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Oseltamivir

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920:. The WHO supports its use for severe illness due to confirmed or suspected influenza virus infection in critically ill people who have been hospitalized. Oseltamivir's risk-benefit ratio is controversial. In 2017, it was moved from the core to the complementary list based on its lower cost-effectiveness. The Expert Committee did not recommend the deletion of oseltamivir from the EML and EMLc, recognizing that it is the only medicine included on the Model Lists for critically ill patients with influenza and for influenza pandemic preparedness. However, the Committee noted that, since the inclusion of oseltamivir on the Model List in 2009, new evidence in seasonal and pandemic influenza has lowered earlier estimates of the magnitude of effect of oseltamivir on relevant clinical outcomes. The Committee recommended that the listing of oseltamivir be amended, moving the medicine from the core to the Complementary List, and that its use be restricted to severe illness due to confirmed or suspected influenza virus infection in critically ill hospitalized patients. The Expert Committee noted that WHO guidelines for pharmacological management of pandemic and seasonal influenza would be updated in 2017: unless new information is provided to support the use of oseltamivir in seasonal and pandemic outbreaks, the next Expert Committee might consider oseltamivir for deletion. 4772: 51: 4519: 663: 897: 1686: 966:
this review, clinicians and healthcare policy-makers should urgently revise current recommendations for use of the neuraminidase inhibitors (NIs) for individuals with influenza." That is not utilizing NIs for prevention or treatment "Based on these findings there appears to be no evidence for patients, clinicians or policy-makers to use these drugs to prevent serious outcomes, both in annual influenza and pandemic influenza outbreaks."
973:(the originator) reject the conclusions of the Cochrane Review, arguing in part that the analysis inappropriately forms conclusions about outcomes in people who are seriously ill based on results obtained primarily in healthy populations, and that the analysis inappropriately included results from people not infected with influenza. The EMA did not change its labeling of the drug in response to the Cochrane study. 997:. The same review found that oseltamivir did not significantly increase the risk of adverse events. A 2016 systematic review found that oseltamivir slightly reduced the time it takes for the symptoms of influenza to be alleviated, and that it also increased the risk of "nausea, vomiting, psychiatric events in adults and vomiting in children." The decrease in duration of sickness was about 18 hours. 905: 1608: 1183: 42: 7502: 7490: 1077: 1556:
Three studies have found resistance in 0%, 3.3%, and 18% of subjects. In the study with the 18% resistance rate, the subjects were children, many of whom had not been previously exposed to influenza virus and therefore had a weakened immune response; the results suggest that higher and earlier dosing
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The CDC found sporadic oseltamivir-resistant 2009 H1N1 virus infections had been identified, including with rare episodes of limited transmission, but the public health impact had been limited. Those sporadic cases of resistance were found in immunosuppressed patients during oseltamivir treatment and
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From 2009 to 2014, oseltamivir resistance was very low in seasonal flu. In the 2010–11 flu season, 99.1% of H1N1, 99.8% of H3N, and 100% of Influenza B remained oseltamivir susceptible in the US. In January 2012, the US and European CDCs reported all seasonal flu samples tested since October 2011 to
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The US and EU package inserts for oseltamivir contain a warning of psychiatric effects observed in post-marketing surveillance. The frequency of these appears to be low and a causative role for oseltamivir has not been established. The 2014 Cochrane Review found a dose-response effect on psychiatric
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did not find evidence for benefits in people who are at risk, noting that "the trials were not designed or powered to give results regarding serious complications, hospitalization and mortality", as did a 2014 Cochrane Review. The Cochrane Review further recommended: "On the basis of the findings of
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review concluded that oseltamivir did not affect the need for hospitalizations, and that there is no proof of reduction of complications of influenza (such as pneumonia) because of a lack of diagnostic definitions, or reduction of the spread of the virus. There was also evidence that suggested that
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While there is concern that antiviral resistance may develop in people with haematologic malignancies due to their inability to reduce viral loads and several surveillance studies found oseltamivir-resistant pH1N1 after administration of oseltamivir in those people, as of November 2013, widespread
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was 28 and for vomiting was 22. So, for every 22 adult people on oseltamivir one experienced vomiting. In the treatment of children, oseltamivir also induced vomiting. The number needed to harm was 19. So, for every 19 children on oseltamivir one experienced vomiting. In prevention there were more
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As of 2017, the CDC does not recommend to use oseltamivir generally for prevention due to concerns that widespread use will encourage resistance development. They recommend that it be considered in those at high risk, who have been exposed to influenza within 48 hours and have not received or only
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requested that Congress fund US$ 1 billion for the production and stockpile of oseltamivir, after Congress had already approved $ 1.8 billion for military use of the drug. Defense Secretary Donald Rumsfeld, who was a past chairman of Gilead Sciences, recused himself from all government
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In 2007, Japanese investigators detected neuraminidase-resistant influenza B virus strains in individuals not treated with these drugs. The prevalence was 1.7%. According to the CDC, As of 2019, transmission of oseltamivir-resistant influenza B virus strains—from persons treated with the drug—is
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enzyme. A 2011 meta-analysis of 15 studies found a pooled incidence rate for oseltamivir resistance of 2.6%. Subgroup analyses detected higher rates among influenza A patients, especially the H1N1 subtype. It was found that a substantial number of patients might become oseltamivir-resistant as a
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As of 2011, reviews concluded that when oseltamivir is used preventatively it decreases the risk of exposed people developing symptomatic disease. A systematic review of systematic reviews found low to moderate evidence that it decreases the risk of getting symptomatic influenza by 1 to 12% (a
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won a case in India's court system allowing it to manufacture a cheaper generic version of Tamiflu, called Antiflu. In May 2009, Cipla won approval from the World Health Organization (WHO) certifying that its drug Antiflu was as effective as Tamiflu, and Antiflu is included in the WHO list of
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have concluded that benefits in those who are otherwise healthy do not outweigh its risks. They also found little evidence regarding whether treatment changes the risk of hospitalization or death in high risk populations. However, another meta-analysis found that oseltamivir was effective for
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to the European Medicines Agency (EMA) provided Cochrane with reports from 16 Roche oseltamivir trials. In 2012, the Cochrane team published an interim review based on those reports. In 2013, Roche released 74 full clinical study reports of oseltamivir trials after GSK released the data on
1654:(EMA) approved oseltamivir phosphate for prophylaxis and treatment of influenza. In 2003, a pooled analysis of ten randomised clinical trials concluded that oseltamivir reduced the risk of lower respiratory tract infections resulting in antibiotic use and hospital admissions in adults. 1017:, while three other reviews found a decreased risk. Together, published studies suggest that oseltamivir reduces the duration of symptoms by 0.5–1.0 day. Any benefit of treatment must be balanced against side effects, which include psychiatric symptoms and increased rates of vomiting. 1012:
have concluded that benefits in those who are otherwise healthy do not outweigh its risks. When the analysis was restricted to people with confirmed infection, the same 2014 Cochrane Review (see above) found unclear evidence of change in the risk of complications such as
944:(AAP) recommend the use of oseltamivir for people who have complications or are at high risk for complications. This includes those who are hospitalized, young children, those over the age of 65, people with other significant health problems, those who are pregnant, and 834:. Many medical organizations recommend it in people who have complications or are at high risk of complications within 48 hours of first symptoms of infection. They recommend it to prevent infection in those at high risk, but not the general population. The 1844: 1025:
oseltamivir prevented some people from producing sufficient numbers of their own antibodies to fight infection. The authors recommended that guidance should be revised to take account of the evidence of small benefit and increased risk of harms.
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During the 2007–08 flu season, the US CDC found 10.9% of H1N1 samples (n=1,020) to be resistant. In the 2008–09 season, the proportion of resistant H1N1 increased to 99.4%, while no other seasonal strains (H3N2, B) showed resistance.
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C in the United States and category B in Australia, meaning that it has been taken by a small number of women without signs of problems and in animal studies it looks safe. Dose adjustment may be needed in those with kidney problems.
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in Southeast Asia in 2005. In response to the epidemic, various governments – including those of the United Kingdom, Canada, Israel, United States, and Australia – stockpiled quantities of oseltamivir in preparation for a possible
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During 2011, a new influenza A(H1N1)2009 variant with mildly reduced oseltamivir (and zanamivir) sensitivity was detected in more than 10% of community specimens in Singapore and more than 30% of samples from northern Australia.
869:. In the United States it is recommended for influenza infection during pregnancy. It has been taken by a small number of pregnant women without signs of problems. Dose adjustment may be needed in those with kidney problems. 1065:
relative decrease of 64 to 92%). It recommended against its use in healthy, low-risk persons due to cost, the risk of resistance development, and side effects and concluded it might be useful for prevention in unvaccinated
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events. In trials of prevention in adults one person was harmed for every 94 treated. Neither of the two most cited published treatment trials of oseltamivir reported any drug-attributable serious adverse events.
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As of 2013, H274Y and N294S mutations that confer resistance to oseltamivir have been identified in a few H5N1 isolates from infected patients treated with oseltamivir, and have emerged spontaneously in Egypt.
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result of oseltamivir use, and that oseltamivir resistance might be significantly associated with pneumonia. In severely immunocompromised patients there were reports of prolonged shedding of oseltamivir- (or
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The selection and use of essential medicines: report of the WHO Expert Committee, 2017 (including the 20th WHO Model List of Essential Medicines and the 6th Model List of Essential Medicines for Children)
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Karpf M, Trussardi R (March 2001). "New, azide-free transformation of epoxides into 1,2-diamino compounds: synthesis of the anti-influenza neuraminidase inhibitor oseltamivir phosphate (Tamiflu)".
322: 838:(CDC) recommends that clinicians use their discretion to treat those at lower risk who present within 48 hours of first symptoms of infection. It is taken by mouth, either as a pill or liquid. 4564: 3393:
Burch J, Corbett M, Stock C, Nicholson K, Elliot AJ, Duffy S, et al. (September 2009). "Prescription of anti-influenza drugs for healthy adults: a systematic review and meta-analysis".
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Yeung YY, Hong S, Corey EJ (May 2006). "A short enantioselective pathway for the synthesis of the anti-influenza neuramidase inhibitor oseltamivir from 1,3-butadiene and acrylic acid".
214: 2678: 1088:(ADRs) associated with oseltamivir therapy (occurring in over 1 percent of people) include nausea and vomiting. In adults, oseltamivir increased the risk of nausea for which the 1674:
In 2006, a Cochrane Review (since withdrawn) raised controversy by concluding that oseltamivir should not be used during routine seasonal influenza because of its low effectiveness.
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In 1999, the FDA approved oseltamivir phosphate for the treatment of influenza in adults based on two double-blind, randomized, placebo-controlled clinical trials. In June 2002, the
1123:. Neuropsychiatric symptoms and body pain, followed by skin problems, were identified as the side effects most significantly reducing patient satisfaction on a drug review platform. 7567: 2976: 2712: 1709:
studies. In 2014, Cochrane published an updated review based solely on full clinical study reports and regulatory documents. In 2016, Roche's oseltamivir patents began to expire.
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In those who are otherwise healthy the CDC states that antivirals may be considered within the first 48 hours. A German clinical practice guideline recommends against its use.
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A 2015 systematic review and meta-analysis found oseltamivir effective at treating the symptoms of influenza, reducing the length of hospitalization, and reducing the risk of
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is about 1–3 hours and its active carboxylate metabolite has a half-life of 6–10 hours. More than 90% of the oral dose is eliminated in the urine as the active metabolite.
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Antipov EA, Pokryshevskaya EB (2019). "The effects of adverse drug reactions on patients' satisfaction: evidence from publicly available data on tamiflu (oseltamivir)".
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be oseltamivir susceptible. In the 2013–14 season only 1% of 2009 H1N1 viruses showed oseltamivir resistance. No other influenza viruses were resistant to oseltamivir.
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headaches, kidney, and psychiatric events. Oseltamivir's effect on the heart is unclear: it may reduce cardiac symptoms, but may also induce serious arrhythmias.
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Qiu S, Shen Y, Pan H, Wang J, Zhang Q (2015). "Effectiveness and safety of oseltamivir for treating influenza: an updated meta-analysis of clinical trials".
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In 2009, a new A/H1N1 influenza virus was discovered to be spreading in North America. In June 2009, the WHO declared the A/H1N1 influenza a pandemic. The
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Dobson J, Whitley RJ, Pocock S, Monto AS (May 2015). "Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials".
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Rohloff JC, Kent KM, Postich MJ, Becker MW, Chapman HH, Kelly DE, et al. (1998). "Practical Total Synthesis of the Anti-Influenza Drug GS-4104".
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As of 2013, two of 14 adults infected with A(H7N9) and treated with oseltamivir developed oseltamivir-resistant virus with the Arg292Lys mutation.
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concluded that oseltamivir does not reduce hospitalizations, and that there is no evidence of reduction in complications of influenza. Two
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InChI=1S/C16H28N2O4/c1-5-12(6-2)22-14-9-11(16(20)21-7-3)8-13(17)15(14)18-10(4)19/h9,12-15H,5-8,17H2,1-4H3,(H,18,19)/t13-,14+,15+/m0/s1
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was approved in the US in 2016. In 2020, it was the 178th most commonly prescribed medication in the United States, with more than 3
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Its oral bioavailability is over 80% and is extensively metabolised to its active form upon first-pass through the liver. It has a
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From 2010 to 2012, Cochrane requested Roche's full clinical study reports of their trials, which they did not provide. In 2011, a
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on the surface of human cells that helps new virions to exit the cell, preventing new viral particles from being released.
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and there were worldwide shortages of the drug, driven by the high demand for stockpiling. In November 2005, US President
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Agrawal R, Rewatkar PV, Kokil GR, Verma A, Kalra A (July 2010). "Oseltamivir: a first line defense against swine flu".
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in 1996. The drug has not been patent-protected in Thailand, the Philippines, Indonesia, and several other countries.
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Tse N, Cederbaum S, Glaspy JA (October 1991). "Hyperammonemia following allogeneic bone marrow transplantation".
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Savigny MR, Macintire DK (February 2010). "Use of oseltamivir in the treatment of canine parvoviral enteritis".
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recommended that all people admitted to intensive care units during influenza outbreaks with a diagnosis of
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Recommendations regarding oseltamivir are controversial as are criticisms of the recommendations. A 2014
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Marketing display used at festivals features a person living in a hermetically sealed environment
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Jefferson TO, Demicheli V, Di Pietrantonj C, Jones M, Rivetti D (July 2006). Jefferson T (ed.).
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Kmietowicz Z (June 2017). "WHO downgrades oseltamivir on drugs list after reviewing evidence".
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Jefferson T, Doshi P (April 2014). "Multisystem failure: the story of anti-influenza drugs".
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Jackson RJ, Cooper KL, Tappenden P, Rees A, Simpson EL, Read RC, et al. (January 2011).
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There have been reports of oseltamivir reducing disease severity and hospitalization time in
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Hay AJ, Hayden FG (June 2013). "Oseltamivir resistance during treatment of H7N9 infection".
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Michiels B, Van Puyenbroeck K, Verhoeven V, Vermeire E, Coenen S (2013). Jefferson T (ed.).
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Hatakeyama S, Sugaya N, Ito M, Yamazaki M, Ichikawa M, Kimura K, et al. (April 2007).
3448:"Oseltamivir, zanamivir and amantadine in the prevention of influenza: a systematic review" 3010:
Jefferson T, Jones MA, Doshi P, Del Mar CB, Hama R, Thompson MJ, et al. (April 2014).
1697:(NICE), the CDC, the WHO, and the ECDC maintained their recommendation to use oseltamivir. 1182: 563: 543: 7494: 7464: 7408: 6559: 6543: 1726: 1722: 1636: 1620: 1221: 1199: 969:
The CDC, ECDC, Public Health England, Infectious Disease Society of America, the AAP, and
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Heneghan CJ, Onakpoya I, Jones MA, Doshi P, Del Mar CB, Hama R, et al. (May 2016).
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Cohen D (April 2013). "Roche offers researchers access to all Tamiflu trials".
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Malosh RE, Martin ET, Heikkinen T, Brooks WA, Whitley RJ, Monto AS (May 2018).
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receive oseltamivir until the absence of influenza infection is established by
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Oseltamivir was approved for medical use in the US in 1999. It was the first
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Cohen D (9 April 2014). "Oseltamivir: another case of regulatory failure?".
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persons who developed illness while receiving oseltamivir chemoprophylaxis.
1504: 1320: 1305: 1253: 1192: 1174: 1097: 1014: 913: 831: 421: 133: 33: 5024: 5003: 4947: 4897: 4828: 4810: 4749: 4706: 4606: 4515: 4411: 4273: 4232: 4224: 4186: 4151: 4069: 4028: 3718: 3683:"Systematic review of influenza resistance to the neuraminidase inhibitors" 3473: 3414: 3371: 3336: 3287: 3238: 3197: 3140: 3105: 3045: 2949: 2940: 2923: 2850: 2643:
World Health Organization model list of essential medicines: 21st list 2019
2600: 2514: 2479: 2427: 2378: 2319: 2271: 2201: 1926: 6658: 5032: 3229: 3212: 3097: 1997:"CDC Recommendations for Influenza Antiviral Medications Remain Unchanged" 5278: 4019: 4002: 3318: 2059: 1908: 1742: 1730: 1663: 1658: 1657:
Oseltamivir (as Tamiflu) was widely used during the H5N1 avian influenza
1378: 961: 866: 858: 854: 514: 192: 2651: 2550: 523: 41: 6526: 5732: 5370: 5365: 4849:"Is Bird Flu Drug Really So Vexing? Debating the Difficulty of Tamiflu" 3828:. National collaborating centre for infectious diseases. Archived from 1116: 489: 17: 7501: 4995: 4939: 4918: 4698: 4598: 4133: 3938:"Main surveillance developments in week 51/2011 (19–25 December 2011)" 3559: 3084:
Musher DM, Thorner AR (October 2014). "Community-acquired pneumonia".
2842: 2592: 2461: 2060:"Amantadine, oseltamivir and zanamivir for the treatment of influenza" 6396: 5717: 5687: 4793:
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. (March 2020).
3179: 1721:
infection. The drug may limit the ability of the virus to invade the
622: 459:)-5-amino-4-acetamido-3-(pentan-3-yloxy)-cyclohex-1-ene-1-carboxylate 4323:"Drug Approval Package: Tamiflu (Oseltamivir Phosphate) NDA# 021087" 3429:"Drug Approval Package: Tamiflu (Oseltamivir Phosphate) NDA# 021087" 3063:"Researchers, regulators and Roche row over stockpiled drug Tamiflu" 2192: 2167: 4384:
Kaiser L, Wat C, Mills T, Mahoney P, Ward P, Hayden F (July 2003).
4211:
Farina V, Brown JD (November 2006). "Tamiflu: the supply problem".
3733:"Update on oseltamivir resistance to influenza H1N1 (2009) viruses" 1076: 591: 583: 6596: 2333:
Okoli GN, Otete HE, Beck CR, Nguyen-Van-Tam JS (9 December 2014).
2037:
European Centre for Disease Prevention and Control (2 June 2014).
1684: 1678: 1606: 1075: 1057:
recently been vaccinated. They recommended it during outbreaks in
903: 895: 735: 726: 602: 400: 2564:. WHO technical report series;1006. License: CC BY-NC-SA 3.0 IGO. 1507:)-resistant virus, even after oseltamivir treatment was stopped. 861:, headache, and trouble sleeping. Other side effects may include 5328: 5259: 5170: 4427:"Oseltamivir-resistant H5N1 virus isolated from Vietnamese girl" 4001:
Ward P, Small I, Smith J, Suter P, Dutkowski R (February 2005).
1494:
The vast majority of mutations conferring resistance are single
850:
prevention of influenza at the individual and household levels.
574: 354: 329: 179: 170: 6662: 5839: 5106: 1631:; shikimic acid was originally available only as an extract of 1100:
and elevated liver enzymes, rash, allergic reactions including
342: 204: 187: 4655: 1535:
transmission of oseltamivir-resistant pH1N1 has not occurred.
98: 77: 3916:"2011-2012 Influenza Season Week 51 ending December 24, 2011" 3252:
Holzinger F, Beck S, Dini L, Stöter C, Heintze C (May 2014).
27:
Antiviral medication used against influenza A and influenza B
5835: 3617:"Tamiflu May Be Linked to Risk for Self-Injury and Delirium" 647: 316: 236: 71: 2884:"Influenza Antiviral Medications: Summary for Clinicians" 92: 86: 2655:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 912:
Oseltamivir is used for the prevention and treatment of
880:
but was downgraded to "complementary" status in 2017. A
918:
World Health Organization's List of Essential Medicines
878:
World Health Organization's List of Essential Medicines
801: 7443: 3254:"The diagnosis and treatment of acute cough in adults" 2100:"IDSA Continues to Recommend Antivirals for Influenza" 1643:
Gilead exclusively licensed their relevant patents to
7478: 1958:. The American Society of Health-System Pharmacists. 1061:
and in those who are significantly immunosuppressed.
74: 3681:
Thorlund K, Awad T, Boivin G, Thabane L (May 2011).
3676: 3674: 3672: 3514:
2006. Adelaide: Australian Medicines Handbook; 2006.
1741:
Oseltamivir has been deemed ineffective at treating
95: 83: 7389: 7322: 7259: 7174: 6986: 6796: 6718: 6709: 6630: 6577: 6552: 6514: 6507: 6473: 6420: 6409: 6372: 6297: 6288: 6268: 6259: 6202: 6166: 6157: 6137: 6109: 6100: 5955: 5919: 5873: 5761: 5680: 5626: 5598: 5591: 5501: 5477: 5459: 5409: 5327: 5258: 5165: 5156: 4084:"Antiviral Drug Resistance among Influenza Viruses" 3966:"CDC Influenza Division Key Points, March 28, 2014" 1956:"Oseltamivir Phosphate Monograph for Professionals" 1523:tested worldwide showed resistance to oseltamivir. 1112:, seizure, confusion, aggravation of diabetes, and 724: 711: 678: 673: 641: 621: 601: 573: 553: 533: 513: 488: 467: 430: 420: 407: 394: 384: 374: 366: 306: 301: 276: 264: 250: 224: 160: 146: 128: 120: 110: 89: 80: 62: 57: 5049: 3945:European Centre for Disease Prevention and Control 2922:Committee On Infectious Diseases (November 2014). 1635:; but by 2006, 30% of the supply was manufactured 1034:European Centre for Disease Prevention and Control 934:European Centre for Disease Prevention and Control 916:caused by influenza A and B viruses. It is on the 426:Urine (>90% as oseltamivir carboxylate), faeces 4730:Journal of Veterinary Emergency and Critical Care 2065:National Institute for Health and Care Excellence 1695:National Institute for Health and Care Excellence 4769:Proceedings of the Western Veterinary Conference 4206: 4204: 2794: 2792: 2790: 502: 3005: 3003: 3001: 2999: 2997: 2995: 2993: 2991: 2989: 2532: 2530: 2528: 2526: 2524: 2123: 2121: 1498:residue substitutions (His274Tyr in N1) in the 476: 4650: 4648: 209: 7568:World Health Organization essential medicines 6674: 5851: 5118: 5088:"Tamiflu (oseltamivir phosphate) Information" 3647:"Prescribing medicines in pregnancy database" 3579: 3577: 3541: 3539: 3057: 3055: 2292:Ebell MH, Call M, Shinholser J (April 2013). 2161: 2159: 2157: 1475: 8: 4864:"Avian influenza virus infections in humans" 3526:International Journal of Medical Informatics 1809: 1807: 1782:"Oseltamivir (Tamiflu) Use During Pregnancy" 1619:Oseltamivir was discovered by scientists at 1519:(WHO) reported 314 samples of the prevalent 196: 32: 4490:The Cochrane Database of Systematic Reviews 4246:Rawat G, Tripathi P, Saxena RK (May 2013). 3488:"Roche – Doing now what patients need next" 3016:The Cochrane Database of Systematic Reviews 2439: 2437: 2398:The Cochrane Database of Systematic Reviews 2221: 2219: 2217: 2215: 2213: 2211: 1991: 1989: 1987: 1985: 1983: 1981: 1979: 1977: 6715: 6681: 6667: 6659: 6511: 6417: 6294: 6265: 6163: 6106: 5858: 5844: 5836: 5595: 5162: 5125: 5111: 5103: 4961:CHIMIA International Journal for Chemistry 4090:Centers for Disease Control and Prevention 3973:Centers for Disease Control and Prevention 3920:Centers for Disease Control and Prevention 3898:Centers for Disease Control and Prevention 3858:Centers for Disease Control and Prevention 3773:Centers for Disease Control and Prevention 2890:Centers for Disease Control and Prevention 2878: 2876: 2874: 2872: 2870: 2868: 2633: 2631: 2629: 2287: 2285: 2283: 2281: 2094: 2092: 2090: 2088: 2054: 2052: 2032: 2030: 2028: 2026: 2003:Centers for Disease Control and Prevention 1950: 1948: 1946: 1944: 1942: 1940: 1938: 1936: 1776: 1774: 1772: 1749:lacking influenza's neuraminidase enzyme. 1677:In December 2008, the Indian drug company 1482: 1468: 1170: 1030:Centers for Disease Control and Prevention 930:Centers for Disease Control and Prevention 836:Centers for Disease Control and Prevention 661: 542: 49: 40: 4972: 4887: 4818: 4505: 4401: 4263: 4141: 4059: 4018: 4007:The Journal of Antimicrobial Chemotherapy 3708: 3698: 3463: 3326: 3277: 3228: 3187: 3035: 2939: 2650: 2549: 2469: 2417: 2368: 2358: 2309: 2261: 2251: 2191: 1916: 1897:The Journal of Antimicrobial Chemotherapy 562: 416:1–3 hours, 6–10 hours (active metabolite) 390:42% (parent drug), 3% (active metabolite) 4984:Journal of the American Chemical Society 7485: 4295: 4293: 4291: 4122:Influenza and Other Respiratory Viruses 3854:"2007–08 U.S. Influenza Season Summary" 2968:Public Health England (November 2014). 1768: 1173: 775: 755: 657: 522: 444: 152: 4456:Brownlee S, Lenzer J (November 2009). 4252:Applied Microbiology and Biotechnology 2963: 2961: 2959: 2917: 2915: 2913: 2577:"WHO downgrades status of oseltamivir" 1849:Therapeutic Goods Administration (TGA) 1557:may be necessary in such populations. 1515:As of December 15, 2010, the 31: 6648:US influenza statistics by flu season 4437:from the original on 14 December 2014 3779:from the original on 13 February 2014 3627:from the original on 25 November 2011 3585:"Pediatric safety update for Tamiflu" 3301:Hernán MA, Lipsitch M (August 2011). 2898:from the original on 13 December 2014 2765:"Oseltamivir - Drug Usage Statistics" 2715:from the original on 30 November 2017 2645:. Geneva: World Health Organization. 2544:. Geneva: World Health Organization. 2142:from the original on 29 December 2014 1792:from the original on 9 September 2017 1042:Infectious Disease Society of America 950:Infectious Disease Society of America 758:CCC(CC)OC1C=C(CC(C1NC(=O)C)N)C(=O)OCC 630: 610: 138: 7: 7543:Drugs developed by Hoffmann-La Roche 4666:from the original on 21 January 2020 4116:McKimm-Breschkin JL (January 2013). 3975:(CDC). 28 March 2014. Archived from 3894:"2010-2011 Influenza Season Summary" 3749:from the original on 27 January 2011 2810:from the original on 28 October 2020 2073:from the original on 18 January 2017 2011:from the original on 18 January 2017 1886: 1884: 1882: 1880: 1878: 1876: 1874: 1872: 1870: 952:takes the same position as the CDC. 289: 5447:Sofosbuvir/velpatasvir/voxilaprevir 4765:"Treatment of Parvoviral Enteritis" 4337:from the original on 9 January 2020 4301:"Avian Flu Drugs: Patent Questions" 3810:from the original on 23 April 2014. 2775:from the original on 8 October 2022 1816:"Tamiflu ® (oseltamivir phosphate)" 1733:colonization and toxin production. 590: 582: 493: 6643:2017–2018 United States flu season 3258:Deutsches Ärzteblatt International 2745:from the original on 18 March 2020 2681:from the original on 8 August 2016 1855:from the original on 18 March 2023 946:Indigenous peoples of the Americas 25: 6382:Live attenuated influenza vaccine 5432:Ombitasvir/paritaprevir/ritonavir 4862:Wong SS, Yuen KY (January 2006). 4364:U.S. Food and Drug Administration 3657:from the original on 8 April 2014 3593:U.S. Food and Drug Administration 2168:"Tamiflu report comes under fire" 2130:"Tamiflu: Myth and Misconception" 1682:prequalified medicinal products. 876:available by mouth. It is on the 7500: 7488: 4928:The Journal of Organic Chemistry 4907:The Journal of Organic Chemistry 4742:10.1111/j.1476-4431.2009.00404.x 4641:from the original on 2013-10-27. 4555:"Cipla's anti-flu drug gets nod" 3954:from the original on 2012-06-10. 3926:from the original on 2013-05-17. 3904:from the original on 2012-01-25. 3882:from the original on 2011-10-20. 3864:from the original on 2011-10-20. 3435:from the original on 2014-04-16. 3073:from the original on 2015-09-24. 2982:from the original on 2014-12-08. 2045:from the original on 2014-11-02. 1962:from the original on 13 May 2016 1411:2015 United States H5N2 outbreak 1181: 696: 690: 67: 4775:from the original on 2021-08-28 4567:from the original on 2012-10-23 4525:from the original on 2021-08-28 4098:from the original on 2014-02-13 3395:The Lancet. Infectious Diseases 3086:New England Journal of Medicine 2701:"Drugs@FDA: FDA-Approved Drugs" 2615:from the original on 2023-04-29 2128:Brownlee S (19 February 2013). 1826:from the original on 2023-04-24 1570:H5N1 avian influenza "bird flu" 1155:enzyme. The enzyme cleaves the 979:New England Journal of Medicine 783:Key:VSZGPKBBMSAYNT-RRFJBIMHSA-N 5013:American Journal of Hematology 4541:10.1002/14651858.cd001265.pub3 4498:10.1002/14651858.CD001265.pub2 3615:Waknine Y (14 November 2006). 3028:10.1002/14651858.CD008965.pub4 2410:10.1002/14651858.CD002744.pub4 1820:Australian Product Information 1729:and decrease gastrointestinal 1702:freedom of information request 1671:decisions regarding the drug. 1096:Postmarketing reports include 1046:American Academy of Pediatrics 942:American Academy of Pediatrics 702: 684: 1: 6440:Russian flu (1889–1890) 5173:protease inhibitors (–previr) 4847:Pollack A (5 November 2005). 4425:Heiberg M (14 October 2005). 4390:Archives of Internal Medicine 4179:10.1016/S0140-6736(13)61209-X 3512:Australian Medicines Handbook 3407:10.1016/S1473-3099(09)70199-9 3364:10.1016/S0140-6736(14)62449-1 3133:10.3109/23744235.2015.1067369 7548:Drugs developed by Genentech 5094:Food and Drug Administration 5070:Food and Drug Administration 5051:"The race to develop GS4104" 4403:10.1001/archinte.163.14.1667 4329:Food and Drug Administration 4307:. April 2006. Archived from 3307:Clinical Infectious Diseases 3217:Clinical Infectious Diseases 3168:Health Technology Assessment 2707:Food and Drug Administration 2673:Food and Drug Administration 2360:10.1371/journal.pone.0113633 2253:10.1371/journal.pone.0060348 1814:Roche Products Pty Limited. 984:community-acquired pneumonia 853:Common side effects include 814:, sold under the brand name 403:, to oseltamivir carboxylate 5048:Schneider RU (April 2001). 4357:"OseltamivirMedical Review" 3821:Downing M (November 2013). 2507:10.2174/1573406411006040247 1758:Oseltamivir total synthesis 1266:Seasonal flu vaccine brands 7584: 7454: 6215:Transmission and infection 4974:10.2533/000942904777677605 4458:"Does the Vaccine Matter?" 3465:10.1016/j.jinf.2010.10.003 1401:2007 Bernard Matthews H5N1 1106:toxic epidermal necrolysis 908:Oseltamivir dry syrup type 822:used to treat and prevent 674:Chemical and physical data 7452: 6696: 6495:Central Luzon H5N6 (2017) 6435:Influenza pandemic (1557) 6430:Influenza pandemic (1510) 5796: 4265:10.1007/s00253-013-4840-y 3742:(WHO). 15 December 2010. 3740:World Health Organization 3270:10.3238/arztebl.2014.0356 2639:World Health Organization 2538:World Health Organization 1652:European Medicines Agency 1613:François-Pierre Chaumeton 1517:World Health Organization 1059:long term care facilities 791: 766: 746: 435: 48: 39: 7558:Neuraminidase inhibitors 6537:2007 Australian outbreak 5559:neuraminidase inhibitors 5422:Glecaprevir/pibrentasvir 4061:10.1001/jama.297.13.1435 3700:10.1186/1471-2334-11-134 3452:The Journal of Infection 1891:Davies BE (April 2010). 1627:as a starting point for 1615:'s 1833 "Flore Medicale" 1121:Stevens–Johnson syndrome 1001:Otherwise healthy people 6690:2009 swine flu pandemic 6324:Neuraminidase inhibitor 4880:10.1378/chest.129.1.156 4431:University of Minnesota 3798:Hurt AC (9 June 2011). 3687:BMC Infectious Diseases 2166:Butler D (April 2014). 1511:H1N1 flu or "swine flu" 1416:2020–2022 H5N8 outbreak 1145:neuraminidase inhibitor 955:A systematic review of 888:million prescriptions. 874:neuraminidase inhibitor 271:Neuraminidase inhibitor 7469:Influenza-like illness 7011:Bosnia and Herzegovina 6638:Influenza-like illness 6307:Adamantane derivatives 5762:Multiple/Unknown/Other 5531:adamantane derivatives 5442:Sofosbuvir/velpatasvir 5437:Sofosbuvir/daclatasvir 5025:10.1002/ajh.2830380213 4811:10.1001/jama.2020.1585 4225:10.1002/anie.200602623 3947:(ECDC). January 2012. 2941:10.1542/peds.2014-2413 2575:Ebell MH (July 2017). 1745:, consistent with the 1690: 1616: 1593:volume of distribution 1521:2009 pandemic H1N1 flu 1454:Vaccine reformulations 1449:Influenza-like illness 1396:2007 Australian equine 1110:abnormal heart rhythms 1086:adverse drug reactions 1081: 1022:Cochrane Collaboration 909: 901: 900:An oseltamivir capsule 6488:1989–1990 UK outbreak 6450:Asian flu (1957-1958) 5630:inhibitors (–trelvir) 5618:Peginterferon alfa-2b 5613:Peginterferon alfa-2a 5427:Ledipasvir/sofosbuvir 4763:Macintire DK (2006). 4535:(Retracted, see 3651:Australian Government 3098:10.1056/NEJMra1312885 2735:"The Top 300 of 2020" 2311:10.1093/fampra/cms059 1903:(Suppl 2): ii5–ii10. 1688: 1610: 1595:of 23–26 litres. Its 1341:1889-1890 Russian flu 1149:competitive inhibitor 1090:number needed to harm 1080:A package of capsules 1079: 1038:Public Health England 976:A 2014 review in the 938:Public Health England 907: 899: 830:, viruses that cause 6968:United Arab Emirates 6455:Hong Kong flu (1968) 6247:Pandemic preparation 5417:Elbasvir/grazoprevir 5056:Neue Zürcher Zeitung 4333:. 24 December 1999. 2806:. 15 November 2019. 2069:. 25 February 2009. 1579:H7N9 avian influenza 863:psychiatric symptoms 820:antiviral medication 7434:2009 A/H1N1 vaccine 7239:Trinidad and Tobago 5334:inhibitors (–buvir) 5262:inhibitors (–asvir) 4593:(apr10 14): g2263. 4013:(Suppl 1): i5–i21. 3230:10.1093/cid/cix1040 3121:Infectious Diseases 2894:. 3 December 2014. 2495:Medicinal Chemistry 2351:2014PLoSO...9k3633O 2244:2013PLoSO...860348M 2184:2014Natur.508..439B 1851:. 5 December 2022. 1439:Influenza evolution 1351:1957-1958 Asian flu 1139:Mechanism of action 338:(Prescription only) 325:(Prescription only) 36: 7444:Tamiflu resistance 7399:Influenza pandemic 7209:Dominican Republic 6445:Spanish flu (1918) 6364:Baloxavir marboxil 6189:West Bengal (2008) 6124:1977 (Russian flu) 6119:1918 (Spanish flu) 5823:Never to phase III 5681:RNA pol inhibitors 5608:Interferon alfa 2b 5513:Baloxavir marboxil 5098:. 3 November 2018. 4854:The New York Times 4693:(apr04 3): f2157. 4656:"Tamiflu campaign" 4560:The Times of India 4128:(Suppl 1): 25–36. 4020:10.1093/jac/dki018 3554:(apr09 8): g2591. 3319:10.1093/cid/cir400 1909:10.1093/jac/dkq015 1691: 1633:Chinese star anise 1617: 1444:Influenza research 1356:1968 Hong Kong flu 1291:Baloxavir marboxil 1159:which is found on 1132:pregnancy category 1098:liver inflammation 1082: 1067:high risk persons. 957:systematic reviews 948:among others. The 910: 902: 116:Tamiflu, Ebilfumin 7476: 7475: 7439:Actions with pigs 7385: 7384: 6699:Outbreak timeline 6656: 6655: 6573: 6572: 6503: 6502: 6483:Fujian flu (H3N2) 6405: 6404: 6284: 6283: 6255: 6254: 6210:Genetic structure 6153: 6152: 5957:Influenza A virus 5896:Genome sequencing 5833: 5832: 5792: 5791: 5455: 5454: 5410:Combination drugs 5074:. 31 August 2011. 4996:10.1021/ja0616433 4940:10.1021/jo005702l 4919:10.1021/jo980330q 4913:(13): 4545–4550. 4805:(11): 1061–1069. 4699:10.1136/bmj.f2157 4599:10.1136/bmj.g2263 4213:Angewandte Chemie 4134:10.1111/irv.12047 3560:10.1136/bmj.g2591 3510:Rossi S, editor. 3431:. 30 March 2001. 3358:(9979): 1729–37. 3223:(10): 1492–1500. 2843:10.1136/bmj.j2841 2677:. 4 August 2016. 2593:10.1136/bmj.j3266 2462:10.1136/bmj.g2545 2007:. 10 April 2014. 1719:canine parvovirus 1492: 1491: 1143:Oseltamivir is a 809: 808: 737:Interactive image 643:CompTox Dashboard 358: 346: 333: 320: 240: 207: 190: 173: 16:(Redirected from 7575: 7505: 7504: 7493: 7492: 7491: 7484: 7357:Papua New Guinea 6716: 6683: 6676: 6669: 6660: 6587:Acute bronchitis 6512: 6465:Swine flu (2009) 6460:1977 Russian flu 6418: 6354: 6295: 6266: 6164: 6129:2009 (Swine flu) 6107: 5927:Orthomyxoviridae 5860: 5853: 5846: 5837: 5596: 5592:Multiple/general 5163: 5127: 5120: 5113: 5104: 5099: 5075: 5059: 5053: 5044: 5007: 4978: 4976: 4951: 4922: 4901: 4891: 4858: 4833: 4832: 4822: 4790: 4784: 4783: 4781: 4780: 4760: 4754: 4753: 4725: 4719: 4718: 4682: 4676: 4675: 4673: 4671: 4652: 4643: 4642: 4640: 4633: 4625: 4619: 4618: 4582: 4576: 4575: 4573: 4572: 4551: 4545: 4544: 4533: 4531: 4530: 4524: 4509: 4487: 4478: 4472: 4471: 4466:. Archived from 4453: 4447: 4446: 4444: 4442: 4422: 4416: 4415: 4405: 4381: 4375: 4374: 4372: 4366:. Archived from 4361: 4353: 4347: 4346: 4344: 4342: 4319: 4313: 4312: 4297: 4286: 4285: 4267: 4243: 4237: 4236: 4208: 4199: 4198: 4173:(9885): 2230–2. 4162: 4156: 4155: 4145: 4113: 4107: 4106: 4104: 4103: 4080: 4074: 4073: 4063: 4039: 4033: 4032: 4022: 3998: 3992: 3991: 3989: 3987: 3981: 3970: 3962: 3956: 3955: 3953: 3942: 3934: 3928: 3927: 3912: 3906: 3905: 3890: 3884: 3883: 3872: 3866: 3865: 3850: 3844: 3843: 3841: 3840: 3834: 3827: 3818: 3812: 3811: 3804:Eurosurveillance 3795: 3789: 3788: 3786: 3784: 3765: 3759: 3758: 3756: 3754: 3748: 3737: 3729: 3723: 3722: 3712: 3702: 3678: 3667: 3666: 3664: 3662: 3653:. 3 March 2014. 3643: 3637: 3636: 3634: 3632: 3612: 3606: 3605: 3603: 3597:. Archived from 3589: 3581: 3572: 3571: 3543: 3534: 3533: 3521: 3515: 3508: 3502: 3501: 3499: 3493:. Archived from 3492: 3484: 3478: 3477: 3467: 3443: 3437: 3436: 3425: 3419: 3418: 3390: 3384: 3383: 3347: 3341: 3340: 3330: 3298: 3292: 3291: 3281: 3249: 3243: 3242: 3232: 3208: 3202: 3201: 3191: 3180:10.3310/hta20420 3159: 3153: 3152: 3116: 3110: 3109: 3081: 3075: 3074: 3069:. 9 April 2014. 3059: 3050: 3049: 3039: 3007: 2984: 2983: 2981: 2974: 2965: 2954: 2953: 2943: 2919: 2908: 2907: 2905: 2903: 2880: 2863: 2862: 2826: 2820: 2819: 2817: 2815: 2796: 2785: 2784: 2782: 2780: 2761: 2755: 2754: 2752: 2750: 2731: 2725: 2724: 2722: 2720: 2697: 2691: 2690: 2688: 2686: 2663: 2657: 2656: 2654: 2635: 2624: 2623: 2621: 2620: 2572: 2566: 2565: 2553: 2534: 2519: 2518: 2490: 2484: 2483: 2473: 2441: 2432: 2431: 2421: 2389: 2383: 2382: 2372: 2362: 2330: 2324: 2323: 2313: 2289: 2276: 2275: 2265: 2255: 2223: 2206: 2205: 2195: 2178:(7497): 439–40. 2163: 2152: 2151: 2149: 2147: 2125: 2116: 2115: 2113: 2111: 2106:on 24 April 2014 2102:. Archived from 2096: 2083: 2082: 2080: 2078: 2056: 2047: 2046: 2034: 2021: 2020: 2018: 2016: 1993: 1972: 1971: 1969: 1967: 1952: 1931: 1930: 1920: 1888: 1865: 1864: 1862: 1860: 1841: 1835: 1834: 1832: 1831: 1811: 1802: 1801: 1799: 1797: 1778: 1747:SARS-CoV-2 virus 1587:Pharmacokinetics 1484: 1477: 1470: 1406:2008 West Bengal 1361:1977 Russian flu 1346:1918 Spanish flu 1185: 1171: 924:High-risk people 887: 805: 804: 797: 739: 719: 704: 698: 692: 686: 666: 665: 651: 649: 634: 614: 594: 586: 566: 546: 526: 506: 496: 495: 480: 412: 356: 353: 344: 341: 331: 328: 318: 315: 293: 238: 235: 217: 206: 203: 200: 189: 186: 183: 172: 169: 156: 142: 105: 104: 101: 100: 97: 94: 91: 88: 85: 82: 79: 76: 73: 53: 44: 37: 35: 21: 7583: 7582: 7578: 7577: 7576: 7574: 7573: 7572: 7553:Gilead Sciences 7513: 7512: 7511: 7499: 7489: 7487: 7479: 7477: 7472: 7471: 7448: 7409:Swine influenza 7381: 7362:Solomon Islands 7318: 7255: 7170: 6982: 6792: 6705: 6703:Pandemic tables 6692: 6687: 6657: 6652: 6626: 6569: 6548: 6499: 6469: 6414: 6412: 6401: 6368: 6352: 6299:Antiviral drugs 6280: 6251: 6237:Human mortality 6230:clinical trials 6198: 6149: 6133: 6096: 5960: 5958: 5951: 5915: 5869: 5864: 5834: 5829: 5828: 5813:Clinical trials 5788: 5757: 5676: 5622: 5587: 5497: 5473: 5451: 5405: 5323: 5254: 5152: 5131: 5086: 5083: 5078: 5062: 5047: 5010: 4981: 4954: 4925: 4904: 4861: 4846: 4842: 4840:Further reading 4837: 4836: 4792: 4791: 4787: 4778: 4776: 4762: 4761: 4757: 4727: 4726: 4722: 4684: 4683: 4679: 4669: 4667: 4654: 4653: 4646: 4638: 4631: 4627: 4626: 4622: 4584: 4583: 4579: 4570: 4568: 4553: 4552: 4548: 4534: 4528: 4526: 4522: 4492:(3): CD001265. 4485: 4480: 4479: 4475: 4455: 4454: 4450: 4440: 4438: 4424: 4423: 4419: 4396:(14): 1667–72. 4383: 4382: 4378: 4370: 4359: 4355: 4354: 4350: 4340: 4338: 4321: 4320: 4316: 4299: 4298: 4289: 4258:(10): 4277–87. 4245: 4244: 4240: 4210: 4209: 4202: 4164: 4163: 4159: 4115: 4114: 4110: 4101: 4099: 4082: 4081: 4077: 4054:(13): 1435–42. 4041: 4040: 4036: 4000: 3999: 3995: 3985: 3983: 3982:on 2 April 2014 3979: 3968: 3964: 3963: 3959: 3951: 3940: 3936: 3935: 3931: 3914: 3913: 3909: 3892: 3891: 3887: 3874: 3873: 3869: 3852: 3851: 3847: 3838: 3836: 3832: 3825: 3820: 3819: 3815: 3797: 3796: 3792: 3782: 3780: 3767: 3766: 3762: 3752: 3750: 3746: 3735: 3731: 3730: 3726: 3680: 3679: 3670: 3660: 3658: 3645: 3644: 3640: 3630: 3628: 3614: 3613: 3609: 3601: 3587: 3583: 3582: 3575: 3545: 3544: 3537: 3523: 3522: 3518: 3509: 3505: 3497: 3490: 3486: 3485: 3481: 3445: 3444: 3440: 3427: 3426: 3422: 3392: 3391: 3387: 3349: 3348: 3344: 3300: 3299: 3295: 3251: 3250: 3246: 3210: 3209: 3205: 3161: 3160: 3156: 3127:(11): 808–819. 3118: 3117: 3113: 3092:(17): 1619–28. 3083: 3082: 3078: 3061: 3060: 3053: 3022:(4): CD008965. 3009: 3008: 2987: 2979: 2972: 2967: 2966: 2957: 2934:(5): e1503-19. 2921: 2920: 2911: 2901: 2899: 2882: 2881: 2866: 2828: 2827: 2823: 2813: 2811: 2798: 2797: 2788: 2778: 2776: 2763: 2762: 2758: 2748: 2746: 2733: 2732: 2728: 2718: 2716: 2699: 2698: 2694: 2684: 2682: 2665: 2664: 2660: 2637: 2636: 2627: 2618: 2616: 2574: 2573: 2569: 2562: 2536: 2535: 2522: 2492: 2491: 2487: 2443: 2442: 2435: 2404:(4): CD002744. 2391: 2390: 2386: 2345:(12): e113633. 2332: 2331: 2327: 2298:Family Practice 2291: 2290: 2279: 2225: 2224: 2209: 2193:10.1038/508439a 2165: 2164: 2155: 2145: 2143: 2127: 2126: 2119: 2109: 2107: 2098: 2097: 2086: 2076: 2074: 2058: 2057: 2050: 2036: 2035: 2024: 2014: 2012: 1995: 1994: 1975: 1965: 1963: 1954: 1953: 1934: 1890: 1889: 1868: 1858: 1856: 1843: 1842: 1838: 1829: 1827: 1813: 1812: 1805: 1795: 1793: 1780: 1779: 1770: 1765: 1755: 1739: 1727:small intestine 1715: 1621:Gilead Sciences 1605: 1589: 1581: 1572: 1563: 1554: 1545: 1513: 1488: 1459: 1458: 1429: 1421: 1420: 1391:2006 H5N1 India 1381: 1371: 1370: 1336: 1326: 1325: 1281: 1271: 1270: 1261:Live attenuated 1244: 1234: 1233: 1195: 1175:Influenza (flu) 1169: 1151:of influenza's 1141: 1074: 1054: 1003: 926: 894: 885: 882:generic version 843:Cochrane Review 800: 798: 795:(what is this?) 792: 787: 784: 779: 774: 773: 762: 759: 754: 753: 742: 717: 707: 701: 695: 689: 669: 645: 637: 617: 597: 569: 549: 529: 509: 492: 484: 463: 460: 443: 442: 410: 386:Protein binding 376:Bioavailability 368:Pharmacokinetic 362: 297: 253: 246: 227: 220: 70: 66: 28: 23: 22: 15: 12: 11: 5: 7581: 7579: 7571: 7570: 7565: 7560: 7555: 7550: 7545: 7540: 7535: 7530: 7525: 7515: 7514: 7510: 7509: 7497: 7474: 7473: 7453: 7450: 7449: 7447: 7446: 7441: 7436: 7431: 7426: 7421: 7416: 7411: 7406: 7401: 7395: 7393: 7387: 7386: 7383: 7382: 7380: 7379: 7374: 7369: 7364: 7359: 7354: 7349: 7344: 7339: 7334: 7328: 7326: 7320: 7319: 7317: 7316: 7311: 7306: 7301: 7296: 7291: 7286: 7281: 7276: 7271: 7265: 7263: 7257: 7256: 7254: 7253: 7252: 7251: 7241: 7236: 7231: 7226: 7221: 7216: 7211: 7206: 7201: 7196: 7191: 7186: 7180: 7178: 7172: 7171: 7169: 7168: 7166:United Kingdom 7163: 7158: 7153: 7148: 7143: 7138: 7133: 7128: 7123: 7118: 7113: 7108: 7103: 7098: 7093: 7088: 7083: 7078: 7073: 7068: 7063: 7058: 7053: 7048: 7043: 7038: 7033: 7028: 7023: 7018: 7013: 7008: 7003: 6998: 6992: 6990: 6984: 6983: 6981: 6980: 6975: 6970: 6965: 6960: 6955: 6950: 6945: 6940: 6935: 6934: 6933: 6923: 6918: 6913: 6908: 6903: 6898: 6893: 6888: 6883: 6878: 6873: 6868: 6863: 6858: 6853: 6848: 6843: 6838: 6833: 6828: 6823: 6818: 6813: 6808: 6802: 6800: 6794: 6793: 6791: 6790: 6785: 6780: 6775: 6770: 6765: 6760: 6755: 6750: 6745: 6740: 6735: 6730: 6724: 6722: 6713: 6707: 6706: 6697: 6694: 6693: 6688: 6686: 6685: 6678: 6671: 6663: 6654: 6653: 6651: 6650: 6645: 6640: 6634: 6632: 6631:Related topics 6628: 6627: 6625: 6624: 6619: 6614: 6609: 6604: 6599: 6594: 6589: 6583: 6581: 6575: 6574: 6571: 6570: 6568: 6567: 6562: 6556: 6554: 6550: 6549: 6547: 6546: 6541: 6540: 6539: 6529: 6524: 6518: 6516: 6509: 6505: 6504: 6501: 6500: 6498: 6497: 6492: 6491: 6490: 6479: 6477: 6471: 6470: 6468: 6467: 6462: 6457: 6452: 6447: 6442: 6437: 6432: 6426: 6424: 6415: 6410: 6407: 6406: 6403: 6402: 6400: 6399: 6394: 6389: 6384: 6378: 6376: 6370: 6369: 6367: 6366: 6361: 6356: 6353:(experimental) 6348: 6347: 6346: 6341: 6336: 6331: 6321: 6320: 6319: 6314: 6303: 6301: 6292: 6286: 6285: 6282: 6281: 6279: 6278: 6272: 6270: 6263: 6257: 6256: 6253: 6252: 6250: 6249: 6244: 6239: 6234: 6233: 6232: 6222: 6217: 6212: 6206: 6204: 6200: 6199: 6197: 6196: 6194:2020s outbreak 6191: 6186: 6181: 6176: 6174:Croatia (2005) 6170: 6168: 6161: 6155: 6154: 6151: 6150: 6148: 6147: 6141: 6139: 6135: 6134: 6132: 6131: 6126: 6121: 6115: 6113: 6104: 6098: 6097: 6095: 6094: 6089: 6084: 6079: 6074: 6069: 6064: 6059: 6054: 6049: 6044: 6039: 6034: 6029: 6024: 6019: 6014: 6009: 6004: 5999: 5994: 5989: 5984: 5979: 5974: 5969: 5963: 5961: 5956: 5953: 5952: 5950: 5949: 5944: 5939: 5934: 5929: 5923: 5921: 5917: 5916: 5914: 5913: 5908: 5906:Superinfection 5903: 5898: 5893: 5888: 5883: 5877: 5875: 5874:General topics 5871: 5870: 5865: 5863: 5862: 5855: 5848: 5840: 5831: 5830: 5827: 5826: 5825: 5824: 5821: 5810: 5804: 5798: 5797: 5794: 5793: 5790: 5789: 5787: 5786: 5781: 5776: 5771: 5765: 5763: 5759: 5758: 5756: 5755: 5753:Valopicitabine 5750: 5745: 5740: 5735: 5730: 5725: 5720: 5715: 5710: 5705: 5700: 5695: 5690: 5684: 5682: 5678: 5677: 5675: 5674: 5664: 5659: 5649: 5644: 5639: 5633: 5631: 5624: 5623: 5621: 5620: 5615: 5610: 5604: 5602: 5593: 5589: 5588: 5586: 5585: 5575: 5570: 5554: 5553: 5547: 5542: 5526: 5525: 5520: 5515: 5509: 5507: 5499: 5498: 5496: 5495: 5483: 5481: 5475: 5474: 5472: 5471: 5465: 5463: 5457: 5456: 5453: 5452: 5450: 5449: 5444: 5439: 5434: 5429: 5424: 5419: 5413: 5411: 5407: 5406: 5404: 5403: 5398: 5393: 5388: 5383: 5378: 5373: 5368: 5363: 5358: 5353: 5348: 5343: 5337: 5335: 5332:RNA polymerase 5325: 5324: 5322: 5321: 5316: 5311: 5306: 5301: 5296: 5291: 5286: 5281: 5276: 5271: 5265: 5263: 5256: 5255: 5253: 5252: 5247: 5242: 5237: 5232: 5227: 5222: 5217: 5212: 5207: 5202: 5197: 5192: 5187: 5182: 5176: 5174: 5160: 5154: 5153: 5132: 5130: 5129: 5122: 5115: 5107: 5101: 5100: 5082: 5081:External links 5079: 5077: 5076: 5060: 5045: 5008: 4990:(19): 6310–1. 4979: 4967:(9): 621–629. 4952: 4934:(6): 2044–51. 4923: 4902: 4859: 4843: 4841: 4838: 4835: 4834: 4785: 4755: 4720: 4677: 4644: 4620: 4577: 4563:. 2009-05-14. 4546: 4473: 4470:on 2010-01-04. 4448: 4417: 4376: 4373:on 2014-04-16. 4348: 4314: 4311:on 2009-12-08. 4287: 4238: 4219:(44): 7330–4. 4200: 4157: 4108: 4094:. 2019-04-17. 4075: 4034: 3993: 3957: 3929: 3907: 3885: 3867: 3845: 3813: 3790: 3760: 3724: 3668: 3638: 3607: 3604:on 2007-09-27. 3573: 3535: 3516: 3503: 3500:on 2005-11-03. 3479: 3438: 3420: 3385: 3342: 3293: 3264:(20): 356–63. 3244: 3203: 3154: 3111: 3076: 3051: 2985: 2955: 2909: 2864: 2821: 2786: 2756: 2726: 2692: 2658: 2625: 2567: 2560: 2520: 2501:(4): 247–251. 2485: 2433: 2384: 2325: 2277: 2207: 2153: 2117: 2084: 2048: 2022: 1973: 1932: 1866: 1836: 1803: 1767: 1766: 1764: 1761: 1754: 1751: 1738: 1735: 1714: 1713:Veterinary use 1711: 1668:George W. Bush 1604: 1601: 1588: 1585: 1580: 1577: 1571: 1568: 1562: 1559: 1553: 1550: 1544: 1541: 1512: 1509: 1490: 1489: 1487: 1486: 1479: 1472: 1464: 1461: 1460: 1457: 1456: 1451: 1446: 1441: 1436: 1430: 1427: 1426: 1423: 1422: 1419: 1418: 1413: 1408: 1403: 1398: 1393: 1388: 1386:1976 swine flu 1382: 1377: 1376: 1373: 1372: 1369: 1368: 1366:2009 swine flu 1363: 1358: 1353: 1348: 1343: 1337: 1332: 1331: 1328: 1327: 1324: 1323: 1318: 1313: 1308: 1303: 1298: 1293: 1288: 1282: 1277: 1276: 1273: 1272: 1269: 1268: 1263: 1258: 1257: 1256: 1245: 1240: 1239: 1236: 1235: 1232: 1231: 1230: 1229: 1227:A/H1N1 subtype 1219: 1214: 1209: 1208: 1207: 1205:A/H5N1 subtype 1196: 1191: 1190: 1187: 1186: 1178: 1177: 1168: 1165: 1140: 1137: 1073: 1070: 1053: 1050: 1002: 999: 925: 922: 893: 890: 807: 806: 789: 788: 786: 785: 782: 780: 777: 769: 768: 767: 764: 763: 761: 760: 757: 749: 748: 747: 744: 743: 741: 740: 732: 730: 722: 721: 715: 709: 708: 705: 699: 693: 687: 682: 676: 675: 671: 670: 668: 667: 654: 652: 639: 638: 636: 635: 627: 625: 619: 618: 616: 615: 607: 605: 599: 598: 596: 595: 589:as salt:  587: 579: 577: 571: 570: 568: 567: 559: 557: 551: 550: 548: 547: 539: 537: 531: 530: 528: 527: 519: 517: 511: 510: 508: 507: 499: 497: 486: 485: 483: 482: 473: 471: 465: 464: 462: 461: 446: 438: 437: 436: 433: 432: 428: 427: 424: 418: 417: 414: 405: 404: 398: 392: 391: 388: 382: 381: 378: 372: 371: 364: 363: 361: 360: 351: 339: 326: 312: 310: 304: 303: 299: 298: 296: 295: 282: 280: 274: 273: 268: 262: 261: 256: 254:administration 248: 247: 245: 244: 242: 232: 230: 222: 221: 219: 218: 201: 184: 166: 164: 158: 157: 150: 144: 143: 136: 126: 125: 122: 118: 117: 114: 108: 107: 64: 60: 59: 55: 54: 46: 45: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 7580: 7569: 7566: 7564: 7561: 7559: 7556: 7554: 7551: 7549: 7546: 7544: 7541: 7539: 7536: 7534: 7531: 7529: 7526: 7524: 7521: 7520: 7518: 7508: 7503: 7498: 7496: 7486: 7482: 7470: 7466: 7462: 7458: 7451: 7445: 7442: 7440: 7437: 7435: 7432: 7430: 7427: 7425: 7422: 7420: 7417: 7415: 7412: 7410: 7407: 7405: 7402: 7400: 7397: 7396: 7394: 7392: 7388: 7378: 7375: 7373: 7370: 7368: 7365: 7363: 7360: 7358: 7355: 7353: 7350: 7348: 7345: 7343: 7340: 7338: 7335: 7333: 7330: 7329: 7327: 7325: 7321: 7315: 7312: 7310: 7307: 7305: 7302: 7300: 7297: 7295: 7292: 7290: 7287: 7285: 7282: 7280: 7277: 7275: 7272: 7270: 7267: 7266: 7264: 7262: 7261:South America 7258: 7250: 7247: 7246: 7245: 7244:United States 7242: 7240: 7237: 7235: 7232: 7230: 7227: 7225: 7222: 7220: 7217: 7215: 7212: 7210: 7207: 7205: 7202: 7200: 7197: 7195: 7192: 7190: 7187: 7185: 7182: 7181: 7179: 7177: 7176:North America 7173: 7167: 7164: 7162: 7159: 7157: 7154: 7152: 7149: 7147: 7144: 7142: 7139: 7137: 7134: 7132: 7129: 7127: 7124: 7122: 7119: 7117: 7114: 7112: 7109: 7107: 7104: 7102: 7099: 7097: 7094: 7092: 7089: 7087: 7084: 7082: 7079: 7077: 7074: 7072: 7069: 7067: 7064: 7062: 7059: 7057: 7054: 7052: 7049: 7047: 7044: 7042: 7039: 7037: 7034: 7032: 7029: 7027: 7024: 7022: 7019: 7017: 7014: 7012: 7009: 7007: 7004: 7002: 6999: 6997: 6994: 6993: 6991: 6989: 6985: 6979: 6976: 6974: 6971: 6969: 6966: 6964: 6961: 6959: 6956: 6954: 6951: 6949: 6946: 6944: 6941: 6939: 6936: 6932: 6929: 6928: 6927: 6924: 6922: 6919: 6917: 6914: 6912: 6909: 6907: 6904: 6902: 6899: 6897: 6894: 6892: 6889: 6887: 6884: 6882: 6879: 6877: 6874: 6872: 6869: 6867: 6864: 6862: 6859: 6857: 6854: 6852: 6849: 6847: 6844: 6842: 6839: 6837: 6834: 6832: 6829: 6827: 6824: 6822: 6819: 6817: 6814: 6812: 6809: 6807: 6804: 6803: 6801: 6799: 6795: 6789: 6786: 6784: 6781: 6779: 6776: 6774: 6771: 6769: 6766: 6764: 6761: 6759: 6756: 6754: 6751: 6749: 6746: 6744: 6741: 6739: 6736: 6734: 6731: 6729: 6726: 6725: 6723: 6721: 6717: 6714: 6712: 6708: 6704: 6700: 6695: 6691: 6684: 6679: 6677: 6672: 6670: 6665: 6664: 6661: 6649: 6646: 6644: 6641: 6639: 6636: 6635: 6633: 6629: 6623: 6620: 6618: 6615: 6613: 6610: 6608: 6605: 6603: 6600: 6598: 6595: 6593: 6592:Bronchiolitis 6590: 6588: 6585: 6584: 6582: 6580: 6579:Complications 6576: 6566: 6565:Fujian (H5N1) 6563: 6561: 6558: 6557: 6555: 6551: 6545: 6542: 6538: 6535: 6534: 6533: 6530: 6528: 6525: 6523: 6520: 6519: 6517: 6513: 6510: 6506: 6496: 6493: 6489: 6486: 6485: 6484: 6481: 6480: 6478: 6476: 6472: 6466: 6463: 6461: 6458: 6456: 6453: 6451: 6448: 6446: 6443: 6441: 6438: 6436: 6433: 6431: 6428: 6427: 6425: 6423: 6419: 6416: 6411:Pandemics and 6408: 6398: 6395: 6393: 6390: 6388: 6385: 6383: 6380: 6379: 6377: 6375: 6371: 6365: 6362: 6360: 6357: 6355: 6349: 6345: 6342: 6340: 6337: 6335: 6332: 6330: 6327: 6326: 6325: 6322: 6318: 6315: 6313: 6310: 6309: 6308: 6305: 6304: 6302: 6300: 6296: 6293: 6291: 6287: 6277: 6274: 6273: 6271: 6267: 6264: 6262: 6258: 6248: 6245: 6243: 6242:Social impact 6240: 6238: 6235: 6231: 6228: 6227: 6226: 6223: 6221: 6220:Global spread 6218: 6216: 6213: 6211: 6208: 6207: 6205: 6201: 6195: 6192: 6190: 6187: 6185: 6182: 6180: 6177: 6175: 6172: 6171: 6169: 6165: 6162: 6160: 6156: 6146: 6143: 6142: 6140: 6136: 6130: 6127: 6125: 6122: 6120: 6117: 6116: 6114: 6112: 6108: 6105: 6103: 6099: 6093: 6090: 6088: 6085: 6083: 6080: 6078: 6075: 6073: 6070: 6068: 6065: 6063: 6060: 6058: 6055: 6053: 6050: 6048: 6045: 6043: 6040: 6038: 6035: 6033: 6030: 6028: 6025: 6023: 6020: 6018: 6015: 6013: 6010: 6008: 6005: 6003: 6000: 5998: 5995: 5993: 5990: 5988: 5985: 5983: 5980: 5978: 5975: 5973: 5970: 5968: 5965: 5964: 5962: 5954: 5948: 5945: 5943: 5940: 5938: 5935: 5933: 5930: 5928: 5925: 5924: 5922: 5918: 5912: 5909: 5907: 5904: 5902: 5899: 5897: 5894: 5892: 5889: 5887: 5884: 5882: 5879: 5878: 5876: 5872: 5868: 5861: 5856: 5854: 5849: 5847: 5842: 5841: 5838: 5822: 5820: 5817: 5816: 5814: 5811: 5808: 5805: 5803: 5800: 5799: 5795: 5785: 5782: 5780: 5777: 5775: 5772: 5770: 5767: 5766: 5764: 5760: 5754: 5751: 5749: 5746: 5744: 5741: 5739: 5736: 5734: 5731: 5729: 5726: 5724: 5721: 5719: 5716: 5714: 5711: 5709: 5706: 5704: 5701: 5699: 5696: 5694: 5691: 5689: 5686: 5685: 5683: 5679: 5672: 5668: 5665: 5663: 5660: 5657: 5653: 5650: 5648: 5645: 5643: 5640: 5638: 5635: 5634: 5632: 5629: 5625: 5619: 5616: 5614: 5611: 5609: 5606: 5605: 5603: 5601: 5597: 5594: 5590: 5583: 5579: 5576: 5574: 5571: 5569: 5565: 5564: 5563:release phase 5560: 5556: 5555: 5551: 5548: 5546: 5543: 5541: 5537: 5536: 5535:M2 inhibitors 5532: 5528: 5527: 5524: 5521: 5519: 5516: 5514: 5511: 5510: 5508: 5505: 5500: 5494: 5491: 5489: 5485: 5484: 5482: 5480: 5476: 5470: 5467: 5466: 5464: 5462: 5458: 5448: 5445: 5443: 5440: 5438: 5435: 5433: 5430: 5428: 5425: 5423: 5420: 5418: 5415: 5414: 5412: 5408: 5402: 5399: 5397: 5394: 5392: 5389: 5387: 5384: 5382: 5379: 5377: 5374: 5372: 5369: 5367: 5364: 5362: 5359: 5357: 5354: 5352: 5349: 5347: 5346:Bemnifosbuvir 5344: 5342: 5339: 5338: 5336: 5333: 5330: 5326: 5320: 5317: 5315: 5312: 5310: 5307: 5305: 5302: 5300: 5297: 5295: 5292: 5290: 5287: 5285: 5282: 5280: 5277: 5275: 5272: 5270: 5267: 5266: 5264: 5261: 5257: 5251: 5248: 5246: 5243: 5241: 5238: 5236: 5233: 5231: 5228: 5226: 5223: 5221: 5218: 5216: 5213: 5211: 5208: 5206: 5203: 5201: 5198: 5196: 5193: 5191: 5188: 5186: 5183: 5181: 5178: 5177: 5175: 5172: 5168: 5164: 5161: 5159: 5155: 5150: 5146: 5142: 5138: 5135: 5128: 5123: 5121: 5116: 5114: 5109: 5108: 5105: 5097: 5095: 5089: 5085: 5084: 5080: 5073: 5071: 5065: 5061: 5057: 5052: 5046: 5042: 5038: 5034: 5030: 5026: 5022: 5018: 5014: 5009: 5005: 5001: 4997: 4993: 4989: 4985: 4980: 4975: 4970: 4966: 4962: 4958: 4953: 4949: 4945: 4941: 4937: 4933: 4929: 4924: 4920: 4916: 4912: 4908: 4903: 4899: 4895: 4890: 4885: 4881: 4877: 4874:(1): 156–68. 4873: 4869: 4865: 4860: 4856: 4855: 4850: 4845: 4844: 4839: 4830: 4826: 4821: 4816: 4812: 4808: 4804: 4800: 4796: 4789: 4786: 4774: 4770: 4766: 4759: 4756: 4751: 4747: 4743: 4739: 4736:(1): 132–42. 4735: 4731: 4724: 4721: 4716: 4712: 4708: 4704: 4700: 4696: 4692: 4688: 4681: 4678: 4665: 4661: 4657: 4651: 4649: 4645: 4637: 4630: 4624: 4621: 4616: 4612: 4608: 4604: 4600: 4596: 4592: 4588: 4581: 4578: 4566: 4562: 4561: 4556: 4550: 4547: 4542: 4538: 4521: 4517: 4513: 4508: 4503: 4499: 4495: 4491: 4484: 4477: 4474: 4469: 4465: 4464: 4459: 4452: 4449: 4436: 4432: 4428: 4421: 4418: 4413: 4409: 4404: 4399: 4395: 4391: 4387: 4380: 4377: 4369: 4365: 4358: 4352: 4349: 4336: 4332: 4330: 4324: 4318: 4315: 4310: 4306: 4302: 4296: 4294: 4292: 4288: 4283: 4279: 4275: 4271: 4266: 4261: 4257: 4253: 4249: 4242: 4239: 4234: 4230: 4226: 4222: 4218: 4214: 4207: 4205: 4201: 4196: 4192: 4188: 4184: 4180: 4176: 4172: 4168: 4161: 4158: 4153: 4149: 4144: 4139: 4135: 4131: 4127: 4123: 4119: 4112: 4109: 4097: 4093: 4091: 4085: 4079: 4076: 4071: 4067: 4062: 4057: 4053: 4049: 4045: 4038: 4035: 4030: 4026: 4021: 4016: 4012: 4008: 4004: 3997: 3994: 3978: 3974: 3967: 3961: 3958: 3950: 3946: 3939: 3933: 3930: 3925: 3921: 3917: 3911: 3908: 3903: 3899: 3895: 3889: 3886: 3881: 3877: 3871: 3868: 3863: 3859: 3855: 3849: 3846: 3835:on 2014-04-19 3831: 3824: 3817: 3814: 3809: 3805: 3801: 3794: 3791: 3778: 3774: 3770: 3764: 3761: 3745: 3741: 3734: 3728: 3725: 3720: 3716: 3711: 3706: 3701: 3696: 3692: 3688: 3684: 3677: 3675: 3673: 3669: 3656: 3652: 3648: 3642: 3639: 3626: 3622: 3618: 3611: 3608: 3600: 3596: 3594: 3586: 3580: 3578: 3574: 3569: 3565: 3561: 3557: 3553: 3549: 3542: 3540: 3536: 3531: 3527: 3520: 3517: 3513: 3507: 3504: 3496: 3489: 3483: 3480: 3475: 3471: 3466: 3461: 3457: 3453: 3449: 3442: 3439: 3434: 3430: 3424: 3421: 3416: 3412: 3408: 3404: 3401:(9): 537–45. 3400: 3396: 3389: 3386: 3381: 3377: 3373: 3369: 3365: 3361: 3357: 3353: 3346: 3343: 3338: 3334: 3329: 3324: 3320: 3316: 3312: 3308: 3304: 3297: 3294: 3289: 3285: 3280: 3275: 3271: 3267: 3263: 3259: 3255: 3248: 3245: 3240: 3236: 3231: 3226: 3222: 3218: 3214: 3207: 3204: 3199: 3195: 3190: 3185: 3181: 3177: 3174:(42): 1–242. 3173: 3169: 3165: 3158: 3155: 3150: 3146: 3142: 3138: 3134: 3130: 3126: 3122: 3115: 3112: 3107: 3103: 3099: 3095: 3091: 3087: 3080: 3077: 3072: 3068: 3064: 3058: 3056: 3052: 3047: 3043: 3038: 3033: 3029: 3025: 3021: 3017: 3013: 3006: 3004: 3002: 3000: 2998: 2996: 2994: 2992: 2990: 2986: 2978: 2971: 2964: 2962: 2960: 2956: 2951: 2947: 2942: 2937: 2933: 2929: 2925: 2918: 2916: 2914: 2910: 2897: 2893: 2891: 2885: 2879: 2877: 2875: 2873: 2871: 2869: 2865: 2860: 2856: 2852: 2848: 2844: 2840: 2836: 2832: 2825: 2822: 2809: 2805: 2801: 2795: 2793: 2791: 2787: 2774: 2770: 2766: 2760: 2757: 2744: 2740: 2736: 2730: 2727: 2714: 2710: 2708: 2702: 2696: 2693: 2680: 2676: 2674: 2668: 2662: 2659: 2653: 2648: 2644: 2640: 2634: 2632: 2630: 2626: 2614: 2610: 2606: 2602: 2598: 2594: 2590: 2586: 2582: 2578: 2571: 2568: 2563: 2561:9789241210157 2557: 2552: 2547: 2543: 2539: 2533: 2531: 2529: 2527: 2525: 2521: 2516: 2512: 2508: 2504: 2500: 2496: 2489: 2486: 2481: 2477: 2472: 2467: 2463: 2459: 2455: 2451: 2447: 2440: 2438: 2434: 2429: 2425: 2420: 2415: 2411: 2407: 2403: 2399: 2395: 2388: 2385: 2380: 2376: 2371: 2366: 2361: 2356: 2352: 2348: 2344: 2340: 2336: 2329: 2326: 2321: 2317: 2312: 2307: 2304:(2): 125–33. 2303: 2299: 2295: 2288: 2286: 2284: 2282: 2278: 2273: 2269: 2264: 2259: 2254: 2249: 2245: 2241: 2238:(4): e60348. 2237: 2233: 2229: 2222: 2220: 2218: 2216: 2214: 2212: 2208: 2203: 2199: 2194: 2189: 2185: 2181: 2177: 2173: 2169: 2162: 2160: 2158: 2154: 2141: 2137: 2136: 2131: 2124: 2122: 2118: 2105: 2101: 2095: 2093: 2091: 2089: 2085: 2072: 2068: 2066: 2061: 2055: 2053: 2049: 2044: 2040: 2033: 2031: 2029: 2027: 2023: 2010: 2006: 2004: 1998: 1992: 1990: 1988: 1986: 1984: 1982: 1980: 1978: 1974: 1961: 1957: 1951: 1949: 1947: 1945: 1943: 1941: 1939: 1937: 1933: 1928: 1924: 1919: 1914: 1910: 1906: 1902: 1898: 1894: 1887: 1885: 1883: 1881: 1879: 1877: 1875: 1873: 1871: 1867: 1854: 1850: 1846: 1840: 1837: 1825: 1821: 1817: 1810: 1808: 1804: 1791: 1787: 1783: 1777: 1775: 1773: 1769: 1762: 1760: 1759: 1752: 1750: 1748: 1744: 1736: 1734: 1732: 1728: 1725:cells of the 1724: 1720: 1712: 1710: 1708: 1703: 1698: 1696: 1687: 1683: 1680: 1675: 1672: 1669: 1665: 1660: 1655: 1653: 1648: 1646: 1642: 1638: 1637:recombinantly 1634: 1630: 1626: 1625:shikimic acid 1622: 1614: 1609: 1602: 1600: 1598: 1594: 1586: 1584: 1578: 1576: 1569: 1567: 1560: 1558: 1551: 1549: 1542: 1540: 1536: 1532: 1528: 1524: 1522: 1518: 1510: 1508: 1506: 1501: 1500:neuraminidase 1497: 1485: 1480: 1478: 1473: 1471: 1466: 1465: 1463: 1462: 1455: 1452: 1450: 1447: 1445: 1442: 1440: 1437: 1435: 1432: 1431: 1425: 1424: 1417: 1414: 1412: 1409: 1407: 1404: 1402: 1399: 1397: 1394: 1392: 1389: 1387: 1384: 1383: 1380: 1375: 1374: 1367: 1364: 1362: 1359: 1357: 1354: 1352: 1349: 1347: 1344: 1342: 1339: 1338: 1335: 1330: 1329: 1322: 1319: 1317: 1314: 1312: 1309: 1307: 1304: 1302: 1299: 1297: 1294: 1292: 1289: 1287: 1284: 1283: 1280: 1275: 1274: 1267: 1264: 1262: 1259: 1255: 1252: 1251: 1250: 1249:2009 pandemic 1247: 1246: 1243: 1238: 1237: 1228: 1225: 1224: 1223: 1220: 1218: 1215: 1213: 1210: 1206: 1203: 1202: 1201: 1198: 1197: 1194: 1189: 1188: 1184: 1180: 1179: 1176: 1172: 1166: 1164: 1162: 1161:glycoproteins 1158: 1154: 1153:neuraminidase 1150: 1146: 1138: 1136: 1133: 1128: 1124: 1122: 1118: 1115: 1111: 1107: 1103: 1099: 1094: 1091: 1087: 1078: 1071: 1069: 1068: 1062: 1060: 1051: 1049: 1047: 1043: 1039: 1035: 1031: 1026: 1023: 1018: 1016: 1011: 1010:meta-analyses 1006: 1000: 998: 996: 991: 989: 985: 981: 980: 974: 972: 967: 964: 963: 958: 953: 951: 947: 943: 939: 935: 931: 923: 921: 919: 915: 906: 898: 891: 889: 883: 879: 875: 870: 868: 864: 860: 856: 851: 848: 847:meta-analyses 844: 839: 837: 833: 829: 825: 821: 817: 813: 803: 796: 790: 781: 776: 772: 765: 756: 752: 745: 738: 734: 733: 731: 728: 723: 716: 714: 710: 683: 681: 677: 672: 664: 660: 659:DTXSID9044291 656: 655: 653: 644: 640: 633: 629: 628: 626: 624: 620: 613: 609: 608: 606: 604: 600: 593: 588: 585: 581: 580: 578: 576: 572: 565: 561: 560: 558: 556: 552: 545: 541: 540: 538: 536: 532: 525: 521: 520: 518: 516: 512: 505: 501: 500: 498: 491: 487: 479: 475: 474: 472: 470: 466: 458: 454: 450: 445: 441: 434: 429: 425: 423: 419: 415: 413: 406: 402: 399: 397: 393: 389: 387: 383: 379: 377: 373: 369: 365: 359: Rx-only 352: 350: 340: 337: 327: 324: 314: 313: 311: 309: 305: 300: 292: 287: 284: 283: 281: 279: 275: 272: 269: 267: 263: 260: 257: 255: 249: 243: 234: 233: 231: 229: 223: 216: 212: 202: 199: 194: 185: 182: 177: 168: 167: 165: 163: 159: 155: 151: 149: 145: 141: 137: 135: 131: 127: 123: 119: 115: 113: 109: 103: 65: 63:Pronunciation 61: 58:Clinical data 56: 52: 47: 43: 38: 30: 19: 7538:Ethyl esters 7528:Cyclohexenes 6938:Saudi Arabia 6778:South Africa 6622:Strep throat 6602:Otitis media 6328: 6179:India (2006) 5901:Reassortment 5728:Molnupiravir 5723:Mericitabine 5693:Deuremidevir 5667:Simnotrelvir 5652:Nirmatrelvir 5642:Ibuzatrelvir 5628:3CL protease 5567: 5557: 5529: 5486: 5479:Picornavirus 5401:Uprifosbuvir 5299:Pibrentasvir 5250:Voxilaprevir 5220:Paritaprevir 5091: 5067: 5058:(in German). 5055: 5019:(2): 140–1. 5016: 5012: 4987: 4983: 4964: 4960: 4931: 4927: 4910: 4906: 4871: 4867: 4852: 4802: 4798: 4788: 4777:. Retrieved 4768: 4758: 4733: 4729: 4723: 4690: 4686: 4680: 4668:. Retrieved 4659: 4623: 4590: 4586: 4580: 4569:. Retrieved 4558: 4549: 4527:. Retrieved 4489: 4476: 4468:the original 4463:The Atlantic 4461: 4451: 4439:. Retrieved 4430: 4420: 4393: 4389: 4379: 4368:the original 4363: 4351: 4339:. Retrieved 4326: 4317: 4309:the original 4304: 4255: 4251: 4241: 4216: 4212: 4170: 4166: 4160: 4125: 4121: 4111: 4100:. Retrieved 4087: 4078: 4051: 4047: 4037: 4010: 4006: 3996: 3984:. Retrieved 3977:the original 3960: 3932: 3910: 3888: 3870: 3848: 3837:. Retrieved 3830:the original 3816: 3803: 3793: 3781:. Retrieved 3763: 3751:. Retrieved 3727: 3690: 3686: 3659:. Retrieved 3650: 3641: 3629:. Retrieved 3620: 3610: 3599:the original 3591: 3551: 3547: 3529: 3525: 3519: 3506: 3495:the original 3482: 3458:(1): 14–25. 3455: 3451: 3441: 3423: 3398: 3394: 3388: 3355: 3351: 3345: 3313:(3): 277–9. 3310: 3306: 3296: 3261: 3257: 3247: 3220: 3216: 3206: 3171: 3167: 3157: 3124: 3120: 3114: 3089: 3085: 3079: 3066: 3019: 3015: 2931: 2927: 2900:. Retrieved 2887: 2834: 2830: 2824: 2812:. Retrieved 2803: 2777:. Retrieved 2768: 2759: 2747:. Retrieved 2738: 2729: 2717:. Retrieved 2704: 2695: 2683:. Retrieved 2670: 2661: 2652:10665/325771 2642: 2617:. Retrieved 2584: 2580: 2570: 2551:10665/259481 2541: 2498: 2494: 2488: 2453: 2449: 2401: 2397: 2387: 2342: 2338: 2328: 2301: 2297: 2235: 2231: 2175: 2171: 2144:. Retrieved 2135:The Atlantic 2133: 2108:. Retrieved 2104:the original 2075:. Retrieved 2063: 2013:. Retrieved 2000: 1964:. Retrieved 1900: 1896: 1857:. Retrieved 1848: 1839: 1828:. Retrieved 1819: 1794:. Retrieved 1785: 1756: 1740: 1716: 1699: 1692: 1676: 1673: 1656: 1649: 1640: 1618: 1590: 1582: 1573: 1564: 1555: 1546: 1543:Seasonal flu 1537: 1533: 1529: 1525: 1514: 1493: 1300: 1142: 1129: 1125: 1114:haemorrhagic 1095: 1083: 1072:Side effects 1063: 1055: 1044:(IDSA), the 1036:(ECDC), the 1027: 1019: 1007: 1004: 995:otitis media 992: 977: 975: 968: 960: 954: 927: 911: 871: 852: 840: 815: 811: 810: 799:   793:   456: 452: 448: 409:Elimination 308:Legal status 302:Legal status 162:License data 29: 7533:Dermatoxins 7457:Spanish flu 7429:2009 A/H1N1 7419:Influenza A 7404:Spanish flu 7347:New Zealand 7151:Switzerland 7101:Netherlands 6953:South Korea 6926:Philippines 6916:North Korea 6607:Pharyngitis 6553:Non-mammals 6334:Laninamivir 6329:Oseltamivir 6317:Rimantadine 6145:2009 A/H1N1 5947:Influenza D 5942:Influenza C 5937:Influenza B 5932:Influenza A 5809:from market 5774:Merimepodib 5748:Triazavirin 5743:Taribavirin 5703:Galidesivir 5698:Favipiravir 5662:Rupintrivir 5647:Lufotrelvir 5637:Ensitrelvir 5582:Laninamivir 5568:Oseltamivir 5550:Rimantadine 5488:viral entry 5469:Bulevirtide 5461:Hepatitis D 5319:Velpatasvir 5274:Daclatasvir 5269:Coblopasvir 5245:Vedroprevir 5215:Narlaprevir 5210:Grazoprevir 5205:Glecaprevir 5200:Faldaprevir 5180:Asunaprevir 5158:Hepatitis C 5139:(primarily 3753:30 December 1611:Plate from 1561:Influenza B 1311:Rimantadine 1301:Oseltamivir 1296:Laninamivir 1157:sialic acid 1102:anaphylaxis 1040:(PHE), the 1032:(CDC), the 892:Medical use 828:influenza B 824:influenza A 812:Oseltamivir 720: g·mol 481:204255-11-8 478:196618-13-0 431:Identifiers 215:Oseltamivir 198:Oseltamivir 148:MedlinePlus 121:Other names 112:Trade names 34:Oseltamivir 7523:Acetamides 7517:Categories 7455:See also: 7199:Costa Rica 7096:Montenegro 7086:Luxembourg 6973:Uzbekistan 6871:Kazakhstan 6816:Bangladesh 6806:Azerbaijan 6359:Umifenovir 6351:Peramivir 6312:Amantadine 6290:Treatments 5911:Flu season 5784:Presatovir 5779:Moroxydine 5713:Remdesivir 5671:+ritonavir 5656:+ritonavir 5600:Interferon 5545:Amantadine 5540:Adapromine 5523:Umifenovir 5493:Pleconaril 5396:Radalbuvir 5391:TMC-647055 5381:Sofosbuvir 5376:Setrobuvir 5356:Deleobuvir 5341:Beclabuvir 5314:Samatasvir 5304:Ravidasvir 5294:Ombitasvir 5284:Ledipasvir 5240:Vaniprevir 5235:Telaprevir 5230:Sovaprevir 5225:Simeprevir 5195:Danoprevir 5190:Ciluprevir 5185:Boceprevir 5137:antivirals 4779:2007-06-09 4670:21 January 4571:2009-07-29 4529:2019-09-24 4441:7 December 4102:2020-01-29 3839:2014-04-18 3693:(1): 134. 2928:Pediatrics 2902:9 December 2814:30 January 2619:2020-08-31 2146:7 December 2077:16 January 2015:16 January 1830:2023-01-09 1796:16 January 1763:References 1496:amino acid 1434:Flu season 1316:Umifenovir 1286:Amantadine 1167:Resistance 1052:Prevention 725:3D model ( 713:Molar mass 632:ChEMBL1229 612:CHEBI:7798 564:20O93L6F9H 535:ChemSpider 469:CAS Number 440:IUPAC name 396:Metabolism 266:Drug class 7414:Influenza 7332:Australia 7314:Venezuela 7269:Argentina 7214:Guatemala 7091:Macedonia 7081:Lithuania 6948:Sri Lanka 6943:Singapore 6931:by region 6851:Indonesia 6841:Hong Kong 6617:Sinusitis 6612:Pneumonia 6508:Non-human 6475:Epidemics 6422:Pandemics 6413:epidemics 6392:Pandemrix 6344:Zanamivir 6339:Peramivir 6276:2020–2022 6269:Outbreaks 6184:UK (2007) 6167:Outbreaks 6111:Pandemics 5891:Treatment 5867:Influenza 5819:Phase III 5807:Withdrawn 5738:Ribavirin 5708:GS-441524 5578:Peramivir 5573:Zanamivir 5518:Pimodivir 5504:influenza 5386:Tegobuvir 5361:Filibuvir 5351:Dasabuvir 5289:Odalasvir 5134:RNA virus 4341:9 January 3149:207746253 2837:: j2841. 2779:7 October 2749:7 October 2719:9 January 2609:206916214 2587:: j3266. 2456:: g2545. 1966:8 January 1786:Drugs.com 1731:bacterial 1707:zanamivir 1629:synthesis 1597:half-life 1505:zanamivir 1379:Outbreaks 1334:Pandemics 1321:Zanamivir 1306:Peramivir 1279:Treatment 1254:Pandemrix 1020:The 2014 1015:pneumonia 1008:Two 2013 990:testing. 914:influenza 422:Excretion 411:half-life 252:Routes of 226:Pregnancy 140:Monograph 134:Drugs.com 7563:Prodrugs 7495:Medicine 7465:Bird flu 7299:Paraguay 7289:Colombia 7249:by state 7219:Honduras 7136:Slovenia 7116:Portugal 7016:Bulgaria 6963:Thailand 6921:Pakistan 6906:Maldives 6901:Mongolia 6896:Malaysia 6821:Cambodia 6743:Ethiopia 6711:Location 6374:Vaccines 5959:subtypes 5881:Research 5309:Ruzasvir 5279:Elbasvir 5041:45068099 5004:16683783 4948:11300898 4898:16424427 4829:32031570 4773:Archived 4750:20230441 4707:23558407 4664:Archived 4636:Archived 4615:13490764 4607:24721793 4565:Archived 4520:Archived 4516:16855962 4435:Archived 4412:12885681 4335:Archived 4282:17660413 4274:23553030 4233:17051628 4195:39375028 4187:23809549 4152:23279894 4096:Archived 4070:17405969 4029:15709056 3986:15 April 3949:Archived 3924:Archived 3902:Archived 3880:Archived 3862:Archived 3808:Archived 3783:21 April 3777:Archived 3744:Archived 3719:21592407 3661:22 April 3655:Archived 3625:Archived 3621:Medscape 3568:72592926 3532:: 30–36. 3474:20950645 3433:Archived 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7481:Portals 7391:Related 7377:Vanuatu 7372:Tokelau 7324:Oceania 7309:Uruguay 7294:Ecuador 7274:Bolivia 7224:Jamaica 7161:Ukraine 7121:Romania 7066:Ireland 7061:Iceland 7056:Hungary 7046:Germany 7036:Finland 7031:Estonia 7026:Denmark 7021:Croatia 7006:Belgium 7001:Austria 6996:Albania 6978:Vietnam 6911:Myanmar 6886:Lebanon 6836:Georgia 6811:Bahrain 6783:Tunisia 6773:Nigeria 6768:Namibia 6763:Morocco 6728:Algeria 6701:· 6515:Mammals 6225:Vaccine 6203:Science 6138:Science 5920:Viruses 5886:Vaccine 5733:NITD008 5371:IDX-184 5366:GS-6620 5143:, also 5033:1951305 4889:7094746 4820:7042881 4715:5469580 4634:. 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