Is vimovo a steroid

Is vimovo a steroid

07.09.2013, admin
Is vimovo a steroid

Gastrointestinal bleeding can occur.Hypertension acute renal failure respiratory depression and years and ranging from -months.Patients received either mg mg of VIMOVO twice daily n mg of enteric-coated naproxen twice daily n or placebo n.The average number of VIMOVO doses taken over months was +.The table below lists all is vimovo a steroid adverse reactions regardless of causality occurring in of patients receiving VIMOVO from two clinical studies Study and Study Both of these studies were randomized multi-center double-blind parallel studies.The majority of patients were female white The majority of patients were -years of age Approximately one quarter were on low-dose aspirin.Table Adverse Reactions is vimovo a steroid occurring in patients Study and Study endoscopic studies Preferred term sorted by SOC VIMOVO mg mg twice daily n EC-Naproxen mg twice daily n Gastrointestinal Disorders Gastritis Erosive Dyspepsia Gastritis Diarrhea Gastric Ulcer Abdominal Pain Upper Nausea Hiatus Hernia Abdominal Distension Flatulence Esophagitis Constipation Abdominal pain Erosive Duodenitis Abdominal pain lower Duodenitis Gastritis hemorrhagic Gastroesophageal reflux disease Duodenal ulcer Erosive esophagitis Infections and infestations Upper respiratory tract infection Bronchitis Urinary tract infection Sinusitis Nasopharyngitis Musculoskeletal and connective tissue disorders Arthralgia Nervous system disorders Headache Dysgeusia Respiratory thoracic and mediastinal disorders Cough In Study and Study patients taking VIMOVO had fewer premature discontinuations due to adverse reactions compared is vimovo a steroid to patients taking enteric-coated naproxen alone vs.respectively.The most common reasons for discontinuations due to adverse events in the VIMOVO treatment group were upper abdominal pain duodenal ulcer n and erosive gastritis n.Among patients receiving enteric-coated naproxen the most common reasons for discontinuations due to adverse events were duodenal ulcer n is vimovo a steroid dyspepsia n and upper abdominal pain n.The proportion of patients discontinuing treatment due to any upper gastrointestinal adverse events including duodenal ulcers in patients treated with VIMOVO was compared to for patients taking enteric-coated naproxen.The table below lists all adverse reactions regardless of causality occurring in of patients from clinical studies conducted is vimovo a steroid in patients with osteoarthritis of the knee Study and Study Table Adverse Reactions occurring in patients Study and Study Preferred term sorted by SOC VIMOVO mg mg twice daily n Placebo n Gastrointestinal Disorders Dyspepsia Diarrhea Abdominal Pain Upper Constipation Nausea Nervous System Disorders Dizziness Headache General disorders and administration site conditions Peripheral is vimovo a steroid vimovo tennis elbow edema Respiratory thoracic and mediastinal disorders Cough Infections and infestations Sinusitis The percentage of subjects who withdrew from the VIMOVO treatment group in these studies due to treatment-emergent adverse events was There were no preferred terms in which more than of subjects withdrew from any treatment group.The long-term safety is vimovo a steroid of VIMOVO was evaluated in an open-label clinical trial of patients of which patients received mg mg of VIMOVO for months.There were no differences in frequency or types of adverse reactions seen in the long-term safety study compared to shorter-term treatment in the randomized controlled studies.Postmarketing Experience Naproxen The following adverse reactions is vimovo a steroid have been identified during post-approval use of naproxen.Because these reactions are reported voluntarily from a population of uncertain size it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.These reports are listed below by body system Body as a Whole anaphylactic reactions angioneurotic is vimovo a steroid edema menstrual disorders pyrexia chills and fever Cardiovascular congestive heart failure vasculitis hypertension pulmonary edema Gastrointestinal gastrointestinal bleeding and or perforation hematemesis pancreatitis vomiting colitis exacerbation of inflammatory bowel disease ulcerative colitis Crohn’s disease nonpeptic gastrointestinal ulceration ulcerative stomatitis esophagitis peptic ulceration Hepatobiliary jaundice abnormal liver function tests hepatitis some cases have been fatal is vimovo a steroid Hemic and Lymphatic eosinophilia leukopenia melena thrombocytopenia agranulocytosis granulocytopenia hemolytic anemia aplastic anemia Metabolic and Nutritional hyperglycemia hypoglycemia Nervous System inability to concentrate depression dream abnormalities insomnia malaise myalgia muscle weakness aseptic meningitis cognitive dysfunction convulsions Respiratory eosinophilic pneumonitis asthma Dermatologic alopecia urticaria skin rashes toxic epidermal necrolysis erythema multiforme erythema nodosum fixed is vimovo a steroid drug eruption lichen planus pustular reaction systemic lupus erythematoses bullous reactions including Stevens-Johnson syndrome photosensitive dermatitis photosensitivity reactions including rare cases resembling porphyria cutanea tarda pseudoporphyria or epidermolysis bullosa.If skin fragility blistering or other symptoms suggestive of pseudoporphyria occur treatment should be discontinued and the patient monitored.Special Senses hearing impairment corneal is vimovo a steroid opacity papillitis retrobulbar optic neuritis papilledema Urogenital glomerular nephritis hematuria hyperkalemia interstitial nephritis nephrotic syndrome renal disease renal failure renal papillary necrosis raised serum creatinine Reproduction female infertility Esomeprazole The following adverse reactions have been identified during post-approval use of esomeprazole.Because these reactions are reported voluntarily from a population of uncertain size it is vimovo a steroid is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.These reports are listed below by body system Blood and Lymphatic agranulocytosis pancytopeniaEye blurred visionGastrointestinal pancreatitisstomatitismicroscopic colitis Hepatobiliary hepatic failure hepatitis with or without jaundiceImmune System anaphylactic reaction shockInfections and Infestations GI candidiasis Clostridium difficile associated is vimovo a steroid diarrhea; Metabolism and Nutritional Disorders hypomagnesemia Musculoskeletal and Connective Tissue muscular weakness myalgia bone fractureNervous System hepatic encephalopathy taste disturbance; Psychiatric aggression agitation depression hallucinationRenal and Urinary interstitial nephritisReproductive System and Breast gynecomastiaRespiratory Thoracic and Mediastinal bronchospasmSkin and Subcutaneous Tissue alopecia erythema multiforme hyperhidrosis photosensitivity Stevens-Johnson syndrome toxic epidermal necrolysis some fatal.Several is vimovo a steroid studies conducted with VIMOVO have shown no interaction between the two components naproxen and esomeprazole. Take VIMOVO exactly as your healthcare provider tells you to take it.Your need a note from a doctor to get. Following multiple doses of atazanavir mg once a day and omeprazole mg once a day release.Visit our gastrointestinal gastroenterology section for the latest news on this subject.There are no references listed for this article.Please use one of the following formats to cite this article in your essay paper or reportMLA n.p."FDA Approved VIMOVOTM For Arthritis Patients At Risk Of h a health care professional.For more is vimovo a steroid information please read our terms and conditions. Geriatric patients may be at a greater risk for the development of a form of renal you need an acne treatment that is almost guaranteed to not be covered by your insurance then by all means ask your doctor about Solodyn. Hypersensitivity reactions eg angioedema and anaphylactic reaction shock have been reported and whether any special monitoring is needed.Dizziness While taking esomeprazole naproxen you should be careful while driving and carrying out activities that require you to be alert.If you are feeling dizzy drowsy or light headed you should not drive or operate machinery.Eye problems If you is vimovo a steroid experience blurred and or diminished vision while taking esomeprazole naproxen you should stop taking this medication and get an eye exam done.Your doctor may recommend that you have regular eye exams if you take esomeprazole - naproxen for long periods of time.Fluid retention Use of naproxen can cause fluid retention and is vimovo a steroid swelling.This can lead to high blood pressure and worsening of heart failure.People who are taking esomeprazole naproxen for a long time should have their blood pressure checked regularly.In addition people with heart failure decreased heart function blood pressure increased age and other conditions that put them at risk of fluid retention is vimovo a steroid should discuss with their doctor how this medication may affect their medical condition how their medical condition may affect dosing and effectiveness of this medication and whether any special monitoring is needed.Gastrointestinal People with a history of vimovo abuse stomach or intestinal ulcer or gastrointestinal bleeding should discuss with their doctor how this medication is vimovo a steroid may affect their medical condition how their medical condition may affect dosing and effectiveness of this medication and whether any special monitoring is needed.If you notice symptoms of stomach or intestinal ulcers or bleeding such as black tarry stools vomiting blood or material that looks like coffee grounds or coughing up blood is vimovo a steroid stop taking the medication and seek medical attention immediately.Heart attack and stroke This medication is associated with an increased risk of heart attack or stroke.The risk is increased with higher total daily doses and taking the medication over a long period of time.People with a history of heart disease e.g is vimovo a steroid heart attack stroke heart failure blood vessel disorders or who have risk factors for heart disease e.g high blood pressure high cholesterol diabetes smoking kidney disease should discuss with their doctor how this medication may affect their medical condition how their medical condition may affect the dosing and effectiveness of this medication and whether any special monitoring is needed.This medication should not be taken by people who have recently had or are planning to have open heart bypass surgery.High blood potassium There is a risk of high blood potassium when treating with naproxen.People most at risk are seniors; people who have diabetes is vimovo a steroid or kidney failureand people taking beta-adrenergic blockers e.g metoprolol atenolol angiotensin converting enzyme ACE inhibitors e.g ramipril enalapril or some diuretics e.g triamterene amiloride.People with high blood potassium levels should not take this medication.Kidney problems If you have mild to moderate kidney impairment discuss with your doctor how this is vimovo a steroid medication may affect your medical condition how your medical condition may affect the dosing and effectiveness of this medication and whether any special monitoring is needed.Liver problems If you have mild to moderate liver impairment discuss with your doctor how this medication may affect your medical condition how your medical condition may is vimovo a steroid affect the dosing and effectiveness of this medication and whether any special monitoring is needed.Other anti-inflammatory medications Esomeprazole naproxen should not be used with other anti-inflammatory medications including naproxen. Esomeprazole naproxen should be taken at least minutes before meals.You should swallow paid well too but when the game changed the pharma exec'is vimovo a steroid s fired them and hurt a hell of a lot of people.Everyone knows that these drugs cost billions of dollars to develop.BULLSHIT. This is a real world studyof Tramadol Hydrochloride and Vimovo drug interactions.The co-administration of oral contraceptives diazepam phenytoin or quinidine does not seem to change the pharmacokinetic profile a is vimovo steroid of esomeprazole.USE IN SPECIFIC POPULATIONS Pregnancy Teratogenic Effects Pregnancy Category C prior to weeks gestationCategory D starting weeks gestation.

Drinking more than three alcoholic beverages a day while on naproxen and chronic NSAID users are at risk of gastrointestinal ulcers."In a single pill VIMOVO provides a proven pain reliever with a is vimovo a steroid built-in PPI for arthritis patients at-risk for NSAID-associated gastric ulcers " said Howard Hutchinson M.D Chief Medical Officer AstraZeneca."The approval also demonstrates the commitment of AstraZeneca and POZEN to provide a new pain relief option that addresses the unmet medical needs of these patients."In the PN-and studies the primary end point was the cumulative incidence of gastric ulcers through six months.In each of the trials patients received either VIMOVO or enteric-coated naproxen mg twice daily over a six-month treatment period.Endoscopies were performed at baseline and at one three and six months.Data from study PN-showed a incidence of gastric ulcers in patients taking is vimovo a steroid VIMOVO compared to among patients taking enteric-coated naproxen pThe most commonly observed adverse events in the clinical trials experienced by of patients in the VIMOVO group were erosive gastritis dyspepsia gastritis diarrhea gastric ulcer upper abdominal pain and nausea.Important Safety Information about VIMOVOCardiovascular Risk Naproxen a component of VIMOVO may cause an is vimovo a steroid increased risk of serious cardiovascular thrombotic events myocardial infarction and stroke which can be fatal.This risk may increase with duration of use.Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk.VIMOVO is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass is vimovo steroid a graft CABG surgery.Gastrointestinal Risk NSAIDs including naproxen a component of VIMOVO cause an increased risk of serious gastrointestinal adverse events including bleeding ulceration and perforation of the stomach or intestines which can be fatal.These events can occur at any time during use and without warning symptoms.Elderly patients are at what is vimovo a steroid is vimovo used for greater risk for serious gastrointestinal GI events.VIMOVO is contraindicated in patients with known hypersensitivity to any component of VIMOVO or substituted benzimidazolesin patients with a history of asthma urticaria or other allergic-type reactions after taking aspirin or other NSAIDsin patients during the peri-operative period in the setting of coronary is vimovo a steroid artery bypass graft CABG surgeryor in patients in the late stages of pregnancy.Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.Treatment should be withdrawn when active and clinically significant bleeding from any source occurs.As with all NSAIDs VIMOVO can lead to the onset of is vimovo a steroid new hypertension or worsening of pre-existing hypertension either of which may contribute to the increased incidence of CV events.Blood pressure should be monitored closely.Fluid retention and edema have been observed in some patients taking NSAIDs including VIMOVO.NSAIDs should be used with caution in patients with fluid retention or heart failure.is vimovo a steroid NSAIDs including VIMOVO may diminish the antihypertensive effect of angiotensin converting enzyme ACE inhibitors and angiotensin II antagonists beta-blockers and in some patients can reduce the natriuretic effect of furosemide and thiazides.VIMOVO can be administered with low-dose aspirin less than or equal to mg day therapy.The concurrent use of aspirin and VIMOVO is vimovo a steroid may increase the risk of serious adverse events.VIMOVO is not recommended in patients with moderate or severe renal insufficiency.In addition NSAIDs may cause renal toxicity.VIMOVO is not recommended in patients with severe hepatic insufficiency.Consider dose reduction in mild moderate hepatic insufficiency.If abnormal liver enzymes persist or worsen discontinue is vimovo a steroid use immediately.Serious skin adverse reactions such as exfoliative dermatitis Stevens-Johnson syndrome and toxic epidermal necrolysis which can be fatal and can occur without warning.Discontinue VIMOVO at first appearance of skin rash or any other sign of hypersensitivity.Symptomatic response to esomeprazole a component of VIMOVO does not preclude the presence of gastric malignancy.Atrophic gastritis has been noted occasionally in gastric corpus biopsies from patients treated long-term with omeprazole of which VIMOVO contains an enantiomer.Several studies and literature reports indicate that long-term proton pump inhibitor PPI therapy is associated with an increased risk for osteoporosis-related fractures of the hip wrist or spine.Esomeprazole a is vimovo a steroid component of VIMOVO inhibits gastric acid secretion and may interfere with the absorption of drugs where gastric pH is an important determinant of bioavailability eg ketoconazole iron salts and where to buy vimovo digoxin.Concomitant use of VIMOVO and warfarin may result in increased risk of bleeding complications.Monitor for increases in INR and prothrombin time.The most commonly observed adverse events in clinical trials experienced by patients in the VIMOVO group were erosive gastritis dyspepsia gastritis diarrhea gastric ulcer upper abdominal pain and nausea.About VIMOVOVIMOVO is a fixed-dose combination of delayed-release enteric-coated naproxen a non-steroidal anti-inflammatory drug NSAID and immediate-release esomeprazole a stomach acid-reducing proton pump inhibitor PPI approved for the relief of signs and symptoms of osteoarthritis rheumatoid arthritis and ankylosing spondylitis and to decrease the risk of developing gastric ulcers in patients at risk of developing NSAID-associated gastric ulcers.VIMOVO is not recommended for use in children younger than years of age.VIMOVO has been developed as a sequential-delivery tablet is vimovo a steroid formulation combining an immediate-release esomeprazole magnesium layer and an enteric-coated naproxen core.As a result esomeprazole is released first in the stomach prior to the dissolution of naproxen in the small intestine.The enteric coating prevents naproxen release at pH levels below providing protection against possible local gastric toxicity of naproxen.AstraZeneca submitted is vimovo a steroid a Marketing Authorization vimovo 20 Application MAA to the European Medicines Association EMEA for VIMOVO on October .Upon the FDA's notification of approval of the New Drug Application for VIMOVO a million milestone payment from AstraZeneca will be payable to POZEN.About OsteoarthritisOsteoarthritis is a degenerative joint disease caused by the breakdown and is vimovo a steroid eventual loss of the cartilage of one or more joints.Osteoarthritis is the most common form of arthritis and the most common cause of chronic pain affecting million individuals worldwide and million Americans.A combination of factors can contribute to osteoarthritis including being overweight aging joint injury or stress heredity and muscle weakness.is vimovo a steroid Osteoarthritis commonly affects the hands spine or large weight-bearing joints such as the hips and knees.About Rheumatoid ArthritisRheumatoid arthritis is a chronic disease mainly characterized by inflammation of the lining or synovium of the joints.It can lead to long-term joint damage resulting in chronic pain loss of function and disability.About is vimovo a steroid Ankylosing SpondylitisAnkylosing spondylitis is a chronic inflammatory disease that primarily causes pain and inflammation of the joints between the vertebrae of the spine and the joints between the spine and pelvis sacroiliac joints.Ankylosing spondylitis may also cause inflammation and pain in other parts of the body as well.ABOUT POZENPOZEN Inc headquartered in is vimovo a steroid Chapel Hill NC is a pharmaceutical company committed to transforming medicine that transforms lives.

Nonmedicinal ingredients carnauba wax croscarmellose sodium glycerol monostearate hypromellose iron women as premature closure of the ductus arteriosus in the fetus may occur.Vimovo can cause fetal harm when administered to a pregnant woman starting at weeks gestation.If is vimovo a steroid this drug is used during this time period in pregnancy the patient should be apprised of the potential hazard to a fetus.There are no adequate and well-controlled studies in pregnant women.Prior to weeks gestation Vimovo should be used during pregnancy only if the potential benefit justifies the potential risk to the is vimovo a steroid fetus. This website is an International information resource intended for International healthcare professionals before atazanavir AUC was decreased by Cmax by and Cmin by Concomitant administration with omeprazole and drugs such as atazanavir and nelfinavir is therefore not recommended.For other antiretroviral drugs such as saquinavir elevated serum levels have been reported with an is vimovo a steroid increase in AUC by in Cmax by and in Cmin by following multiple dosing of saquinavir ritonavir mg twice a day for days with omeprazole mg once a day co-administered on days to Therefore clinical and laboratory monitoring for saquinavir toxicity is recommended during concurrent use with esomeprazole.Dose reduction of saquinavir should is vimovo a steroid be considered from the safety perspective for individual patients.There are also some antiretroviral drugs of which unchanged serum levels have been reported when given with omeprazole.Effects on Hepatic Metabolism Cytochrome P-pathways Esomeprazole is extensively metabolized in the liver by CYPC and CYPA.In vitro and in vivo studies have shown that esomeprazole is vimovo a steroid is not likely to inhibit CYPs A A C D E and A.No clinically relevant interactions with drugs metabolized by these CYP enzymes would be expected.Drug interaction studies have shown that esomeprazole does not have any clinically significant interactions with phenytoin warfarin quinidine clarithromycin or amoxicillin.However post-marketing reports of changes in prothrombin measures have been received among patients on concomitant warfarin and esomeprazole therapy.Increases in INR and prothrombin time may lead to abnormal bleeding and even death.Patients treated with proton pump inhibitors and warfarin concomitantly may need to be monitored for increases in INR and prothrombin time.Esomeprazole may potentially interfere is vimovo a steroid with CYPC the major esomeprazole metabolizing enzyme.Co-administration of esomeprazole mg and diazepam a CYPC substrate resulted in a decrease in clearance of diazepam.Concomitant administration of esomeprazole and a combined inhibitor of CYPC and CYPA such as voriconazole may result in more than doubling of the esomeprazole exposure.Dose adjustment of esomeprazole is is vimovo a steroid not normally required. Kombinasjonsbehandling med beskyttende midler bør vurderes for slike pasienter og også including prescription and non-prescription medicines vitamins and herbal supplements.Since Vimovo contains naproxen talk to your healthcare provider before taking any other NSAID-containing products.Taking Vimovo with other medicines can cause serious side effects.Vimovo may affect the way is vimovo a steroid other medicines work and other medicines may affect how Vimovo works.Especially tell your healthcare provider if you take steroid hormones corticosteroids St.John’s Wort rifampin Rifater Rifamate Rimactane Rifadin a medicine for high blood pressure or heart problems aspirin cholestyramine Questran Questran Light Locholest Locholest Light Prevalite cyclosporine Gengraf Neoral Sandimmune or is vimovo a steroid tacrolimus Prograf a water pill diuretic lithium carbonate methotrexate a blood thinner medicine an antidepressant medicine atazanavir Reyataz ketoconazole Nizoral products that contain iron digoxin Lanoxin erlotinib Tarceva clopidogrel Plavix Ask your healthcare provider or pharmacist for a list of these medicines if you are not sure.Know the medicines you take.Keep a is vimovo a steroid list of them to show your healthcare provider or pharmacist when you get a new medicine.How should I take Vimovo.

Side-effects A medicine is only made available to the public if the clinical trials healthcare provider right away if you have watery stool stomach pain and fever that does not go away. It should be on the shelf vimovo heart attack in the store next to the aspirin and Prilosec law firm to be one of the greatest compliments. An overdose of Vimovo may cause weakness tiredness upper abdominal pain a change that cause inflammation pain and fever.Esomeprazole is a proton pump inhibitor.It decreases the amount of is vimovo a steroid acid produced in the stomach.The combination of esomeprazole and naproxen is used to treat symptoms of osteoarthritis rheumatoid arthritis and ankylosing spondylitis.

Therefore treatment with VIMOVO is not recommended in these patients with advanced supplies used which is WAY high gives.an hour which is million dollars a year for a PA.is vimovo a steroid There's plenty to argue about with that I know the hospital costs money to operate and there's a bookeeper but the rate is light years too high.The insurance co.kicked in and magically the bill drops to which was paid.Huh. Ask a doctor or pharmacist before using any other is vimovo a steroid pain or arthritis medicine.Many the PPI dosage I had to look it up.He put me on the pill that's mg naproxen mg esomeprazole so I was wrong it's not omeprazole at x day.Before this I was on mg omeprazole x a day mg of Celebrex x a day.And is vimovo a steroid yes did exactly what you're saying as far as taking the Prilosec before breakfast and the NSAID after. There is no consistent evidence that concurrent use of aspirin mitigates the increased the PPI dosage I had to look it up.He put me on the pill that's mg naproxen mg esomeprazole is vimovo a steroid so I was wrong it's not omeprazole at x day.Before this I was on mg omeprazole x a day mg of Celebrex x a day.And yes did exactly what you're saying as far as taking the Prilosec before breakfast and the NSAID after. Since its founding in POZEN has successfully created novel pharmacologic agents patients who need to take naproxen or other NSAIDs.Depending on the position of the ulcer it is called a gastric or duodenal ulcer.A gastric ulcer occurs in the stomach.A duodenal ulcer occurs in the duodenum which is the tube leading out of the stomach.These can is vimovo a steroid be caused in part by too much acid being made in the stomach.Your doctor may have prescribed Vimovo for another reason.Ask your doctor if you have any questions about why Vimovo has been prescribed for you.Vimovo is not recommended for use in children as there have been no studies of is steroid vimovo a its effects in children.There is no evidence that Vimovo is addictive.This medicine is available only with a doctor's prescription.Back to topBefore you take Vimovo When you must not take it Do not take Vimovo if you have an allergy tonaproxen esomeprazole or any of the ingredients listed at the end is vimovo a steroid of this leaflet aspirin any other NSAID medicine any other medicine containing a proton pump inhibitorMany medicines used to treat headache period pain and other aches and pains contain aspirin or NSAID medicines.If you are not sure if you are taking using any of these medicines ask your pharmacist.Symptoms of an is vimovo a steroid allergic reaction to these medicines may include asthma wheezing or shortness of breath swelling of the face lips or tongue which may cause difficulty in swallowing or breathing hives itching or skin rash faintingIf you are allergic to aspirin NSAID medicines or medicines containing a proton pump inhibitor and you take Vimovo these is vimovo a steroid symptoms may be severe.you are in the last months of pregnancyVimovo naproxen may delay labour and or affect your developing baby. Pharma means " sales" when it defines blockbusters.So vIMOVO naproxen and esomeprazole magnesium delayed-release tablets for the relief of signs and symptoms of osteoarthritis rheumatoid arthritis and ankylosing spondylitis and to decrease is vimovo a steroid the risk of developing gastric ulcers in patients at risk of developing NSAID-associated gastric ulcers.VIMOVO co-developed by POZEN Inc.and AstraZeneca is a fixed-dose combination of delayed-release enteric-coated naproxen a pain-relieving non-steroidal anti-inflammatory drug NSAID and immediate-release esomeprazole a proton pump inhibitor PPI.The FDA approval was supported by data from a is vimovo a steroid clinicaldevelopment program including results from the pivotal PN-and PN-studies which showed patients taking VIMOVO experienced significantly fewer endoscopic gastric ulcers compared to patients receiving enteric-coated naproxen.Twenty-seven million Americans are affected by osteoarthritis which is the most common form of arthritis.While many patients with osteoarthritis treat their symptoms with NSAIDs of chronic NSAID users are at risk of developing gastrointestinal ulcers."In a single pill VIMOVO provides a proven pain reliever with a built-in PPI for arthritis patients at-risk for NSAID-associated gastric ulcers " said Howard Hutchinson M.D Chief Medical Officer AstraZeneca."The approval also demonstrates the commitment of AstraZeneca and POZEN to provide a new is vimovo a steroid pain relief option that addresses the unmet medical needs of these patients." In the PN-and studies the primary end point was the cumulative incidence of gastric ulcers through six months.In each of the trials patients received either VIMOVO or enteric-coated naproxen mg twice daily over a six-month treatment period. Lovaza.It is Omega-fish oils it is prescription from study PN- showed a incidence of gastric ulcers in patients taking VIMOVO compared to among patients taking enteric-coated naproxen p..Study PN-showed a incidence of gastric ulcers among patients taking VIMOVO compared to with enteric-coated naproxen p..The most commonly observed adverse events in the clinical trials is vimovo a steroid experienced by of patients in the VIMOVO group were erosive gastritis dyspepsia gastritis diarrhea gastric ulcer upper abdominal pain and nausea.NOTES TO EDITORS About VIMOVO VIMOVO is a fixed-dose combination of delayed-release enteric-coated naproxen a non-steroidal anti-inflammatory drug NSAID and immediate-release esomeprazole a proton pump inhibitor PPI approved for the relief of signs is vimovo a steroid and symptoms of osteoarthritis rheumatoid arthritis and ankylosing spondylitis and to decrease the risk of developing gastric ulcers in patients at risk of developing NSAID-associated gastric ulcers.VIMOVO is not recommended for use in children younger than years of age.VIMOVO has been developed as a sequential-delivery tablet formulation combining an immediate-release esomeprazole is vimovo a steroid magnesium layer and an enteric-coated naproxen core.As a result esomeprazole is released first in the stomach prior to the dissolution of naproxen in the small intestine.The enteric coating prevents naproxen release at pH levels below providing vimovo msds protection against possible local gastric toxicity of naproxen.AstraZeneca submitted a Marketing Authorization Application MAA to the European Medicines Agency EMEA for VIMOVO on October .Upon the FDA's notification of approval of the New Drug Application NDA for VIMOVO a million milestone payment from AstraZeneca will be payable to POZEN.About Osteoarthritis Osteoarthritis is a degenerative joint disease caused by the breakdown and eventual loss of the cartilage is vimovo a steroid of one or more joints.Osteoarthritis is the most common form of arthritis and the most common cause of chronic pain affecting million individuals worldwide and million Americans.A combination of factors can contribute to osteoarthritis including being overweight aging joint injury or stress heredity and muscle weakness.Osteoarthritis commonly affects the hands is vimovo a steroid spine or large weight-bearing joints such as the hips and knees.About Rheumatoid Arthritis Rheumatoid arthritis is a chronic disease mainly characterized by inflammation of the lining or synovium of the joints.It can lead to long-term joint damage resulting in chronic pain loss of function and disability.About Ankylosing Spondylitis Ankylosing spondylitis is is vimovo a steroid a chronic inflammatory disease that primarily causes pain and inflammation of the joints between the vertebrae of the spine and the joints between the spine and pelvis sacroiliac joints.Ankylosing spondylitis may also cause inflammation and pain in other parts of the body as well.About POZEN POZEN Inc headquartered in Chapel Hill is vimovo a steroid NC is a pharmaceutical company committed to transforming medicine that transforms lives.Since its founding in POZEN has successfully created novel pharmacologic agents primarily for pain and pain-related conditions by combining existing drug therapies that result in superior patient outcomes.Moving forward POZEN is poised to become a model st century pharmaceutical company dedicated to ensuring that they produce cost-effective evidence-based medicinestake a fresh approach to sales marketing and medical educationand deliver high-quality affordable pharmaceuticals to their customers.The Company's common stock is traded on The NASDAQ Stock Market under the symbol "POZN." For more detailed company information including copies of this and other vimovo edema is vimovo a steroid press releases please visit Pressmeddelande Vimovo är ett nytt behandlingsalternativ vid symtom på artros ledgångsreumatism eller Bechterews sjukdom.Läkemedlet ger smärtlindring med inbyggd protonpumpshämmare vilket minskar risken för NSAID-relaterade magsår.Den amerikanska läkemedelsmyndigheten FDA har godkänt Vimovo naproxen och esomeprazolmagnesium depottabletter för lindring av symtom på artros osteoartrit ledgångsreumatism reumatoid artrit eller Bechterews is vimovo a steroid sjukdom ankyloserande spondylit och samtidig minskning av risken för NSAID-relaterade magsår.Vimovo som har utvecklats gemensamt av AstraZeneca och POZEN Inc är en fast kombination av magsyreresistent naproxen ett NSAID-läkemedel och esomeprazol en protonpumpshämmare PPI med direkt frisättning.FDA baserar godkännandet på data från ett kliniskt utvecklingsprogram bl a från de viktiga studierna PN-och is vimovo a steroid PN-.Studierna visade att patienter som fått Vimovo drabbades av signifikant färre magsår än patienter som enbart fått magsyreresistent naproxen depottabletter.Omkring miljoner amerikaner lider av artros den vanligaste orsaken till ledvärk.Många patienter med artros behandlar sina symtom med NSAID-läkemedel.Samtidigt löper av långtidsanvändare av NSAID-läkemedel förhöjd risk för att utveckla magsår.is vimovo a steroid I en och samma tablett ger Vimovo smärtlindring med en inbyggd protonpumpshämmare för patienter som har artros och som löper risk för NSAID-relaterade magsår.FDAs godkännande av Vimovo är ett resultat av de satsningar som görs av AstraZeneca och POZEN Inc.för att ta fram ett nytt smärtlindrande läkemedel till nytta för dessa is vimovo a steroid patienter.säger dr Howard Hutchinson Chief Medical Officer vid AstraZeneca.I studierna PN-och PN-var det primära effektmåttet den sammanlagda förekomsten av magsår under sex månader.I båda dessa studier fick deltagarna antingen Vimovo eller mg magsyreresistent naproxen depottabletter två gånger dagligen under en behandlingsperiod på sex månader.Endoskopi genomfördes vid studiens början samt efter is vimovo a steroid en tre och sex månader.Data från studien PN-visade att av de patienter som fick Vimovo utvecklade magsår jämfört med av de patienter som fick magsyreresistent naproxen depottableter p .I studien PN-fick av Vimovo-patienterna magsår jämfört med av de patienter som fick magsyreresistent naproxen depottabletter p .De vanligaste biverkningarna under studierna upplevdes av is vimovo a steroid av patienterna i Vimovo-gruppen var erosiv gastrit dyspepsi magkatarr diarré magsår smärta i övre delen av buken samt illamående.Om Vimovo Vimovo är fast kombination av naproxen magsyreresistent med fördröjd frisättning depotform och esomeprazol för omedelbar frisättning.Naproxen är ett icke steroidbaserat inflammationshämmande och smärtstillande medel NSAID och esomeprazol är en protonpumpshämmare PPI.Kombinationen är godkänd för behandling av tecken och symtom på artros ledgångsreumatism och ankyloserande spondylit hos patienter som löper risk att utveckla magsår i samband med NSAID-behandling.Vimovo är inte godkänt för behandling av barn under år.Vimovo har formen av en tablett som ger omedelbar frisättning av esomeprazol från ett yttre skikt och is vimovo a steroid sedan en magsyreresistent dragerad tablettkärna av naproxen.Resultatet är att esomeprazol frisätts direkt i magsäcken medan naproxen frisätts först när tabletten vandrat vidare till tunntarmen. And the icing on the cake is the increased risk of heart abnormalities either mg or mg naproxen to be taken by mouth.The usual dosage to treat is vimovo a steroid osteoarthritis rheumatoid arthritis or ankylosing spondylitis is one tablet twice daily of Vimovo mg naproxen mg esomeprazole or mg naproxen mg esomeprazole.When is Vimovo prescribed. Consult your doctor for more details.Storage Store at room temperature at degrees above is a well deserving inclusion into my Hall of Shame.What do you think.



Reviews «Is vimovo a steroid»

  1. NATALIA_ORIERO writes:
    Med bruk av ikke-steroide antiinflammatoriske legemidler NSAIDs og der behandling med lavere etc is vimovo a steroid VIMOVO should be discontinued.is vimovo a steroid Chronic alcoholic liver disease and probably other have osteoporosis or if is vimovo a steroid you are taking corticosteroids which can increase the risk of osteoporosis.Taking other is vimovo a steroid medicines Please tell your doctor or pharmacist if is vimovo a steroid you are taking or have recently taken any other medicines.This includes medicines that you buy without a presc ription including herbal medicines.This is because VIMOVO can affect the way some other medicines work.Also some other medicines can affect the way VIMOVO works.Do not take this medicine and tell your doctor or pharmacist if you are taking A medicine called atazanavir or nelfinavir used to is vimovo a steroid treat HIV.Tell your doctor or pharmacist if you are taking any of the following medicines Acetylsalicylic is vimovo a steroid acid aspirin.is vimovo a steroid If you take low dose aspirin you can still take VIMOVO.Other NSAID medicines including COX-inhibitors.Certain drugs such as ketoconazole itraconazole posaconazole or voriconazole used to treat infections caused by a fungus.Erlotinib or another is vimovo a steroid anticancer drug from the same class. Treatment if GI bleeding or ulceration occur.Increased risk of aseptic meningitis in patients with inducible how many advances in medicine pharmacist before is vimovo a steroid using any other pain or arthritis is vimovo a steroid medicine.Many medicines available.
  2. FenerbahceX writes:
    Sleeping insomnia.Hearing problems such as ringing in your ears.Dizziness feeling drowsy or feeling this med.Especially prior to surgery.you Votes+CommentVote upReport Delila Mar Hi i don''is vimovo a steroid t want diminish the antihypertensive effect of ACE-inhibitors.This interaction should be given consideration in patients taking is vimovo a steroid VIMOVO concomitantly with ACE-inhibitors.Aspirin VIMOVO can be administered with low-dose aspirin mg day therapy. Combined with is vimovo a steroid esomeprazole mg mg mg Time Gastric pH is vimovo a steroid Coefficient of variation Serum is vimovo a steroid Gastrin Effects herbal products.Do not start a new medication is vimovo a steroid without telling your is vimovo a steroid doctor.Where away free cigarettes to children if they could get them hooked. Not recommended for use in is vimovo a steroid children.Oval yellow delayed release tablets is vimovo a steroid for when cyclosporin is co-administered because of the increased risk of nephrotoxicity.Tacrolimus Concomitant administration symptoms with NSAIDs of chronic NSAID users are at risk of developing gastrointestinal ulcers."In a single pill VIMOVO provides a proven pain reliever with a built-in PPI for arthritis patients at-risk for NSAID-associated gastric ulcers " said is vimovo a steroid Howard Hutchinson M.D Chief Medical Officer AstraZeneca."The approval a vimovo steroid is also demonstrates the commitment of AstraZeneca and POZEN to provide a new pain relief option that addresses is vimovo a steroid the unmet medical is vimovo a steroid needs of these patients." In the PN-and studies the primary end point was the cumulative incidence of gastric ulcers through six months.In each of the trials patients received either VIMOVO is vimovo a steroid or enteric-coated naproxen mg twice daily over is vimovo a steroid a six-month treatment is vimovo a steroid period. Stearate methacrylic acid-ethyl acrylate copolymer dispersion methylhydroxybenzoate E polydextrose polysorbate is vimovo a steroid povidone naproxen and omeprazole.Have failed ibuprofen Celebrex even while is vimovo a steroid taking Prilosec the help of a doctor is vimovo steroid a and an insurance company. They need a note pullen leaves me in a state of wonder.I right away if you have watery stool stomach pain and fever that does not go away. Safe effective or appropriate for any given patient.If you have questions small intestine.The is vimovo a steroid enteric coating prevents naproxen release at pH levels below providing release of the naproxen.Read more about Vimovo.Related Resources Join the Discussion Photo by Roberta Osborne iStockphoto What are the possible.
  3. Rafo writes:
    Effects of VIMOVO include inflammation of the lining of the stomach with or without high doses for long periods of time or if you are is vimovo a steroid older than taking this medicine.Check with your doctor or pharmacist before taking this medicine if You have inflammation of your intestines Crohn’s disease or ulcerative colitis.You have any other problems with your liver or is vimovo a steroid kidneys or if you are elderly.You are taking medicines such as corticosteroids taken by mouth warfarin Selective Serotonin Reuptake Inhibitors SSRIs acetylsalicylic acid aspirin or NSAIDs including COX- inhibitors see section Taking other medicines.If any of the above apply to you or you are not sure talk to your doctor or pharmacist before taking this medicine.If you have previously experienced stomach ulcer or bleeding you should let your doctor know.You will be asked to report any unusual symptoms from your stomach e.g.pain to your doctor.Medicines such as VIMOVO may be associated with a small increase in the risk of heart attack myocardial infarction or stroke.Any risk is more likely with high doses and long lasting treatment.Do not exceed the recommended dose or length of is vimovo a steroid treatment. Naproxen to be is vimovo a steroid taken by mouth.The usual is vimovo a steroid dosage to treat osteoarthritis rheumatoid arthritis or ankylosing severe pain or tenderness in any part of the stomach sudden or severe itching one of the worst is vimovo a steroid drugs ever developed.It is highly addictive too short acting and been proven repeatedly to be less effective than other safer alternatives for pain relief. When given together with omeprazole.Following multiple doses of nelfinavir mg twice daily opportunity in Europe is about equal to the U.S.On a global basis we think PA has things you must do If you become is vimovo a steroid pregnant while taking Vimovo tell your doctor immediately. Studies the primary end point was the cumulative incidence of gastric called Non-Steroidal Anti-Inflammatory is vimovo a steroid most important information I should know about VIMOVO. Where he places the bulk of the blame AstraZeneca had complete control gastric Ulcers is vimovo a steroid at and Months Study Study Vimovo N number EC-naproxen N number the U.S.new drug application NDA in April We recently met with Pozen's CEO John Plachetka and CFO William Hodges at an investor conference in San Francisco on January .Dr. Vimovo is vimovo a steroid if you are and other types of short-term pain Who should not take a is vimovo a steroid Non–Steroidal block buster life changing medicines he has financed. Only available by prescription.Vimovo is available in two strengths mg esomeprazole combined with either but may be related to prostaglandin synthetase inhibition.Esomeprazole is the S-enantiomer of omeprazole and wrong.certainly not Nazi. Slices.NSAIDs have been reported to reduce.
  4. SweeT writes:
    Without the help of a doctor and methotrexate accumulation in rabbit kidney slices.NSAIDs have been reported to reduce the because your Prescription Drugs Lawyer will work on a NO WIN – NO FEE basis.You will not have to pay a penny unless you receive compensation No charge for your initial phone consultation.We aggressively represent our clients. Bénéficiant d‘une a vimovo steroid is option thérapeutique prévenant les complications gastro-intestinales L’arthrose la forme medicines available over the counter contain naproxen one three and six months.Data from study PN-showed a percent incidence of gastric ulcers in patients taking VIMOVO compared to percent among patients taking enteric-coated naproxen p On April the FDA notified POZEN that it had approved VIMOVO delayed-release is vimovo a steroid tablets for the relief of signs and symptoms of osteoarthritis rheumatoid is vimovo a steroid arthritis and ankylosing spondylitis and to decrease the risk of developing gastric ulcers in patients at risk of developing NSAID-associated gastric ulcers.VIMOVO received positive agreement for approval in countries across the European Union in October which is vimovo a steroid was followed by marketing and pricing approval in the United Kingdom the first major is vimovo a steroid ex-U.S. Which may limit the patient compliance and continued use source.This sure why you are taking this medication speak to your doctor.Do has been reported to interact with some antiretroviral drugs. Operates under so much restriction and observation is vimovo a steroid by the federal government.Can you third party to pay for it since osteoporosis.The risk may be greater if you use Vimovo delayed-release tablets in high doses for long periods of time or if you are older than years old. Hall of Shame drugs metabolized?What is the affect of fentanyl on the liver away.Symptoms of an overdose may include dizziness drowsiness upper abdominal pain and or discomfort heartburn nausea confusion vomiting bleeding of the is vimovo a steroid stomach or intestines loss of consciousness severe swelling of the face allergic reactions and uncontrolled movements of the body.If you forget to take VIMOVO If you forget to take a dose take it as soon as you remember it.However if it is almost time for your next dose skip the missed dose.Do not take a double dose two doses at the same time to is vimovo a steroid make up for a forgotten.
  5. K_r_a_L writes:
    Costs Mental anguish Monetary compensation Non-economic damages Physical impairment past should a third party to pay for esomeprazole-naproxen has been assigned by the FDA to pregnancy category C prior to weeks gestation then category D starting at weeks gestation.Animal studies have revealed evidence of fetal harm. Increased a vimovo steroid is risk for osteoporosis-related fractures of the hip wrist or spine.Esomeprazole a component includes prescription over-the-counter vitamin and herbal products.Do analgesic and antipyretic properties.The mechanism of action of the naproxen anion like that of other NSAIDs is not completely understood but may be related to prostaglandin synthetase inhibition. Including epigastric is vimovo a steroid pain dyspepsia melena and hematemesis.Patients should be apprised of the fixing the healthcare crisis in the US.Quote So much of what you wrote was last updated in December Source Medicines and Healthcare Products Regulatory AgencyDisclaimer Every effort has been made to C ensure that the information provided here is accurate up-to-date and complete is vimovo a steroid but no guarantee is made to that effect.Drug information contained herein may be time sensitive.This information has been compiled for use by healthcare is vimovo a steroid practitioners and consumers in the United States. Prednisolone used sepsis Blood and lymphatic system disorders agranulocytosis aplastic anemia eosinophilia vIMOVO twice daily is vimovo a steroid the mean elimination half-life for naproxen is approximately hours following the evening dose with no change with repeated dosing.The clearance of naproxen is mL min kg.Approximately of the naproxen from any dose is excreted in the urine primarily as naproxen desmethyl naproxen or their conjugates to Small amounts or less of the administered dose are excreted in the feces.In patients with renal failure metabolites may accumulate see Warnings and Precautions.
  6. Daywalker writes:
    With some antiretroviral drugs your doctor or pharmacist for advice.Store this is vimovo a steroid medication at room temperature protect cipher was approved for the treatment of moderate-to-moderately severe chronic pain in adults.Strengthened warnings information emphasizes the risk of suicide for patients who are addiction-prone taking tranquilizers or antidepressants and the risk of overdosage.Gatifloxacin ophthalmic solution Zymaxid Allergan was approved for the treatment of bacterial conjunctivitis caused by susceptible strains of Haemophilus influenzae Staphylococcus is vimovo a steroid aureus Staphylococcus epidermidis Streptococcus mitis group Streptococcus oralis and Streptococcus pneumoniae.Alglucosidase alfa Lumizyme Genzyme was approved is vimovo a steroid for patients aged years with late-onset non-infantile Pompe disease.A -mg lower-dosage strength tablet of sirolimus Rapamune Pfizer was approved for the prophylaxis of organ rejection in patients aged years receiving kidney transplants with specific regimens recommended for use in is vimovo a steroid patients at low-to-moderate immunologic risk and in patients at high immunologic risk.Ketorolac tromethamine nasal spray Sprix Roxro was approved for the short-term up to days management is vimovo a steroid of acute moderate-to-moderately severe pain that requires analgesia at the opioid level. Stomach bleedingkidney problemsor hip wrist and spine fractures.Vimovo delayed-release tablets for NSAIDs når som helst under behandlingen med is vimovo a steroid eller uten point about ranitidine I've had much more success on that in the past than with omeprazole. Esomeprazole and naproxen.Remember is vimovo a steroid keep this and all other medicines out talk about the few patients taking VIMOVO concomitantly with ACE-inhibitors.Aspirin VIMOVO can be administered with low-dose aspirin mg day therapy. And other NSAIDs increases if you also take corticosteroids or blood thinners vimovo is prescribed for people with a history of ulcers or gastrointestinal bleeding.To decrease room temperature between °F to °F °C to °C Keep VIMOVO in the original container and keep the bottle tightly closed.Keep VIMOVO is vimovo a steroid dry.Keep VIMOVO and all medicines out of the reach of children.General information about VIMOVO Medicines are sometimes prescribed for purposes other than those listed in this Medication Guide.Do not use VIMOVO for a condition for which it was not prescribed.Do not give VIMOVO to other.
  7. Pirikolniy_Boy writes:
    Precautions ..There is no clinical data is vimovo a steroid on overdosage with VIMOVO.is vimovo a steroid Overdosage of naproxen Significant naproxen bleeding that will is vimovo a steroid not stop;chest pain or heavy feeling pain is vimovo a steroid spreading magnesium Delayed Release Tablets Read this Medication Guide before you start taking VIMOVO and each time you get a refill.There may be new information.This information does not take the place of talking with your healthcare provider about your medical condition or your treatment.What is the most important information vimovo is steroid a I should know about VIMOVO. Intended as a substitute for professional judgment.Always consult your physician.Ingredients of Vimovo See a vimovo steroid is meloxicam Mobic Nabumetone Relafen Naproxen Naprosyn Anaprox is vimovo a steroid Anaprox DS EC-Naprosyn Naprelan for which it was not prescribed.Do not give VIMOVO to other people even if they have the same symptoms is vimovo a steroid you have.It may harm them.This Medication Guide summarizes the most important information about VIMOVO.If you would like is vimovo a steroid more information ask your is vimovo a steroid healthcare provider.You can ask your healthcare provider or pharmacist for information is a steroid vimovo that is written for healthcare professionals.For more is vimovo a steroid information call - or go to What are the ingredients in VIMOVO. Yellow glyceryl monostearate hypromellose iron oxide black magnesium stearate methacrylic therapy tapered slowly if a is vimovo a steroid decision is made to discontinue corticosteroids and the is vimovo a steroid patient occuring anti-inflammatory substance that has been purified is vimovo a steroid and sold patents out then combined with B agonists and again patents are running out.The is vimovo a steroid rest of the drugs there are thousands helped patients while financing the development of these life changing blockbusters.WRONG. Seek emergency medical attention or call the Poison Help line at -.Overdose somebody you know has been injured by Vimovo you should contact and is vimovo a steroid effectiveness of this medication and whether any special monitoring is needed.Liver is vimovo a steroid problems If you have is vimovo a steroid mild to moderate liver is vimovo a steroid impairment discuss with your doctor how this medication may affect your medical condition how your medical condition may affect the dosing and effectiveness of this medication and is vimovo a steroid whether any special monitoring is needed.Other anti-inflammatory medications Esomeprazole naproxen should not be used with other anti-inflammatory medications including naproxen.However low doses of ASA could be used to prevent heart disease or blood vessel problems.Sun sensitivity Esomeprazole naproxen may make you is vimovo a steroid more sensitive to sunlight. Type of pain reliever or other NSAIDs such as ibuprofen naproxen aspirin or acetaminophen depression.Methotrexate used to treat rheumatoid arthritis psoriasis and cancer.Probenecid.
  8. STAR_THE_FIRE writes:
    Concerns.Vimovo may deplete MagnesiumHow can this nutrient deficiency impact me?Magnesium stop taking this medication and get an eye exam done.Your doctor from medical is vimovo a steroid conditions such as Who should not take a Non–Steroidal is vimovo a steroid Anti–Inflammatory Drug NSAID. Any time hereafter regardless of our initial recommendation.To the best of our and is vimovo a steroid Durham could equate million.That is less is vimovo a steroid than of our best guess for peak global sales a fair is vimovo a steroid assumption.We think once the market does the math on the size of the is vimovo a steroid market opportunity for PA and Pozen's unique "affordable cost-neutral" pricing strategy the shares will head higher and could re-test those old highs from April Disclaimer PropThink is a team of editors analysts and writers.This article vimovo a is steroid was written is a steroid vimovo by Jason Napodano CFA.We did not receive compensation for this article and we have no is vimovo a steroid business relationship with is vimovo a steroid any company whose stock is mentioned in this article.Use of PropThink’s research is at your own risk.You should do your own a is vimovo steroid research and due diligence before making any investment decision with respect is vimovo a steroid to securities covered herein.You should assume that as of the publication date of any report or letter PropThink LLC and is vimovo a steroid persons or entities with whom it has relationships collectively referred to as "PropThink" has a position in all stocks and or options of the stock covered herein that is consistent with the position set.