Compensation carrier for Jim Walter Homes, Inc. collectively referred to as "Lumbermen's" ; . Lumbermen's also began paying Mr. Prine's medical expenses According to the record, Mr. Prine had.
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Presence of increased carbonyls in the tissue. To investigate the influence of acetaminophen on ischemia-reperfusion-mediated protein damage, two groups of hearts were used: a vehicletreated group n 12 ; and an acetaminophen-treated group n 12 ; . protocol similar to that described above for experiment 3 was used. In this experiment, however, tissue samples of the myocardium had to be collected at each of the experimental endpoints, i.e., control, baseline conditions, at the end of ischemia, and after 40 min of reperfusion. At each of these times, ventricles were quickly excised from the perfusion apparatus, blotted dry, and plunged into liquid nitrogen. Protein oxidation, i.e., carbonyl contents of the myocardium, was analyzed according to the published procedures of Schacter et al. 28 ; . Briefly, ventricular tissue was homogenized in HEPES suspension buffer containing protease inhibitors and then centrifuged to obtain the soluble fraction. Protein carbonyls were analyzed using a commercially available kit OxyBlot, Intergen; Purchase, NY ; . Carbonyl groups on soluble cellular proteins were derived and then bound onto Zeta-Probe membranes using the Bio-Dot SF Microfiltration Apparatus Bio-Rad Laboratories; Hercules, CA ; . The membrane-bound proteins were then blocked and probed with primary and secondary antibodies in blocking buffer. Membranes were developed using an avidin-biotin-horseradish peroxidase system and 3, -tetramethylbenzidine as substrate. The developed membranes were digitized and analyzed using computer-assisted densitometry SigmaScan, Jandel Scientific; Chicago, IL ; . Statistical Analysis All data were analyzed using analysis of variance for repeated measures. A priori tests, e.g., Tukey's w-procedure and Fisher's least-significant difference, were used to compare means. Statistically significant differences were established at P 0.05, and all data are reported as means SE.
CANASA captopril A carbamazepine CARBATROL ABILIFY 7 carbidopa levodopa ACCOLATE 10 carbidopa levodopa er ACCUPRIL 8 CARDIZEM LA ACCUZYME 9 carisoprodol ACEON 8 CASODEX acetaminophen codeine 6 CEENU ACTONEL 10 cefadroxil ACTOPLUS MET 8 cefdinir ACTOS 8 cefprozil ACULAR 10 CEFTIN SUSPENSION ACULAR LS 10 CEFZIL acyclovir 7 CELEBREX ADDERALL XR 9 cephalexin ADVAIR DISKUS 10 chlorhexidine gluconate ADVAIR HFA 10 chloroquine ADVICOR 8 cimetidine ALAMAST 10 CIPRODEX albuterol 10 ciprofloxacin ALLEGRA 10 ciprofloxacin ophth. allopurinol 7 citalopram ALOCRIL 10 B CLARINEX ALOMIDE 10 11 clarithromycin ALPHAGAN P 10 baclofen 8 CLIMARA ALTACE 8 B-D INSULIN SYRINGES 8 clindamycin cap AMARYL 8 B-D PEN NEEDLES 8 clozapine AMBIEN 11 benazepril 10 COGNEX AMERGE 7 BETIMOL 6 colchicine amitriptyline 6 BIAXIN XL PAC 10 COMBIPATCH amlodipine 8 BONIVA 6 COMBIVENT amlodipine benazepril 8 bupropion sr 8 COMTAN amoxicillin 6 buspirone 8 COREG amoxicillin clavulanate 6 BYETTA COREG CR amphetamine salt combo 9 COSOPT ANDROGEL 10 C COUMADIN ANTABUSE 9 ANTARA 8 CADUET 8 COZAAR ANZEMET 7 CAMPRAL 9 CRESTOR cyclobenzaprine APIDRA 8 Column 1 Drug Name, Column 2 Drug Tier, Column 3 Requirements Limitations, if any Please see page 3 for more information 12 ARICEPT ARIMIDEX AROMASIN ARTHROTEC ASACOL ASMANEX ATACAND ATACAND HCT atenolol ATROVENT HFA AUGMENTIN XR AVALIDE AVANDAMET AVANDARYL AVANDIA AVAPRO AVELOX AVINZA AVODART AZILECT azithromycin AZOPT 6 10.
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BY MARY G. WINKLER Although public outrage prompted R.J. Reynolds to force Joe Camel into retirement, it appears that tobacco companies will be allowed to keep using human figures like the Marlboro Man. But getting rid of cartoon characters misses the point. Last summer and fall while Congress and the media were busily speculating on the minutiae of l'affaire Lewinsky, the tobacco companies launched a provocative series of advertising campaigns. These new ads moved far beyond the visual innuendoes of Joe Camel's physiognomy to appeal directly to the rebellious and anti-authoritarian impulses of smokers and prospective smokers--especially adolescents and young adults. The reason for this new campaign is obvious: Joe Camel's working years were singularly effective. During his tenure as man-about-billboards, according to the Centers for Disease Control and Prevention there was a rise in numbers of under 18-year-old smokers from 708, 000 in 1988 to 1.2 million in 1996. Now a new approach makes its appeal to the hip and irreverent youth culture. In direct and hostile ; opposition to the anxious and earnest public health campaigns and medical spots, these ads undermine the authority of doctors, parents, and other adults through sarcasm. One of the most startling pitches comes in the new Camel cigarette ads. A young woman in a saucy maid's costume surreptitiously flicks her cigarette's ashes in the food of the grotesquely grimacing people she is about to serve. At the bottom of the page is a boxed-off section--a direct parody of the ratings warnings that proceed television shows and films: VIEWER DISCRETION ADVISED THIS AD CONTAINS: IR Idle Rich ABR Abusive Bell Ringing PA Premeditated Ashing Undoubtedly based on research showing that today's smokers tend to be less educated and less affluent, this ad invokes class conflict in order to make smoking seem like a wholesomely subversive act. A Winston ad shows an obese middle-aged man in Speedo swim trunks. The caption: "If you're wearing one of these, you better be swimming for a medal." This manages to simultaneously poke fun at fitness and health promotion while inviting the young to laugh at their ungracefully aging elders. All of us who are interested in preventing smoking which ultimately means encouraging young people not to start this powerful addiction ; must look behind the new crop of ads to the feelings and impulses the advertisements so effectively exploit. In the face of such shrewd anti-authoritarian appeals by the cigarette companies, it's clear that public health campaigns employing "for your own good" rhetoric are not going to reach an audience that is restive when addressed by adult authorities. Advertising tends to work by suggesting that deep human needs and yearnings can be met by consumer goods. Any attempt to counter this cynical crop of new cigarette ads must, I believe, ultimately address the youth culture's deepest impulses for autonomy and independence from their elders. Perhaps public-spirited foundations would be willing to subsidize an anti-cigarette ad campaign on television as well as in the same youth-oriented magazines that feature the current plethora of murderously clever cigarette ads. The first in this series could feature a corporate boardroom peopled by expensively dressed middle-aged executives. They could be shown callously scheming about how best to manipulate naive teenagers and hook them on a drug that will ultimately sicken and kill many of them. Mary G. Winkler is associate professor at the Institute for the Medical Humanities at UTMB and anafranil.
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Diabetes can have a profound impact on lifestyle, health and life expectancy, and has a significant impact on health and social services. The Diabetes national service framework 2001 ; reported that around 5% of total NHS resources and up to 10% of hospital in-patient resources are used for the care of people with diabetes. Foot complications are common in diabetes, and are associated with peripheral vascular disease the damage caused to large blood vessels supplying lower limbs ; and neuropathy damage degeneration of the nerves ; . The provision of appropriate foot care is an important component of the care of people with diabetes. It helps to avoid morbidity due to foot ulceration and amputation, thus helping those with diabetes to maintain their quality of life. All people with diabetes require foot care examination and review, at least annually, to detect risk factors for ulceration. Examination involves a visual inspection of the feet and footwear, testing of foot sensation and palpation of foot pulses.
Cancer is a physical disease but it also affects how you think and feel. You and your family friends might feel a range of emotions like fear, anxiety, anger, sadness, depression, loneliness or frustration ; related to your cancer diagnosis and treatment. This is understandable. Sometimes it is not possible to get all of the help and support you need from people closest to you. If you are having trouble coping with your cancer diagnosis, there are health care professionals at the Cancer Centre who can help such as psychologist, social worker, advanced practice nurse, spiritual care counselor, psychiatrist ; . As well, there are Support Groups you could attend, where you could talk with, or listen to, others who are going through a similar diagnosis and treatment. If you are interested in talking with someone about your feelings and experiences, tell the medical staff so they can connect you with the appropriate person or group. Your emotional health and well-being are very important and aralen.
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A 48-year-old woman took 250 mg of terbinafine daily for five days for a fungal nail infection. Over the next four weeks, fulminant hepatic failure developed. The patient had been taking dothiepin 75 mg per day ; , which is a tricyclic antidepressant, and propranolol 40 mg twice daily ; for more than 18 months. She had no risk factors for liver disease, a minimal intake of alcohol 40 g per week ; , and no history of ingestion of acetaminophen or other analgesics. Serum acetaminophen levels were undetectable. Autoantibody screening and screening for serologic hepatitis A, B, and C viruses were negative; abdominal ultrasonography revealed a normal-sized liver with no evidence of splenomegaly or ascites. The patient's condition deteriorated; encephalopathy increased, requiring ventilation and intensive care. She subsequently underwent uncomplicated orthotopic liver transplantation. She remains well 18 months after transplantation. Histologic examination of the explanted liver revealed panacinar submassive necrosis and nearly complete disappearance of hepatocytes, with no evidence of chronic liver disease. These findings are compatible with a drug-related cause of disease. In our patient, a presumed idiosyncratic type B ; drug reaction to terbinafine may have been an important factor in the development of fulminant hepatic failure. The two other prescribed medications that she was taking have a low reported potential for hepatotoxicity, and she had been taking them for many months. Minor abnormalities in the results of liver-function tests have been reported in up to percent of patients during oral treatment with terbinafine, 2 ; with two reports of predominantly cholestatic, reversible, terbinafine-associated hepatic injury. 3, 4, 5 ; Kosh Agarwal, M.R.C.P. Derek M. Manas, F.C.S. S.A.
It has recently been suggested that acetaminophen may act by inhibiting cox-3, a splice variant of cox- the recommended dosage of acetominophen in dogs is 10-15 mg kg, po, tid and chloroquine.
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According to the February 22 edition of FDAnews' Drug Daily Bulletin, the "Electronic Submissions Gateway" that has been under development within FDA moved a step closer to reality as the agency selected vendors to build the system. When complete, the Gateway is intended to be "a central collection portal for electronic submissions from FDA-regulated industries and other government agencies" capable of accepting electronic submissions as large as 100 gigabytes. This, according to FDAnews, will replace the Electronic Regulatory and arimidex.
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11. In this case, the plaintiffs have established that performance of the prenatal fetal surveillance testing required by the standard of care would, more likely than not, have alerted Mrs. Cibula's physicians that JC was suffering the adverse effects of uteroplacental insufficiency and was growth restricted in the last few weeks of the pregnancy. This information would and asacol.
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| Fig. 8. FLR1 overproduction confers resistance to acetaminophen. ABC154 strain and snq2D ABC681 ; were transformed with plasmids bearing the FLR1 gene p425GPD-FLR1 ; and an empty plasmid p425GPD ; . The transformants were spotted on acetaminophen 10 and 16 mg ml"1 ; and control YPD plates as indicated in Methods and mesalazine and acetaminophen.
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1. If you begin to have symptoms, begin antibiotic treatment immediately, under the care of a physician, if available. Chances are high that despite government assurances, there may not be enough antibiotics to go around in a major biological attack, so it is important to live healthily and stockpile natural alternatives. Learn to live with alternative remedies before your life depends on them since it takes some skill and sensitivity to learn to recognize your own body's feedback signals giving you hints about what it needs. Remember, too, that natural solutions only work well when your body is NOT loaded down with food, especially junk food or cooked food, which have no live enzymes. 2. Leave any area where infection is growing. Find temporary housing in rural areas. It is best to make arrangements with friends and relatives beforehand. This is important to avoid continual exposure even to low levels of contaminants. Wear your gas mask in the car when leaving town. Don't worry about looking silly--it may save your life. 3. If you can't leave the area, follow the previous suggestions for "sheltering in place". When in public wear a gas mask as long as you can do so without undue stress. You must remove it to eat and drink, unless it has a built in water straw. Remember most gas mask cartridges are good for no more than 24 hours, usually even less that this.
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Studies in which adult healthy volunteers or HIV-infected individuals were treated with 200 mg oral ddI 1, 13 ; . No significant differences in Cmax, AUC0-, Tmax, t1 2, or CL F were observed between the reference and the generic formulations tested in each bioequivalence trial. Bioequivalence assessment indicated that each of the four test formulations fulfilled the adopted bioequivalence criteria Methods.
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Albert AP et al. 1996 ; . Br J Pharmacol 119, 519-526. Browning KN & Travagli RA 1999 ; . Br J Pharmacol 128, 1307-1315. Talley EM et al. 2001 ; . J Neurosci 21, 7491-7505.
Table 3.Test results at baseline and differences in test results compared to baseline at subsequent 6-monthly follow-up visits, for each individual RMBPC item Baseline * N 77 2.90 0.77 -0.09 0.83 -0.22 1.11 0.02 1.30 -0.13 1.05 -0.01 0.60 -0.08 1.00 -0.10 0.80 -0.02 0.58 -0.07 1.00 -0.11 0.88 0.00 0.54 -0.21 0.94 -0.21 1.15 -0.10 0.98 0.00 1.13 -0.22 0.94 -0.04 0.94 0.14 1.33 -0.28 1.09 0.00 1.10 -0.02 1.31 0.02 1.13 -0.10 0.90 0.28 0.92 -0.09 1.03 -0.08 1.06 -0.09 1.15 0.15 1.30 0.00 1.18 -0.07 1.21 -0.07 0.73 0.29 1.64 -0.14 1.29 0.57 1.16 -0.21 1.05 -0.01 0.85 -0.07 0.80 0.10 0.82 monthsa N 77 12 monthsa N 46 18 monthsa N 29 24 monthsa N 14 30 monthsa N 5 0.00 0.00 -0.40 1.67 -0.20 0.84 -1.40 1.14 0.20 0.45 0.00 0.71 0.60 0.90 -0.40 2.07 0.00 0.00 -0.80 0.84, for example, acetaminophdn codeine elixir.
Authors : Farida, Z.Y., Arimi-Fitri, M.L., Chong!, L.K. and T. Pang2. Institution : Department of Biomedical Sciences, Faculty of Allied Health Sciences, UKM Jalan Raja Muda Abd Aziz 50300 Kuala Lumpur 1Department of Genetics, Faculty of Science, University Malaya, 59100 Kuala Lumpur, 2WHO, Geneva Abstract : Several species of Salmonella were used in this study, which were Salmonella typhi, Salmonella paratyphi A, Salmonella paratyphi B and Salmonella enteritidis. Amplification of their variable regions, V2 and V6, of the 16S rRNA genes was done by polymerase chain reaction PCR ; . Two oligonucleotide primer sets, TP1-TP2 and TP3-TP4, were used to amplify V2 and V6, respectively. The amplified products, approximately 100 and 120 bp, were subsequently subcloned into the SmaI site of M13mp18 and mp19, and sequenced by the dideoxyribonucleotide chain-termination method. The DNA inserts in different recombinant M13mp 18 and mp19 clones were sequenced individually. All eight DNA sequences obtained for both the V2 and V6 regions of four Salmonella species were aligned by using the Pustell Sequence Analysis Programs. The V2 and V6 sequences of S. paratyphi A showed the highest percentage similarity to those of S. typhi and anafranil.
They treat mild to moderate pain and fever. An example is: acetminophen TYLENOL, TEMPRA Interactions Food: For rapid relief, take on an empty stomach because food may slow the body's absorption of acetaminophen. Alcohol: Avoid or limit the use of alcohol because chronic alcohol use can increase your risk of liver damage or stomach bleeding. If you consume three or more alcoholic drinks per day talk to your doctor or pharmacist before taking these medications. NON-STEROIDAL ANTI.
6.4.1. Objectives and Expected Result of the Stage The objective of the examination is to determine the group and stage of condition. Expected result is to give a diagnosis in accordance with the classification given in point 4.4.1. "Clinical Description of the Guideline." 6.4.2. Equipment Equipment will include a device to measure BP, electrocardiograph, ultrasound scanner, and laboratory work equipment, ophthalmoscope. It is necessary that all kinds of examination stated below be available for patients at a convenient time. 6.4.3. Algorithm of Diagnostic Examination Diagnostic examination is indicated when the patient is registered for outpatient observation. The volume of the examination should be strictly in line with the scheme given below. Research has shown that prescription of more examinations than described in the scheme leads to waste of resources and does not produce the best results. Examinations and selection of medications may be conducted simultaneously if it is required by patient's condition. It is an important distinction from the old methods treatment was not chosen until examinations were completed preferably at hospital ; . Volume of necessary examinations and tests for different groups of patients with AH. Group I: Mild AH Including borderline AH ; Urinalysis ECG Group II: Moderate and Severe AH: Urinalysis ECG Eyegrounds examination Blood lipids Blood glucose Echocardiogram Indicated examinations: if urinalysis is abnormal renal ultrasound creatinine, blood urea if pathology of adrenal gland is suspected severe AH ; : ultrasound and computer tomography of the adrenal glands blood electrolytes if there is a suspicion regarding renovascular hypertension severe AH ; : aortography.
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Loan officers were made aware of the fact that they were joining a "sales force" when they commenced employment, 2 ; loan officers participated in a sales incentive program, and 3 ; loan officers solicited and promoted new business and had a considerable amount of flexibility to configure their workdays. independent judgment with respect to matters of significance. 29 C.F.R. 541.200. In Cote v. Burroughs Welcome Co., 558 F. Supp. 883 E.D. Pa. 1982 ; , the court ruled that the plaintiff, who was employed as a "Professional Representative" or "detail person, " was exempt as an administrative employee. This job required the plaintiff to "call regularly on physicians, hospitals, and pharmacies and to increase the sale of Burroughs' products by `detailing' the recommended indications of these drugs to potential prescribers and retailers." The court granted summary judgment in favor of the employer, ruling that the plaintiff was exempt under the administrative exemption even though the representatives were provided with "an extensive set of selling tools, " and even though the plaintiff "had only mechanically to apply specified procedures in setting up her physician visit schedule." The court found "ample" evidence of the exercise of independent judgment and discretion because the plaintiff had been commended for her initiative in increasing sales, and the plaintiff was expected to "use a wide degree of discretion in deciding how to encourage the use of the product." Another case that may support the exempt status of product representatives as administrative employees is Reich v. John Alden Life Ins. Co., 126 F.3d 1 1st Cir. 1997 ; . In that case, the First Circuit Court of Appeals found that "marketing representatives" of an insurance company, whose primary duty was to cultivate sales of the company's insurance products by independent insurance agents, were exempt "administrative" employees. The court found that the marketing representatives exercised substantial independent judgment and that their activities were only ancillary to the employer's principal production activity the creation of insurance policies.
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That at marketed doses, all oral triptans are effective and well tolerated. The differences among them were relatively small; however, rizatriptan 10 mg, eletriptan 80 mg and almotriptan 12.5 mg provide the highest likelihood of success, while sumatriptan has had the longest clinical experience and along with zolmatriptan is available in a wider range of formulations 224 ; . In addition, naratriptan Amerge ; exhibits a slower onset and longer duration of action, which may be an advantage in individuals with protracted migraine. Rizatriptan benzoate Maxalt ; is also supplied in a rapidly disintegrating oral wafer. Table 17 presents further detail regarding the triptans that are currently available. The bottom line is, that with any agent there will be individual differences and it is worthwhile trying different drugs in a class. The triptans are selective for the 5-HT1B and 5-HT1D serotonin receptor subtypes, where they act as agonists. The mechanism of action involves the reduction of sensory activation in the periphery and nociceptive transmission in the brainstem trigeminal nucleus where they diminish central sensitization 11, 225 ; . They also result in vasoconstriction, opposing the vasodilation, thought to be involved in the pathophysiology of migraine, although the role of vasoconstriction in the antimigraine action remains unclear. The triptans have replaced the vasoconstrictive agent ergotamine tartrate. These agents should not be used in patients with a history, symptoms or signs of ischemic cardiac, cerebrovascular or peripheral vascular disease, valvular heart disease, cardiac arrythmias or other significant cardiovascular disease. In addition, triptans should be avoided in persons with hemiplegic and basilar migraine 226 ; . This section has focused on the triptans. However, it is important to remember that the first line of treatment in migraine is to counsel patients about diet, particularly in terms of food triggers such as alcohol, red wine, nitrates in preserved meat and monosodium glutamate, the importance of regular sleep, not sleeping in, regular exercise and generally healthful approaches to living. If it is decided that pharmacotherapy is needed, the next step is to add a standard over-the-counter analgesic such as acetaminophen, ASA, ibuprofen or an ASA acetaminophen caffeine combination 227, 228 ; . These measures assist many patients in control of migraine.
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Drug Interactions of NSAIDs A key concern is the interaction between aspirin and NSAIDs. Although low-dose aspirin is cardioprotective, evidence suggests that concomitant use with certain NSAIDs in particular ibuprofen ; may reduce its cardioprotective benefits and increase gastrointestinal risk.92, 93 It has been shown in a recent study that ibuprofen prevents the irreversible platelet inhibition induced by aspirin. This effect may be responsible for a statistically and clinically significant increase in risk for mortality in users of aspirin plus ibuprofen compared with users of ibuprofen alone. In contrast, sustained exposure to diclofenac, rofecoxib or acetaminophen did not influence the effects of aspirin on platelet function.94, 95 To add to the controversy, another study on the effect of ibuprofen in aspirin-treated healthy adult volunteers showed no clinically meaningful loss of cardioprotection of aspirin when over-the-counter doses of ibuprofen were administered.96 The gastroprotective benefit of COX-2 inhibitors is partially or, in some patients, totally lost if aspirin is used for cardiovascular prophylaxis.56, 97 In a study conducted by Schnitzer and colleagues, 56 18, 325 patients aged 50 years or older were randomly assigned to lumiracoxib 400 mg once daily, naproxen 500 mg twice daily or ibuprofen 800 mg 3 times daily for 1 year. Patients were stratified by low dose aspirin use and age. Consistent with the results of previous studies of COX-2 inhibitors, the cumulative incidence of ulcer complications was reduced by 3-fold to 4-fold among patients who received lumiracoxib compared with tNSAIDs, but the reduction was smaller and did not reach statistical significance among patients who received concomitant aspirin. Recent evidence suggests that gastrointestinal benefits may also be lost in patients who receive warfarin together with NSAIDs. In a nested case-control analysis, Battistella and colleagues98 quantified the gastrointestinal risk in warfarin users treated with tNSAIDs or COX-2 inhibitors. During the study period, 361 0.3% ; out of 98, 821 elderly patients who had received warfarin were admitted with gastrointestinal hemorrhage. These patients were 1.9-fold more likely to be receiving tNSAIDs, 1.7-fold more likely to be receiving celecoxib and 2.4-fold more likely to be taking rofecoxib than to be taking no NSAIDs before hospitalization. Concurrent use of NSAIDs and corticosteroids may also increase gastrointestinal risk. In a population-based cohort study of 45, 980 patients, Nielsen and colleagues99 found that there was an increased risk of gastrointestinal bleeding among patients who concurrently used NSAIDs and corticosteroids. Alternative Analgesics When tNSAIDs and COX-2 inhibitors are inappropriate analgesics for patients, alternatives are available. However, it is worth noting from the Oxford League Table that few, if any, oral analgesics have a better NNT than NSAIDs for acute pain.
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