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Such a contrast has never ever been done and would be extremely valuable for clients, doctors, and payers interested in getting smokers to stop. However, if such studies are needed to get Extab approved, they will require countless dollars. Stewart and his financiers clearly prefer a significant return on their financial investments to validate moving this program forward.

99 for 100 tablets. But to recoup the investment and turn a significant revenue for his investors, Stewart will need to charge a lot more than that. This is worsened by the reality that Extab will just have 5 years of market exclusivity as an unique drug in the U.S.

More increasing the commercial challenge is that Stewart estimates that it will take as numerous as 5 years to get FDA approval. Hence, this drug might make it to clients by 2020. Nevertheless, Pfizer's Chantix patent expires by 2022, so Stewart's Extab will be contending with a generic product that might be priced less than his drug.

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Will it be less expensive? Perhaps initially, but there will be a narrow window for a successful commercialization. Do smoking patches smoking cessation products truly grow on trees? We'll see.

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Many natural medicines communicate with oral anticoagulants (primarily warfarin) and interactions with plants are noted separately in Table 76. 7. Drug interactions of warfarin with natural preparations have actually been examined. 275,276 In a retrospective analysis of the pharmaceutical care strategies of 631 patients, 170 (27%) were taking some form of complementary or alternative medication and 99 were utilizing a medication that could connect with warfarin, the commonest being cod-liver oil and garlic.