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However, due to national product availability, legal considerations such as differences in authorized indications and dosages (since authorization of medicinal products still occurs mainly on a national rather than on an European level) differences in animal defined daily dosages applied in different countries can be expected.
This is all the more so as it is only allowed to conduct NIS within the authorized medical indication [ 8], and the simplified marketing authorization process for generic medicinal products is based on the assumption of a well-known safety and efficacy profile of such API.
Ataluren has also been trialed in Duchenne muscular dystrophy caused by nonsense mutations and has been granted conditional marketing authorization for this indication in the European Union [ 63].
So far, the evidence regarding estrogenic and related properties of hops preparations has been considered insufficient for a market authorization for menopausal indications.
"The decision to seek market authorization for an expanded indication rests with the manufacturer and requires the manufacturer to submit an application to Health Canada," he told VICE.
A similar authority is contained within the annual intelligence authorization bill that Burr co-authored, another indication that the argument over the loosened restrictions has not ended.
According to the NHP Regulations (2003), the NPN or DIN-HM must be displayed on the product label when sold on the Canadian market as indication of market authorization.
Pharmacists and nurses reported using the problem list to find indications for prior authorization requirements of drugs.
Drug use in medicine is based on a balance between expected benefits (already investigated indications before marketing authorization) and possible risks (i.e., adverse effects).
But conflicts occur within patient populations (trial population vs. indication and authorized subpopulation; e.g. Perampanel), duration of trials (long vs. short; e.g. Teriflunomid) and treatment regimens (authorization vs. trial usage; e.g. Saxagliptin/Metformin).
The term "reimbursement approval year" refers to the date that the indication was granted reimbursement authorization by each country's governmental regulatory bodies, such as the HTA agencies.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com