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The move by Apotex came after the USgovernment's recent rejection of a proposedpatent settlement by the 2 majorpharmaceutical manufacturers that wasmeant to block generic competition forPlavix for years. Apotex has filed an emergency motionwith the Court of Appeals for the FederalCircuit to stay the injunction, according toa spokesman for the company. The court'sorder is a preliminary injunction which willremain effective until the patent suit inNew York state concludes or until Apotexwins an appeal.

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A generic drug is a pharmaceutical drug that contains the same chemical substance as a drug that was originally protected by chemical patents. Generic drugs are allowed for sale after the patents on the original drugs expire. Although they may not be associated with a particular company, generic drugs are usually subject to government regulations in the countries in which they are dispensed. In most cases, generic products become available after the patent protections, afforded to a drug's original developer, expire.

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Plavix Clopidogrel is used to prevent blood clots after a recent heart attack or stroke. It is also used by patients with certain disorders of the heart or blood vessels. Clopidogrel bisulfate is an anti-platelet drug that inhibits the ability of platelets to clump together as part of a blood clot.

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The responsibilities of the independent prescriber are given below: Initial clinical assessment and diagnosis of the patient Agreement with the supplementary prescriber about the limits of their responsibility Provision of advice and support to the supplementary prescriber Review of patients progress at appropriate intervals with the supplementary prescriber if possible Sharing patients records with supplementary prescriber Reporting of adverse drug reactions. The responsibilities of the supplementary prescriber are: Contributing to development of the CMP Prescribing for the patient according to the CMP Altering medicines andor dosages within limits agreed in the CMP if appropriate Monitoring and assessing patients progress Working at all times within clinical competence and professional code of conduct Recognizing when not competent to act Consulting the independent prescriber when necessary Accepting professional accountability and clinical responsibility for prescribing Passing prescribing responsibility back to independent prescriber as appropriate Reporting adverse reactions and inform independent prescriber of them Informing independent prescriber of any clinically significant events Recording prescribing and monitoring activity in the CMP In addition to the responsibilities shown above, the supplementary prescriber must be a registered professional with the HPC and have a minimum of three years professional experience. It is up to individuals to negotiate with their employer that supplementary prescribing should form part of their job. Before becoming eligible to prescribe, they must successfully complete an approved supplementary prescribing training course including all assessments and the period of learning in practice. Cheap ddavp supplementary prescriber must ensure that the supplementary prescribing qualification is recorded on the HPC professional register and have access to continuing professional development thereafter.

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Further amendments to the Prescription Only Medicines Order and NHS regulations in April the opportunity to train as supplementary prescribers to podiatrists, physiotherapists and radiographers. Supplementary prescribing is intended to improve patient care by providing quicker and more efficient access to the medicines they need and to make the best use of the clinical skills of experienced health care professionals. Supplementary prescribing is designed for the medium to longer-term management of individuals by health care professionals other than doctors. According to the Department of Health definition, a supplementary prescriber forms a voluntary partnership with an independent prescriber.

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