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USA The USA reported five per cent turnover growth in the year and this business represents 52 per cent of total pharmaceutical turnover. Advai5 maintained its strong growth with sales of 1, 235 million driving the overall respiratory growth of 21 per cent. However, this adversely affected sales of its constituent products, Flovent and Serevent, which both showed declines. Flonase indicated for the treatment of perennial rhinitis grew strongly by 22 per cent. Sales growth of three per cent in the central nervous system products included sales of Wellbutrin up 18 per cent, reflecting the performance of the new once a day formulation Wellbutrin XL. Paxil sales declined nine per cent due to the launch of generic paroxetine in September 2003. GlaxoSmithKline's innovative new product Paxil CR, increased its share of total Paxil prescriptions branded and generic ; since the generic launch from 33 per cent to 37 per cent. Paxil CR sales in 2003 were 387 million. Sales in the anti-virals therapeutic area grew four per cent with HIV led by a strong performance of Trizivir up 20 per cent, which partially drew sales from its constituent products. Valtrex, for herpes, grew 26 per cent driven by the FDA approval for the reduced risk of transmission of genital herpes. Sales of Avandia increased by 20 per cent, benefiting from the launch of Avandamet in November 2002. Anti-bacterial sales declined 41 per cent as a result of generic competition that began in the third quarter 2002. Coreg sales increased 28 per cent reflecting the benefit from recent data that showed a highly significant statistical difference in survival between Coreg and metopropol in patients with heart failure. Europe The discussion of individual market performance in the Europe region is on a `turnover created basis' rather than a `turnover invoiced basis'; see pages 64 to 65 for further details. Europe region contributed 28 per cent of pharmaceutical turnover. Although overall turnover growth in the region was only two per cent, good growth was recorded in Italy and Central and Eastern Europe, but government healthcare reforms, including pricing and reimbursement restrictions, adversely affected turnover in France, Spain and Germany. Seretide, GlaxoSmithKline's largest selling product in Europe, reported notable growth in France, Italy and the UK, although this was partly offset by expected declines in Serevent and Flixotide. Trizivir showed strong growth in all of the major markets in the region. The decline in sales of the herpes franchise was mainly as a result of generic competition for Zovirax partially offset by patients switching to the newer Valtrex product. OTC medicines Analgesics Dermatological Gastro-intestinal Respiratory tract Smoking control Natural wellness support Oral care Nutritional healthcare International An eight per cent turnover growth in the International region reflected a mixture of good growth in the Middle East and Africa, Canada, Japan and Asia Pacific. Latin America also grew strongly as Mexico rebounded following poor economic conditions and a re-alignment of wholesaler stock levels in 2002. Overall International growth was driven by Seretide, Seroxat Paxil and Avandia, partly offset by declines in Zantac and Zovirax. The Asia Pacific area grew due to the performance of Seretide and Avandia. Strong growth in a number of markets was partly offset by a decline of one per cent in the largest market, Australia, reflecting reduced sales of Zyban, Zantac and the older antibiotics. The growth in Japan reflected strong growth of Paxil, Serevent and Valtrex partly offset by the declines of Zovirax, Zantac, and government price reductions. The Middle East and Africa area followed the trends of most other markets with growth in Seretide, Avandia, and vaccines. In Canada growth was driven by Seretide and Avandia. Consumer Healthcare sales.
12 ; PATENT APPLICATION PUBLICATION 19 ; INDIA 21 ; APPLICATION No: 1246 CHE 2004A 22 ; Date of filing of Application: 23 11 2004 ; Publication Date: 27 10 2006 ; Title of the invention: 71 ; Name of Applicant LAP SUPPORTING DEVICE. LAKSHMI MACHINE WORKS LTD, 51 ; International classification: D 01 G Address of Applicant: 15 42 , 15 PERIANAICKENPALAYAM 31 ; Priority Document No. COIMBATORE-641 020 TAMIL NADU 32 ; Priority Date: INDIA. 33 ; Name of priority country: 72 ; Name of the Inventor s ; : PERIASAMY LAKSHMI 87 ; WIPO No. : NARASIMHAN, 61 ; Patent of addition to GOPALAN BALASUNDARAM, Application No. : DHARMAM DAVID, Filed on: RAJAGOPAL KRISHNAMOORTHY, 62 ; Divisional to SOUNDARAJAN BARATHKUMAR, Applcation No.: Filed on: 57 ; Abstract The present invention provides a lap supporting device of a textile carding machine comprising; a main lap roller rotatably fitted to the mainframes of the carding machine, a feed roller rotatably fitted to feed plate to facilitate the transfer of the lap from lap stand to the licker in zone of the carding machine, said main lap and feed rollers driven by feed roller drive system of the carding machine, and a lap guide roller constructed to the working width of the carding machine said lap guide roller disposed on a shaft and mounted on anti-friction bearings housed in bearing housing, said guide roller drivingly connected to the said main lap roller such that the sense of direction of rotation of said guide roller is same as that of the said main lap roller and said sense of rotation directed towards said feed roller to facilitate the transfer of the lap layer to the lap guide roller and to prevent sagging of the lap and
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EDUCATION Undergraduate: Swarthmore College, Swarthmore, PA, 1981-1985. B.A. with Distinction in Major, Psychology, June 1985. Medical: University of Minnesota Medical School, Minneapolis, MN, 1986-1990. M.D. Alpha Omega Alpha ; , June, 1990. Internship: UCLA Neuropsychiatric Institute UCLA CHS Wadsworth VA Medical Center, Los Angeles, CA, June, 1990 - June, 1991. Medicine, Psychiatry, and Neurology ; Psychiatry Residency: UCLA Neuropsychiatric Institute, Los Angeles, CA, 1990 - 1994. Chief Residency in Neuropsychiatry and Neurobehavior, UCLA Brentwood VAMC, July 1993 - June 1994. Research Fellowship: Charles A. Dana Foundation Consortium on Neuroimaging Leadership Training ; Scholarship: Research on Neuroimaging in Neuropsychiatric Disorders, February, 1994 - December, 1995. Research supervisors: Lewis R. Baxter, Jr., M.D., and Gary W. Small, M.D., UCLA Department of Molecular and Medical Pharmacology and Department of Psychiatry and Biobehavioral Sciences.
By Marcy Holmes, NP, Certified Menopause Clinician If you suffer from hot flashes or night sweats, you're not alone. In fact, 85% of women in the US experience some form of hot flashes during perimenopause and in the year or two following menopause. What's more is that up to 50% of women continue to experience them for years after menopause. Whether you get them all the time or just once in a while, hot flashes can be extremely disruptive to your life. They're not only embarrassing and distracting, but can sometimes even be scary. We've heard women liken the experience to being trapped in a small room with the heat turned up the highest it'll go. For many of us, the worst aspect of hot flashes is the sense of powerlessness over our own bodies. It's true that during perimenopause, menopause, and while weaning off hormone replacement therapy HRT ; , your body is going through a major hormonal transition. The good news is that this is a transition Mother Nature fully intends for you to make, and she's built ample opportunity into the process for you to set the stage for improved health through the transformation. This begins with understanding the triggers for your hot flashes and night sweats and how to support your body more fully. Let's take a closer look at the underlying causes of hot flashes and Women to Women's core approach to minimizing them. How do I know it's a hot flash? The symptoms associated with hot flashes vary from woman to woman. Some women feel hot all the time, while others experience flashes. Here are some physical and psychological symptoms associated with hot flashes and night sweats and amoxycillin.
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HELICOBACTER PYLORI REGIMENS $10-20 BMT bism metr tcn ; $85 Helidac cimetidine# $105-205 MOC metr omep or lans clar ; $110-220 AOC amox omep or lans clar ; $285 Prevpac lans amox clar ; # ANTICHOLINERGICS ANTISPASMODICS $10-20 propantheline ProBanthine ; $20-40 dicyclomine Bentyl ; OTHER GI AGENTS $10-35 polyethyl glycol-elect Co-Lyte ; $15-25 sulfasalazine Azulfidine, -EN ; $70 polyethyl glycol Miralax ; # $150-225 ursodiol Actigall ; # XV. RESPIRATORY BRONCHODILATORS Inhaled Beta-Agonists Short-Acting ; $10-15 albuterol Ventolin, Proventil ; # $25-30 terbutaline Brethaire ; # $25-45 metaproterenol Alupent ; # $50-65 pirbuterol Maxair ; # Inhaled Beta-Agonists Long-Acting ; $80-85 salmeterol Serevent ; # Oral Beta-Agonists $10-15 metaproterenol Alupent ; $25-35 terbutaline Brethine ; $10-45 albuterol Ventolin, Proventil ; INHALED ANTI-INFLAMMATORY AGENTS $45-85 cromolyn Intal ; # $35-70 nedocromil Tilade ; # $65-80 beclometh QVAR ; # $80-165 fluticasone Flovent ; # $90 flunisolide Aerobid, -M ; # $100-155 mometasone Asmanex ; # $110 triamcinolone Azmacort ; # $115-200 fluticasone salmeterol Aevair ; # $175 budesonide Pulmicort ; # $285 budeson Pulmicort Respules ; # INHALED ANTICHOLINERGICS $35-60 ipratropium Atrovent ; # $35-60 ipratropium albut Combivent ; # Page 4 and clavulanate.
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REFERENCES 1. Heaton PC, Guo JJ, Horrnung RW, et al. Analysis of the effectiveness and cost benefit of leukotrience modifiers in adults with asthma in the Ohio Medicaid population. J Manag Care Pharm. 2006; 12 1 ; : 33-42. 2. Martinez FD. Safety of long-acting beta-agonists--an urgent need to clear the air. N Engl J Med. 2005; 353: 2637-39. Mintz ML. Safety of long-acting beta-agonists. N Engl J Med. 2006; 354: 1206-07. Ram FS, Cates CJ, Ducharme FM. Long-acting beta2-agonists versus antileukotrienes as add-on therapy to inhaled corticosteroid for chronic asthma. Cochrane Database Syst Rev. 2005; 1 ; : CD003137. Available at: : mrw.interscience.wiley cochrane clsysrev articles CD003137 frame . Accessed April 26, 2006. 5. U.S. Food and Drug Administration. Medical officer review. Salmeterol Postmarketing Study Review SMART Study ; . Available at: : fda.gov ohrms dockets ac 05 briefing 2005-4148B1 03 02-FDA-Smart-Study . Accessed April 2, 2006. 6. U.S. Food and Drug Administration. Serevent and Advairr Diskus labels. Updated March 2, 2006. Available at: : fda.gov cder drug infopage LABA default . Accessed May 1, 2006. 7. Bateman ED, Boushey HA, Bousquet J, et al. Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL study. J Respir Crit Care Med. 2004; 170 8 ; : 836-44. 8. Ducharme F Addition of anti-leukotriene agents to inhaled corticosteroids . for chronic asthma. Cochrane Database Syst Rev. 2001; 3: CD003133. 9. Ducharme F Schwartz Z, Hicks G, Kakuma R. Addition of anti-leukotriene , agents to inhaled corticosteroids for chronic asthma. Cochrane Database Syst Rev. 2004; 1: CD003133. Available at: : mrw.interscience.wiley cochrane clsysrev articles CD003133 frame . Accessed April 26, 2006. 10. National Asthma Education and Prevention Program. Expert Panel Report: guidelines for the diagnosis and management of asthma--update on selected topics 2002. Available at: : nhlbi.nih.gov guidelines asthma index . Accessed April 2, 2006. 11. Boushey HA, Sorkness CA, King TS, et al. for the National Heart, Lung, and Blood Institute's Asthma Clinical Research Network. N Engl J Med. 2005; 352: 1519-28. Fabbri LM. Does mild persistent asthma require regular treatment? N Engl J Med. 2005; 352: 1589-91. Auerbach I, Springer C, Godfrey S. Total population survey of the frequency and severity of asthma in 17 year old boys in an urban area of Israel. Thorax. 1993; 48: 139-41. Chroinin NM, Greenstone IR, Ducharme FM. Addition of inhaled longacting beta2-agonists to inhaled steroid as first line therapy for persistent asthma in steroid-nave adults. Cochrane Database Syst Rev. 2004; 4: 005307. Available at: : mrw.interscience.wiley cochrane clsysrev articles CD005307 frame . Accessed April 26, 2006. 15. Top 200 brand-name drugs by retail dollars in 2005. Drug Top. March 6, 2006: 26. Data search performed April 6, 2006, of the data warehouse of a national pharmacy benefits manager representing approximately 500, 000 beneficiaries of small employer drug benefit plans for pharmacy claims with dates of service from January 1, 2006, through March 31, 2006 and
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Glaucoma and cataracts: Glaucoma, increased pressure in the eyes, and cataracts have been reported with the use of inhaled steroids, including fluticasone propionate, a medicine contained in ADVAIR. Regular eye examinations should be considered if you are taking ADVAIR. Lower respiratory tract infection: Lower respiratory tract infections, including pneumonia, have been reported with the use of inhaled corticosteroids, including ADVAIR. Blood sugar: Salmeterol may affect blood sugar and or cause low blood potassium in some patients, which could lead to a side effect like an irregular heart rate. Significant changes in blood sugar and blood potassium were seen infrequently in clinical studies with ADVAIR. Growth: Inhaled steroids may cause a reduction in growth velocity in children and adolescents. Steroids: Taking steroids can affect your body's ability to make its own steroid hormones, which are needed during infections and times of severe stress to your body, such as an operation. These effects can sometimes be seen with inhaled steroids but it is more common with oral steroids ; , especially when taken at higher-thanrecommended doses over a long period of time. In some cases, these effects may be severe. Inhaled steroids often help control symptoms with less side effects than oral steroids. Yeast infections: Patients taking ADVAIR may develop yeast infections of the mouth and or throat "thrush" ; that should be treated by their doctor. Tuberculosis or other untreated infections: ADVAIR should be used with caution, if at all, in patients with tuberculosis, herpes infections of the eye, or other untreated infections and
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Start with clear fluids water, cordial or flat lemonade ; . If no nausea, progress to a light diet, such as a sandwich, toast, jelly, soup No junk food ; . Normal diet and fluids tomorrow. For babies -- breast feed as usual, or half-strength, then fullstrength milk or formula ; , progressing to a light diet cereal, vegetables.
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Advair fluticasone and salmeterol ; [prescribing information]. Research Park Triangle, N.C.: GlaxoSmithKline; September 2004. Affrime MB, Kosoglou T, Thonoor CM, et al. Mometasone furoate has minimal effects on the hypothalamic-pituitaryadrenal axis when delivered at high doses. Chest. 2000; 118: 15381546. Bernstein D, Nathan R, Ledford D, et al. Ciclesonide, a new inhaled corticosteroid, significantly improves asthma-related quality of life in patients with severe, persistent asthma. J Allergy Clin Immunol. 2005; 115: S210. Abstract 836. Berry MA, Hargadon B, Shelley M, et al. Etanercept in refractory asthma: a randomised controlled trial. Presented at: American Thoracic Society International Conference, San Diego; May 24, 2005. Biggadike K, Uings I, Farrow SN. Designing corticosteroid drugs for pulmonary selectivity. Proc Thorac Soc. 2004; 1: 352355. Busse WW, Baker JW, Charous BL, et al. Preliminary safety and efficacy of daclizumab in the treatment of patients with moderate to severe chronic persistent asthma. J Allergy Clin Immunol. 2004; 113: S287. Abstract 1043. Chalmers GW, Macleod KJ, Little SA, et al. Influence of cigarette smoking on inhaled corticosteroid treatment in mild asthma. Thorax. 2002; 57: 226230. Chaudhuri R, Livingston E, McMahon AD, et al. Cigarette smoking impairs the therapeutic response to oral corticosteroids in chronic asthma. J Respir Crit Care Med. 2003; 168: 13081311. Corry DB, Kheradmand F. Biology and therapeutic potential of the interleukin-4 interleukin-13 signaling pathway in asthma. J Respir Med. 2002; 1: 185193. Economides AN, Carpenter LR, Rudge JS, et al. Cytokine traps: multi-component, high-affinity blockers of cytokine action. Nat Med. 2003; 9: 4752. Eisner MD, Ackerson LM, Chi F, et al. Health-related quality of life and future health care utilization for asthma. Ann Allergy Asthma Immunol. 2002; 89: 4655. Flood-Page PT, Menzies-Gow AN, Kay AB, Robinson DS. Eosinophil's role remains uncertain as anti-interleukin-5 only partially depletes numbers in asthmatic airway. J Respir Crit Care Med. 2003; 167: 199204. Gadgil DA, Niphadkar P, Jagannath KT, et al. Once-daily ciclesonide is as effective as twice-daily budesonide in maintaining lung function and asthma control in patients with asthma. J Allergy Clin Immunol. 2005; 115: S3. Abstract 11. Hatzelmann A, Schudt C. Anti-inflammatory and immunomodulatory potential of the novel PDE4 inhibitor roflumilast in vitro. J Pharmacol Exp Ther. 2000; 297: 267279. Humbles AA, Lloyd CM, McMillan SJ, et al. A critical role for eosinophils in allergic airways remodeling. Science. 2004; 305: 17761779. Israel E, Chervinsky PS, Friedman B, et al. Effects of montelukast and beclomethasone on airway function and asthma control. J Allergy Clin Immunol. 2002; 110: 847854. Israel E, Chinchilli VM, Ford JG, et al; National Heart, Lung, and Blood Institute's Asthma Clinical Research Network. Use of regularly scheduled albuterol treatment in asthma: genotype-stratified, randomised, placebo-controlled crossover trial. Lancet. 2004; 364: 15051512. Israel E, Drazen JM, Liggett SB, et al. The effect of polymorphisms of the beta2-adrenergic receptor on the response to regular use of albuterol in asthma. J Respir Crit Care Med. 2000; 162: 7580.
86 ; CN 2003 001115 25.12.2003 ; WO 2005 056537 2005 ; 12.12.2003 CN 200310109331 54 ; AGONISTEN DES GLUCAGON-LIKE PEPTIDE-1-REZEPTORS, DEREN HERSTELLUNG UND DEREN VERWENDUNG THE GLUCAGON-LIKE PEPTIDE-1 RECEPTOR AGONISTS, THE PREPARATION AND THE USE OF THE SAME AGONISTES DU RECEPTEUR PEPTIDIQUE 1 DE TYPE GLUCAGON, LEUR PREPARATION ET LEUR UTILISATION 71 ; Shanghai Institute of Materia Medica, Chinese.
Pagelsr , recently, i was diagnosed with asthma and was put on advaie 250 5 although it helped my breathing, about two weeks into the dosage, i had an experience where my face became numb and tingled, like spikes, and in addition my lips became numb and also would tighten on me without me doing it.
As 2-adrenoceptor, G i, and G s were not changed in TT carriers. Our results suggest that the noncoding C825T polymorphism affects the production of full-length G 3 protein, possibly by affecting transcriptional and or translational regulation. Unfortunately, it was not possible to study such events because of the lack of sufficient amounts of adipose tissue. We tried to measure G 3 mRNA but were not able to amplify the gene product by PCR. It is difficult to obtain quantitative measures of G 3 mRNA in native human cells and tissues D. Rosskopf, personal communication ; . So far, only data with mRNA for G 3 have been reported for an artificial cell system 2 ; . Whether the G 3 polymorphism is of pathophysiological importance for insulin resistant conditions such as obesity is controversial. An association to obesity has been demonstrated in some studies 4 ; but not in others 22 ; . If, however, the G 3 polymorphism is a thrifty gene variation 8 ; , it makes sense that the 825T allele is associated with impaired catecholamine-induced lipolysis in fat cells. A number of in vivo and in vitro studies have shown that catecholamine-induced lipolysis in subcutaneous adipose tissue is decreased in several insulin-resistant conditions, such as obesity, metabolic syndrome, familial combined hyperlipidemia, and polycystic ovary syndrome 10 ; . The present results are also in line with studies on subjects with G s deficiency. Such subjects are obese and have resistance to the in vivo lipolytic action of catecholamines as compared to matched controls 23 ; . Thus, a reduction in adipocyte protein content of different subunits in Gs signaling G s and G 3 ; seems to impair lipolysis activation by catecholamines in human fat cells. The present observation of low circulating levels of fatty acids and glycerol in fasted T825T subjects further supports the role of G 3 regulating lipolysis in man. We have previously shown that fasting circulating levels of glycerol and free fatty acids measured in the morning closely mirror the rate of lipolysis in subcutaneous adipose tissue 24 ; . It should be noted that in this study, only obese subjects were investigated, so we do not know the importance of the polymorphism in a lean population. Some attempts were made to analyze the clinical effects of C825T, bearing in mind that subjects with disorders comorbid with obesity, such as diabetes, hypertension, and dyslipidemia, were not included. The polymorphism had no apparent effect on BMI, insulin sensitivity, or plasma lipids. We included men and women in the study. It is unlikely that the findings were influenced to an important extent by sex, as we made statistical corrections for sex. Furthermore, in a subgroup analysis, the genotype effect on pD2 for all selective adrenergic agonists was statistically significant in women. It remains to be established, on the other hand, if the polymorphism is also functional in fat cells of obese men. Because of the paucity of obese men, it was not possible to make a reliable evaluation of the polymorphism in the male subgroup. In conclusion, the results of this study suggest that the C825T polymorphism in the G 3 gene influences catecholamine-induced lipolysis in vitro and lipolysis in vivo. The polymorphism may regulate the content of G 3 protein in human fat cells and thereby cause variations in lipolysis mediated by native G i- as well as G s-coupled and
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Formulary update, from page 1 for patients with lamivudine-resistant pathogens. Unfortunately, there are no direct comparisons of adefovir and lamivudine in patients. Questions left unanswered include durability of response, long-term safety, and resistance. Adverse events were uncommon and are primarily gastrointestinal in nature. Nephrotoxicity is a concern for adefovir as it is with all nucleotide analogs. Monitoring for nephrotoxicity is necessary, especially when it is combined with other nephrotoxic agents. Adefovir is expensive. It costs approximately $450 per month, which is roughly 3 times the cost of lamivudine. Since there are no data suggesting that adefovir is superior to lamivudine, it would be reasonable to reserve adefovir for patients who have lamivudine-resistant HBV infections. Advair is a combination product containing both salmeterol Serevent ; and fluticasone propionate Flovent ; . Fluticasone propionate is a synthetic corticosteroid that has potent anti-inflammatory activity, and salmeterol is a long-acting selective beta2 -adrenergic agonist. Guidelines state that the preferred therapy for moderate persistent asthma is regular treatment with a long-acting inhaled beta 2-agonist plus low-to-medium doses of inhaled corticosteroids. Advair combines these therapies making it easier for patients to receive both treatments. Three trials compared Advair to alternative therapies in asthmatic patients not controlled with inhaled corticosteroids. All of the trials showed significant improvements in forced expiratory volume in 1 second FEV1 ; , peak expiratory flow PEF ; , and supplemental albuterol use in.
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In March of this year, GlaxoSmithKline GSK ; received approval from Health Canada for a revised product monograph with a new indication for the use of Advair, an aerosol containing both salmeterol, a long-acting 2-agonist, and fluticasone, an inhaled corticosteroid for use in patients with asthma. The new monograph states that "Advair . is indicated for the maintenance treatment of asthma in patients . where the use of a combination product is considered to be appropriate" gsk en products prescription [Note: the product monograph may be accessed by clicking on the Advair logo] ; . The company began a marketing campaign, approved by the Pharmaceutical Advertising Advisory Board PAAB ; -- an arm's-length, self-regulating industry body -- to alert doctors to the new indication. Members of the Asthma Committee of the Canadian Thoracic Society, after reviewing the promotional material and finding that it indicated the use of Advair as initial maintenance therapy for asthma, sent CMAJ the commentary that we are publishing here. In this paper, they point out that this use of Advair is not based on clinical trial data and remind readers of proper therapy for new-onset asthma as published in the current guidelines Canadian Asthma Consensus Report, 1999 [available at cmaj ] ; . While the manuscript was under consideration by CMAJ , Health Canada asked PAAB to withdraw their approval of the marketing material. GSK has stopped marketing Advair as initial maintenance therapy for asthma. -- John Hoey, CMAJ.
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