Oral decongestants Provide no benefit for sneezing, itching, and rhinorrhea; provide modest benefit in relieving congestion. ; Pseduoephedrine Phenylephrine Intranasal topical decongestants Provide no benefit for sneezing, itching, and rhinorrhea; provide substantial benefit for congestion. ; Oxymetazoline hydrochloride Phenylephedrine Ephedrine Intranasal corticosteroids Provide substantial benefit in relieving sneezing, itching, congestion, and rhinorrhea. ; Beclomethasone Budesonide Flunisolide Fluticasone propionate Momentasone Triamcinolone Intranasal mast cell stabilizers Provide modest benefit in relieving sneezing, itching, congestion, and rhinorrhea. ; Cromolyn sodium Intranasal topical anticholinergics Provide substantial benefit in relieving rhinorrhea; no benefit in relieving sneezing, itching, and congestion. ; Ipratropium bromide Antihistamines Oral formulations provide substantial benefit in relieving sneezing, itching, and rhinorrhea and minimal benefit in relieving congestion. Intranasal formulations provide moderate benefit in relieving sneezing, itching, and rhinorrhea and minimal benefit in relieving congestion. ; First generation Side effects may be prohibitive. ; -- chlorpheniramine -- diphenhydramine -- tripelennamine -- clemastine fumarate Second generation Nonsedating ; -- terfenadine * -- astemizole * -- loratadine -- cetirizine hydrochloride Next generation Nonsedating ; -- fexofenadine hydrochloride -- desloratadine -- tecastemizole investigational ; -- levocetirizine investigational ; Leukotriene modifiers Indicated for the treatment of asthma, these agents are being investigated for efficacy in reducing the symptoms of allergic rhinitis. ; Zileuton Pranlukast available in Japan ; Zafirlukast Montelukast sodium * Not available in United States because of.
MA requires no particular expertise, just access to the precursor chemicals and the ability to follow instructions. Over the past two years, state and local governments, enacted legislation regulating the sale of over-the-counter medications containing pseudoephedrine. As a result, law enforcement reports a dramatic decline in the number of clandestine MA labs being discovered or seized. These recent successes, and some historical instances in which the illegal supply of pseudoephedrine was greatly reduced, show that restricting access to these necessary precursor chemicals directly reduces MA production. MA is easy to make only when one has access to necessary precursor chemicals. When a drug-maker's access to pseudoephedrine or substitute ingredients is disrupted, it becomes impossible to make MA. Recent federal legislation which adds restrictions to cold-medicine retail sales will be helpful in states' struggles with MA, but an outright ban of pseudoephedrine-based cold and allergy medicines would eliminate the world-wide problem of MA.
A TOOL FOR ASTHMA CONTROL: YOUR ASTHMA ACTION PLAN To help you follow your treatment plan, your health care provider will fill out an Asthma Action Plan for you. Just as the colors on a stoplight tell a driver what to do, the zones on your Action Plan will tell you how to keep your asthma under control.
Some recent changes in physician attitudes, medical legal considerations, and patient characteristics. We fear that such acceptance is a growing problem among C-L psychiatrists. that patient characteristics have much recently and physician attitudes considerations "competency" a self-fulfilling and that the relevant and apparent therefore the We believe not changed changes medicolegal rising rate in of, for example, pseudoephedrine sales.
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Although a package insert warning was announced in december 2004, no food and drug administration or psychiatric guideline for screening in healthy individuals has been issued.
Figure 1. Role of CCK-2R in H. pylori induced HB-EGF up-regulation. A, effect on gene expression. Mean relative HB-EGF gene expression for CCK-2R-transfected and vector controltransfected AGS cells following treatment with either 108 mol L YMO22 and or H. pylori strain 60190 MOI 40; n 3 ; . HB-EGF gene expression was significantly up-regulated in the CCK-2R-transfected cells compared with vector control with H. pylori . This up-regulation was significantly decreased in the presence of the inhibitor. Bars, SD. * , P 0.001. B, effect on shed HB-EGF. Mean HB-EGF concentration detectable for AGS cell conditioned medium CCK-2R and vector control transfected ; following treatment with either 108 mol L YMO22 and or H. pylori strains 60190 MOI 40; n 3 ; . The concentration of HB-EGF shed into the medium was significantly greater in the CCK-2R-transfected cells compared with vector control with 60190 treatment. * , P 0.003. The concentration of HB-EGF shed into the medium was significantly less in the presence of YM022. Bars, SD and finasteride.
30 ; they usually contain a combination of the following: setting a limit on the quantity of pseudoephedrine that a retailer may sell to a customer within a specified time period; 31 ; requiring retailers to move pseudoephedrine products behind the pharmacy counter or within a locked case; 32 ; requiring retailers to monitor pseudoephedrine products visually or with electronic surveillance; 33 ; requiring pseudoephedrine purchasers to produce identification; 34 ; requiring retailers or purchasers to record pseudoephedrine purchases on a written or electronic log; 35 ; requiring retailers to report suspicious purchases to law enforcement; 36 ; and requiring retailers to report unusual thefts to law enforcement.
Dr. David Sinclair, Associate professor of pathology at Harvard Medical School, reported from the NY Times and flagyl, for example, loratadine pseudoephedrine.
Blomkalns AL, Chen AY, Hochman JS, et al. Gender disparities in the diagnosis and treatment of nonST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology American Heart Association Guidelines ; National Quality Improvement Initiative. J Coll Cardiol. 2005; 45: 832-837.
Eye contact Immediate first aid is needed to prevent eye damage. IMMEDIATELY flush eyes with copious quantities of water for at least 20 minutes holding lids apart to ensure flushing of the entire surface. Seek immediate medical attention. DO NOT use an eye ointment and fluconazole.
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New antibiotic combats drug-resistant infections: Ford ; Linezolid Zyvox ; is the first antibiotic in a NEW CLASS of antibiotics approved by the FDA to combat the problem of drug-resistant infections attributed to Enterococcus and Streptococcus. Zyvox was brought to market in April 2000, a member of a new class called the oxazolidinones. Drugs in this class are active against Gram-positive bacteria. The new drug will be used primarily in the inpatient setting or in nursing homes, where patients are most at risk for serious, drug-resistant infections such as; E. faecium, S. aureus, S. pneumoniae, and S. agalactiae. Keep in mind that this drug is used only with certain strains of these organisms and only when these strains prove to be resistant to other antibiotics.' Zyvox acts by inhibiting bacterial protein synthesis at a unique point in the bacteria life-cycle. Zyvox also offers 100. bioavailability. This means that blood levels achieved after oral administration of the drug are the same as those obtained with intravenous use. This fact has numerous benefits including that the patient may be discharged from the hospital while ensuring that he receives the same dose of the drug at home as he received in the hospital. The most common side effects are headache, nausea, diarrhea, vomiting, insomnia, and constipation. Thrombocytopenia may occur, requiring the monitoring of the patient's platelet counts. Zyvox may interact with pseudoephedrine and phenylpropanolamine2 PPA ; , causing an elevated blood pressure. Zyvox may inhibit monoamine oxidase, so patients receiving this drug must avoid foods with high tyramine content same diet as patients taking MAO inhibitor drugs.
Store brompheniramine and pseudoephedrine at room temperature away from moisture and heat and galantamine.
General practice is continually evolving and has a different pace from hospital medicine. You will need to adapt to ensure that you can manage uncertainty and follow-up patients safely without being excessive. The days of the individual "family doctor" are fast passing, and a team approach is needed to ensure the best patient care.
Healthcare practitioners and are written at a level that is not easily understood by most consumers. The PPLA's view, and that of many other groups, is this comprehensive, yet quite technical, information can be made patient friendly without excessive or overly burdensome additional resources. The PPLA also has reminded FDA that its own sponsored research shows that PPIs and MedGuides are highly useful to consumers in heading off adverse drug events and increasing compliance with pharmaceutical regimens. Even so, PPIs are produced purely on a voluntary basis, often to meet regulatory criteria for direct-toconsumer advertising. MedGuides are mandatory, but only for fewer than 20 drugs or drug classes considered highly dangerous if not used correctly. When most patients fill their prescriptions, they receive neither a PPI nor a MedGuide. If they receive any information at all, it is in the form of leaflets printed in the pharmacy based on information provided by any number of unregulated third-party vendors contracted by pharmacies. This information is usually delivered in the form of a single sheet of paper stapled to the bag containing the prescription. These vendor-produced leaflets are the target of FDA's usefulness review. Government-sponsored research has shown that private industry including pharmacies and Rx literature vendors is failing to meet FDA milestones that direct industry to put useful information into the hands of 95 percent of patients filling prescriptions by the year 2006. Research has further shown that vendor-produced patient information continues to fail usefulness criteria because these leaflets are inconsistent, incomplete, illegible, incomprehensible, or all of the above. Representatives of private industry collectively testified in favor of their so-called progress in making See ACTION PLAN, p. 6 and glibenclamide.
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The chlorpheniramine, ibuprofen, and pseudoephedrine combination is used to relieve symptoms of allergies, hay fever, and the common cold.
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Most interesting - keywords » pseudoephedrine pharmacists' group wants pseudoephedrine withdrawn a pharmacists' group is calling for products containing pseudoephedrine to be withdrawn from pharmacies ment 2 25 07 » products · pharmacies · pseudoephedrine · pharmacist mbn makes drug arrest in choctaw the choctaw plaindealer choctaw county resident, taha saleh, 24, a shorty , was arrested and charged with the sale of more than two packages of ephedrine pseudoephedrine in a single retail transaction ment 2 7 » transaction · residents · pseudoephedrine · ephedrine · county · drug · mbn · choctaw · choctaw plaindealer choctaw · taha · saleh · shorty pic labs in linn are diminishing, but the flow from mexico isn't david patton democrat-herald thanks to the tighter restrictions on pseudoephedrine that took effect in 2005, the linn county sheriff's office needed to shut down only two methamphetamine labs last year ment 1 21 07 » mexico · 2005 · office · methamphetamine · restrictions · pseudoephedrine · lab · diminishing · pics · linn · linn county sheriff federal government uses shotgun to kill a flea in the jan and inderal.
See Richard A. Nagareda, Outrageous Fortune and the Criminalization of Mass Torts, 99 Mich. L. Rev. 1121, 1139 1998 ; "[Mledical researchers did not systematically begin to collect evidence on breast implants until around the time of the FDA ban [in 19921, when several large [epidemiological] studies were initiated." ; . See, e.g., Hopkins v. Dow Corning Corp., 33 F.3d 1116, 1123-25 9th Cir. 1994 ; upholding the admission of such testimony under the standard of Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 1993 ; , in the course of upholding the verdict for Hopkins.
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A. B. C. Medicare.54 Medicaid.54 TRICARE .54 Veterans Affairs Facility Services .55 Motor Vehicle No-Fault Coverage Required by Law.55 Other Coverage Provided by State or Federal Law .55 Advance on Account of Plan Benefits .55 Reimbursement and or Subrogation Agreement.55 Cooperation with the Plan by All Covered Individuals .56 Subrogation.56 Remedies Available to the Plan .56 Third Party Liability Accident Questionnaire Request .57.
The UK Patents and Designs Journal No.6116 ; contains no SPC information this week. However, ahead of publication in the PDJ, we report the filing of Elan Phamaceutical's SPC for natalizumab Tysabri, formerly Antegren ; , a humanized monoclonal antibody specific for the alpha-4 beta-1 integrin VLA4 ; antigen expressed on leukocytes. Elan and Biogen developed and relaunched natalizumab for the treatment of relapsing forms of multiple sclerosis. It was initially launched in January 2005 as an iv formulation to reduce the frequency of clinical relapse in relapsing forms of MS. However, the companies voluntarily suspended marketing and clinical trials of the drug in February 2005 following the incidence of progressive multifocal leukoencephalopathy. In February 2006, the FDA lifted the ban on patient dosing in clinical trials, and in March 2006, clinical trials in MS resumed internationally. The SPC is based on EP804237 and if granted, is estimated to expire in January 2020. The PDJ also contains details of three applications for revocation lodged at the Patents Court by Teva Pharmaceuticals on EP639976 assigned to Merrell Dow Pharmaceuticals ; , covering Allegra fexofenadine ; tablets, EP701443 and EP815860 both assigned to Sepracor and licensed to Aventis ; covering Allegra terfenadine carboxylate ; and Allegra-D fexofenadine HCl in combination with the decongestant pseudoephedrine HCl ; . The case was been heard on July 19, 2006 and appears to be related to sanofi-avenis filing a patent litigation lawsuit in January 2006 and a motion for a preliminary injunction against Teva, seeking to prohibit Teva's manufacture, export and marketing of its generic fexofenadine product. Sepracor Inc and Aventis comarket fexofenadine. The Japanese Patent Gazette for July contained details of three term extensions granted on JP2082519 for olmesartan medoxomil and its use in treating hypertension. With the additional five year extension, JP2082519 will expire February 21, 2017. Olmesartan is marketed as Benicar by Sankyo KK now Daiichi Sankyo Company Ltd ; and co-marketed by Forest Labs in the USA, the Menarini group in Europe and Schering-Plough in Latin America. Sales of around $791 million were achieved in 2005 and growth is expected to continue despite competition from the other "sartans" on the market, with sales expected to reach $1 billion in 2007. Further 5 year extension applications were filed by Daiichi Pharma for the use of levofloxacin Cravit ; in treating various infections on JP03027534 and JP07047592 which is a division of the earlier patent. Both of these patents have already received extensions of various lengths and if the current applications are granted both will expire around June 20, 2011. Levofloxacin is marketed as Levoquin in the USA by Johnson and Johnson and as Tavanic in Europe by Sanofi-Aventis. Worldwide sales of around $2.3 billion were achieved in 2005 but were expected to decline slightly ongoing, due to generic competition only being partially offset by approvals for new indications. Santen Pharmaceutical Co Ltd has also developed and launched a topical ophthalmic formulation for the treatment of conjunctivitis Quixin ; . In addition, in March 2004, Santen received FDA approval for a 1.5% ophthalmic solution of levofloxacin Iquix ; for the treatment of bacterial corneal ulcer. In December 2003, Santen divested US marketing rights to its Quixin brand to the Johnson & Johnson subsidiary, Vistakon Pharmaceuticals. Vistakon was also to have exclusive rights to Iquix in the US. Sanofi-Aventis have also applied for a five year extension on JP2949366 for clopidogrel sulphate Plavix ; which will expire October 2015 if granted. This followed ten extension applications, ranging from one year and two days to five years, for clopidogrel sulphate on five patents reported in the Japanese Gazette in June, four of which were assigned to Sanofi-Aventis and one to Daiichi Pharma. Plavix, co-developed and marketed by Bristol-Myers Squibb and Sanofi -Aventis, achieved worldwide sales of $6.3 billion in 2006. Daiichi Pharma had marketed the product in Japan, but the commercial rights were passed back to Sanofi-Aventis in July 2005 and kamagra and pseudoephedrine.
With chronic use, tolerance for methamphetamine can develop. In an effort to intensify the desired effects, users may take higher doses of the drug, take it more frequently, or change their method of drug intake. In some cases, abusers forego food and sleep while indulging in a form of binging known as a "run, " injecting as much as a gram of the drug every 2 to 3 hours over several days until the user runs out of the drug or is too disorganized to continue. Chronic abuse can lead to psychotic behavior, characterized by intense paranoia, visual and auditory hallucinations, and out-of-control rages that can be coupled with extremely violent behavior. Although there are no physical manifestations of a withdrawal syndrome when methamphetamine use is stopped, there are several symptoms that occur when a chronic user stops taking the drug. These include depression, anxiety, fatigue, paranoia, aggression, and an intense craving for the drug. In scientific studies examining the consequences of long-term methamphetamine exposure in animals, concern has arisen over its toxic effects on the brain. Researchers have reported that as much as 50 percent of the dopamine-producing cells in the brain can be damaged after prolonged exposure to relatively low levels of methamphetamine. Researchers also have found that serotonin-containing nerve cells may be damaged even more extensively. Whether this toxicity is related to the psychosis seen in some long-term methamphetamine abusers is still an open question. Some of the main ingredients for Meth are: common cold pills containing ephedrine or pseudoephedrine, anhydrous ammonia, alcohol, ether, brake cleaner, sulfuric acid and lye just to name a few. Some of these items are pure poison. In the year 2003 my office along with the South Dakota Division of Criminal Investigation drug unit investigated and destroyed three clandestine laboratories in Turner County. In that same year the State of South Dakota destroyed thirty five clandestine laboratories. Turner County made up just fewer than 10 percent of all the clandestine laboratories in the State of South Dakota. I very proud of what my deputies have done to help eliminate this terrible drug from Turner County. So, with what you have just read about the use and the effects of methamphetamine, please do not ever try this very addictive drug. If you are using this drug, please get the help that is available to you to stop the addiction With this illegal drug becoming so popular law enforcement continually have to be on guard for their own protection when dealing with someone who is suspected of using Meth. If you have information about any person selling, using or having knowledge of any clandestine laboratories in the county, please call the Turner County Sheriff's Office 605-297-3225. For more information about methamphetamine you can go to : stopdrugs methcrisis Thanks again for taking the time to read this article. Your Sheriff Byron Nogelmeier.
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If the physician prefers to use only 1 of a number of therapeutically similar products for all patients, the restrictive formulary will spill into the open-formulary plan.
Sociated with an elevation in plasma NO. Further clinical study is needed to elucidate the usefulness of statins in treating retinal ischemic diseases. Submitted for Publication: January 31, 2005; final revision received June 14, 2005; accepted June 27, 2005. Correspondence: Taiji Nagaoka, MD, PhD, Department of Ophthalmology, Asahikawa Medical College, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan nagaoka asahikawa-med.ac.jp ; . Financial Disclosure: None. Funding Support: This study was supported by Grantsin-Aid for Young Scientists B ; 14770940 Dr Nagaoka ; and B ; 16791037 Dr Nagaoka ; , by the Akiyama Foundation Dr Nagaoka ; , by the Jamcon Award Dr Nagaoka ; , and by the Uehara Memorial Foundation Dr Nagaoka!
Epilepsia 2003, 44 suppl 3 : 33-4 pubmed abstract publisher full text briggs gg, freeman rk, yaffe sj: drugs in pregnancy and lactation, 6th edition.
Physicians are frequently asked about the impact of flying on children's ears pain and hearing ; , especially if there is a history of otitis media; despite this, there are very few published studies, and most of these are descriptive or based on expert opinion. At present, from the information available, children with recurrent otitis media and adenoidal hypertrophy have a harder time equilibrating the pressure of the middle ear. With the advice of a physician, a topical nasal decongestant can help if used at least 30 min before takeoff and landing 15 ; . In randomized, double-blind, placebo-controlled study, oral pseudoephedrien did not provide any symptomatic benefit for children with ear pain during flight, but it did increase drowsiness 25 ; . In prospective study, limited by a sample size of 14, children with otitis media with effusion did not experience an increase in symptomatology or complications because of air travel, perhaps because the eustachian tube was filled with fluid, rather than gas or air-fluid levels 26 ; . Children adequately treated for acute otitis media AOM ; may be able to safely fly two weeks from diagnosis 27 this evidence, however, is limited to expert opinion. If possible, children with AOM should be clinically evaluated before air travel. If the diagnosis of AOM is made within 48 h of flight that cannot be postponed, the child should be provided with appropriate analgesia. Food allergies Food allergies can be problematic to prevent on an aircraft. Peanut allergy is one of the most common and severe allergies in children. While many airlines no longer offer peanut snacks, they cannot prevent passengers from bringing their own food onboard. As such, there is always the potential for exposure to a food allergen. With advance notice, some airlines can try to provide a `peanut-free zone' on the aircraft 28 ; . However, the feasibility of creating a peanut-free zone on an aircraft may be problematic, and perhaps even provide a false sense of security, because peanut dust, which contains peanut protein, can potentially be distributed through the ventilation system; to cause an allergic reaction, at least 25 passengers may have to be eating peanuts 29 ; . A telephone interview of the 3704 people registered in the United States Peanut and Tree Nut Allergy Registry revealed that 42 had a reaction on an airplane, with a mean age of 5.9 years. Of the 42 individuals, 35 had a reaction to peanuts, of which only 14 were from direct ingestion. The other reactions some severe ; were from skin contact and inhalation. Surprisingly, the flight crew was notified in only 33% of the reactions 29 ; . While allergic reactions to inhaling peanut protein are very rare and require exposure to a large volume of peanut protein ie, through many passengers opening peanut bags ; , parents should still alert the airline and crew that their child is allergic, and carry an EpiPen and antihistamines on the aircraft. Managing type 1 diabetes and air travel A child with type 1 diabetes may fly and travel safely, provided that adequate preparation is made, including.
Asian Organized Crime AOC ; groups are distinguished by a high level of criminal entrepreneurship. They use both personal relationships and specific business and technological skills to maximize profit. AOC is active throughout Canada and the United States, from major metropolitan areas and their suburbs to isolated rural communities. Over the past decade, pre-existing underground economies of the Former Soviet Union FSU ; and its satellite states have transformed into fully realized transnational organized crime syndicates. Increasingly, Russian organized crime is characterized by fluid, cellular-type structures. Senior members associates of Russian criminal groups appear to recognize and accept the hegemony of a single "criminal authority" who plays an important role in dispute resolution, decision-making and the administration of criminal funds. Italian Organized Crime La Cosa Nostra IOC LCN ; is the most mature form of organized crime in both Canada and the United States. Its ability to form alliances with and coopt other organized crime groups gives it global influence. In both Canada and the United States, IOC LCN is distinguished by its strict, vertically integrated, hierarchical structure. The resulting discipline and efficiency permit these groups to focus resources and maximize profit. African criminal enterprises are engaged in a variety of low- to mid-level criminal activities which include a number of financial fraud schemes. Albanian criminal groups are engaged in a range of cross-border criminal activity, including drug smuggling and money laundering. US authorities have reported a significant decrease in seizures and availability of Canadian pseudoephedrine. This development is attributable to joint Canada US law enforcement efforts and recent changes to legislation governing the sale of pseudoephefrine and ephedrine for export and finasteride.
Theories of learning and educational psychology. However, concept mapping is a new approach to teaching and learning about care planning in the health-care setting--an approach that nursing faculty and students agree is most exciting. Concept mapping is a diagrammatic teaching and learning strategy that allows students and faculty to visualize interrelationships between medical diagnoses, nursing diagnoses, assessment data, and treatments. Before developing a concept map, the student must perform a comprehensive patient assessment. From the assessment data, the student develops a skeleton diagram of the patient's health problems Step 1 ; . The student then analyzes and categorizes specific patient assessment data Step 2 ; and indicates relationships between nursing and medical diagnoses Step 3 ; . In Step 4, the student develops patient goals, outcomes, and nursing interventions for each nursing diagnosis. Step 5 is to evaluate the actual patient response to each nursing intervention and to summarize clinical impressions. The result of Steps 1 through 4 is a holistic, comprehensive, and individualized plan of care that can be completed before patient care takes place. This visual map of problems and interventions is a personal pocket guide to patient care, and is the basis of nursing care discussions between students and faculty. Further, concept map care plans can be consulted throughout the clinical day, at the bedside, in the medication preparation area, and when preparing documentation. Concept map care planning evaluations have been excellent from both students and faculty. This method of care planning is an alternative to the commonly used column format, which typically includes subjective and objective assessment data, nursing diagnoses, patient and family goals and outcomes, nursing interventions, rationales for the interventions, and evaluation of outcome objectives and goals. Nursing programs may vary slightly in what goes in each column, but until recently, the column format has been.
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Department of 1 * anatomy and cell biology, 2surgery, 3chemistry faculty of basic medical sciences, college of health sciences; obafemi awolowo university, ile-ife, nigeria; 4 * optics and imaging centre, nelson r mandela medical school, university of kwazulunatal, private bag x54001, durban 4000, south africa.
Health. The Human Pharmaceuticals business encompasses the segments PM, CHC as well as Industrial Customers. In 2006, this business achieved net sales of EUR 10, 200 million, corresponding to growth of 11 %. The Human Pharmaceuticals business thereby accounted for 96 % of group net sales. Prescription Medicines is by far the most important segment in our Human Pharmaceuticals business. In 2006, net sales of EUR 8, 311 million were achieved, corresponding to growth of 14.7 % compared to the previous year 2005: EUR 7, 247 million ; . The significance of this segment is evident in that it accounts for 81 % of our Human Pharmaceuticals business. This gratifying development was borne by our strategic products which all showed marked growth.
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