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The pain management is always a problem
for a physician and the search for a safe andeffective option is still on..
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So, Veritas pharmaceuticals Ltd.
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Arthritis
Arthritis is a disorder that causes pain, stiffness andswelling in or around joints. Cartilage is a proteinsubstance that serves as a "cushion" between the bonesof the joints. Arthritis is caused by the breakdown and
eventual loss of the cartilage of one or more joints.
Causes
There are many causes of arthritis. Heredity plays a majorrole. Some of these includes bacterial and viralinfections, traumatic injuries etc.
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Osteoarthritis
There are many different types of arthritis. Themost common type is called Osteoarthritis.
Osteoarthritis causes excessive strain and the
wearing away of cartilage in the joints of thefoot.
Movement becomes very difficult and painful.
The pain and swelling worsens while standingor walking, and stiffness usually occurs afterperiods of rest.
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Rheumatoid arthritis
Another type of arthritis is Rheumatoid arthritis.
It can cause severe deformities of the joints with
associated fatigue of the entire body.
It can develop at any age and there is no known
cause for this condition.
Rheumatoid arthritis is the most crippling (severe
and disabling damage) form of the disease that canaffect people of all ages.
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Alkylosing Spondilitis
Ankylosing spondylitis is an inflammatorydisease that can cause some of the vertebrae inyour spine to fuse together.
This fusing makes the spine less flexible and canresult in a hunched-forward posture.
A severe case of ankylosing spondylitis canmake it impossible for you to lift your head highenough to see forward
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People are losing their most productive years of
adulthood due to RA, (age 20- 40).
1 % of world population affected by RA
Among those 50 % patients unable to perform their full-
time job (after 10 years of onset)
World wide 9.6 % of men and 18% women over 60 years
have Symptomatic Osteoarthritis.
Rheumatoid Arthritis (RA)
WHO says
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General Information
Product Profile
Brand Name : Painkil
Generic name : AceclofenacJustification : PainKillerTherapeutic Class : NSAIDsDosage form : Tablet(Film Coated)
Pack Size : 10 x 10sMRP : Tk. 400/ box
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Indication
Osteoarthritis Rheumatoid arthritis Ankylosing spondylitis
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Mechanism of Action
From the phospholipasesof cell membrane . Arachidonic acid
is released. This intermediate arachidonic acid is created
from phospholipase-A2. This arachidonic acid goes by the
cyclooxygenase pathway and produces prostaglandin,
thromboxaneand prostacyclin.
Painkil block the cyclooxygenase pathway and stoparachidonic acid to produce prostaglandin. It has more
selectivity in Cox-2 than Cox-1.
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http://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Phospholipase_A2http://en.wikipedia.org/wiki/Thromboxanehttp://en.wikipedia.org/wiki/Prostacyclinhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Prostacyclinhttp://en.wikipedia.org/wiki/Thromboxanehttp://en.wikipedia.org/wiki/Phospholipase_A2http://en.wikipedia.org/wiki/Phospholipase_A2http://en.wikipedia.org/wiki/Phospholipase_A2http://en.wikipedia.org/wiki/Phospholipase_A2http://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acidhttp://en.wikipedia.org/wiki/Arachidonic_acid8/12/2019 Launching Presention Painkil
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Mechanism of Action
Phospholipid(From Cell Membrane)
Arachidonic acid
Prostacyclin ThromboxaneProstaglandin
Pain PainPain
Phospholipase A2
Cyclooxygenase Painkil(-)
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Dosage and Administration
Adults: The recommended dose is 100 mg twicedaily.
Children: There are no clinical data on the use ofAceclofenac in children under 18 years of age.
Elderly: The pharmacokinetics of Aceclofenac isnot altered in elderly patients, therefore it is notconsidered necessary to modify the dose or dosefrequency.
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PREGNANCY AND BREAST-FEEDING
The safety of this medicine for use duringpregnancy & lactation has not beenestablished.
It is not recommended for use inpregnancy & lactation unless consideredessential by your doctor.
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Side effect
Common side effect: Indigestion,abdominal pain, nausea, diarrhoea &dizziness.
Uncommon side effect: Flatulence,gastritis, constipation, vomiting, ulcersand inflammation, vertigo & skin rash.
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Unique selling propositions:
Stimulates synthesis of extracellular matrix of cartilage.( Bone formation)Blocks degeneration of cartilage matrix.Exhibits better efficacy and tolerability than Diclofenac
Superior to Ketoprofen in Rheumatoid arthritisEnsures high patients and physicians satisfaction
Product positioning:
Painkilis the drug of choice for degenerative cartilage healingand pain killing in Osteoarthritis, Rheumatoid arthritis &Ankylosing spondylitis.
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Target Doctors
Orthopedists specialist
Mild to Moderate pain- Osteoarthritis,
Rhematoid arthritis, Ankylosing
spondylitis
Medicine specialistMild to Moderate pain- Osteoarthritis,Rhematoid arthritis, Ankylosing
spondylitis
Dental surgeon Mild to moderate Dental pain.
GPs / RMP/ PC s
Mild to Moderate pain- Osteoarthritis,
Rhematoid arthritis, Ankylosing
spondylitis, Low back pain.
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Competitors
Brand Company Strength Pack size
Flexi Square 100 mg 10 x 10s
Reservix Incepta 100 mg 10 x 10s
Mervan Aristopharma 100 mg 10 x 10s
Zolfin Beximco 100 mg 10 x 15s
Movex Opsonin 100 mg 10 x 10s
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Promotional Support
1. Literature : 10 pcs/MIO
2. Lizol Floor cleaner : 2 pcs/MIO
3. Imperial Leather Soap : 2 pcs/MIO4. Pen Montex Morris : 2 pcs/MIO
5. Pen Montex Mint : 2 pcs/MIO
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Terminology
Cartilage is a flexible connective tissue found in many areas in the bodies
of humans and other animals, including the joints between bones, the rib
cage, the ear, the nose, the bronchial tubesand the intervertebral discs. It
is not as hard and rigid as bonebut is stiffer and less flexible than muscle
Prostaglandins are found in most tissues and organs. prostaglandins are
produced at the site of inflammation where it is believed that they
mediate many of symptoms of inflammation such as oedema and pain.
Prostacyclin (also called prostaglandin I2 or PGI2)is prostaglandin member of the family. It inhibits platelet activationand is also an effective vasodilator.
Thromboxaneis a vasoconstrictorand a potent hypertensive agent, and it
facilitates platelet aggregation.
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http://en.wikipedia.org/wiki/Bonehttp://en.wikipedia.org/wiki/Rib_cagehttp://en.wikipedia.org/wiki/Rib_cagehttp://en.wikipedia.org/wiki/Earhttp://en.wikipedia.org/wiki/Nosehttp://en.wikipedia.org/wiki/Bronchial_tubeshttp://en.wikipedia.org/wiki/Intervertebral_dischttp://en.wikipedia.org/wiki/Bonehttp://en.wikipedia.org/wiki/Musclehttp://en.wikipedia.org/wiki/Vasoconstrictorhttp://en.wikipedia.org/wiki/Vasoconstrictorhttp://en.wikipedia.org/wiki/Musclehttp://en.wikipedia.org/wiki/Bonehttp://en.wikipedia.org/wiki/Intervertebral_dischttp://en.wikipedia.org/wiki/Bronchial_tubeshttp://en.wikipedia.org/wiki/Nosehttp://en.wikipedia.org/wiki/Earhttp://en.wikipedia.org/wiki/Rib_cagehttp://en.wikipedia.org/wiki/Rib_cagehttp://en.wikipedia.org/wiki/Bone8/12/2019 Launching Presention Painkil
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Prepared By-
Prashanta Neogi
Product Executive, PMD
VPL 27