Holder's tax basis determined in U.S. dollars in the ADRs. The gain or loss will generally be income or loss from sources within the United States for foreign tax credit limitation purposes. In general, the capital gain of a non-corporate U.S. Holder is subject to tax at ordinary rates for ADRs held for one year or less and at the longterm capital gains rate currently 15% ; for ADRs held for more than one year. A U.S. Holder's ability to deduct capital losses is subject to limitations. The surrender of ADRs in exchange for ordinary shares, or vice versa, will not be a taxable event for U.S. federal income tax purposes, and U.S. Holders will not recognize any gain or loss upon such an exchange. U.S. Information Reporting and Backup Withholding A U.S. Holder generally will be subject to information reporting with respect to dividends paid on, or proceeds from the sale or other disposition of, an ADR unless the U.S. Holder is a corporation or comes within another category of exempt recipients. If it is not exempt, a U.S. Holder may also be subject to backup withholding with respect to dividends or proceeds from the sale or disposition of an ADR unless a taxpayer identification number is provided and the other applicable requirements of the backup withholding rules are complied with. Any amount withheld under these rules will be creditable against the U.S. Holder's U.S. federal income tax liability or refundable to the extent that it exceeds such liability, provided that the required information is timely furnished to the Internal Revenue Service. U.S. Holders should review the summary below under "Israeli Taxation" for a discussion of the Israeli taxes which may be applicable to them. Israeli Taxation Corporate Tax Rate The regular corporate tax rate in Israel was 34% in 2005. This rate is currently scheduled to decrease as follows: in 2006-31%, 2007-29%, 2008-27%, and 2010 and onward-25%. However, Teva's effective consolidated tax rates before deduction of certain charges ; for the years ended December 31, 2003, 2004 and 2005 were 20.8%, 21.7% and 18% respectively, since a major portion of Teva's income is derived from Approved Enterprises as discussed below ; and from operations outside of Israel, where Teva has enjoyed lower tax rates. Law for the Encouragement of Industry Taxes ; , 1969 the "Industry Encouragement Law" ; Teva and certain of its Israeli subsidiaries currently qualify as "Industrial Companies" pursuant to the Industry Encouragement Law. As such, Teva and these subsidiaries qualify for certain tax benefits, including amortization of the purchase price of a good-faith acquisition of a patent or of certain other intangible property rights at the rate of 12.5% per annum and the right to file consolidated tax returns. Currently, Teva files consolidated tax returns together with certain Israeli subsidiaries. The tax laws and regulations dealing with the adjustment of taxable income for local inflation provide that industrial enterprises such as those of Teva and its subsidiaries which qualify as Industrial Companies can claim special rates of depreciation of up to 40% on a straight line basis for industrial equipment. In addition, new regulations generally allow industrial equipment purchased during the period from July 1, 2005 until September 30, 2006 to be depreciated over a period of two tax years. Eligibility for the benefits under the Industry Encouragement Law is not subject to receipt of prior approval from any government authority. Teva cannot assure you that Teva or any of its Israeli subsidiaries that presently qualify as Industrial Companies will continue to qualify as such in the future, or that the benefits will be granted in the future. Law for the Encouragement of Capital Investments, 1959 the "Investment Law" ; Industrial projects of Teva and certain of its Israeli subsidiaries are eligible to be granted "Approved Enterprise" status under the Investment Law. 78.
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Placebo group, and a regression of IMT after 12 months ; the 3-year difference was statistically significant P .001 ; . Five Lovastatin-treated participants suffered major CV events CHD mortality, nonfatal MI, or stroke ; vs 14 in the placebo groups P .04 ; . One lovastatin-treated participant died, compared to eight deaths in the placebo group P .02 ; . The treatment with Lovastatin has revealed to be effective in reducing the progression of the IMT and in reducing the risk of major CV events and mortality 21 ; . The PLAC II Pravastatin, Lipids, and ATS in the Carotid Arteries ; study evaluated the effectiveness of the treatment with the Pravastatin in diminishing the levels of LDL cholesterol, and in reducing the progression of the carotid lesions during a follow-up of three years 22 ; . During the follow-up, plasma concentrations of total cholesterol were lower in Pravastatin-treated patients compared with those of placebo-treated patients 186 vs 235 mg dl ; . There was a similar lowering of LDL-cholesterol 120 vs 167 mg dl ; . Active treatment resulted in a non-significant 12% reduction of the progression of the mean IMT measured at three levels : internal and common carotid artery and carotid bulb ; from 0.068 mm yr placebo to 0.059 mm yr Pravastatin ; , but a statistically significant 35% reduction in IMT progression in the CCA p 0.03 ; . Active treatment was also associated with a 60% reduction of nonfatal MI and death caused by CHD p 0.09 ; , a 61% reduction of any fatal event and any nonfatal MI p 0.04 ; , an 80% reduction of fatal plus any nonfatal MI p 0.03 ; 22 ; . The reduction of clinical events obtained through the treatment with statins may be consequent to the stabilization of the plaque, with consequent reduction of plaque complications 22 ; . In fact, the instability of the plaque, a dangerous phenomenon for the possible evolution towards ulceration, deposition of platelet, and consequent increase of the stenosis or possible distal embolic phenomenon, is the most important cause of stroke. Therefore, the ability to reduce the progression and to stabilize the carotid artery plaque with a pharmacological treatment with statins is very important. The treatment with Pravastatin is associated with change in the composition of the atherosclerotic plaque, with reduction of lipid content, reduced oxidation of the LDL, reduced cellular death and reduction of activated metalloproteinase MMP ; , an increase of tissue factor inhibiting the MMP and increased collagen lysis 22 ; . In the BCAPS Beta-blocker C-lowering Asymptomatic Plaque Study ; the effects of Metoprolol 25 mg a day ; and of Fluvastatin 40 mg a day ; on the progression of the carotid IMT were compared in 793 subjects with asymptomatic carotid plaque ACP ; . Death and cardiovascular events were also monitored 23 ; . The progression of the carotid IMT at the level of the bifurcation, after 18 and 36 months, was reduced in.
CYP2D6 cytochrome P450 2D6 ; acts on one-fourth of all prescription drugs, including the selective serotonin reuptake inhibitors SSRI ; , tricylic antidepressants TCA ; , betablockers, opiates, neuroleptics, antiarrhythmics and a variety of toxic plant substances. Some 7- 14% of the population has a slow acting form of this enzyme and 7% a super-fast acting form. Thirty-five percent are carriers of a non-functional 2D6 allele, especially elevating the risk of adverse drug reactions when these individuals are taking multiple drugs. Drugs that CYP2D6 metabolizes include Prozac, Zoloft, Paxil, Effexor, Hydrocodone, Amitriptyline, Claritin, Cyclobenzaprine, Haldol, Metoprolol, Rythmol, Tagamet, Tamoxifen, and the over-the-counter diphenylhydramine drugs, Allegra, Dytuss, and Tusstat. CYP2D6 is responsible for activating the pro-drugs codeine and other opioids into their active forms. The analgesic activity of the drugs is therefore reduced or absent in CYP2D6 poor metabolizers. Refer to list for substrates, inhibitors and inducers of CYP2D6. Genelex offers improved detection rates using an extended Cytochrome P-450 2D6 DNA mutation panel. This test identifies 12 small nucleotide variants and two gene rearrangements in PCR-multiplex format, providing increased sensitivity and quality performance. This CYP2D6 Mutation Detection Panel is the most extensive on the market and covers over 93-97% of poor metabolizer phenotypes. Analytical specificity and sensitivity for detection of these mutations are 99%. Specimen Information Please call Client Services at 800-523-6487 to obtain specimen kits. Buccal Swabs: 4 sterile Whatman OmniSwabsTM Blood: 5-10 cc whole blood lavender-top EDTA or Yellow-top ACD-A tubes Turnaround Time: 10 -14 days turnaround 4 day turnaround for STATS.
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TABLE 3 Therapeutic doses of b-blockers in adults and children over 6 years of age Usual lowest single therapeutic dose Acebutolol Atenolol Carvedolol Labetalol Metoprolol Adult: 100 200 mg Ped: 10 mg Adult: 25 50 mg Ped: 1 2 mg kg Adult: 3.125 6.25 mg Ped: 0.08 mg kg Adult: 100 400 mg Ped: 2 mg kg Adult: 100 mg SR; 100 200 mg Ped: 0.5 2.5 mg kg Adult: 40 80 mg Ped: 0.5 1 mg kg Adult: 10 240 mg LA, SR: 80 160 mg Ped: 0.25 1 mg kg Usual maximum single therapeutic dose 600 mg 12 mg kg 200 mg 2 mg kg 50 mg 0.5 mg kg 400 mg 20 mg kg 450 mg 2.5 mg kg SR: 5 mg kg 320 mg 2.5 mg kg 240 mg 4mg kg SR 5 mg kg Usual maximum daily dose 1200 mg 12 mg kg 200 mg 2 mg kg 100 mg 1.0 mg kg 800 mg 40 mg kg IR: 450 mg SR: 400 mg 5 mg kg 320 mg 2.5 mg kg 640 mg 16 mg kg Dosing frequency qd-tid qd bid bid tid-qid.
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Antipsychotic agents, in particular typical antipsychotics, have been known to induce ECG abnormalities and adverse cardiac effects. With regard to atypical antipsychotics, animal models have shown risperidone to have more potent effects than others in prolonging the QT interval on ECG. Review of the literature has shown that cardiac arrest can occur with risperidone overdose5 and at lower doses in the elderly, 2 as well as in adults with no pre-existing cardiac disease.4 The patient described in this report showed a temporal relationship between the onset of cardiac symptoms, bradycardia, and ECG changes and the use of risperidone therapy. However, it must also be considered that the patient had pre-existing CAD, and was receiving regular treatment with diltiazem and atenolol. Diltiazem, a calcium channel blocker, can induce symptomatic bradycardia when used in conjunction with -blockers such as propranolol and metoprolol. This effect has not been reported, however, when used in conjunction with atenolol.6 and
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Others-to-be should ideally start practicing good health habits even before they become pregnant. "During the time that a woman is considering motherhood, routine tests can be performed to ensure she is in good health, especially in relation to any illnesses or conditions that could affect future pregnancy, " says Dr. Lynne DiCostanzo of Regional OB GYN Associates, who is also affiliated with Orange Regional Medical Center. Pre-pregnancy is a good time to get clear about your medical history, find out your blood type, make sure you're immune to diseases such as rubella German measles ; , stop smoking, and cut down on alcohol and caffeine. "It's also important to evaluate your use of prescription or over-the-counter medica and
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Boston, MA ; , and succinyl-CAMP ["`I]tyrosine methyl ester 2000 &i * g ; was prepared by Hazleton Biotechnologies Vienna, VA ; . 3-Isobutyl1-methylxanthine was purchased from Aldrich Milwaukee, WI ; . Pertussis toxin and cholera toxin were purchased from List Biological Laboratories, Inc. Campbell, CA ketanserin tartrate, DOI, S ; propranolol hydrochloride, and R- + ; propranolol hydrochloride from Research Biochemicals, Inc. Wayland, MA and 5-hydroxytriptamine creatine sulfate complex, atenolol, metoprolol, acetobutol, and 8-bromo CAMP from Sigma St. Louis, MO ; . Adult 50-55 days ; male Sprague-Dawley rats Charles River, Bedford, MA ; were killed by CO2 inhalation, followed by decapitation before removal of the testis, as approved by the NICHD, Animal Care and Users Committee. Leydig cells were prepared by collagenase digestion, followed by purification using centrifugal elutriation, as previously described 11 ; . Leydig cells were resuspended in medium 199 containing 1.4 g liter NaHCOs-0.1% BSA, plated in Costar Cambridge, MA ; 12well tissue culture dishes 1 X 10' cells well for testosterone and CAMP production and 4 x IO6 cells well for CRF production ; , and incubated in 5% COz-95% air at 37 C. After 3 h, the media were replaced with fresh medium with or without test substances, as noted, and cells were incubated for an additional 30 min. In some experiments, cells were pretreated for 15 min with ketanserin, CRF antibody, or CRF antagonist [a-helical CRF- 9-41 before addition of the stimuli and incubated for an additional 30 min with or without test substances, as noted. At the end of each culture period, media were removed and processed for analysis of extracellular CAMP, testosterone, and CRF, as described previously 2, 3, 12, ; . In some experiments in which 5HT concentrations were evaluated in the incubation media of the cultures, 2 h after plating the cells in medium 199, 0.1% BSA, inhibitors of monoaminooxidase 14, 15 ; , clorgyline 10e6 M ; , pargyline lo-' M ; , and chlorimipramine 10m6 M ; were added to incubation wells and further incubated for 30 min. After a medium change, cells were cultured in 5 rnM HEPES buffer pH 7.4 ; containing 140 mM NaCl, 4 mM KCI, 2.5 mM CaCl2, 1 mM MgClz, 5.8 mM glucose, 0.1% BSA 16 ; , and monoamino oxidase inhibitors in the presence or absence of test substances for an additional 10 min. Media were collected, and acetic acid was added to a final concentration of 0.2 M. Samples were analyzed for 5HT content by reverse phase HPLC with electrochemical detection 17 ; . The liquid chromatographic systems consisted of a pump model 510 Waters, Bedford, MA ; , an analytical column, a guard cell mode1 ESA 5020, ESA, Inc., Bedford, MA ; , and an analytical cell ESA Coulochem model 5100 ; . The samples 100 ~1 ; were injected by the sample processor WISP model 712 Waters ; onto a 3.9 X 300.mm Cl8 PBondapack column Waters ; . Analyses were performed at 1 ml min flow rate of the mobile phase [0.26 mM EDTA, 100 mM NaH2P04, 7.5 ml PIG-B-8 reagent Waters ; , and 10% acetonitrile, adjusted to pH 3.2 with 85% H3P04 ; ], Receptor binding studies were performed with plasma membranes prepared from purified adult cells ll ; , as previously described 4 ; . Briefly, 200 Kg membrane protein were incubated with 16 [rz51]D01 for 15 min at 37 C the presence and absence of increasing concentrations of unlabeled DOI, 5HT 10-`2-10' M ; , + ; or - ; propranolol 10m7lo-' M ; , or atenolol, acebutolol, and metoprolol 10m4 M ; in a final volume of 1 ml binding buffer. Nonspecific binding was determined by the addition of 100 M cold DOI, 5HT, or propranolol. Bound radioligand was isolated by rapid filtration 5 ; . All experiments were performed at least three times; experimental points are the mean ?z SE n Data were analyzed by posttest comparison within an analysis of variance.
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