Friday, July 9, 2010

LIST OF DRUGS APPROVED DURING 1999-2005

LIST OF DRUGS APPROVED DURING 1999-2005
Sl.No. Name of Drug Pharmacological
Classification Date of
Approval
1 Glimepiride Antidiabetic agent 22.01.99
2 Mycophenolate Mofetil Immunosuppressant 07.02.99
3 Meloxicam NSAID 16.02.99
4 Tetrabenazine Pre-Synaptic monoamine
depleting agent 10.03.99
5 Doxazosin Mesylate Antihypertensive agent 11.03.99
6 Nafarelin Acetate Antiendometriotic agent;
gonadotropin inhibitor 17.03.99
7 Milrinone Lactate Inj. Cardiotonic 17.05.99
8 Brimonidine Tartrate Alpha2-adrenoreceptor agonist,
adjunct in glaucoma 18.05.99
9 Nabumetone NSAID 18.05.99
10 Zolpidem Sedative-Hypnotic 28.05.99
11 Basiliximab Inj. Immunosuppressant 28.05.99
12 Topotecan Hydrochloride Antineoplastic 15.06.99
13 Fludarabine Phosphate IV Inj. Antineoplastic 26.06.99
14 Zuclopenthixol Acetate Antimaniac & antischizoprenic 29.07.99
15 Piperacillin - Tazobactam Inj. Antibiotic 13.08.99
16 Topiramate Antiepileptic 23.08.99
17 Eptifibatide Platlet Aggregation Inhibitor 25.08.99
18 Atorvastatin Antihyperlipidemic; HMG-
CoA reductase inhibitor 17.09.99
19 Sulpiride Antipsychotic 26.10.99
20 Bambuterol Bronchodilator 13.12.99
21 Bulaquine Antimalarial 21.12.99
22 Fenofibrate Lipid lowering agent 22.12.99
23 Sibutramine Hydrochloride Appetite suppressant 23.12.99
24 Oxiconazole Antifungal 17.01.2000
25 Temozolomide Antineoplastic 17.01.2000
26 Olanzapine Antipsychotic 27.01.2000
27 Fluvoxamine Maleate Antidepressant 21.02.2000
28 Celecoxib NSAID 22.02.2000
29 Nevirapine Anti HIV 06.03.2000
30 Repaglinide Antidiabetic 23.03.2000
31 Ganciclovir Antiviral 05.04.2000
32 Trapidil Adjunct in angioplasty 11.05.2000
33 Cerivastatin Lipid lowering agent 11.05.2000
34 Rofecoxib NSAID 26.06.2000
35 Irbesartan Antihypertensive 26.06.2000
36 Rosiglitazone Maleate Antidiabetic 28.06.2000
37 Granisetron Antiemetic 05.07.2000
38 Rituximab Antineoplastic 10.07.2000
39 Trastuzumab Antineoplastic 10.07.2000
40 Rosiglitazone Antidiabetic 14.07.2000
41 Moclobemide Antidepressant 28.07.2000
42 Candesartan Antihypertensive 31.08.2000
43 Venlafaxine Hdrochloride Antidepressant 18.09.2000
44 Paroxetine Hydrochloride Antidepressant 04.10.2000
45 Iomeprol Contrast medium 05.10.2000
46 Capecitabine Antineoplastic 12.10.2000
47 Daclizumab Immunosuppressive agent 12.10.2000
48 Pioglitazone Hydrochloride Antidiabetic 17.10.2000
49 Didanosine AntiHIV 15.11.2000
50 Octy.lonium Bromide Irritable bowel syndrome 12.12.2000
51 Pravastatin Lipid lowering agent 20.12.2000
52 Sildenafil Citrate Male Erectile Dysfunction 08.01.2001
53 Triflusal Platelet Aggregation Inhibitor 17.01.2001
54 Thymosin Alfa-1 Inj. Immunomodulator
(for chronic Hepatitis-B) 17.01.2001
55 Vinorelbin Tartrate Inj. Antineoplastic
aggregation inhibitor 17.01.2001
56 Broncho-Vaxom Antiasthamatic, immune
boosting drug Feb, 2001
57 Indinavir Sulphate Antiviral (Anti-HIV) 01.02.2001
58 Butenafine HCl cream Antifungal 14.02.2001
59 Mirtazapine Antidepressant 14.02.2001
60 Clopidogrel Antithrombotic; platelet
aggregation inhibitor 22.02.2001
61 Mosapride Prokinetic agent, GERD 12.03.2001
62 Donepezil HCl For Alzheimer's Dementia 20.03.2001
63 Bupropion SR Smoking cessation adjunct 10.04.2001
64 Raloxifene HCl Menopausal osteoporosis 04.05.2001
65 Efavirenz Anti-HIV 06.06.2001
66 Moxifloxacin Antibacterial 26.06.2001
67 Misoprostol Antiulcer agent 21.06.2001
68 Human Recombinant
Granulocyte Colony
Stimulating Factor Inj. Haemopoietic stimulant,
antineutropenic 29.06.2001
69 Nelfinavir Mesylate Anti-HIV 02.07.2001
70 Ciprofloxacin 1g SR Antibacterial Aug, 2001
71 Tolterodine-L-Tartrate Overactive Bladder 13.09.2001
72 Ebastine Antiallergic 28.09.2001
73 Leflunomide Anti-rheumatoid Arthritis 01.10.2001
74 Citalopram Hydrobromide Antidepressant 03.10.2001
75 Gatifloxacin Antibacterial 03.10.2001
76 Linezolid Antibacterial 04.10.2001
77 Genirelix Antigonadotropin releasing
hormone (fertility drug) 08.10.2001
78 Racecadotril Antidiarrhoel 10.10.2001
79 Cefdinir Antibacterial 10.10.2001
80 Iobitridol Contrast Medium 17.10.2001
81 Estemestane Antineoplastic 18.10.2001
82 Decapeptide For Vitiligo 22.10.2001
83 Oxcarbazepine Antiepileptic 30.10.2001
84 Desloratidine Antiallergic 30.10.2001
85 Zolendronic Acid For Hypercalcaemia 05.11.2001
86 Zafirlukast Antiasthmatic (Leukotriene
Receptor Antagonist) 03.12.2001
87 Ropinirole Dopamine Agonist (for
Parkinson's Disease) 03.12.2001
88 Esomeprazole Mag. Antiulcer 04.12.2001
89 Etanercept-Recomb. Antirheumatic, Tumor Necrosis
Factor Receptor 07.12.2001
90 Imatinib Mesylate Anticancer 09.12.2001
91 Valsartan Antihypertensive 10.12.2001
92 Rabeprazole Antiulcer; Proton pump inhibitor 27.12.2001
93 Bimatoprost (Ophthalmic Sol.) Anti-Glaucoma 08.01.2002
94 Meropenem Inj. Beta-lactum Antibiotic 08.01.2002
95 Fosinopril Sodium Antihypertensive 10.01.2002
96 Divalproax Sodium Antiepileptic 17.01.2002
97 Zaleplon Sedative-Hypnotic 17.01.2002
98 Tizanidine SR Multiple Sclerosis 06.02.2002
99 Thymogen Inj. Anticancer 12.02.2002
100 Montelukast Sodium Antiasthmatic (Leukotriene
Receptor Antagonist) 13.02.2002
100A Methyl Cobalamin Peripheral Neuropathy 13-02.2002
101 Mifepristone Progesterone Antagonist 13.02.2002
102 Dexarazoxane Injection Cardio Protective Agent 26.02.2002
103 Tranexamic Acid Antifibrinolytic 06.03.2002
104 Bicalutamide Anticancer 07.03.2002
105 Loteprednol Etabonate
Ophtalmic Sol. Corticosteroid, ophthalmic
anti-inflammatory 15.03.2002
106 Apraclonidine Ophthalmic Sol. Alpha 2-adrenoreceptor agonist 15.03.2002
107 Mizolastine Antiallergic 15.03.2002
108 Miltefosine For Kalazar 15.03.2002
109 Ziprasidone HCl For Schizophrenia 18.03.2002
110 ABACAVIR Anti – HIV 22.03.2002
110 Nadifloxacin Cream Antibacterial; antiacne 28.03.2002
111 Meloxicam Inj. (Vet) NSAID 02.04.2002
112 Mesalazine SR Bowel disease (inflammatory) 04.04.2002
113 Tamsulosin HCl For BPH 04.04.2002
114 Famciclovir Antiviral 11.04.2002
115 Nateglinide Antidiabetic 01.05.2002
116 Lercanidine HCl Antihypertensive 07.05.2002
117 Itopiride Capsules Gastro Prokinetic Agent 09.05.2002
118 Alprostadil Injection For Erectile Dysfunction 09.05.2002
119 Vimpocetine Vasodilator 13.05.2002
120 Quetiapine Fumerate Antipsychotic 31.05.2002
121 Isotretinoin Soft Gel Cap. For Acne vulgaris 21.06.2002
122 Nebivolol HCl Antihypertensive 12.07.2002
123 Sirolimus Immunosuppressant 15.07.2002
124 Drotrecogin alpha For severe sepsis 23.07.2002
125 Pygenum Africum For BPH 30.07.2002
126 Valdecoxib NSAID 01.08.2002
127 Thalidomide For Leprosy 12.08.2002
128 S (-) Amlodipine Besylate Anti-hypertensive 16.08.2002
129 Cabergoline For hyperprolactemia 05.09.2002
130 Butarphenol Tartarate Opoid Analgesic 11.09.2002
131 Gemtuzumab For Myeloid Leukemia 12.09.2002
132 Quinapril Anti – Hypertensive 19.09.2002
133 Valacyclovir Anti-viral 25.09.2002
134 Fosphenytoin Sod. Anti-Epileptic 01.10.2002
135 Ceftiofur Sodium & Ceftiofur HCl Antibiotic (For Veterinary Use) 08.10.2002
136 Metaxalone Muscle Relaxant 08.10.2002
137 Meglumine gadoteric Contrast media 16.10.2002
138 Cefepine HCl Anti-Biotic 30.10.2002
139 Acamprosate Calcium For Alcohol dependency 30.10.2002
140 Aztreonam Anti-Bacterial 01.11.2002
141 Tegaserod Maleate For irritable bowel syndrome 01.11.2002
142 Parecoxib Inj. NSAID 01.11.2002
143 Balsalezide Disodium For ulcerative colitis 12.11.2002
144 Cefetemet-piroxil Antibacterial 14.11.2002
145 Telmisartan Antihypertensive 25.11.2002
146 Levocetrizine Anti-Histaminic 12.12.2002
147 Poractant a For respiratory distress in preterm babies 24.12.2002
148 Reboxetine Anti-depressant 31.12.2002
149 Cefprozil Antibiotic 10-01-2003
150 Cilostazol For intermittent claudication. 23-01-2003
151 Escitalopram Oxalate. Anti depressant 24.01.2003
152 Anastrazole Anti cancer 10.02.2003
153 Rizapriptan Anti migrain 27.02.2003
154 Gadobenate(Dimeglumine IV Injection) MRI Contrast Medium 07.03.2003
155 Tacrolimus Ointment Immuno-modulator 10-03-2003
156 Metolazone Diuretic 23.04.2003
157 Tiotropium Bromide Anti asthematic 16.04.2003
158 Gadoversetamide Injection MRI Contrast Medium 04.06.2003
159 Torsamide Diuretic 09.06.2003
160 Cyproterone Tablet For Prostatic Cancer 10-06-2003
161 Aripiprazole Anti schizophrenia 11.06.2003
162 Azelaic Acid Anti-Acne 08-07-2003
163 Bendrofluazide Diuretic 24.07.2003
164 Imipenem +Cilastatin Anti-Bacterial 25-07-2003
165 Vinpocetin Anti-pychotic 01.08.2003
166 Tirofiban HCl I.V Anti-Platelet 12.08.2003
167 Teriparatide For Osteoporosis 04-09-2003
168 Cladribine Anti-Cancer 09-09-2003
169 Tadalafil For Erectile Dysfunction 11-09-2003
170 S-Atenolol Anti-hypertensive 11-09-2003
171 Rosuvastatin Lipid lowering Agent 12-09-2003
172 Tazarotene Anti-Acne 12.09.2003
173 Aceclofenac NSAID 15-09-2003
174 Ibopamine HCl Opthalmic 03-10-2003
175 Trandolapril Anti-Hypertensive 03-10-2003
176 Dorzolamide Opthalmic 03-10-2003
177 Fenoverine Anti-spasmodic 08-10-2003
178 Risedronate Sodium For Osteoporosis 17-10-2003
179 Fondaparinax Sodium LMWH 22-10-2003
180 Metadoxine For Hepatic Disorder 24-10-2003
181 Valgancyclovir For CMV 20-11-2003
182 Isopropyl Unoprostone Ophthalmic 25-11-2003
183 Amorolfine Anti-Fungal 25-11-2003
184 Fluvastatin Sodium Lipid Lowering Agent 25-11-2003
185 Modafinil For sleeping disorder 15-12-2003
186 Sufentanil Citrate Anesthetic Agent 17-12-2003
187 Ezetimibe Lipid Lowering Agent 18-12-2003
188 Dutasteride For BPH 16-02-2004
189 Gefitinib Anti-cancer 17-02-2004
190 Imidapril Anti-hypertensive 23-02-2004
191 Adefovir Dipivoxil Anti-Viral (Hepatitis-B) 04-03-2004
192 Etoricoxib NSAID 05-03-2004
193 Diacerein For Osteoarthritis 12-03-2004
194 Nitazoxanide Anti-Diarrhoeal 17-03-2004
195 Trolamine Cream (0.67%) For Topical use 20-03-2004
196 Neotame Sweetening Agent 22-04-2004
197 Oxybutynine E.R. tablets For Neurogenic bladder disorder 05-05-2004
198 Cabergoline 1 mg/2 mg/4 mg tablets For Parkinson’s disease 07-05-2004
199 Rabeprazole Sodium Injection 20 For Gastric and Deudonal Ulcers & GERD 12-05-2004
200 Alfuzosin E.R. Tablets (10 mg) For BPH 14-05-2004
201 Tiagabine HCl tablet(2/ 4 /12 /16 mg) Anti-Epileptic 14-05-2004
202 Racecadotril Sachet (10 mg/30 mg) Anti-diarrhoeal 18-05-2004
203 Ibandronic Acid Inj ( 1 mg/ml) For Anti-Cancer 18-05-2004
204 Tacrolimus Capsule(0.5mg/1mg/5 mg) For organ rejection 21-05-2004
205 Cefdinir Dispersible tablet (125mg) Anti-biotic 27-05-2004
206 Linezolid (600 mg) Tablet For Osteomyelitis in adults 30-05-2004
207 FDC of Gatifloxacin 0.3% + Dexamethasone Phos. 0.1% w/w Eye drops For post-operative inflammatory and bacterial infection of eyes. 15-06-2004
208 Cefprozil Dispersible Tablet (125 mg/ 250 mg) Anti-biotic 22-06-2004
209 Divalproex Sodium E.R. Tablets (750mg/1000 mg) Anti-Epileptic 24-06-2004
210 Lithium Carbonate ER (450mg) tablet Anti-Depression 28-06-2004
211 Nimesulide Injection 75mg/ml. For short-term treatment of post-operative pain. 28-06-2004
212 FDC of Esomeprazole 20 mg/40 mg + Domperidone 30 mg SR Capsule For GERD 29-06-2004.
213 Aceclofenac (100 mg) + Paracetamol(500 mg) For acute painful condition in adults 29-06-2004
214. FDC of Lamivudine 300 mg (E.R) + Zidovudine 600 mg (E.R) + Nevirapine 400 mg tablets Anti-AIDS 15-07-2004
215. Levosalbutamol Tablet 1 mg/2mg & Syrup 1 mg/5 ml. For Obstructive airway disease 16-07-2004
216. Memantine HCl tablet 5 mg/10 mg. For dementia of Alzheimer’s type 19-07-2004
217. Pimcrolimus 10 mg/gm cream For atopic dermatitis 23-07-2004
218. FDC of Rabeprazole (20 mg) + Mosapride S.R. (15 mg) Tablet For GERD 27-07-2004
219. Rebamipide 100 mg tablet For gastric ulcer 28-07-2004
220. Cefetamet Pivoxil Suspension 250 mg/5ml Anti-biotic 09-08-2004
221. Diclofenac Transdermal patch 100 mg/50 Cm2 For Osteoarthritis & soft tissue injury 10-08-2004
222 . Fluconazole Gel (0.5%) Anti-fungal 12-08-2004
223. FDC of Atorvastatin (10 mg/20 mg) + Ezetimibe (10 mg) Table For Hypercholesterolemia 13-08-2004
224 . Miglitol Tablet 25 mg/50 mg/100 mg Anti-Diabetic 18-08-2004
225. FDC of Buprenorphin 2 mg + Naloxone (0.5 mg) For Opiod Dependency 19-08-2004
226. FDC of Sucralfate 0.07 + metronidazole 0.01 gm + Lignocain 0.04 gm per gram of cream For bedsore, haemorrhoid fistula and anal fussure 19-08-2004
227. Citicholine Tablet 500 mg & Injection 250 mg/ml Membrane permeability enhancer 20-08-2004
228. FDC of Glibenclamide 2.5 mg/ 5 mg + Metformin SR 500 mg tablet Anti-diabetic 20-08-2004
229. Lamotrigine S.R. tablet 50 mg/100 mg/200 mg Anti-Epileptic 26-08-2004
230 Moxifloxacin Eye drops (0.5%) For bacterial conjunctivitis 26-08-2004
231 Risperidone long-acting suspension for injection 25 mg/37.5 mg/50 mg per vial For Schizophrenia 26-08-2004
232 Escitalopram (10mg) + Clonazepam (0.5mg) For co-morbid depression & anxiety disorder. 27-08-2004
234 Everolimus Tablets (0.25 mg/ 0.5 mg/0.75 mg/1.0 mg) Immunosuppressant 30-08-2004
235 Dorzolamide (20 mg) + Timolol (5 mg) per ml Eye drops For reduction of elevated IOP. 01-09-2004
236 Gemcitabine (1.4 gm/vial) Anti-cancer 01-09-2004
237 b -arteether Injection
(150 mg/2 ml) Anti-malaria 01-09-2004
238 Ziprasidone powder for injection (after reconstitution 20 mg/ml) Anti-psychotic 03-09-2004
239 Voriconazole Tablet (50 mg/200 mg) Infusion (200 mg/vial) Anti-fungal 09-09-2004
240 FDC of Nebivolol (5 mg) + S(-) Amlodipine (2.5 mg ) tablet Anti-hypertensive 14-09-2004
241 FDC of Valdecoxib (20 mg) + Paracetamol (500 mg) tablet For pain relief in adults. 20-09-2004
242 Amlodipine (5 mg) + Ramipril (2.5 mg) tablet Anti-hypertensive 24-09-2004
243 FDC of Rabeprazole Sodium (20 mg) + Domperidone (30 mg) S.R Capsule For GERD 04-10-2004
244 Cefuroxime Axetil ER tablets (500 mg/1000mg) Anti-biotic 06-10-2004
245 Diclofenac Transdermal Patch (200 mg/75 cm2) For pain relief. 06-10-2004
246 Gatifloxacin Eye Ointment (1%) Ophthalmic use 06-10-2004
247 Nimesulide Injection (100 mg/ml) (Veterinary) Veterinary use 08-10-2004
248 Isotretinoin Gel (0.05%) For acne 11-10-2004
249 FDC of Epi-Growth Factor (1 gm) + Silversulphadiazine Cream For Burns 19-10-2004
250 FDC of Amlodipine (5mg/10 mg) + Atorvastatin (10/20/40 mg) For co-existing hypertension & hyperlipidemia 20-10-2004
251 Levosalbutamol rotacaps (100 mcg/capsule) & inhaler (50 mcg /actuation) For obstructive airway disease. 20-10-2004
252 Celecoxib Injection (100 mg/ml) For acute pain 28-10-2004
253 Orlistat (120 mg) Capsule Anti-obesity 27-10-2004
254 Duloxetine HCl (20,30,40mg) Tablet Anti-depressant 02-11-2004
255 Deflazacort (1,6,30mg) tablet Anti-asthma, anti-arthritis. 02-11-2004
256 Atomoxetine HCl (10,18, 25 & 40mg ) capsule For ADHD 09-11-2004
257 Ursodeoxycholic acid S.R. Capsule (450mg) For dissolution of gall stones 01-12-2004
258 Methylphenidate HCl (18, 36, 54 mg) E.R. tablet For ADHD 08-12-2004
259 FDC of Lovastatin (20mg) + Nicacin ER (500mg) tablet For Lipid-lowering 20-12-2004
260 FDC of Gatifloxacin (400mg) + Ambroxol HCl (75mg) tablet RTI in adults. 21-12-2004
261 FDC of Nebivolol HCl (5mg) + Hydrochlorothiazide (12.5mg) tablet Anti-hypertensive 22-12-2004
262 FDC of Atorvastatin Calcium (10mg) + Finofibrate (160mg) tablet For hyperlipidemia 22-12-2004
263 Calcium Polycarbophil (500mg) tablet For constipation 23-12-2004
264 Pantoprazole (40mg) + Domperidone (20mg)
( 10mg IR + 10mg SR) GERD 23-12-2004
265 Imiquimod Cream 5% w/w For warts in adults 28-12-2004
266 Entacapone (200mg) tablet For Parkinson’s disease 30-12-2004
267 Centbucridine (0.5%) + Feracrylem (3%) For hemorrhoid & anal fissure 11-01-2005
268 Atenolol (25mg, 50mg) + HCTZ (12.5mg) Anti-Hypertensive 13-01-2005
269 Levocetirizine Syrup (2.5mg/5ml) For allergic rhinitis & urticaria 13-01-2005
270 Pitavastatin (1mg/2mg) Tablet Lipid Lowering agent 14-01-2005
271 Ofloxacin (200mg) + Ornidazole (500mg) For diarrhea of mixed infection 20-01-2005
272 Bacillus calusii spores suspension (2billion/5ml vial) For alteration of intestinal bacterial flora 28-01-2005
273 Lamivudine (40mg) +Nevirapine (70mg +Stavudine (10mg) (in 5ml) powder for suspension Anti-HIV. 28-01-2005
274 Diflorasone Diacetate Cream (0.5mg/gm) For corticosteroid responsive dermatoses 08-02-2005
275 Etonogestrel (11.7mg) + Ethinylestradiol (2.7mg) Contraceptive rings For Contraceptive in women 15-02-2005
276 Metaxalone (400mg) + Diclofenac Potassium (50mg) tablet For acute painful musculoskeletal condition in adult 22-02-2005
277 Tranexamic Acid (500mg) + Mefenamic acid (250mg) tablet For primary dysmenorrhoea and pain associated with menorrhagia in women 22-02-2005
278 Fluconazole (2%) + Zinc Pyrethione (1%) suspension For seborrhoic dermatitis 22-02-2005
279 Azelaic acid Cream (15%) For the treatment of inflammatory papules and pustules of mild to moderate rosacea 23-02-2005
280 Levodropropizine oral suspension (30mg/5ml) For non-productive cough in adults 25-02-2005
281 Duloxetine HCl (60mg) tablet (additional strength) 28-02-2005
282 Desloratadine (2.5mg) + Ambroxol (30mg) +Guiphenasine (50mg) + Menthol 1mg/5ml Syrup For productive cough 02-03-2005
283 Levofloxacin Ophthalmic Solution (0.5%) For susceptible bacterial conjunctivitis 04-03-2005
284 Metformin Oral Solution (100mg/ml) For type-II diabetes mellitus 04-03-2005
285 Tirofiban (0.25mg/ml injection)
(additional strength) For acute coronary syndrome including patients undergoing PTCA or atherectomy 09-03-2005
286 Omeprazole (20mg)
Enteric coated + Domperidone (30mg) (S.R.) capsule For GERD not responding to Omeprazole. 10-03-2005
287 Stavudine powder for suspension For HIV-1 infusion 11-03-2005
288 Erdosteine (150mg/300mg) Capsules For chronic obstructive bronchitis
11-03-2005
289 Tazarotene (1mg) +Mometasone Furoate (1mg) per gram cream For plaque psoriasis 01-04-2005
290 Levetiracetam (250mg,500mg,
750mg) Tablets As adjunctive therapy in treatment of partial onset seizures in adults with epilepsy. 04-04-2005
291 Esomeprazole Sodium For injection For GERD in patients with esophagitis and/or severe symptoms of reflux as an alternative to oral therapy when oral intake is not appropriate 04-04-2005
292 Rupatadine (10mg) tablet For perinial allergic rhinitis 05-04-2005
293 Acesulfame Potassium As sweetener in pharmaceutical preparation 05-04-2005
294 Buprenorphine (0.4mg) + Naloxone (0.1mg) sublingual tablet For opioid dependence 06-04-2005
295 Lamivudine (40mg) +Stavudine (10mg/5ml) reconstituted solution For HIV infection 08-04-2005
296 S(-) Metoprolol Succinate S.R. tablets (equivalent to S(-) Metoprolol Tartrate 12.5mg/25mg/50mg) For Hypertension 15-04-2005
297 R(-) Ondansetron (2mg/4mg) tablet For chemotherapeutic induced nausea and vomiting 15-04-2005
298 Balanced salt intra ocular irrigating solution enriched with glutathione Dextrose, bicarbonate For intraocular irrigating during intraocular surgical procedures 26-04-2005
299 Gliclazide M.R. (30mg/60mg)+
Metformin HCl (500mg) ER Tablet For type-II diabetes 27-04-2005
300 Drosperinone (3mg) + Ethinylestradiol (0.035mg tablet) Oral Contraceptive 11-05-2005
301 Simvastatin (10/20mg) + Ezetimibe (10mg) Tab For primary Hypercholesterolemia
11-05-2005
302 Ramipril (5mg) + Telmisartan (40mg) tablet For Hypertension 11-05-2005
303 Intralipid 30% For patients with essential fatty acid deficiencies 12-05-2005
304 Montelukast Granules (4mg/pack) For Prophylaxis and chronic treatment of asthma in adult and pediatric patients of 12 months age and older 17-05-2005
305 Bortezomib for injection (3.5mg/vial) For the treatment of myeloma patients 18-05-2005
306 Nelfinavir 625mg tablet (addl.strength) For HIV patients 20-05-2005

307 Sevelamer (400mg/800mg) tablet For control of serum phosphorus in patients with chronic kidney disease and hemodialysis. 20-05-2005
308 S(-)Pantoprazole (10mg/20mg) tablet For gastric ulcer, duodenal ulcer & GERD 20-05-2005
309 Tazarotene (0.05%) + Mometasone Furoate (0.1%) Cream (addl.strength) For Plaque psoriasis 24-05-2005
310 R (-) Ondansetron oral Solution (1mg/5ml) For Chemotherapy induced nausea and vomiting 24-05-2005
311 Gatifloxacin (200mg) +Ornidazole (500mg) tablet For diarrhoea of mixed infection in adults 06-06-2005
312 Combikit of 2 tablet of Stavudine (40mg) + Lamivudine (150mg) each & 1 tablet of Efavirenz (600mg) For HIV infection in adults 07-06-2005
313 Combikit of 2 tablet of Lamivudine (150mg) + Zidovudine (300mg) each and 1 tablet of Egavirenz (600mg) For HIV infection in adults 07-06-2005
314 Aceclofenac gel 1.5% alongwith linseed oil, menthol, Salicylate, Capsaicin For pain, swelling etc 08-06-2005
315 Emtricitabine (200mg) capsule For HIV infection in adults 09-06-2005
316 Eplerenone Tablet (25mg/50mg) For hypertension 10-06-2005
317 Strontium Ranelate Granules (2gm/Sachet) For post-menopausal women with Osteoporosis 14-06-2005
318 Lamivudine 30/60mg + Stavudine 6mg/12mg + Nevirapine 50mg/100mg dispersible tablet For pediatric patients with HIV infection 14-06-2005
319 Nitazoxanide (500mg) +
Ofloxacin (200mg) Tablet For urogenital infection in adults. 30-06-2005
320 Midazolam Maleate Bulk Anesthetic 05-07-2005
321 Calcium Polycarbophil (500mg) Tablet IBS 06-07-2005
322 FDC of Papain + Urea Ointment For debriment of necrotic tissues. 11-07-2005
323 Testosterone Gel 1%. For replacement therapy in male with Testosterone deficiencies and hypogonadotropic hypogonadism 12-07-2005
324 Erlotinib Hydrochloride (25mg/100mg/150mg Tablet For metastatic non-small cell lung cancer. 13-07-2005
325 Chloroquine Phosphate eye drops (0.3mg/ml) For dry eye syndrome 13-07-2005
326 Mecobalamine E.R. tablet (1500mcg) For neuropathic pain 19-07-2005
327 Olmesartan Medoxomil (5mg/20mg/40mg) Tablet Anti-hypertension 21-07-2005
328 Ursodeoxycholic Acid (500mg) S.R Tablet Addl. Strength 20-07-2005
329 FDC of Amlodipine (5mg) + Bisoprolol (2.5mg) Anti-hypertension 21-07-2005
330 FDC of Ceftriaxone (500mg/100mg) + Tazobactum (12.5mg/62.5mg) Injection Anti-bacterial 21-07-2005
331 Feropenem Sodium (150mg/200mg) Tablet Anti-bacterial 21-07-2005
332 Levodopa (50mg/100mg/150mg) + Carbidopa (12.5mg/25mg/37.5mg + Entacapone (200mg) tablet For Parkinson’s disease 25-07-2005
333 Saquinavir (as mesylate) 500mg Tablet Addl. Strength. 25-07-2005
334 Pramipexole Di-hydrochloride Tablet (0.125mg/0.25mg/0.5mg/1mg/1.5mg). For Parkinson’s disease 25-07-2005
335 FDC of Atorvastatin (10mg) + Niacin (375mg/500mg E.R) Capsule For Hypercholesterolemia 26-07-2005
336 FDC of Levocetirizine (5mg) + Ambroxol (75mg S.R) Capsule Anti-histaminic & mucolytic 29-07-2005
337 FDC of Gabapentin (300mg) + Methylcobalamin (500mcg) Tablet For neuropathic pain in adults. 05-08-2005
338 Phenytoin Sodium (300mg) tablet Addl. Strength 05-08-2005
339 FDC of Calciptriol (50mcg) + Betamethasone Dipro (0.5mg/gm) Ointment For psoriasis vulgaris. 12-08-2005
340 FDC of Glimepiride (1mg/2mg) + Pioglitazone (15mg)+ Metformin (500mg E.R) Tablet Anti-diabetic 12-08-2005
341 Tenofovir Disoproxil Fumarate Tablet (300mg) Anti-HIV 17-08-2005
342 Sucralfate (7%) + Povidone Iodine (5%) Ointment Anti-infective 18-08-2005
343 Bivalirudin Injection (250mg/vial) Anti-coagulant in PTCA 25-08-2005
344 Efavirenz Oral Solution (30mg/ml) Anti-AIDS 25-08-2005
345 Didanosine Powder for oral solution (2gm/4gm per bottles) Anti-AIDS 26-08-2005
346 Sodium Valproate (750mg/1000mg) C.R. Tablet Addl. Strength 26-08-2005
347 Oxcarbazepine S.R. (150mg/300mg/600mg) Tablet Anti-epileptic 08-09-2005
348 Acitretin For sever psoriasis in adults. 09-09-2005
349 Dried IVY Leaf Extract (7.5gm/100ml) Cough Syrup 15-09-2005
350 Nimesulide 1% + Methyl Salicylate 5%. Aerosol For local application in acute pain. 16-09-2005
351 Feracrylum (1%) + Metronidazole 1%) Antiseptic gel. 16-09-2005
352 FDC of Methylcobalamin (1500mcg E.R) + Pyridoxine (20mg) + Folic Acid (5mg) Tablet For hyper-homocysteinemia 16-09-2005
353 Ketorolac Tromethamine 0.4% Eye drops (addl. Strength) Ophthalmic 20-09-2005
354 Levetiracetam Oral Solution (100mg/ml) Anti-epileptic 22-09-2005
355 Zinc (Gluconate) oral solution (20mg/5ml) For acute diarrhoea 05-10-2005
356 Trimebutine Maleate For irritable bowel syndrome 10-10-2005
357 Enalapril (2.5mg/5mg) + HCTZ (12.5) Tablet (Addl. Strength) For Hypertension 17-10-2005
358 Oseltamivir (as phosphate) Capsule (75mg) & oral suspension (12mg/ml) For influenzae 25-10-2005
358 Cetirizine HCl drops (10mg/ml) Anti-histaminic 08-11-2005
359 Lanthanum Carbonate Chewable tablet (250mg/500mg) For the treatment of hyperphosphatemia. 09-11-2005
360 Ambroxol HCl 75mg (S.R) + Desloratadine 5mg Capsule. For relief of productive cough. 10-11-2005
361 Sodium Hyaluronate 0.1% eye drops (addl. Strength) Ophthalmic use. 10-11-2005
362 FDC of S-Metoprolol Succinate Tartrate equivalent to Metoprolol Tartrate (E.R) 25/50mg + HCTZ (12.5mg) Tablet. For essential hypertension 11-11-2005
363 Stavudine 10mg+Lamivudine 40mg+ Nevirapine 70mg dispersible tablet For HIV infection 11-11-2005
364 Voglibose (0.2mg/0.3mg) Tablet Anti-diabetic 17-11-2005
365 Lactitol Sachet (10gm/20gm). For the treatment of constipation. 21-11-2005
366 Aspirin Bolus (Vet.) 6gm/bolus) For Veterinary use. 21-11-2005
367 Domperidone (10mg) + Activaed dimethicone (125mg) chewable tablet For dyspepsia, colicy pain & GERD. 22-11-2005
368 Moxifloxacin (0.5%) + Dexamethasone Phosphate (0.1%) Eye drops For Ophthalmic use. 24-11-2005
369 Pregabalin capsule (75/150/300mg) For neuropathic pain. 25-11-2005
370 Methotrexate Topical gel (1%) Addl. Strength Psoriasis. 25-11-2005
371 Brimonidine Tartrate (2mg/1.5mg) + Timolol (as HCl) 5mg/ml. Ophthalmic 25-11-2005
372 Testosterone Spray (25mg) For replacement therapy in males with testosterone deficiency. 29-11-2005
373 Omeprazole Powder for suspension (20mg/Sachet) Anti-ulcer 30-11-2005
374 Doxazosin (as Mesylate) 4mg/8mg E.R. Tablet For hypertension 30-11-2005
375 Amlodipine (as besylate) 5mg + Bisoprolol 5mg Tablet (Addl. Strength) For hypertension 30-11-2005
376 FDC of Olmesartan Medoxomil (20mg/40mg/40mg) + HCTZ(12.5mg/12.5mg/25mg) For essential hypertension 02-12-2005
377 Phenylephrine 2.5% Eye drops Ophthalmic 02-12-2005
378 Entecavir Tablet (0.5mg/1.0mg) & oral solution (0.05mg/ml). For chronic Hepatitis-B infection. 05-12-2005
379 Ketorolac Tromethamine 5mg + Ofloxacin 3mg/ml Eye drops Ophthalmic 07-12-2005
380 Hyoscine-N-Butylbromide (10mg) + Paracetamol 500mg Tablet For spasmodic pain 08-12-2005
381 Amlodipine (as besylate ) 5mg + Losartan Pot. 50mg For hypertension 08-12-2005
382 Travoprost Eye drops (40mcg/ml) For glaucoma & ocular hypertension. 08-12-2005
383 Ceftriaxone (as sodium) (500mg/1000mg) + Sulbactam (as sodium) (250mg/500mg) powder for injection. For LRTI 08-12-2005
384 Atomoxetine (as HCl) Sachet (10/18/25/40mg) For ADHD 15-12-2005
385 Levofloxacin Oph. Solu. (1.5%) 15mg/ml. (Addl. Strength). Ophthalmic 16-12-2005
386 Zonisamide (100mg) capsule Anti-epileptic 21-12-2005
387 Methimazole Tablet ( 5mg/10mg) For hyperthyroidism. 22-12-2005
388 Caspofungin Acetate injection (50mg/70mg per vial). For invasive candidiasis fungal infection. 23-12-2005

Friday, July 2, 2010

Moxifloxacin+Cefixime

MOXIFLOXACIN+CEFIXIME

1. Infection caused by ESBL (extended spectrum of betalactamse) producing bacteria can only be controlled by the combination of antibiotics.
2. ESBL producing bacteria are P.aeruginosa, S.aurious,S.pneumonia,E.coli, and Mirabilis etc
3. Moxifloxacin easily covers all bacteria except P.aeruginosa and Cefixime kills all bacteria except S.aurious.
4. Therefore, the combination of moxifloxacin and cefixime can kill all ESBL producing bacteria in one go.
5. Both the antibiotics can be given safely to impaired renal and liver patients and there will be no dosage adjustment required.
6. Patent has already been filed in USFDA with all required data like moxifloxacin-cefixime structure, FIC(Fractional Inhibitory Concentration) value etc.
7. The combination is synergistic rationale and there is no drug interaction among both the drugs.
8. There is no photosensitiv reaction with moxifloxacin unlike other quinolones.
9. The combination is once a day which will help to accept by the physicians and patients
10. The combination offers ESBL coverage safely with convenient dosage schedule in an economical rate.

Contact: Meher Pharma International or visit www.meherpharma.com

Thursday, July 1, 2010

LITERATURE OF CEFIXIME AND OFLOXACIN

ESBL Producing Bacteria

P.aeruginosa, S.aurious, S.pneumonia, E.coli, and Mirabilis

Cause Extremely High Level of Resistance

Cephalosporin 30%

Macrolide--- 25%

Penicillin---20%

Quinolone--12%

Monotherapy alone is not sufficient

Stubborn Pathogens Need Strong Alliance

Cefixime-200mg + Ofloxacin

POWER OF DUO

Unique Dual Mode Of Action

Ofloxacin-Prevents nucleic acid synthesis

Cefixime-Inhibits cell wall synthesis

No Drug-Drug Interaction

Kills ESBL Instantly

Acts synergistically

GIVES BETTER PATIENT COMLIANCE

Cefixime-200mg + Ofloxacin

CLINICAL STUDIES

Preferred Choice

· Typhoid Fever

· Urinary Tract Infection

· Respiratory Tract Infection

· Nosocomial Infections

· Soft Tissue Infections

· Surgical Prophylaxis

· Intra-abdominal Infections

SAFETY AND EFFICACY GOES HAND-IN-HAND

Developed by Meher Pharma International

www.meherpharma.com

Dr.Shahbaz-9818131498

Dr. Mohammad Shahbaz Alam

Message From Meher Pharma International

Dr. Mohammad Shahbaz Alam has 15 years of experience under his belt of FDC innovation, product management and motivational training. He is one of the best qualified professional with the top notch degree of MBA with dual specialization in human resource management and marketing, MPA (Masteriate in public administration) & PhD.

He has written books on human resource management, management vision, training & development, motivational theories, antibiotics, drugs classification and Nutracology. He has been appointed as chief guest in many business management schools to deliver lectures. Every week he is sparing his time for counseling to Tihar jail prisons to be a good human being.

He has innovated so many fixed dose combinations first time in the world under the preview of WHO guideline. More than 1000 FDCs are ready for sale. For more information you log on www.meherpharma.com.

“PROTECT HUMANITY AND RESPECT HUMANITY”

TAPENTADOL + PARACETAMOL

TAPENTADOL + PARACETAMOL

RATIONALE COMBINATION

Osteoarthritis (OA) is common in the elderly, and pain is a frequent symptom of OA. Nonsteroidal antiinflammatory drugs (NSAIDs) are often effective for the treatment of OA pain and are recommended by the American College of Rheumatology 2000 guidelines. Despite chronic NSAID therapy, OA patients may experience acute painful flares, and breakthrough pain on NSAIDs is a common reason for seeking additional treatment.

The analgesic ceiling effect, at which efficacy plateaus despite increasing dose, and the risk of adverse events (e.g., gastrointestinal, cardiovascular, renal) can make increasing the NSAID dose inappropriate for the management of painful OA flare, especially in older patients who, for example, have 3% to 4% annual risk of gastrointestinal bleeding compared with about 1% risk for the general population. Additionally, the American College of Rheumatology 2000 guidelines recommend against the combined use of two NSAIDs, including cyclooxygenase (COX)-2-selective NSAIDs, for pain relief because of the increased risk for gastrointestinal and renal side effects

The use of combination therapy for the management of the pain associated with OA has been recommended to improve efficacy. Use of multiple analgesics, especially with different mechanisms of action and pharmacokinetics, can overcome the efficacy and safety limitations of the individual agents and can provide additive, or even synergistic, pain relief. The new American Pain Society 2002 guidelines for OA pain management specifically recommend the use of tramadol in combination with acetaminophen (APAP) at any time during treatment when NSAIDs alone provide inadequate pain relief.

In the dental acute pain model, the combination tramadol 37.5 mg/APAP 325 mg was shown to be more effective and have a faster onset of action (17 minutes) than tramadol (51 minutes) and longer duration of action (>5 hours) than either component alone (tramadol 2 hours, Paracetamol 3 hours), with no increase in adverse events. It is noteworthy that the combination of tramadol and paracetamol is also approved by DCGI.

A new semi-opioid analgesic with a dual mechanism of action has been released for market by PriCara, a division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. Tapentadol is a mu-opioid receptor agonist as well as an inhibitor of norepinephrine reuptake. The drug was originally approved by the FDA last year. It is non another but tapentadol a novel, centrally acting analgesic with two mechanisms of action that confers broad efficacy, as demonstrated in a variety of preclinical analgesia models. The pharmacologic activity of tapentadol is due to both mu-opioid receptor (MOR) agonism and norepinephrine reuptake inhibition. Tapentadol has favorable side effect profile and rapid onset of action.

This novel analgesic, tapentadol is an attractive treatment option for the relief of moderate-to-severe acute pain, acute postoperative pain, osteoarthritis pain and/or low back pain, Whereas, Paracetamol is a widely used over-the-counter analgesic (pain reliever) and antipyretic (fever reducer). It is commonly used for the relief of headaches. In combination with opioid analgesics, paracetamol could be used also in the management of more severe pain (such as in arthritis or advanced cancer). While generally safe for human use at recommended doses (1,000 mg per single dose and up to 4,000 mg per day for adults, up to 2,000 mg per day if drinking alcohol. Paracetamol is categorized as pregnancy category A by USFDA that mean it is completely safe drug.

The combination is recommended in mild hepatic impairement and geriatric patients and there is no need of dosage adjustment.

Therefore, the combination of tapentadol and paracetamol is better alternative in comparison to tramadol and paracetamol because efficacy and safety goes hand-in-hand with tapentadol and paracetamol combination to treat moderate to severe pain of osteoarthritis, toothache, and postoperative pain.

REFERRENCE

· Expert Opin Pharmacother. 2009 Nov;10(16):2687-96.Tapentadol immediate release for the relief of moderate-to-severe acute pain. Hartrick CT. Anesthesiology Research, William Beaumont Hospital, Department of Anesthesiology, 3601 W. 13 Mile Rd., Royal Oak, MI 48073, USA. chartrick@beaumont.edu

· Is tapentadol an advance on tramadol?Guay DR.Consult Pharm. 2009 Nov;24(11):833-40. Review.

· Tapentadol, but not morphine, selectively inhibits disease-related thermal hyperalgesia in a mouse model of diabetic neuropathic pain. Christoph T, De Vry J, Tzschentke TM. Neurosci Lett. 2010 Feb 12;470(2):91-4. Epub 2009 Dec 18.PMID: 20026182

· Tapentadol hydrochloride: a next-generation, centrally acting analgesic with two mechanisms of action in a single molecule. Tzschentke TM, Jahnel U, Kogel B, Christoph T, Englberger W, De Vry J, Schiene K, Okamoto A, Upmalis D, Weber H, Lange C, Stegmann JU, Kleinert R. Drugs Today (Barc). 2009 Jul;45(7):483-96. Review. Erratum in: Drugs Today (Barc). 2009 Sep;45(9):711.

· Tolerability of tapentadol immediate release in patients with lower back pain or osteoarthritis of the hip or knee over 90 days: a randomized, double-blind study. Hale M, Upmalis D, Okamoto A, Lange C, Rauschkolb C.Curr Med Res Opin. 2009 May;25(5):1095-104.PMID: 19301989

· Single dose analgesic efficacy of tapentadol in postsurgical dental pain: the results of a randomized, double-blind, placebo-controlled study.Kleinert R, Lange C, P.Anesth Analg. 2008 Dec;107(6):2048-55.

MEHER PHARMA INTERNATIONAL

B-6/151, SECTOR-3, NEAR JAIPURE GOLDEN HOSPITAL, DELHI-85

DR.MOHD SHAHBAZ ALAM-9818131498, shahbaz@meherpharma.com

METHYLCOBALAMIN+CITICOLINE

RATIONALE JUSTIFICATION

METHYLCOBALAMIN+CITICOLINE

Composition

Each tablet contains methylcobalamin 1500 mcg+Citicoline 500mg

Detail Description

Like all functions in the body, the brain also depends on cellular energy. Simply put, the more efficiently brain cells can produce energy, the better the brain functions. As we age, energy productions in the body begin to decline. Energy production declines in the brain could be due to stress, drugs, immoderate alcohol consumption, lack of nutrients, poor circulation, or damage to brain cells due to pollutants. Aging also contributes to a decline in performance mainly due to the cumulative effect of these ravaging damages over a period of time.

The brain requires a consistent supply of nutrients to maintain performance efficiency. Scientists now believe that insufficiency in certain brain nutrients may lead to forgetfulness or momentary memory lapses. Two of these important brain nutrients come to us from the B vitamin family and form vital constituents of memory supplements.

Citicoline which is a form of the B vitamin choline found in all cells. Citicoline has been extensively studied and proven to benefit brain health. It supports brain functions and even ameliorates some of the cumulative damage that has ravaged the brain over a period of time. It plays a vital function in the formation of cell membranes. The brand Citicoline is known for its purity and consistency in quality.

Neurons or the brain cells found in the central nervous system are different from other cells in the body. Other cells in the body grow old, die and new ones are born to replace old ones. This is not so with neurons. Once neurons die, they are lost for good and can never be replaced. They however can be repaired and Citicoline plays a vital role in the repair of neurons.

At our birth we are endowed with 10 billion neurons. By the age of 22, your brain starts losing volume. You begin to lose one neuron a second. Cell to cell communication loses efficiency. This may lead to mis-mapping of information or even loss of information resulting in those “senior moments” so common to the elderly.

Aging also impairs membrane functions. Neuronal membranes have unique functions. They are conductors for transmitting nerve impulses. Citicoline supports energy production in the neurons. This in turn supports repair and maintenance of cell membranes, synthesis of brain chemicals, and propagation of electrical impulses—all necessary to support the broader functions of the brain such as memory, motor cognitive functions, thought and decision making processes. Supplementing your diet with memory supplements that contain Citicoline is an intelligent choice for those who would like to boost their mental energies and preserve memory and cognitive skills.

Another great ingredient to look for in a memory supplement is Vitamin B12. Vitamin B12 is the only B vitamin which is part mineral. It is called cobalmin and contains cobalt, a mineral that is known to stimulate red blood cell formation. One of the important roles of red blood cells is the transport of oxygen to various parts of the body. A deficiency in B12 leads to a deficiency in red blood cells and results in less oxygen supply to the entire body. Twenty percent of the body’s oxygen supply is required by the brain. And a lack of oxygen in the brain can starve neurons to death, leading to brain atrophy or shrinking of the brain which happens as we age.

B12 also helps to regulate the level of homocysteine (amino acid) in the body. Studies show that higher levels of homocysteines in the body are associated with a decline in memory and impaired cognitive abilities. B12 also helps in the maintenance and functions of neurons and is known to have neuron-protective properties.

B12 and Citicoline are called brain nutrients and should be included in any quality memory supplement. They help to sustain and promote the longevity of brain cells and inhibit their destruction due to aging.

Memory Matrix, a memory supplement, combines brain nutrients like Citicoline, and B12 with antioxidants. These ingredients in memory supplements work as neuro-protective agents. Phosphatidylserine, a memory supplement nutrient, is a phospholipid required to support neuronal membrane functions. These nutrients are considered to help boost memory, the production of brain energy, sustain cognitive and motor skills, and enhance focus and decision-making thought processes.

Generally, Myelin is made up of cholesterol, phosphatidyl choline complex. Myelin is the insulating layer which, along with fatty acids*, surrounds nerve fibres. This protects nerves just like the insulation arround electrical cables. In B12 deficiency, toxic 15-17 coal atom fatty acids have a demyelinating effect on nerves, and electrical impulse transmission is disturbed.

B12 is a vitamin required for blood formation and rapidly growing tissues. B12 is recognized as a factor in the synthesis of myelin. Methylcobalamin production requires cobalamin and is the cobalamin found in the central nervous system (CNS) and brain where it transports methyl groups (-CH3) to proteins in the myelin. It is for these reasons that B12 deficiency leads to anaemia (blood disorders include macrocytos and pernicious anaemia) and neurological disorders (Alzheimer's disease and suspected amalgam related disorders).

There are, as with many diseases, usually more than one factor which may be involved with causation. Given that the former disorders are rare, even in vegans who have low B12 intakes, what is more concerning is the potential for neurological disorders that may be subclinical. This occurs because it is possible to have a deficiency of B12 in the CNS even when blood levels of B12 are "normal", or what is called non-anaemic deficiencies. These occur for meat eaters with huge B12 intakes as well as for vegans. So laying the blame for neurological problems on veganism or indeed any alleged B12 intake deficiency is not always accurate, since increased B12 dietary intake will evidently, not always work. In these serious cases B12 is usually injected since dietary availability of B12 can be as low as 1% of the total ingested for mega B12 doses, and some patients do not convert dietary B12 to the methylcobalamin required for normal neurological activity so well.

Methylcobalamin is the active form of vitamin B12. It can easily enter into the cerebrospinal fluid of the brain whereas, Citicoline is a naturally occurring nontoxic and well-tolerated drug that is an essential intermediate for the synthesis of phosphatidylcholine, a major constituent of the gray matter of brain tissue

Justification of Rationale

Methylcobalamin is the active form of vitamin B12. It can easily enter into the cerebrospinal fluid of the brain. It is therapeutically used for the treatment of nerve degeneration and to treat metabolic induced disorders such diabetic neuropathy, diabetic gastropathy, glaucoma, male impotency, arthritis, hyperhomocysteinemia, sleep disturbances, arrhythmia, anorexia and anemia. Usual dose starts from 500 mcg and goes up to 6,000 mcg.

Whereas, Citicoline is a naturally occurring nontoxic and well-tolerated drug that is an essential intermediate for the synthesis of phosphatidylcholine, a major constituent of the gray matter of brain tissue. Citicoline promotes brain metabolism by enhancing the synthesis of acetylcholine and restoring phospholipids content in the brain. Citicoline is a used in pharmacotherapy of brain insufficiency and some other neurological disorders, such as stroke, brain trauma, and Parkinson's disease.

It can also cross blood-brain barrier and treats brain related disorders. It improves memory loss, concentration, learning ability, alertness, brain injury, Alzheimer's disease, headache, dizziness, and tinnitus, improves cognitive functions, glaucoma, Parkinson’s disease, Vascular Dementia. 500 mg per day might be the optimum citicoline dose and it can go up to 2,000 mg. It was concluded that citicoline modestly improves memory and behavioral outcomes. Both the salts separately prescribed by physicians, cardiologists, dialectologists, neurologists and general physicians.

The brain controls everything we do, see, say, hear, touch, taste, feel and think...all at the same time, Mental clarity, Memory capability, Cell-to-cell communication, Healthy blood flow, Brain oxygenation, Cell membrane structure and Immune system function etc.

The brain is the command center of the body. The brain has about 100 billion neurons that fire messages across trillions of microscopic gaps each moment of your life. It has more than 10 billion interlinked cells. It sends messages to, and receives stimulation from, all parts of the body. And the brain operates while you're sleeping or awake. So, it's no wonder the brain is probably the most nutritionally demanding organ in the body.

Memory loss is not inevitable. Many people believe that poor memory is a natural consequence of aging. However, if that were true, then why do we all know senior citizens who can still think as clearly as many younger people? And why are there senior citizens that are totally capable of living happy, healthy, independent lives? The answer is simple...significant memory loss is not necessarily a fundamental part of aging.

Keeps your brain functioning at its optimum level. Strong evidence suggests that those who take the most proactive stance on healthy nutrition typically enjoy greater physical and mental wellness. And therefore, many complementary alternative medical practitioners believe that supplement intervention with memory-specific nutrients; plus a healthy lifestyle, annual check-ups and regular physical and mental activities may support mental sharpness, speed, and flexibility well into the senior years.

Nutritional building blocks for healthy brain function. This combination is a physician formulated, science-based brain-health supplement designed to supply the essential vitamins, antioxidants and nutrients necessary to assist the body in supporting healthy memory, mood and motor functions. It nutritionally supports healthy brain oxygenation, blood flow, immune system defense, and cell membrane structure. In addition, it also nutritionally supports cell-to-cell communication which is crucial to healthy cognitive function.

Combination of methylcobalamin and citicoline could be the boon for the management for metabolic disorders, nerve rejuvenation and nerve regeneration by and large. The combination enters into the cerebrospinal fluid of the brain easily because it can cross the blood-brain barrier. The major indication of the combination could be diabetic neuropathy, glaucoma, diabetic gastropathy, memory loss, brain injury, anorexia, nerve rejuvenation, nerve regeneration and alertness.

CEFPODOXIME SUSTAIN RELEASE

ONCE DAILY CEFPODOXIME SUSTAIN RELEASE

Cefpodoxime is a oral third generation cephalosporin active against most of gram positive and gram negative bacteria except Pseudomonas, B. fragilis and Entrococcous. Clinical studies have confirmed efficacy of cefpodoxime in acute otitis media, sinusitis and tosillopharyngitis.

Once daily administration and safety profile increases compliance and decreases failure rate. It has a role as switch over therapy from intravenous ceftriaxone in serious respiratory tract infections (RTIs).

In areas where common respiratory pathogens show decreased sensitivity to penicillins and macrolides cefpodoxime can be used as empirical first line therapy in respiratory tract infections. It seems to be a promising molecule in pediatric typhoid fever because of its excellent activity against Salmonella species but clinical trials are limited.

Cefpodoxime is only oral cephalosporin which covers Staph aurius. Cefpodoxime is equally efficacious to i.v ceftrioxone with 90% cure rate hence ideal switch over therapy in serious bacterial infections. Clinical success rate with co-amoxyclave is 82%, Cefuroxime 79%, cefixime 86% and for Cefpodoxime is 98%.

Dosage is 8 mg/kg/day once for 5 days whereas co-amoxyclave is 40 mg/kg/day tds for 10-15 days. Tissue penetration of cefpodoxime is twice to that of Cefixime. Cefpodoxime is ten times more potent than cefixime against S.pneumonia. There is no dosage adjustment for liver failure patient unlike co-amoxyclave. There is no food drug interaction unlike co-amoxyclave.

Cephalosporin is the only antibiotic segment which is safe in pregnancy and lactation. It safe up to 3 months baby therefore used in pediatric Typhoid fever. Most admired antibiotic in the world in terms of efficacy and safety, 2005 Nov-Dec J Drug Dermatol

Cefpodoxime has more mileage in terms of efficacy, safety and dosage convenience in comparison to other available treatment options..

Cefpodoxime is an ideal choice for RTI, ENT and Soft skin tissue infection. Cefpodoxime is cell wall synthesis inhibitor antibiotic. Cefpodoxime treats typhoid more easily and safely because of dual mode of action and better spectrum of activity. Cefpodoxime has an added advantage in treating bacterial infection safely in geriatric, pediatric, pregnancy, lactating mother, impaired renal failure and in impaired kidney failure patients.

The Cefpodoxime in sustain release would be boon for the medical fraternity in terms of convenient once a dose in treating spectrum betalactamase infection. This sustain release combination could be an economical for the patient and easy to prescribe the physician as well.

Reference

1. Manzoni P, Esposito S, Gallo E, Gastaldo L, Farina D, Principi N. J Chemother. 2009 Feb;21(1):68-73.

2. Mendelman PM, Del Beccaro MA, McLinn SE, Todd WM.J Pediatr. 1992 Sep;121(3):459-65. Erratum in: J Pediatr 1993 Mar;122(3):502.

3. Fukuhara H, Irabu Y, Kakazu T, Nakamura H, Shigeno Y, Saito A, Owan T, Oshiro H, Miyaguni T, Nakasone K, et al.Jpn J Antibiot. 1993 Jan;46(1):53-9. Japanese

4. Stevens DL, Pien F, Drehobl M.Diagn Microbiol Infect Dis. 1993 Feb;16(2):123-9.

MEHER PHARMA INTERNATIONAL

B-6/151, SECTOR-3, NEAR JAIPURE GOLDEN HOSPITAL, DELHI-85

DR.MOHD SHAHBAZ ALAM-9818131498, shahbaz@meherpharma.com