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The phrase "a efficacious" is not correct in written English.
The correct form is "an efficacious" because "efficacious" begins with a vowel sound.
Example: "The new treatment proved to be an efficacious solution for the patients."
Alternatives: "an effective" or "a powerful".
Exact(1)
These results complement the beneficial role of C-PC of cyanobacterial origin as a efficacious anti-cataractogenic agent against sodium selenite toxicity.
Similar(59)
Lack of compliance in the 'real world' frequently renders an efficacious intervention ineffective.
When they come apart, an agent should perform an efficacious act rather than an auspicious act.
Value for pesticide purposes means that characteristic of a substance or mixture of substances which produces an efficacious action on a pest.
Gorky's suicide was a shock and perhaps an efficacious goad to the New York painters, whose revolutionary styles were taking definitive form.
Rituximab is an efficacious drug for a number of pediatric conditions.
Numerous studies suggest that ClfA is a promising component of an efficacious S. aureus vaccine.
The objective of this report was to describe an efficacious treatment of an adult with long-standing anorexia nervosa (AN).
There is an unmet need for an efficacious targeted treatment of pruritus.
Tocilizumab-IV is an efficacious therapy with an acceptable risk/benefit profile for patients with RA.
Hence, there is an urgent need for an efficacious systemic therapy in both the palliative and adjuvant settings.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com