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Top 10 global pharmaceutical products (2006)

With statistics sourced via IMS Health, below is a listing of the top 10 global pharmaceutical products for 2006 along with links to related articles and sources of further information.


Leading global pharmaceutical products 2006

Lipitor (atorvastatin1. Lipitor (atorvastatin)

Launched in January 1997 by Pfizer, in 2006 Lipitor (atorvastatin) achieved global sales of $13.6b (2.2% of total global pharmaceutical sales and a year-over-year sales increase of 4.2%). Lipitor sales contributed to total global Lipid Regulator sales in 2006 of $35.2b.

Lipitor (atorvastatin) is a statin, also known as an enzyme blocker (HMG-CoA reductase inhibitor). Along with professional dietry advice, Lipitor is used in the management / reduction of cholesterol and fats (triglycerides) in the blood. Lipitor tends to be prescribed only after non-drug treatments have failed in lowering cholesterol. Non-drug treatments might include: diet change, improved exercise and weight loss. Reducing cholesterol and triglycerides is vital in the prevention of strokes and heart attacks.

Further information: Lipitor (atorvastatin)

Atorvastin (Lipitor) in Lipid DisordersAtorvastatin in Lipid Disorders

Atorvastatin in Lipid Disorders was originally published within the Drugs in Context series in March 2003. Editorial is by Professor Paul Durrington, Disease overview is by Dr Richard Clark, Drug Review is by Dr Richard Clark and Improving Practice by Dr Jonathan Morrell. This e-document has 38 pages and includes an overview of lipid disorders (Lipids, lipoproteins and CHD, Lifestyle modifications, Pharmacological lipid-lowering therapies, Summary and References), along with an excellent drug review of Lipitor / Atorvastatin (Introduction, Pharmacology of Lipitor (atorvastatin), Pharmacokinetics and metabolism of Lipitor (atorvastatin), Clinical efficacy of Lipitor (atorvastatin), Cardiovascular morbidity and mortality, Safety Pharmacoeconomics, Summary and References). [read more]

2. Nexium (esomeprazole)

Launched in August 2000 by AstraZeneca, in 2006 Nexium (esomeprazole) achieved global pharmaceutical product sales of $6.7b (1.1% of total global pharmaceutical sales and a year-over-year sales increase of 16.9%). Nexium sales contributed to total global Acid Pump Inhibitor sales in 2006 of $24.1b.

Nexium (esomeprazole) is a proton pump inhibitor (PPI) and works by blocking acid production in the stomach. Esomeprazole is used to treat acid-related stomach and throat (osophagus) disorders, such as acid reflux or GERD and erosive esophagitis. Esomeprazole can decrease excess acid in the stomach and help to relieve such symptoms as heartburn, swallowing problems, persistent cough and sleep related problems. NEXIUM is supplied as Delayed-Release Capsules for oral administration.

Further information: Nexium (esomeprazole)

Esomeprazole in GORDEsomeprazole in GORD

Esomeprazole in GORD was originally published within the Drugs in Context series in July 2003 and is available here as a 43 page e-document. Editorial is by Dr Richard Stevens, Disease overview is by Dr Richard Clark, Drug Review is by Dr Richard Clark and Improving Practice is by Dr Chris Barclay and Mr Richard Stevens. This document includes an overview of Gastro-oesophageal reflux disease (Symptoms of GORD, Impact of GORD, Pathophysiology, Diagnosis, Treatment of GORD The role of H. pylori, Summary and References), along with a drug review of Esomeprazole (Introduction to Esomeprazole, Pharmacology, Pharmacokinetics and metabolism of Esomeprazole, Clinical efficacy of Esomeprazole, Safety, Summary and References). [read more]

3. Seretide (fluticasone+salmeterol)

GlaxoSmithKline's (GSK) combination asthma product Seretide achieved global pharmaceutical sales of $6.3b in 2006 (1% of total global pharmaceutical sales and a year-over-year sales increase of 10.3%) and contributed significantly to overall global pharmaceutical respiratory agent sales of $24.6b. Seretide was launched by GSK in March 1999.

Seretide (Advair) contains a combination of both salmeterol and fluticasone, and is used as a maintenance treatment to prevent or reduce wheezing / breathing problems caused by asthma and / or ongoing lung disease, such as COPD and emphysema. Seretide decreases swelling and relaxes muscles in the airways, thus controlling the symptoms of breathing problems.

Further information: Seretide (fluticasone+salmeterol)

Seretide® in AsthmaSeretide in Asthma

Seretide in Asthma, a 28 page drug review of Seretide was originally published within the Drugs in Context series and was written by Dr Rebecca Fox-Spencer, along with peer-review by specialists in the field of Asthma. This e-document includes: Summary, introduction & pharmacology of Seretide, along with an overview of the clinical efficacy, safety profile, tolerability and pharmacoeconomics of Seretide. [read more]

4. Plavix (clopidogrel)

Launched in July 1998 by Sanofi-Aventis, Plavix (clopidogrel) achieved global pharmaceutical product sales of $5.8b in 2006 (1% of total global pharmaceutical sales and a year-over-year sales increase of -3.4%).

Working by preventing platelets from forming harmful blood clots, Plavix (clopidogrel) is used to prevent heart attacks and strokes in patients with a history heart disease, recent heart attack, unstable angina, recent stroke and / or peripheral vascular disease. . Plavix (clopidogrel), with it's 'anti-platelet' properties, helps to maintain blood flow.

Further information: Plavix (clopidogrel)

Clopidogrel in AtherothrombosisClopidogrel in Atherothrombosis - Drug review

Clopidogrel in Atherothrombosis is a 29 page e-document, published within the Drugs in Context series in 2004. It offers a thorough and independent review of the latest data on Clopidogrel in Atherothrombosis and was written by Dr Scott Chambers, along with peer-review by specialists in the field. This document includes a review of the pharmacology, safety, tolerability and pharmacoeconomics of Plavix (clopidogrel). [read more]

5. Norvasc (amlodipine)

Launched as Istin (UK) by Pfizer in January 1990, and marketed as the generic, Amlodipine and as Norvasc in North America, this pharmaceutical product had the 5th highest global pharmaceutical sales in 2006 - $5b (0.8% of total global pharmaceutical sales and a year-over-year sales increase of -0.5%).

Norvasc (amlodipine) is a calcium channel blocker and is used to treat hypertension (high blood pressure), chronic stable angina, vasospastic angina and coronary artery disease. Such treatment of hypertension with Norvasc (amlodipine) can aid in the prevention of strokes, heart attacks, and kidney problems.

Norvasc (amlodipine) is a peripheral arterial vasodilator that acts directly on vascular smooth muscle to cause a reduction in peripheral vascular resistance and reduction in blood pressure.

Further information: Norvasc (amlodipine)

6. Aranesp (darbepoetin alfa)

Launched by Amgen in 2001, Aranesp (darbepoetin alfa) had the sixth highest global pharmaceutical sales in 2006 of $5b (0.8% of total global pharmaceutical sales and a year-over-year sales increase of 35.6%) and contributing to total global Erythropoietin product sales of $13.9b.

Aranesp (darbepoetin alfa) is indicated in the treatment of anemia associated with chronic renal failure and the treatment of anemia in patients with nonmyeloid malignancies where the anemia is caused by coadministered chemotherapy treatments. Aranesp (darbepoetin alfa) is an erythropoiesis stimulating protein, closely related to erythropoietin.

Further information: Aranesp (darbepoetin alfa)

7. Zyprexa (olanzapine)

Launched by Lilly in October 1996, in 2006 Zyprexa (olanzapine) achieved global pharmaceutical product sales of $4.7b (0.8% of total global pharmaceutical sales and a year-over-year sales increase of -0.4%), contributing to total global Antipsychotics pharmaceutical product sales of of $18.2b.

Zyprexa (olanzapine) is indicated in the treating the symptoms of schizophrenia, acute mixed or manic episodes of bipolar I disorder and for maintenance treatment in bipolar disorder.

Further information: Zyprexa (olanzapine)

Olanzapine in bipolar disorderOlanzapine in bipolar disorder

Olanzapine in bipolar disorder was published in May 2005 within the Drugs in Context series and is a this thorough and independent review of the latest data on Olanzapine in Bipolar disorder by Dr Eleanor Bull. Available here as a 24 page e-document, Olanzapine in bipolar disorder reviews the pharmacology, clinical efficacy, safety, tolerability and pharmacoeconomics of Olanzapine. [read more]

See also: Olanzapine in Schizophrenia Dr Richard Clark, Dr Anna Palmer and Dr Scott Chambers (Published January 2006)

8. Risperdal (risperidone)

In 2006, Risperdal (risperidone) achieved global pharmaceutical sales of $4.6b, contributing to total global antipsychotic sales of $18.2b (0.8% of total global pharmaceutical sales and a year-over-year sales increase of Risperdal (risperidone) - 12.3%). Risperdal was launched by Janssen Cilag in June 1993.

Risperdal (risperidone) is indicated for the treatment of schizophrenia; short-term treatment of acute manic or mixed episodes associated with bipolar disorder. Risperdal (risperidone) has an antipsychotic effect caused by dopamine and serotonin receptor blocking within the central nervous system.

Further information: Risperdal (risperidone)

Enbrel (Etanercept)9. Enbrel (etanercept)

Launched by Wyeth in May 2000, Enbrel (etanercept) achieved global pharmaceutical product sales of $4.5b in 2006 (0.7% of total global pharmaceutical sales and a year-over-year sales increase of 18.4%) and con

Enbrel (etanercept) is a type of protein called a tumor necrosis factor (TNF) blocker. Tumor necrosis factor is made by the body's immune system. In diseases such as rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and plaque psoriasis, there is too much TNF in the body.

Further information: Enbrel (etanercept)

Etanercept in psoriasis: the evidence of its therapeutic impactEtanercept in psoriasis: the evidence of its therapeutic impact

Etanercept in psoriasis was published by Core Medical Publishing (February 2007) and is available here as a 12 page e-document, offering a review of Wyeth’s etanercept in relation to the treatment of psoriasis. Psoriasis is a chronic inflammatory skin condition for which there is no cure. Treatment options are designed to control the disease symptoms and improve patients’ quality of life, and physical and mental function. Established treatments can be effective but are also limited by tolerability, convenience, cosmetic, and economic issues. Etanercept, a fully human soluble tumor necrosis factor (TNF) receptor protein, is a recently approved systemic treatment for chronic moderate to severe plaque psoriasis. [read more]

10. Effexor (venlafaxine)

In 2006, Effexor (venlafaxine) achieved global pharmaceutical product sales of $4.0b, a year-over-year increase of 2.7% and overall, contributing 0.7% of total global pharmaceutical sales.

Effexor (venlafaxine hydrochloride) is indicated for the treatment of major depressive disorder. The mechanism Effexor (venlafaxine) is associated with its potentiation of neurotransmitter activity in the central nervous system.

Further information: Effexor (venlafaxine)

Venlafaxine in DepressionVenlafaxine in Depression

Venlafaxine in Depression (in Primary Care) was published in February 2003 within the Drugs in Context series. Editorial is by Professor Allan H Young, Disease overview is by Dr Richard Clark, Drug Review is by Dr Richard Clark and Improving Practice is by Dr George Kassianos [read more]

Pharmaceutical products - further information

British National FormularyBritish National Formulary

Compiled with the advice of clinical experts, this essential pharmaceutical product reference provides up-to-date guidance on prescribing, dispensing and administering medicines. The British National Formulary details medicines prescribed in the UK, with special reference to their uses, cautions, contraindications, side-effects, dosage and relative costs. Updated in print every six months, the British National Formulary reflects current best practice as well as legal and professional guidelines relating to the use of medicines.

Purchase British National Formulary online


British PharmacopoeiaThe British Pharmacopoeia
by British Pharmacopoeia Commission


The British Pharmacopoeia is the authoritative, current collection of standards for UK medicinal substances and the official source of all UK quality standards. It is an essential reference for anyone involved in pharmaceutical Research and Development, manufacturing and testing, and plays a vital role in ensuring that all medicinal substances on the UK market meet standards of safety, quality and efficacy. The British Pharmacopoeia is supplied in a variety of formats designed for ease of use and a wide range of applications.

Purchase the The British Pharmacopoeia online


 

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