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·í¥«³õ¥X²{¦w¥þµL¨x¬rª©¥»ªºAPAP(SNP-810)¡AFDA·|¦p¦ó¸Ñ¨M[¨´¤µ¬°¤î³Ì¦MÀIªºÃĪ«]³y¦¨ªº¨x¬r©Ê°ÝÃD???

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---------------------------------------------------------------------------------------

NEIL KAPLOWITZ, M.D.

Keck School of Medicine

University of Southern California

Los Angeles, CA

Should the FDA withdraw APAP from the market?

Given what we know about the nonsuicidal chronic overdosing leading to acute liver failure, this is a valid question. Unfortunately the alternative, nonsteroidal antiinflammatory drugs, have their own inherent problems unrelated to liver failure, such as ulcers, gastrointestinal

bleeding, and renal damage.So we¡¦re left with a ¡§pick your poison¡¨ dilemma until a safer analgesic/antipyretic is available.

.....the next step, in my opinion, is to

eliminate acetaminophen from all combinations, including over-the-counter preparations and opiates

--------------------------------------------------------------------------------------------

§@ªÌ:³Í§JÂå¾Ç°|NEIL KAPLOWITZÂå¥Í

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....§Ú»{¬°¤U¤@¨B¬O±q©Ò¦³²Õ¦X¤¤®ø°£¹ï¤A酰®ò°ò×ô¡A¥]¬A [«D³B¤èÃÄ OTC]©M¾~¤ù»s¾¯...

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±q(§Üµ²®ÖÃĪ«+HUEXC030 )-¸Ñ¨M§Üµ²®ÖÃĪ«¨x¬r©Ê »P (APAP+SNP-820)=SNP-810-¸Ñ¨M§ÜAPAP¨x¬r©Ê¡A

¦P²z½×·íµM¯à­l¥Í¸Ñ¨M¨ä¥LÃĪ«ªº¨x¬r©Ê!

ALF«æ©Ê¨x¥\¯à°IºÜ: 1¤äAPAPÃĪ«(46%) VS 1,036¤äÃĪ«(11%)---³Ì¤j°¦ªº·íµM¬OÀu¥ý¸Ñ¨M¡A©Ò¿×¡u®¾¤}·í®¾±j¡A¥Î½b·í¥Îªø¡C®g¤H¥ý®g°¨¡A¾à¸é¥ý¾à¤ý¡C¡v

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SafeTynadol 81389-001-01 500 mg/1 TABLET, COATED ORAL part343 Sinew Pharma Inc. 81389-001 ACETAMINOPHEN ACETAMINOPHEN HUMAN OTC DRUG 01/21/2021 N/A

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ACTIVE INGREDIENT/ACTIVE MOIETY

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109/12/21ªYÄ£»P°ê»ÚÃļtñ­qSNP-810¬ãµo¦X§@¨óij109/12/21

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Glaxo Aims to Double Blockbusters in Bid to Revive Portfolio

GlaxoSmithKline Plc set an ambitious goal of more than doubling the number of blockbusters in its portfolio by 2026 as the British pharma giant moves to revive its product lineup.

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2021.1.12

Glaxo Aims to Double Blockbusters in Bid to Revive Portfolio

GlaxoSmithKline Plc set an ambitious goal of more than doubling the number of blockbusters in its portfolio by 2026 as the British pharma giant moves to revive its product lineup.

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Glaxo Aims to Double Blockbusters in Bid to Revive Portfolio

GlaxoSmithKline Plc set an ambitious goal of more than doubling the number of blockbusters in its portfolio by 2026 as the British pharma giant moves to revive its product lineup.

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AAPM 2018¦~·|ºK (SNP-810)

...Acetaminophen (AAP) is the leading worldwide cause of drug-induced acute liver failure (ALF)

... could maintain normal hepatic function even with AAP doses of 2000 mg/kg, demonstrating a protective index (LD50) of more than 4X. These CYP450 inhibitors (referred to as antidote, research code: SNP-810) reduced AAP-induced hepatotoxicity by lowering the levels of aspartate aminotransferase, alanine aminotransferase, histology activity index (HAI-score) and inhibition of NAPQI formation (as shown by AAP-Cys, a biomarker representing NAPQI) (p < 0.005). The survival was 100% (24/24) in a majority of antidote-treated groups, whereas the survival rate was 17% (2/12) in AAP-only group and 50% (6/12) in the NAC-treated group.

............................................................................................

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Analgesics have a spotty history of switching to OTC. According to common wisdom, the FDA would not approve aspirin today much less allow it to go OTC. The same could be said for acetaminophen (overdose of which is the leading cause of liver failure in the US)

www.reutersevents.com/pharma/commercial/pharma-marketing-and-sales-when-make-rx-otc-switch

2. 1975¦~12¤ë13¤é(¨S¼g¿ù¦~¥÷1975)

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www.documentcloud.org/documents/760638-lancet-para-hepa.html#document/p3/a121151

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3.2020.4.12

·s¥ßªk¥Í®Ä¡I¬ü国FDA«D处¤è药监ºÞ­«¤j§ï­²ûD¹õ

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......The healthcare giant did try to create a safer version, but after the initiative failed, J&J kept the effort confidential, even when the FDA specifically asked about the feasibility of developing such a drug,..

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2017¦Ü¤µ3¦~¥b¡A ¥[ªoÅo!

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SNP-610:

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18/43---ªA¥ÎSNP-610»P¨ä¥L­Ô¿ïÃĪ«¦bÁ{§É2/3´ÁªºÀø®Ä¤ñ¸û: ALT

19/43---SNP-610»P¥@¬É¤W¬ãµo«eªuÃÄOcaliva (Intercept)*ªºÀø®Ä¤ñ¸û

(©³¤U»¡ªº¥i±¤¦b¨xŦÅÖºû¤Æ¨S¤°µÛ¾¥!·N«ü¸òOcalivaªº¤ñ¸û¹Ïªí)

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mops.twse.com.tw/nas/STR/663420190724M001.pdf

Comparison of the Efficacy of Oral SNP-610 & Ocaliva (Intercept)*

SNP-610 shows a greater reduction of ALT

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²Ä6±i¹Ïªí: SNP-610--Active

Likelihood of combination therapies: Due to the complexity of NASH, an

effective treatment regimen is likely to be a combination approach,

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