere per soluzione orale gusto ANGELINI FRANCESCO - menta. not available 034358085 A.C.R.A.F. S.P.A. IT List of nationally authorised medicinal products Page 2/8 COLDREX MAXGRIP MENTHOL & BERRIES, 1000 mg/70 mg/10 mg, suukaudse lahuse pulber kotikeses not available 798812 RICHARD BITTNER AG, EE GLAXOSMITHKLINE CONSUMER HEALTHCARE Beechams Cold & Flu Hot Lemon not available MA 932/00103 (UK) TRADING LIMITED MT OMEGA PHARMA HUNGARY Coldrex citrom ízű por belsőleges oldathoz not available OGYI-T-1715/01 KFT. -
Management of Poisoning
MOH CLINICAL PRACTICE GUIDELINES December/2011 Management of Poisoning Health Ministry of Sciences Chapter of Emergency College of College of Family Manpower Authority Physicians Physicians, Physicians Academy of Medicine, Singapore Singapore Singapore Singapore Medical Pharmaceutical Society Society for Emergency Toxicology Singapore Paediatric Association of Singapore Medicine in Singapore Society (Singapore) Society Executive summary of recommendations Details of recommendations can be found in the main text at the pages indicated. Principles of management of acute poisoning – resuscitating the poisoned patient GPP In a critically poisoned patient, measures beyond standard resuscitative protocol like those listed above need to be implemented and a specialist experienced in poisoning management should be consulted (pg 55). GPP D Prolonged resuscitation should be attempted in drug-induced cardiac arrest (pg 55). Grade D, Level 3 1 C Titrated doses of naloxone, together with bag-valve-mask ventilation, should be administered for suspected opioid-induced coma, prior to intubation for respiratory insuffi ciency (pg 56). Grade C, Level 2+ D In bradycardia due to calcium channel or beta-blocker toxicity that is refractory to conventional vasopressor therapy, intravenous calcium, glucagon or insulin should be used (pg 57). Grade D, Level 3 B Patients with actual or potential life threatening cardiac arrhythmia, hyperkalaemia or rapidly progressive toxicity from digoxin poisoning should be treated with digoxin-specifi c antibodies (pg 57). Grade B, Level 2++ B Titrated doses of benzodiazepine should be given in hyperadrenergic- induced tachycardia states resulting from poisoning (pg 57). Grade B, Level 1+ D Non-selective beta-blockers, like propranolol, should be avoided in stimulant toxicity as unopposed alpha agonism may worsen accompanying hypertension (pg 57). -
The Two Faces of Capsaicin
Published OnlineFirst April 12, 2011; DOI: 10.1158/0008-5472.CAN-10-3756 Cancer Review Research The Two Faces of Capsaicin Ann M. Bode and Zigang Dong Abstract Capsaicin (trans-8-methyl-N-vanillyl-6-nonenamide) is the principal pungent component in hot peppers, including red chili peppers, jalapeños, and habaneros. Consumed worldwide, capsaicin has a long and convoluted history of controversy about whether its consumption or topical application is entirely safe. Conflicting epidemiologic data and basic research study results suggest that capsaicin can act as a carcinogen or as a cancer preventive agent. Capsaicin is unique among naturally occurring irritant compounds because the initial neuronal excitation evoked is followed by a long-lasting refractory period, during which the previously excited neurons are no longer responsive to a broad range of stimuli. This process is referred to as desensitization and has been exploited for its therapeutic potential. Capsaicin-containing creams have been in clinical use for many years to relieve a variety of painful conditions. However, their effectiveness in pain relief is also highly debated and some adverse side effects have been reported. We have found that chronic, long-term topical application of capsaicin increased skin carcinogenesis in mice treated with a tumor promoter. These results might imply that caution should be exercised when using capsaicin-containing topical applications in the presence of a tumor promoter, such as, for example, sunlight. Cancer Res; 71(8); 2809–14. Ó2011 AACR. Introduction tion of gastric juice. The structure of capsaicin was partially solved by Nelson in 1919 (5), and the compound was originally Capsaicin (trans-8-methyl-N-vanillyl-6-nonenamide; Fig. -
1. Generic Name Paracetamol, Phenylephrine, Chlorpheniramine Maleate, Sodium Citrate, Menthol 2. Qualitative and Quantitative Co
1. Generic Name Paracetamol, Phenylephrine, Chlorpheniramine maleate, Sodium citrate, Menthol 2. Qualitative and Quantitative composition Paracetamol 125 mg Phenylephrine 5 mg Chlorpheniramine maleate 1 mg Sodium citrate 60 mg Mentholated flavoured syrupy base q.s. 3. Dosage form and strength Oral syrup containing Paracetamol 125 mg, Phenylephrine 5 mg, Chlorpheniramine maleate 1 mg. 4. Clinical particulars 4.1 Therapeutic indication Sinarest Syrup is indicated in children below 40 kg weight for: • Relief of nasal and sinus congestion. • Relief of allergic symptoms of the nose or throat due to upper respiratory tract allergies. • Relief of sinus pain and headache. • Adjunct with antibacterial in sinusitis, tonsillitis and otitis media. 4.2 Posology and method of administration Children of age between 2 to 12 years (body weight- 6 - 40 kg): The usual recommended dose is as shown in the table below which will be given to the patient: Weight Age Dose 6 – 22.9 2 – 7 years 5 ml BID 11.9 – 40 7 – 12 years 5 ml TID 4.3 Contraindication The use of Sinarest syrup is contraindicated in patients with: Hypersensitivity to any of the ingredients of the formulation. Severe hypertension. 4.4 Special warnings and precautions for use In case a hypersensitivity reaction occurs which is rare, Sinarest syrup should be discontinued. Sinarest syrup contains Paracetamol and therefore should not be used in conjunction with other Paracetamol containing products. Sinarest syrup should be used with caution in patients with renal or hepatic dysfunction, diabetes mellitus, hyperthyroidism, cardiovascular problems, epilepsy and closed angle glaucoma. 4.5 Drug interactions Clinically significant drug interactions may occur on concomitant administration of Sinarest syrup with monoamine oxidase inhibitors, tricyclic antidepressants, beta-adrenergic agents, and methyldopa, reserpine and veratrum alkaloids. -
Excluded Drug List
Excluded Drug List The following drugs are excluded from coverage as they are not approved by the FDA ACTIVE-PREP KIT I (FLURBIPROFEN-CYCLOBENZAPRINE CREAM COMPOUND KIT) ACTIVE-PREP KIT II (KETOPROFEN-BACLOFEN-GABAPENTIN CREAM COMPOUND KIT) ACTIVE-PREP KIT III (KETOPROFEN-LIDOCAINE-GABAPENTIN CREAM COMPOUND KIT) ACTIVE-PREP KIT IV (TRAMADOL-GABAPENTIN-MENTHOL-CAMPHOR CREAM COMPOUND KIT) ACTIVE-PREP KIT V (ITRACONAZOLE-PHENYTOIN SODIUM CREAM CMPD KIT) ADAZIN CREAM (BENZO-CAPSAICIN-LIDO-METHYL SALICYLATE CRE) AFLEXERYL-LC PAD (LIDOCAINE-MENTHOL PATCH) AFLEXERYL-MC PAD (CAPSAICIN-MENTHOL TOPICAL PATCH) AIF #2 DRUG PREPERATION KIT (FLURBIPROFEN-GABAPENT-CYCLOBEN-LIDO-DEXAMETH CREAM COMPOUND KIT) AGONEAZE (LIDOCAINE-PRILOCAINE KIT) ALCORTIN A (IODOQUINOL-HYDROCORTISONE-ALOE POLYSACCHARIDE GEL) ALEGENIX MIS (CAPSAICIN-MENTHOL DISK) ALIVIO PAD (CAPSAICIN-MENTHOL PATCH) ALODOX CONVENIENCE KIT (DOXYCYCLINE HYCLATE TAB 20 MG W/ EYELID CLEANSERS KIT) ANACAINE OINT (BENZOCAINE OINT) ANODYNZ MIS (CAPSAICIN-MENTHOL DISK) APPFORMIN/D (METFORMIN & DIETARY MANAGEMENT CAP PACK) AQUORAL (ARTIFICIAL SALIVA - AERO SOLN) ATENDIA PAD (LIDOCAINE-MENTHOL PATCH) ATOPICLAIR CRE (DERMATOLOGICAL PRODUCTS MISC – CREAM) Page 1 of 9 Updated JANUARY 2017 Excluded Drug List AURSTAT GEL/CRE (DERMATOLOGICAL PRODUCTS MISC) AVALIN-RX PAD (LIDOCAINE-MENTHOL PATCH) AVENOVA SPRAY (EYELID CLEANSER-LIQUID) BENSAL HP (SALICYLIC ACID & BENZOIC ACID OINT) CAMPHOMEX SPRAY (CAMPHOR-HISTAMINE-MENTHOL LIQD SPRAY) CAPSIDERM PAD (CAPSAICIN-MENTHOL -
Topical Analgesics: Expensive and Avoidable
TOPICAL ANALGESICS: EXPENSIVE AND AVOIDABLE FAST FOCUS Some very expensive topical creams and gels are creeping into the workers’ compensation Close management of custom compounds prescription files. Previously, the issue of custom compounds was highlighted and the has decreased their prevalence in workers’ attention to these prescriptions has resulted in a decrease in the number of prescriptions compensation. But private-label topicals and homeopathic products have filled the void. seen. However, the price of these compounds has increased significantly. Neither is FDA-approved. Both warrant close monitoring because of their high costs and In addition to the compounds that are still being prescribed, other topical products are lack of proven efficacy. increasingly seen in the workers’ compensation setting. In this article, a spotlight is turned on to expose more expensive topicals — private-label analgesics and homeopathic products. 24 | RxInformer FALL 2013 SUMMARY OF PRIMARY ISSUES Issue Custom Compounds Private-Label Analgesics Homeopathic Products NDCs Available FDA-approved Proven clinical benefit Prepared by compounding — — pharmacy for a specific patient Contain high levels of NSAIDs — — Contain 2-3x the FDA-approved concentration of methyl salicylate — and/or menthol Can cause skin burns — Prescribers unaware of compound ingredients Prescribers unaware of high costs Expiration dating required — — TOPICAL PRIVATE-LABEL PRODUCTS FINANCIAL CONCERNS There are private-label companies marketing products similar to inexpensive, over- When compared with comparable over-the- the-counter products, but with catchy names, inflated claims and prices. Private-label counter (OTC) preparations, the private-label topical compounds are products containing OTC ingredients such as high-potency products’ prices are stunning. -
Risk Perception of Medicinal Marijuana in Medical Students from Northeast Mexico[Version 1; Referees: Awaiting Peer Review]
F1000Research 2017, 6:1802 Last updated: 04 OCT 2017 RESEARCH ARTICLE Risk perception of medicinal marijuana in medical students from northeast Mexico [version 1; referees: awaiting peer review] Sandra Castillo-Guzmán1, Dionicio Palacios-Ríos1, Teresa A. Nava-Obregón1, Julio C. Arredondo-Mendoza1, Olga V. Alcalá-Alvarado1, Sofía A. Alonso-Bracho1, Daniela A. Becerril-Gaitán1, Omar González-Santiago 2 1Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico 2Postgraduate in Pharmacy, Faculty of Chemical Science, Universidad Autónoma de Nuevo León, San Nicolas de Los Garza, Nuevo León, Mexico v1 First published: 04 Oct 2017, 6:1802 (doi: 10.12688/f1000research.12638.1) Open Peer Review Latest published: 04 Oct 2017, 6:1802 (doi: 10.12688/f1000research.12638.1) Referee Status: AWAITING PEER Abstract Background. Several studies have shown support from the public toward the REVIEW use of medicinal marijuana. In this cross-sectional study, we assess the risk perception to medicinal marijuana in a sample of medical students. Discuss this article Methods. To estimate risk perception, a visual scale that ranges from 0 cm Comments (0) (without risk) to 10 cm (totally risky) was used. Risk perception was expressed as the median of the cm marked over the scale. Differences among groups was tested with the Mann-Whitney and Kruskal-Wallis tests, as appropriate. Results. 283 students participated in the study. Risk perception to medicinal marijuana was 4.22, paracetamol 1.56 and sedatives 5.0. A significant difference in risk perception was observed in those that self-reported to smoke and consume alcohol. -
Perception of the Risk of Medicinal Marijuana in Postgraduate Medical Residents[Version 1; Peer Review: Awaiting Peer Review]
F1000Research 2019, 8:381 Last updated: 14 MAY 2021 RESEARCH NOTE Perception of the risk of medicinal marijuana in postgraduate medical residents [version 1; peer review: awaiting peer review] Sandra Castillo-Guzmán , Dionicio Palacios Ríos, Teresa Adriana Nava Obregón, Daniela Alejandra Becerril Gaitàn, Keren Daniela Juangorena García, Danya Carolina Domínguez Romero, Misael Jerónimo Reyes Rodríguez Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr.Jose Eleuterio González y Facultad de Medicina de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, 66463, Mexico v1 First published: 04 Apr 2019, 8:381 Open Peer Review https://doi.org/10.12688/f1000research.17394.1 Latest published: 04 Apr 2019, 8:381 https://doi.org/10.12688/f1000research.17394.1 Reviewer Status AWAITING PEER REVIEW Any reports and responses or comments on the Abstract article can be found at the end of the article. Background: Drugs can often cause adverse reactions, and the perception of the risk of prescription drugs could influence prescription behaviour. Methods: This was a prospective cross-sectional study of the perception of postgraduate physicians in training of the risk of using medical marijuana, comparing it with their perception of paracetamol and sedatives. A visual analogue scale with ranges from 0 (no risk) to 10 (totally risky) was used. Results: A total of 197 postgraduate students were evaluated; 48 women and 149 men took part, with a mean age 27.8 years. Among the different specialties, there was a difference with regard to the perception of medical marijuana and paracetamol and all perceived a greater risk with sedatives. There was no evidence of a risk perception of marijuana in relation to factors such as alcohol consumption and smoking. -
Study Protocol and Statistical Analysis Plan
PROTOCOL: Cannabidiol for Fibromyalgia AUTHOR: Marianne Uggen Rasmussen, The Parker Institute, Copenhagen University Hospital DATE: 2020-12-14 Protocol number P142; Version: 4; EudraCT: 2019-002394-59, Regional Ethical Committee Journal Number H-20047715. ClinicalTrials.gov Identifier: CLINICAL TRIAL PROTOCOL Cannabidiol for Fibromyalgia The CANNFIB trial Protocol for a randomized, double-blind, placebo-controlled, parallel-group, single-center trial Sponsor Investigator Marianne Uggen Rasmussen (MUR) RN, MPH, PhD; Post-doctoral fellow Primary Investigator and Supervisor Kirstine Amris (KA) MD, DMSc; Senior Rheumatologist CO-investigator and statistical advisor Robin Christensen (RC) MSc, PhD; Professor of Biostatistics and Clinical Epidemiology CO-investigator and advisor Eva Ejlersen Wæhrens (EEW) OT, DMSc; Senior Researcher CO-investigator and advisor Henning Bliddal (HB) MD, DMSc; Professor of Rheumatology Sponsor contact details Marianne Uggen Rasmussen The Parker Institute, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, DK-2000 Frederiksberg Phone: +45 38164197 Email: [email protected] 0 PROTOCOL: Cannabidiol for Fibromyalgia AUTHOR: Marianne Uggen Rasmussen, The Parker Institute, Copenhagen University Hospital DATE: 2020-12-14 Protocol number P142; Version: 4; EudraCT: 2019-002394-59, Regional Ethical Committee Journal Number H-20047715. ClinicalTrials.gov Identifier: LIST OF ABBREVIATIONS ACR American college of rheumatology ADL-Q Activities of daily living questionnaire AE Adverse events AMPS Assessment -
Paracetamol an Effective Analgesic, but Adding Codeine Gives Additional Benefit
Evidence-Based Dentistry (2000) 2, 38 ã 2000 Evidence-Based Dentistry All rights reserved 1462-0049/00 $15.00 www.nature.com/ebd summary Paracetamol an effective analgesic, but adding codeine gives additional benefit Moore A, Collins S, Carroll D, McQuay HJ. Paracetamol with and without codeine in acute pain: a quantitative systematic review. Pain 1997; 77:193±201 Objective To assess the analgesia obtained from single oral doses of Paracetamol Number Patients with at least Risk ratio NNT paracetamol alone and with codeine. dose (mg) of trials 50% pain relief (95% CI) (95%CI) Paracetamol Placebo Data sources A search of the following databases, Medline 1966± Post 500 2 65/109 36/114 1.6 3.6 1996, Embase 1980±1996, Cochrane Library Issue 2, 1996, Oxford Pain (0.8±3.5) (2.5±6.5) Dental 600/650 10 134/338 66/339 1.5 4.4 Relief Database 1950±1994, reference lists and textbooks, using a (1.2±1.9) (3.7±7.5) detailed search strategy. 1000 7 158/430 33/284 2.6 4.0 Study selection Only full journal publication of double-blind studies (1.7±4.0) (3.2±5.2) with randomly allocated adult patients receiving postoperative oral Drug dose Number of Patients with at least Risk ratio NNT administration for treatment of moderate to severe pain baseline pain (mg) trials 50% pain relief (95% CI) (95%CI) (equates to >30mm on a visual analogue scale, VAS), using acceptable Paracetamol Paracetamol Placebo pain measures. + codeine + codeine 300 +30 5 69/246 17/196 3.0 (1.8±5.0) 5.3 (3.8±8.0) Results Thirty-one trials met the inclusion criteria of which 19 600/650 +60 13 219/415 88/432 2.6 (2.1±3.2) 3.1 (2.6±3.8) related to dental pain for paracetamol versus placebo, 19 trials for 1000+60 1 27/41 4/17 2.8 (1.2±6.8) 2.4 (1.5±5.7) paracetamol and codeine versus placebo (14 dental) and 13 for Drug dose (mg) Number Patients with at least Risk ratio NNT paracetamol and codeine versus paracetamol alone (10 dental). -
Efficacy of Paracetamol for Acute Low-Back Pain Postherpetic
NEW ZEALAND MEDICAL JOURNAL http://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2014/vol-127-no-1407/6398 METHUSELAH Efficacy of paracetamol for acute low-back pain Regular paracetamol is the recommended first-line analgesic for acute low-back pain; however, no high-quality evidence supports this recommendation. This report concerns a randomised trial concerning this hypothesis. 1652 patients with acute low-back pain were randomly assigned to receive regular doses of paracetamol, as needed doses of paracetamol, or placebo. The median time to recovery was 17 days in the regular group, 17 days in the as-needed group, and 16 days in the placebo group. Adverse effects were reported in 18.5%, 18.7%, and 18.5% in the 3 groups. No differences were noted in secondary outcomes (short-term pain relief between 1 and 12 weeks, disability, function, global rating of symptom change, sleep, or quality of life) between the 3 groups. All patients received advice to remain active, avoid bed rest, and were reassured of a favourable outcome. At 12 weeks about 85% of participants had recovered. The researchers concluded that regular or as-needed dosing with paracetamol does not affect recovery time compared with placebo in low-back pain, and question the universal endorsement of paracetamol in this patient group. Lancet 2014;384:1586–96. Postherpetic neuralgia Approximately a fifth of patients with herpes zoster report some pain at 3 months after the onset of symptoms, and 15% report pain at 2 years. Approximately 6% have a score for pain intensity of at least 30 out of 100 at both time points.