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Information for Healthcare Professionals (o-sill-o-cox-see-num) Use Advantages For temporary relief of flu symptoms such as fever, No adverse reactions have been reported to the FDA chills, and body aches and pains. during Oscillococcinum’s 23 years of use in the U.S. SYMPTOMS OF FLU Fever, Chills, Body Aches and Pains Oscillococcinum has not been studied for its effects Directions Adults and children 2 years of age and older: take one dose at onset of symptoms. Dissolve entire contents of one tube in the mouth for sublingual absorption. Repeat for two more doses at 6-hour intervals. during pregnancy and breast-feeding. Based on the method of preparation, everything seems to indicate that Oscillococcinum does not pharmacologically interfere with flu vaccination, concomitant medications or fetal development, nor would it be present in the milk of women who are breast-feeding. • Easy to prescribe or to recommend (one dose every 6 hours), and doesn’t require lengthy checking for drug interactions or contraindications • Oscillococcinum can be safely given to children, breast-feeding or pregnant women, elderly patients, Warnings • Do not use if the label sealing the cap is broken • Ask a doctor before use in children under 2 years of age • Stop using this product and consult a physician if symptoms persist for more than 3 days or worsen • As with any drug, ask a healthcare professional before use • Diabetics: each dose contains 0.85g of sucrose and 0.15g of lactose • Keep out of the reach of children patients who cannot be vaccinated, and patients with long-term treatments or chronic diseases • Safe for use by patients in occupations that prohibit the use of traditional OTC flu medicines, such as truck drivers, machine operators and pilots • No interaction with other drugs or vaccines • Does not contain artificial additives or preservatives • Oscillococcinum has been used successfully by millions of patients in more than 40 countries How supplied Boxes of three unit-dose tubes and six unit-dose tubes Active Ingredient Anas barbariae hepatis et cordis extractum 200CK HPUS Each year, millions of people contract influenza and flu-like symptoms in the United States, resulting in more than 200,000 hospitalizations and approximately 36,000 deaths. Most patients recover after 1 to 2 weeks; however, the elderly and people with chronic diseases often develop serious complications. Three classic therapeutic approaches are used to counteract the pathology: Homeopathic preparation of the liver and heart of the Muscovy duck is prepared according to the method described in the Homeopathic Pharmacopeia of the • Vaccines are formulated in an attempt to match that year’s viral antigenic shifts • Antiviral drugs interfere with viral replication • Symptomatic drugs, perhaps the most common form of treatment, ease aches and shivers, and decrease fever United States. I0477-MD - rev. 01/07 Inactive Ingredients 0.85 g sucrose, 0.15 g lactose (USP) Questions, Comments? Homeopathic Medicines are manufactured and marketed in the U.S. under the regulatory authority of the Food and Drug Administration.4 Visit us at www.boironusa.com E-mail us at: [email protected] Call us toll-free at: 1-888-264-7668 Write us at: Boiron Information Center 6 Campus Blvd. Newtown Square, PA 19073-3267 Oscillococcinum®, (o-sill-o-cox-see-num), used by 14 million people worldwide, is becoming increasingly popular in the United States. This homeopathic medicine has been shown to decrease the duration and severity of flu symptoms, such as fever, chills, and body aches and pains. Because of its safety, Oscillococcinum is a good first-line of defense in treating flu. Advantages Side Effects / Disadvantages Decreases the duration and severity of influenza symptoms, including fever, chills, and body aches and pains Can be used with existing medical conditions or medications; no known drug interactions or side effects; convenient dosing; economical No known REDUCES THE SEVERITY AND SHORTENS THE DURATION OF FLU Antivirals Zanamivir (Relenza®) Oseltamivir phosphate (Tamiflu®) Rimatadine (Flumadine®) Amantadine (Symmetrel®) Vaccine Possible inhibition of virus neuraminidase, and alteration of virus aggregation and release Shortens duration of flu if taken before 2nd day of symptoms Possible inhibition of virus neuraminidase, and alteration of virus aggregation and release Shortens duration of flu if taken within 2 days of symptoms Inhibits type A virus replication at an early stage Reserved for high-risk patients when vaccination is not possible For prophylactic use only Administration by inhalor potentially inconvenient; nausea, diarrhea and sinusitis may occur 100% 60% 40% Nausea and vomiting may occur 20% 0% Best coverage for exposed or high-risk people Insomnia and nausea may occur Not a cure Stimulates the immune system Existing clinical studies show controversial results Non-toxic; may decrease severity and duration of flu symptoms Aspirin, NSAIDs Acetaminophen Anti-inflammatory, antipyretic and analgesic action Antipyretic and analgesic action Temporarily reduces symptoms Temporarily reduces symptoms Symptomatic action only; interacts with hepatotoxic drugs; use with care in patients with impaired kidney function 80% 60% 40% 20% 0% Placebo Fever: 79% reduction vs. 40% placebo Stiffness: 73% reduction vs. 42% with placebo 100% 100% 80% 60% 40% 20% 0% Oscillococcinum Reduction of Fever vs. Placebo3 Reduction of Stiffness vs. Placebo3 Overdosage induces diarrhea Symptomatic activity only; induces gastrointestinal disturbances; interacts with other drugs Placebo 100% “CLEAR IMPROVEMENT” AT 48 HOURS, 63% RECOVERY VS. 49% WITH PLACEBO1 Do not use for more than 10 days (curative) or 3 weeks (prophylactic); use with caution when kidney function is impaired, or when patient is allergic to herbs from the daisy family; preventive efficacy not clearly demonstrated Symptomatic medicines for aches and fever Oscillococcinum In a double-blind, placebo-controlled clinical trial, the recovery rate within 48 hours of treatment was significantly greater in the group that received the active drug than in the placebo group (p = 0.03)2 reduction of symptoms Vitamin C Non-specific immunostimulant Oscillococcinum has been shown to reduce common flu symptoms such as chills, stiffness and fever. Chills: 85.7% reduction vs. 57.1% with placebo 80% Herbs, Vitamins Echinacea (E. angustifolia, E. purpurea) Taken at the First Sign of Flu, Oscillococcinum Significantly Reduces Symptoms3 “Clear Improvement” of Flu Symptoms Within 48 hours (N=334)1 reduction of symptoms Oscillococcinum, (o-sill-o-cox-see-num) also called Oscillo How it Works reduction of symptoms Product Oscillococcinum Placebo 80% 60% 40% 20% 0% Oscillococcinum Placebo References: 1. Papp R. et al. Oscillococcinum in patients with influenza-like syndromes: a placebo-controlled, double-blind evaluation. Br Homeopath J. 1998;87:69-76. 2. Ferley JP. et al. A controlled evaluation of a homeopathic preparation in the treatment of influenza-like symptoms. Br J Clin Pharmacol. 1989;27:329-335. 3. Casanova P. et al. The evaluation of 100 randomized observations of Oscillococcinum® / placebo in the influenza syndrome. Data on file, Boiron. 4. U.S. Food and Drug Adminstration. Sec 400.400. Conditions under which homeopathic drugs may be marked (CPG7132.15). Available at: http://www.fda.gov/ora/compliance_ref/cpg.cpgdrg/cpg400-400.html.