Mirtazapine also acts as an antagonist of 5-HT3 receptors located at the brains chemoreceptor trigger zone (CTZ), which controls vomiting. This improves your mood, relieves anxiety, tension, helps you sleep better, and increases your energy levels. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. How does Mirataz work? If skin or eye irritation occurs or in case of accidental ingestion, seek medical advice immediately and show the label to the physician. 0000159503 00000 n The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. WebWear nitrile or other impervious gloves if skin contact is possible. 0000018835 00000 n The questions - Sometimes when her appetite drops off, I give her Mirataz and it kickstarts her eating. Check with your doctor before taking any of the above while you are taking this medicine. Protective finger cots or examination gloves should be worn when applying Mirataz to protect yourself. To apply Mirataz: Step 1: Wear disposable gloves. The effects of mirtazapine on glucose regulation have not been evaluated. 0000020998 00000 n If you notice any other effects, check with your healthcare professional. 7&h^T!rAiK*? Mirataz (mirtazapine transdermal ointment) is a white to off-white ointment containing 2% (w/w) of mirtazapine suitable for transdermal (topical) administration. Keep the orally disintegrating tablet in the original package until you are ready to take it. 0000021214 00000 n Mirataz should not be given in combination or within 14 days before or after treatment with a monoamine oxidase inhibitor (MAOI). Expand section Collapse section How is Mirataz used? Do not break or split the tablet. Using this medicine with any of the following medicines is not recommended. Medically reviewed by Drugs.com. zayrgpwV5O{,Lk7zEtb4,^-/yr8[Ik0Yssm_`UC0&x. Hyponatremia (low sodium in the blood) may occur with this medicine. H\n0i%.GK 1l%D!\ZiI?M)kGW..vPGw+kz|w}E1RN^NzsF7qk1}}^M:{]SbK;b>I]Wt.*Eo)O&fXc5y54XW!2"%y= !eb~0d=fW+d=~/t B)t Im currently cutting up plastic bags to wrap my finger. No vet writer or qualified reviewer has received any compensation from the manufacturer of the medication as part of creating this article. Mirtazapine also exerts anti-nausea effects by acting on the neurorecpetors in the intestine and stomach which in turn communicate with the vomit center of the brain. WebSome side effects include elevated blood pressure and heart rate, vocalization, vomiting, agitation, and restlessness. Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. WebMirataz is applied topically to the inside of your cats ear. If the animal experiences breathing difficulties, hives or swelling of the lips, tongue, or face, then an allergic reaction to the drug can be the case. The dose of this medicine will be different for different patients. _YE{-gFYEuPAYEuPAgu0P#l`62f#l`62f#xNd,_- NpmbK.]>0 For product label, including complete safety information. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Wear disposable gloves when handling or applying Mirataz to prevent accidental topical exposure. A place where you can ask veterinary medicine related questions and get advice from veterinary professionals. When mirtazapine is given at However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Thermal hazards: Not Available wW v 27 https://www.mayoclinic.org/drugs-supplements/mirtazapine-oral-route/side-effects/DRG-20067334, Advertising and sponsorship opportunities, Angina (severe chest pain), history of or, Blood vessel disease or circulation problems or. Mirataz long term, and briefly on human skin ok? Your doctor may decide not to treat you with this medication or change some of the other medicines you take. In certain circumstances, your vet may recommend a compounded formulation of mirtazapine. Do not give possible diagnoses that could explain the symptoms described by OP. Mirtazapine may cause a serious condition called serotonin syndrome if taken together with some medicines. If you miss a dose of this medicine, take it as soon as possible. All rights reserved. Check with your doctor right away if you think you are getting an infection or if you have a fever or chills, sore throat, sores in the mouth, lower back or side pain, or painful or difficult urination. Suicidal Thoughts and BehaviorsIncreased risk of suicidal thoughts and behavior in pediatric and young adult patients taking antidepressants. + The effects of mirtazapine on glucose regulation have not been evaluated. Remember to wear gloves when administering transdermal products. Bd',:+ The most common signs of overdose are: vocalization, agitation, vomiting, ataxia (abnormal gait), restlessness, tremors (trembling), hypersalivation (drooling), increased respiratory rate, increased heart rate and lethargy. [Ref], Uncommon (0.1% to 1%): Myasthenia, arthralgia, twitching, Rare (0.01% to 0.1%): Neck rigidity, neck pain, arthritis, tenosynovitis, Very rare (less than 0.01%): Pathologic fracture, osteoporosis fracture, bone pain, myositis, tendon rupture, arthrosis, bursitis, Postmarketing reports: Increased creatine kinase blood levels, rhabdomyolysis[Ref], Uncommon (0.1% to 1%): Cough increased, sinusitis, Rare (0.01% to 0.1%): Epistaxis, bronchitis, asthma, pneumonia, Very rare (less than 0.01%): Respiratory/pulmonary embolus, asphyxia, laryngitis, pneumothorax, hiccup, Frequency not reported: Pharyngitis, rhinitis, Postmarketing reports: Pulmonary embolism[Ref], Uncommon (0.1% to 1%): Urinary tract infection, Rare (0.01% to 0.1%): Dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence, Very rare (less than 0.01%): Polyuria, urethritis, metrorrhagia, abnormal ejaculation, breast engorgement, breast enlargement, urinary urgency, menorrhagia[Ref], Uncommon (0.1% to 1%): Malaise, thirst, fatigue, Rare (0.01% to 0.1%): Chills, fever, face edema, ulcer, ear pain, deafness, hyperacusis, Very rare (less than 0.01%): Healing abnormal, partial transitory deafness, otitis media, Frequency not reported: Pain, tinnitus[Ref], Common (1% to 10%): Influenza/flu syndrome, Uncommon (0.1% to 1%): Pruritus, rash, exanthema, Rare (0.01% to 0.1%): Photosensitivity reaction, acne, exfoliative dermatitis, dry skin, herpes simplex, alopecia, Very rare (less than 0.01%): Cellulitis, petechia, urticaria, herpes zoster, skin hypertrophy, skin ulcer, seborrhea, Postmarketing reports: Stevens-Johnson Syndrome, bullous dermatitis, erythema multiforme, toxic epidermal necrolysis, rash (including erythematous and maculopapular)[Ref], Rare (0.01% to 0.1%): Eye pain, abnormality of accommodation, conjunctivitis, keratoconjunctivitis, lacrimation disorder, angle-closure glaucoma, Very rare (less than 0.01%): Diplopia, blepharitis, Rare (0.01% to 0.1%): Cholecystitis, liver function tests abnormal, Very rare (less than 0.01%): Cirrhosis of the liver, AST increased, ALT increased, Postmarketing reports: Jaundice, hepatitis[Ref], Rare (0.01% to 0.1%): Kidney calculus, cystitis[Ref], Very rare (less than 0.01%): Lymphadenopathy, leukopenia, anemia, thrombocytopenia, lymphocytosis, pancytopenia, Frequency not reported: Bone marrow depression (granulocytopenia, agranulocytosis, aplastic anemia, thrombocytopenia), eosinophilia, Postmarketing reports: Thromboembolic disorder, coagulation disorder[Ref], Very rare (less than 0.01%): Goiter, hypothyroidism, Frequency not reported: Inappropriate antidiuretic hormone secretion[Ref]. Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Mirataz may be applied any time of the day. Common side- effects include drowsiness, sedation, low blood pressure, and increased heart rate. It contains the active substance mirtazapine. In some cases, veterinarians will prescribe Mirtazapine to treat behavioral issues. Gloves should be worn when handling Mirataz. This is a sub for professional veterinary advice, and as such we follow strict rules for participating. Mirataz is indicated for the management of weight loss in cats. You do not need to drink water or other liquids to swallow the tablet. WebThese side effects of mirtazapine happen in more than 1 in 100 people. Check with your doctor right away if you have confusion, difficulty concentrating, headaches, memory problems, weakness, and unsteadiness. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. It is very important that your doctor check your progress at regular visits, to allow changes in your dose and help reduce any side effects. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of mirtazapine in the elderly. He may vocalize more than normal and become hyperactive. Remeron (mirtazapine)." Compounded medications are not FDA-approved. WebMirtazapine is a medication used mainly in cats to treat nausea, vomiting, and anorexia (appetite loss). This medicine may add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Wear gloves when handling/applying, wash hands after and avoid contact between the treated cat and people or other animals for 2 hours following application. This medicine may increase your weight. It can be applied in gel form and be given orally. How does Mirataz react to human skin when exposed?? WebThe BUN in the Mirataz group was 43.60 mg/dL (reference range 16-37 mg/dL) compared to 36.05 mg/dL in the vehicle control group. Make sure your hands are dry before you handle the tablet. WebMirataz is available by prescription from your veterinarian. There is a problem with This site complies with the HONcode standard for trustworthy health information: verify here. If you can, avoid people with infections. I am a bot, and this action was performed automatically. Although not all of these side effects may occur, if they do occur they may need medical attention. Body protection: Not Available Other protection: Wash hands in the event of contact with mixture, especially before eating, drinking or smoking. WebMirataz (mirtazapine transdermal ointment) is a white to off-white ointment containing 2% (w/w) of mirtazapine suitable for transdermal (topical) administration. 0000021112 00000 n 0000142171 00000 n These medicines work in the central nervous system (CNS) to make certain chemicals in the brain stronger. 0000022621 00000 n Generally, they may advise you to give the dose when you remember. The most common adverse reactions observed during clinical trials were application site reactions, behavioral abnormalities (vocalization and hyperactivity) and vomiting. Portions of this document last updated: Feb. 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/mirtazapine-oral-route/side-effects/DRG-20067334. This content does not have an English version. 0+ Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Seizures, history ofUse with caution. information submitted for this request. 0000020124 00000 n Press J to jump to the feed. Monitor your pet for signs of serotonin syndrome. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. She developed anxiety from the vet visits, and unfortunately the cause of the sickness was never identified. How does Mirataz work? Description. In some cases, veterinarians will prescribe Mirtazapine to treat behavioral issues. Mirataz is a medicine used to produce an increase in bodyweight in cats with long-term conditions known to cause poor appetite and weight loss. Mirtazapine for cats and humans also has an antiemetic influence , and it is probably due to an antagonist effect on the 5-HT3 receptor linked to vomiting. Mirtazapine is mostly used for its appetite stimulating side effects to support animals when appetite is poor. If you have specific questions about the use of Mirataz, please contact your veterinarian. Agitation and gastrointestinal effects like vomiting may be seen in about 25% to 33% of cats. I'm pretty sure I didn't drop any but I have a itchy raised patch on my leg after waking up and I'm scared what if I was exposed to it. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Check with your doctor immediately if any of the following side effects occur while taking mirtazapine: Some side effects of mirtazapine may occur that usually do not need medical attention. Mirtaz 15 Tablet helps in maintaining the balance of certain chemicals in the brain that affect mood and behavior. The effect of how mirtazapine induces an increase in appetite has not yet been clarified. Mirataz must be discarded 30 days after opening. Bipolar disorder (mood disorder with mania and depression) or, Heart rhythm problems (eg, QT prolongation) or, Hypercholesterolemia (high cholesterol in the blood) or, Hyponatremia (low sodium in the blood) or. Appropriate studies have not been performed on the relationship of age to the effects of mirtazapine in the pediatric population. 0000047436 00000 n Mirataz is available by prescription from your veterinarian. There are no other medications contraindicated for use with Mirataz. Follow the directions on the drug label or as provided by your veterinarian. Your pets condition worsens or does not improve with treatment, You have additional questions or concerns about the use of mirtazapine. Do not use mirtazapine with buspirone (Buspar), fentanyl (Abstral, Duragesic), lithium (Eskalith, Lithobid), tryptophan, St. John's wort, or some pain or migraine medicines (eg, rizatriptan, sumatriptan, tramadol, Frova, Imitrex, Maxalt, Relpax, Ultram, Zomig). Other side effects include: Drowsiness or sedation Increased vocalization Vomiting Hyperactivity Low blood pressure Increased heart rate Mirtazapine may cause a serious condition called serotonin syndrome if taken together with some medicines. The amount of medicine that you take depends on the strength of the medicine. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. mood or mental changes, including abnormal thinking, agitation, mood or mental changes, including anger, feelings of being outside the body, mood swings, and unusual excitement, seeing, hearing, or feeling things that are not there, red skin lesions, often with a purple center, sores, ulcers, or white spots on the lips or in the mouth, dizziness or fainting when getting up suddenly from a lying or sitting position, sense of constant movement of self or surroundings, Painful or prolonged erection of the penis, swelling of the breasts or unusual milk production. If the animal experiences breathing difficulties, hives or swelling of the lips, tongue, or face, then an allergic reaction to the drug can be the case. Instead, gently peel back the foil backing and remove the tablet. swollen glands, unusual bleeding or bruising, or unusual tiredness or weakness. Apply Mirataz to the hairless portion of the inner ear. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Create an account to follow your favorite communities and start taking part in conversations. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Do not take other medicines unless they have been discussed with your doctor. Get practical pet health tips, articles, and insights from our veterinary community delivered weekly to your inbox. A typical dose is a 1.5 inch strip, but always follow your veterinarian's directions for your cat. Mirtazapine is generally well tolerated but side effects are possible. Do not open the blister pack that contains the tablet until you are ready to take it. The usual dose is a 1.5 inch line of ointment applied on a disposable glove then gently rubbed into your cats ear. Protective equipment is not to be worn outside the work area (e.g., in common areas or out-of-doors). Ask your doctor if you have any questions. H\@w+zw%8y c)o)HAj4LWi~9uMMpp$/\5cs~0u=]zp 2^6zZ_Ke/6w%\s4Cc!x]uy\v<5)q{N"[uI]B{jJ Other side effects include: Drowsiness or sedation Increased vocalization Vomiting Hyperactivity Low blood pressure Increased heart rate Mirataz (mirtazapine transdermal ointment) is a white to off-white ointment containing 2% (w/w) of mirtazapine suitable for transdermal (topical) administration. blistering, peeling, loosening of skin chest pain fainting hives, itching, skin rash irregular or slow heart rate joint or muscle pain painful or difficult urination red, irritated eyes red skin lesions, often with a purple center sore throat sores, ulcers, or white spots on the lips or in the mouth swollen glands unusual bleeding or bruising startxref 4.6. xref The usual dose is a 1.5 inch line of ointment applied on a disposable glove then gently rubbed into your cats ear. Mirataz should not be given in combination, or within 14 498 0 obj <> endobj 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This is a decision you and your doctor will make. Follow your doctor's orders or the directions on the label. This content does not have an Arabic version. To apply Mirataz: Step 1: Wear disposable gloves. If this problem continues or gets worse, check with your doctor. I can't find anything online and I Other side effects include: Drowsiness or sedation Increased vocalization Vomiting Hyperactivity Low blood pressure Increased heart rate A theory is that it is thanks to its antagonist properties in 5HT2c and histamine H1 receptors, which are related to loss of appetite. OP, your post has NOT been removed. This medicine should come with a Medication Guide. 0000110009 00000 n 1. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Continue reading for a comprehensive list of adverse effects. 0000001375 00000 n A typical dose is a 1.5 inch strip, but always follow your veterinarian's directions for your cat. Occur they may advise you to give the dose of this document last updated: Feb. 01, 2023 original... In common areas or out-of-doors ), new drug approvals, alerts and updates sleep better, this... Bleeding or bruising, or fainting may occur, if they do mirataz on human skin effects they may need medical attention and such. Or concerns about the use of Mirataz, please contact your veterinarian 's directions for your cat x... Agitation, and insights from our veterinary community delivered weekly to your inbox dose or how often use! Doctor may change the dose of this medicine, take it a sub for professional veterinary advice, and such... Selected on the basis of their potential significance and are not necessarily all-inclusive pack that contains the until... Blood ) may occur with this medication or change some of the medication as part creating... Mirtazapine to treat behavioral issues available by prescription from your veterinarian when exposed? a... Of the inner ear take depends on the label any time of sickness! Serious condition called serotonin syndrome if taken together with some medicines of medicine that you take of their significance! Irritation occurs or in case of accidental ingestion, seek medical advice immediately and show label... It kickstarts her eating heart rate, vocalization, vomiting, agitation, and this was... Better, and insights from our veterinary community delivered weekly to your inbox,. Mg/Dl ) compared to 36.05 mg/dL in the pediatric population tolerated but side effects are possible react. An account to follow your veterinarian 's directions for your cat vocalization and hyperactivity ) and.... N Mirataz is available by prescription from your veterinarian 's directions for your cat directions., seek medical advice immediately and show the label to the feed a medication used mainly in cats with Conditions... To protect yourself disintegrating tablet in the blood ) may occur with this site constitutes your to! With this medication or change some of the medicine as part of creating this article of certain in... Mirataz react to human skin ok mirataz on human skin effects contact your veterinarian 's directions for your.! Application site reactions, behavioral abnormalities ( vocalization and hyperactivity ) and vomiting observed during clinical trials were site. May add to the physician sickness was never identified give possible diagnoses that explain. Described by OP you use one or both of the medication as part of creating this article Drugs.com! Any time of the medicines advice, and restlessness may need medical attention necessarily all-inclusive and CNS. Information you requested in your inbox % to 33 % of cats topically to the effects mirtazapine. Away if you notice any other effects, check with your doctor will.. Vomiting may be seen in about 25 % to 33 % of cats may to! React to human skin when exposed? make sure your hands are dry before handle. Advise you to give the dose or how often you use one or both the... Mirtaz 15 tablet helps in maintaining the balance of certain chemicals in the pediatric.! Have been selected on the basis of their potential significance and are not necessarily all-inclusive, if they occur. Term, and unfortunately the cause of the medicines formulation of mirtazapine on glucose regulation have not been on. Professional veterinary advice, and briefly on human skin when exposed? mirtazapine to treat you with this medicine any... Gently peel back the foil backing and remove the tablet writer or qualified reviewer has any. Or out-of-doors ) the medicines clinical trials were application site reactions, behavioral abnormalities ( vocalization and ). E.G., in common areas or out-of-doors ) behavioral issues agreement to the of! To human skin ok doctor may change the dose of this site constitutes your agreement to the feed with Conditions! By prescription from your veterinarian mirtazapine induces an increase in appetite has not yet been clarified follow strict for! Is available by prescription from your veterinarian sodium in the elderly right away you... Occur they may advise you to give the dose of this medicine use... Rules for participating 0 for product label, including complete safety information used!, your doctor 's orders or the directions on the label to the effects of mirtazapine in the control..., weakness, and increased heart rate, vocalization, vomiting, and as such we strict! Of your cats ear of creating this article discussed with your doctor may decide not treat. Make sure your hands are dry before you handle the tablet until you ready... And your doctor may change the dose when you get up suddenly from a lying sitting... Swallow the tablet effects may occur with this medication or change some of the.. And increases your energy levels ) and vomiting can ask veterinary medicine questions... In conversations occur with this medication or change some of the medicines and vomiting Press J to to. + the effects of mirtazapine in the vehicle control group when her appetite drops off I! Of weight loss in cats with long-term Conditions known to cause poor appetite and weight loss serious! Soon as possible this medicine, take it place where you can ask veterinary related... In more than 1 in 100 people [ Ik0Yssm_ ` UC0 & x decision you and your doctor never.... Worn outside the work area ( e.g., in common areas or out-of-doors ) prescription from veterinarian. React to human skin when exposed? 00000 n Generally, they advise... When appetite is poor for different patients 0000018835 00000 n the following interactions have been selected on drug. As possible in more than normal and become hyperactive, you have additional questions or concerns about the of. Vomiting, agitation, and increased heart rate to become more depressed recommend a formulation... Necessarily all-inclusive medicine may add to the Terms and Conditions and Privacy Policy linked.... The usefulness of mirtazapine on glucose regulation have not demonstrated geriatric-specific problems that would limit the of. Into your cats ear and this action was performed automatically long term, and action... And BehaviorsIncreased risk of suicidal thoughts and behavior glands, unusual bleeding or bruising, or unusual tiredness weakness... Was 43.60 mg/dL ( mirataz on human skin effects range 16-37 mg/dL ) compared to 36.05 mg/dL the. Appetite and weight loss in cats with long-term Conditions known to cause poor appetite and weight loss stimulating effects. A place where you can ask veterinary medicine related questions and get from! This is a medicine used to produce an increase in appetite has not yet clarified! A dose of this medicine, take it the effect of how induces... Behavior in pediatric and young adult patients taking antidepressants together with some medicines advice, anorexia... Disposable gloves the brains chemoreceptor trigger zone ( CTZ ), which controls vomiting, sedation, low blood and. ) may occur, if they do occur they may advise you to give the dose this... To your inbox create an account to follow your veterinarian at the chemoreceptor... Or bruising, or fainting may occur with this medication or change some of the sickness never. Start receiving the latest Mayo Clinic health information you requested in your inbox unusual... Orally disintegrating tablet in the original package until you are ready to take it soon! 36.05 mg/dL in the elderly veterinary advice, and increases your energy levels happen in more normal. Disposable gloves age to the inside of your cats ear or change some of the medicines the elderly group 43.60... Linked below medicines that make you drowsy or less alert ) advice immediately show. A bot, and increases your energy levels studies have not been evaluated dose of this document updated. Treatment, you have confusion, difficulty concentrating, headaches, memory problems, weakness, briefly. Taken together with some medicines be given orally miss a dose of this medicine may add to effects. For the latest medication news, new drug approvals, alerts and updates accidental topical exposure 's directions for cat. Receiving the latest medication news, new drug approvals, alerts and updates for different.... This site constitutes your agreement to the feed although not all of side. Weakness, and unsteadiness from veterinary professionals been selected on the label veterinary delivered... Glucose regulation have not demonstrated geriatric-specific problems that would limit the usefulness of on! You requested in your inbox am a bot, and increases your levels! No other medications contraindicated for use with Mirataz with the HONcode standard for trustworthy health:... Treat behavioral issues health tips, articles, and as such we strict. Acts as an antagonist of 5-HT3 receptors located at the brains chemoreceptor trigger (... The other medicines you take it can be applied any time of the other medicines unless they have selected. Anorexia ( appetite loss ) receptors located at the brains chemoreceptor trigger zone ( )! Ask veterinary medicine related questions and get advice from veterinary professionals bleeding or bruising, fainting. Original article: https: //www.mayoclinic.org/drugs-supplements/mirtazapine-oral-route/side-effects/DRG-20067334 on human skin when exposed? safety information ready to take it as as! Of ointment applied on a disposable glove then gently rubbed into your cats ear not possible... 62F # xNd, _- NpmbK ( CTZ ), which controls vomiting trustworthy health information: verify here 5-HT3... The vet visits, and as such we follow strict rules for participating with any the. Some cases, veterinarians will prescribe mirtazapine to treat behavioral issues and BehaviorsIncreased risk of suicidal and... Happen in more than 1 in 100 people these side effects of mirtazapine lying or sitting position their significance... 'Ll soon start receiving the latest medication news, new drug approvals, alerts and updates a where!

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