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Before considering the active treatment of established hypertension, the even greater need for prevention of disease should be recognized. Without primary prevention, the hypertension problem would never be solved and would rely solely on detection of existing high blood pressure. Primary prevention provides an attractive opportunity to interrupt and prevent the continuing costly cycle of managing hypertension and its complications. Primary prevention reflects a number of realities.
Exposure to asbestos on her husband's clothing had caused the wife's lung mass and increased her risk of developing lung cancer. Medical surveillance was recommended. Defendant's, for example, neuroleptics.
Prescription formularies continually change to reflect the most recent advances in drug therapy. Therefore, this list is not inclusive and does not guarantee coverage. However, represents an abbreviationof the member's prescription drug coverage. Jack CR, Jr., Petersen RC, Xu YC, et al. Prediction of AD with MRI-based hippocampal volume in mild cognitive impairment. Neurology 1999; 52 7 ; : 1397-403. Jagust WJ, Johnson KA, Holman BL. SPECT perfusion imaging in the diagnosis of dementia. J Neuroimaging 1995; 5 Suppl 1: S45-52. Jellinger KA. Head injury and dementia. Curr Opin Neurol 2004; 17 6 ; : 719-23. Jeste DV, Rockwell E, Harris MJ, et al. Conventional vs. newer antipsychotics in elderly patients. J Geriatr Psychiatry 1999; 7: 70-6. Jick H, Zornberg GL, Jick SS, et al. Statins and the risk of dementia. Lancet 2000; 356: 1627-31. Johnson N, Barion A, Rademaker A, Rehkemper G, Weintraub S. The Activities of Daily Living Questionnaire: a validation study in patients with dementia. Alzheimer Dis Assoc Disord 2004; 18 4 ; : 223-30. Juva K, Makela M, Erkinjuntti T, et al. Functional assessment scales in detecting dementia. Age Ageing 1997; 26 5 ; : 393-400. Kalbe E, Salmon E, Perani D, et al. Anosognosia in Very Mild Alzheimer's Disease but Not in Mild Cognitive Impairment. Dement Geriatr Cogn Disord 2005; 19 5-6 ; : 349-56. Kantarci K, Jack CR, Jr. Neuroimaging in Alzheimer disease: an evidence-based review. Neuroimaging Clin N 2003; 13 2 ; : 197-209. Karlawish JH, Clark CM. Diagnostic evaluation of elderly patients with mild memory problems. Ann Intern Med 2003; 138 5 ; : 411-9. Kawas C, Resnick S, Morrison A, et al. A prospective study of estrogen replacement therapy and the risk of developing Alzheimer's disease. The Baltimore Longitudinal Study of Aging. Neurology 1997; 48: 1517-21. Kawas CH. Clinical practice. Early Alzheimer's disease. N Engl J Med 2003; 349 11 ; : 1056-63. Kivipelto M, Helkala EL, Laakso MP, et al. Apolipoprotein E epsilon4 allele, elevated midlife total cholesterol level, and high midlife systolic blood pressure are independent risk factors for latelife Alzheimer disease. Ann Intern Med 2002; 137 3 ; : 149-55. Klatte ET, Scharre DW, Nagaraja HN, Davis RA, Beverdorf DQ. Combination therapy of donepezil and vitamin E in Alzheimer disease. Alzheimer Dis Assoc Disord 2003; 17: 113-6. Knopman DS, Boeve BF, Petersen RC. Essentials of the proper diagnoses of mild cognitive impairment, dementia, and major subtypes of dementia. Mayo Clin Proc 2003; 78 10 ; : 1290-308. Knopman DS, DeKosky ST, Cummings JL, et al. Practice parameter: diagnosis of dementia an evidence-based review ; . Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2001; 56 9 ; : 1143-53. Kotler-Cope S, Camp CJ. Anosognosia in Alzheimer disease. Alzheimer Dis Assoc Disord 1995; 9 1 ; : 52-6. Lass P, Lyczak P, Ussorowska D, Nyka W, Luka K. rCBF SPECT evaluation of dementia. Nucl Med Rev Cent East Eur 2000; 3 1 ; : 1-4. Lawlor B, Bhriain SN. Psychosis and behavioral symptoms of dementia: Defining the role of neuroleptic interventions. Int J Geriatr Psychiatry 2001; 16 suppl 1 ; : S2-S6. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9 3 ; : 179-86. Le Bars PL, Katz MM, Berman N, et al. A placebo-controlled, double-blind randomized trial of an extract of Gingko biloba for dementia. North American EGb Study Group. JAMA 1997; 278: 1327-32. Lesem MD, Zajecka JM, Swift RH, et al. Intramuscular ziprasidone, 2 mg versus 10 mg, in the short-term management of agitated psychotic patients. J Clin Psychiatry 2001; 62: 12-8. Letenneur L. Risk of dementia and alcohol and wine consumption: a review of recent results. Biol Res 2004; 37 2 ; : 189-93.

The study protocol was approved by the local ethics committee and all 30 healthy postmenopausal volunteers age 49-61 years, bodyweight 50-78kg ; signed informed consent before participating in the study. Metry, who uses the drug on all areas of the body and glipizide. Ziprasidone is chemically known as 5-[2-[4- 1, 2 benzisothiazol-3-yl ; -1-piperazinyl] ethyl]-6-chloro-1, 3-dihydro-2h-indol-2-one. Ziprasieone hydrochloride is a novel antipsychotic with a unique pharmacological profile. Zipraisdone exhibits a potent and highly selective antagonistic activity on the D2 and 5HT2A receptors 1. It also has a high affinity for the 5HT1a , 5HT1d and 5HT2c receptors subtypes that could contribute to the overall therauptic effect 2. The metabolic fate of Zip5asidone has been studied in both rats and humans and found to be extensively metabolized in both species 3-5. The principle routes of biotransformation in humans involve N-dealkylation, oxidation to form the sulfone and sulfoxide metabolites, reductive cleavage of the benzisothiazole moiety and the hydration of C-N double bond followed by sulfur oxidation or N-dealkylation. Subsequent invitro studies indicated that Ziprssidone is predominantly metabolized in human liver microsomes by the CYP isoform 3A4 6.
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Economic Forum and the European Commission. Millennium Development Goals MDGs ; 5 are a product of consultations between international agencies, but were also adopted by the United Nations UN ; General Assembly in September 2001 as part of the road map for implementing the substantially broader Millennium Declaration, which it had adopted in September 20006. The MDGs have eight goals, three of which are health-focussed, namely those on child mortality, maternal health, and HIV AIDS, malaria and other diseases. Improvements in health are partly due to an increase in the standard of living of a society. Similarly, improvements in health are due to the impressive increase in the average level of education, which has led to better understanding by families of the importance of nutrition, hygiene and sanitation. As a result, public officials have tended to rely on the development process to bring health to the people and to consider health as a consequence of the development process rather than one of its engines. In this sense, health has traditionally mostly been valued for its social welfare and redistributive role, and considered by officials and citizens alike more as a consumption item than an investment. Worldwide, 57.5 million people died in 2003. One third of these deaths were due to communicable, maternal, and perinatal conditions and nutritional deficiencies `Group I' in the Global Burden of Disease, or GBD, classifi cation ; . This proportion has remained almost unchanged from 1990. Among Group I causes, HIV AIDS accounted for 2% of deaths in 1990, but 17% in 2003, rising from 0.3 million deaths to 3.0 million in 2003. HIV AIDS represented 5% of total global deaths in 2003. Excluding deaths due to HIV AIDS, deaths due to Group I conditions fell from one-third of total deaths in 1990 to less than one-fifth in 2003. In all, 97% of the `non-HIV AIDS Group I' deaths occurred in low- and middle-income countries. Impressive improvements have occurred in global health status in the past century. Unfortunately, these improvements have not been shared equally and health in equalities within and among countries are entrenched. The fragility of health gains has been seen in response to economic, political, and social changes, and civil disruption. These factors suggest that, from a global perspective, sustainable and equitable health advancement is not yet secure and grisactin, because quetiapine.

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Compared with healthy individuals, the patients showed a significantly reduced preoperative resting metabolism in the ventral prefrontal cortex and extending outward more pronounced on the left side ; , bilaterally in the supplementary motor cortex and dorsal anterior cingulate, and in the left inferior parietal cortex Brodmann's area [BA] 39 ; P , 0.001 ; Fig. 2 ; . Metabolism was significantly increased in the cerebellum P 5 0.003 ; and left ventral striatum P 5 0.004 ; . Trends toward increased metabolism were observed for the right ventral striatum P 5 0.03 ; and left amygdala P 5 0.02. Here are the sponsors that have helped us through the years: Rockweiler Insulation, Verona Capital Lock, Inc., Madison Viking Cue Mfg., Madison JL Richards Meats, Oregon The Green Room, Madison Stoughton Screenprinting, Stoughton Ron's Engravables, Deforest Vinnie Suarez, Madison Mike Vorpahl, Oregon Parkside Pub, McFarland Cash Donation Cash Donation Shirts, Pool Cues for raffles ; Cash Donation Use of the facility and table time Printing of the t-shirts Trophies and Plaques Personal Cash Donation Personal Cash Donation Cash Donation and griseofulvin.
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The Task Force of Health Care Professional on Tobacco Control was formed on 3 August 2001. The purpose of forming the Task Force was to mobilize all health care professionals and organizations to have a concerted effort on tobacco control. Terms of Reference and gabapentin.

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Conventional agents. Clozapine is the best studied of the atypical agents in this respect and appears to be cost-effective. However, clozapine is not appropriate for all patients. Recent studies have suggested that risperidone and olanzapine are likewise cost-effective. There are few available pharmacoeconomic data for quetiapine and ziprasidone. Beyond the primary antipsychotic drug, many patients also will be on other drugs to treat antipsychotic drug side effects, such as antiparkinsonian drugs and -blockers. However, these agents are generally inexpensive and their use may be minimized or unnecessary in patients treated with atypical agents. Furthermore, many patients are treated with concomitant mood stabilizers, hypnotics, and anxiolytics, which may further increase drug costs. Other than hematological monitoring in clozapine-treated patients, laboratory testing constitutes only a minor treatment-associated expense. However, emerging evidence suggests that baseline and periodic measurements of fasting glucose and triglyceride levels may be prudent in patients receiving clozapine, olanzapine, and possibly quetiapine. These tests are relatively inexpensive. Estimating schizophrenia's cost to society is a complex task. Beyond the obvious burden placed on the health care system, numerous other factors can increase indirect costs. For example, loss of productivity and homelessness substantially contribute to the overall cost of the disease. About 75% of patients with schizophrenia are unable to work. In addition, estimates show that up to two-thirds of homeless people may have schizophrenia. Encounters with the law enforcement system further contribute to overall costs. Schizophrenia treatment requires contributions from many types of health care professionals, including physicians, nurses, pharmacists, psychologists, social workers, case managers, and others. In addition, patients with schizophrenia tend to suffer from more medical illnesses than the general population, leading to greater use of these resources.
Monitoring parameters supine blood pressure, electrolytes, serum creatinine, bun, urinalysis, symptomatic hypotension, and tachycardia patient education inform prescriber of all prescriptions, otc medications, or herbal products you are taking, and any allergies you have and gatifloxacin.

Andrea Manson, a junior at Eastern Michigan University, is this year's winner of the Crain's Newsmaker Scholarship. Manson is pursuing a degree in accounting and carries a 4.0 grade point average while helping to raise three children. She also volunteers for Dawn Farms, a drug and Manson alcohol rehabilitation center, while working 35 hours a week. Crain's awards the $2, 000 scholarship annually to an outstanding business student at a local college or university. Tarik Daoud, owner of Al Long Ford Inc. in Warren, matched the scholarship. Manson was honored at Crain's Newsmaker of the Year lunch on Wednesday. Also honored were the winners of Crain's best-managed nonprofits competition: Southwest Solutions and Pewabic Pottery, both in Detroit. Each nonprofit will receive $750 from Crain's and $750 from Gary Dembs, president of the Nonprofit Personnel Network, because ziprasidone dose. Higher socioeconomic status more commonly used aspirin and also had an increased risk of breast cancer, incomplete control of socioeconomic status could have contributed to the masking of a protective effect. Finally, even if aspirin itself does not inhibit mammary carcinogenesis, one or more nonaspirin NSAIDs might be protective. The study of Egan et al. does not provide informative data on nonaspirin NSAIDs, which were used much less commonly than aspirin. In short, while the Nurses' Health Study is null regarding aspirin and breast cancer, unanswered questions remain. For example, what is the effect of continuing regular aspirin use for long durations? What are the effects of different aspirin doses? What are the effects of various nonaspirin NSAIDs? Despite the lack of compelling animal and human data, these questions are worth pursuing. Breast cancer is so common and NSAIDs are so commonly used that even a small protective effect, even if it appeared only after many years of use, could be of public health importance and micronase.
Before prescribing intramuscular or oral ziprasidone, physicians need to consider the patient's cardiac status and concomitant medications that may prolong the qtc interval.
Preferred treatment: - High-dose inhaled corticosteroids AND - Long-acting inhaled 2-agonists AND, if needed, - Corticosteroid tablets or syrup long term 2mg kg day, generally do not exceed 60 mg per day ; . Make repeat attempts to reduce systemic corticosteroids and maintain control with high-dose inhaled corticosteroids and haldol. Synopsis Zipraxidone appears to produce rapid and significant improvement in symptoms of acute mania compared with placebo according to the results of a placebo-controlled study published in the April issue of the American Journal of Psychiatry. In the study that involved 210 patients with bipolar disorder, patients in the treatment arm were started on 80mg of ziprasidobe per day and then titrated to 160 mg per day on day 2. The study ran for a total of three weeks and over the rest of the study period the dosing of the drug remained flexible. Efficacy was measured with the Schedule for Affective Disorders and Schizophrenia, Change Version which contains the Mania Rating Scale ; , the Clinical Global Impression CGI ; severity scale as well as three other standardised psychiatric assessment scales. According to the investigators, patients treated with ziprasid9ne showed significant improvement across all evaluation scales compared with those who received placebo. Improvement included fewer symptoms of acute mania, psychosis and better social functioning. Significant improvements typically were observed within two days after treatment commenced and were maintained throughout the three weeks of the study. In terms of tolerability it was reported that patients in the treatment arm, exhibited a low incidence of movement disorders, while no clinically significant weight gain was detected. The most common side effects reported in the study were somnolence, headache, dizziness, hypertonia, nausea and akathisia. In a press statement Pfizer, the Marketing Authorisation Holder of the zipfasidone stated that they plan to file a supplemental new drug application sNDA ; with the U.S. Food and Drug administration FDA ; for the drug to be used as a treatment for acute mania, later this year.
For the ziprasidone and haloperidol comparison, no studies reported data on global effects and haloperidol.

Compelling diabetes management story, combined with Pfizer's commercial capabilities, support our investment thesis. Attractive valuation following NDA filing. Shares of Nektar are down 17% since Pfizer announced that its NDA submission had been accepted by the FDA, despite what we believe is a significantly improving risk profile market by the historic milestone for Nektar. Safety issues are fading away, case for approvability strengthens. Two-year data suggest pulmonary function remains stable over long-term treatment with no significant clinical impact. Three-year data is likely later this year. Focus on the big picture: diabetes costs accelerating. Diabetes is consuming an enormous slice of the health care budget, and the clinical benefits and evidence of improved diabetes management, as well as patient and physician preference for over five years now, dramatically outweigh long-term safety risks which to date appear modest. In our opinion, at the end of the day, both European and U.S. regulators are likely to allow patients to choose. Management team is delivering. We have observed Nektar's Inhale ; evolution since its IPO and observed scores of drug delivery technology management teams over the past decade. Nektar's team, in our view, is among the most talented and experienced in the industry and highly capable of achieving commercial success, as evidenced by its multiple marketed products. Aside from Exubera, Nektar has multiple partnered products in or advancing to late stage development, which we expect to provide a steady stream of newsflow throughout the year. In our view, the advancement of these products bodes well for Nektar's own proprietary pipeline, with details on the new products expected later this year in September. While still early in development, they provide additional long-term potential growth drivers. Balance sheet in good shape. With $400 million in cash as of the end of Q1: 05 ; , we believe Nektar can weather a prolonged storm, even if its profitability is still two years away. Its risk profile has dramatically decreased, in our view, as Exubera's NDA has been filed and awaits FDA approval. May 22, 2007 pipelinereview press release ; , p286 alitretinoin bal4079; 9-cis retinoic acid ; : pharmacokinetic interactions between aitretinoin, ketoconazole, simvastatin and cyclosporine ziprasidone syrup ziprasidone capsule ; information - may 18, 2007 american chronicle, ketoconazole, other inhibitors of cytochrome p450 3a4 metabolism: may elevate ziprasidone levels, increasing the risk of toxicity and imodium and ziprasidone. Fig. 6. Effect of Eqn on luciferase activity in various constructs of the apoA-I gene promoter in transfected HepG2 cells. Promoter constructs were prepared as described in Materials and Methods. Plasmid constructs contained the luciferase reporter gene under the control of the human apoA-I minimal basal promoter 41 to 7 Mutant constructs contained nucleotide substitutions that replace the apoA-I ARE. Freshly subcultured HepG2 cells on 24-well culture plates were transfected with each construct 0.5 g well ; and with pRL-tk or pRLnull 10 ng well ; , which was used to correct for variations in transfection efficiency. The dual-luciferase activities were assayed after cells were incubated with Eqn 10 M ; or drug vehicle ethanol, 0.1% ; for 24 h. Relative luciferase activity values represent the firefly luciferase activity versus the Renilla luciferase activity ratios relative to that of the pGL3-apoA-I 41 7 ; construct with drug vehicle incubation arbitrarily defined as 1 ; . The results represent means SEM of six independent experiments carried out in quadruplicate. One-way ANOVA was used followed by Dunnett's test or the Student-Newman-Keuls test as posttest for statistical analysis. * P 0.01, unpaired t-test, versus control group for the same construct. Divalproex. The efficacy of divalproex for the management of acute mania is well established Level 1 ; 1 ; . New data also support the efficacy of an extended-release formulation of divalproex Level 2 ; 8 ; . Atypical antipsychotics. Substantial RCT data support the efficacy of atypical antipsychotic monotherapy with olanzapine, risperidone, quetiapine, ziprasidone, and aripiprazole for the first-line treatment of acute mania Level 1 ; 1 ; . 3-week RCT, completed in India, further supports the effect of risperidone for the treatment of acute mania Level 1 ; 9 ; , with remission rates of 42% compared to 13% with placebo 10 ; . A 3-week RCT reporting the efficacy of ziprasidone that was previously cited in abstract form 11 ; has now been published 12 ; . Extension data from this and another 3-week trial 13 ; demonstrated that the majority of responders 92.5% ; at 3 weeks continued to respond after 12 weeks 14 ; . Similarly, abstracts of RCTs supporting the efficacy of aripiprazole as superior to placebo 15 ; or haloperidol 16 ; in the treatment of acute mania have now been published 17, 18 ; . Aripiprazole and ziprasidone continue to be unavailable in Canada and loperamide. Aripiprazole Abilify ; is the latest atypical antipsychotic to be approved by the U.S. Food and Drug Administration FDA ; for the treatment of acute mania in October, 2004 ; . All of the older typical antipsychotics such as chlorpromazine [Thorazine] and haloperidol [Haldol] ; clearly possess acute antimanic effects, and this is now true for all of the newer atypical antipsychotics as well clozapine [Clozaril], risperidone [Risperdal], olanzapine [Zyprexa], quetiapine [Seroquel], ziprasidone [Geodon], and aripiprazole [Abilify] ; . In March of 2005, aripiprazole was also FDAapproved for maintenance therapy in bipolar I disorder patients with a recent manic or mixed episode, who had been stabilized and then maintained for at least six weeks. excess dopamine from reaching the receptor, and is thus exerting an 80% functional blockade or relative antagonism ; of the dopamine receptor. These differences in agonist, antagonist, and partial agonist effects are illustrated in the figure on page 6. In addition to partial agonism at the dopamine D2 receptor, aripiprazole is also a partial agonist at dopamine D1 and D3 receptors, as well as at serotonin 5-HT ; 1A receptors. These latter receptors are thought to be important for the antidepressant and antianxiety effects of drugs such as buspirone Buspar ; , which are agonists at the 5-HT1A receptor. As such, it is hoped that the 20% stimulating effect of aripiprazole at dopamine and 5HT1A receptors will be associated not only with acute antimanic efficacy, but also with antidepressant and antianxiety efficacy. Like many other atypical antipsychotics, aripiprazole is also a full agonist at 5-HT2A receptors. Inhibition of these receptors is thought to be associated with antidepressant effects, and also with enhancement of deeper phases of sleep slow wave sleep ; , similar to trazodone Desyrel ; and nefazodone Serzone ; , which also block 5-HT2A receptors. Aripiprazole has a relatively long half-life of 75 hours, so that it can be given in once-a-day dosing. It can be given in the morning if patients are slightly activated, or in the evening if they are more sedated on the drug. Aripiprazole is metabolized by two kinds of hepatic enzymes, cytochrome CYP ; 2D6 and CYP3A4. Inhibitors of 2D6 such as fluoxetine Prozac ; and paroxetine Paxil ; may notably increase aripiprazole levels, and inhibitors of 3A4 metabolism such as erythromycin and verapamil Calan ; , will do likewise. Carbamazepine Tegretol ; , which induces 3A4, will lower aripiprazole levels. Dopamine is important for inhibiting prolactin secretion. In contrast to all of the typical antipsychotics, which increase prolactin because of a blockade of dopamine D2 receptors, aripiprazole will actually produce slight decreases in prolactin, consistent with its partial agonist properties. The Claims Administrator shall have the right to coordinate benefits between this Plan and any other Health Benefit Plan covering the Covered Person. The rules establishing the order of benefit determination between the Plan and any other Health Benefit Plan covering the Covered Person on whose behalf a claim is made are as follows: a. The benefits of a Health Benefit Plan, which does not have a "coordination of benefits with other health plans" provision, shall in all cases be determined and applied to claims before the benefits of the Plan. If according to the rules set forth in Subsection 3.c. of this Section, the benefits of another Health Benefit Plan that contains a provision coordinating its benefits with this Plan would be determined and applied, before the benefits of this Plan have been determined and applied, the benefits of such other Health 38. Health » sponsored links lose 20 pounds in 3 weeks amazing chinese fat loss secret.
Service: Test Available: Turnaround Time: Specimen Required: Consult With: Patient Preparation: Specimen Container: Random container Collection Instructions: State prescription and non prescription drugs suspected or administered. Causes for Rejection: Reference Ranges: None Detected. Additional Information: The results from this screen are unconfirmed. False positive and false negative results may occasionally occur. See Appendix for Urine Drugs of Abuse: Cross Reactivity List" for list of drugs that can be detected by this method. Most barbiturates are fast acting; their presence indicates use within the past 3 days. Phenobarbital has a very long half life and may be detected in the urine for up to 30 days, because alkaline foods.

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Use in pregnancy: hydrocortisone: safety of the use of topical corticosteroids in pregnant women has not been established and glipizide.

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Storage and waste management The service should comply with policies on the storage, collection, transportation and disposal of clinical and other waste including radioactive waste, and should include policies to deal with spillages, clinical waste, sharps disposal, cleaning agents and discharges. All materials waste and otherwise ; should be stored in a safe manner. All waste awaiting collection should be suitably protected. Storage facilities should be fit for purpose and secure. Manual handling Radiographers may be called upon to lift heavy and uncooperative patients and it is vital that proper lifting procedures are followed at all times. Manual Handling Operations Regulations make it clear that employers have to do all they can to minimise the holding component in a task. The service should ensure that all staff are trained in lifting techniques. The staffing of the service should take into account requirement for lifting disabled patients. Lifting aids should be provided wherever possible. Environment Clear warning notices should be displayed in all areas that are potentially hazardous to patients, public and staff. This will include notices about ionizing radiation in pregnancy, allergy to contrast agents, exposure signs outside x. A publication of Rotech Healthcare Inc. Volume 13, Issue 3 2005, Rotech Healthcare Inc.
The Therapeutic Goods Administration has approved ziprasidone for use in Australia for the indications of schizophrenia and related psychoses, and as monotherapy for acute manic or mixed episodes associated with bipolar I disorder. It is not approved for treatment-resistant schizophrenia. It has not been directly compared with clozapine and has not proven superior efficacy over the other non-clozapine atypical antipsychotics3.
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