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Treat Influenza and Avian Bird Flu

Tamiflu and Relenza are medicines to treat INFLUENZA - the flu. Tamiflu attacks the flu at its source and stops it from spreading in the body.  Purchase Tamiflu & Relenza online without prescription.

Tamiflu is for treating adults with the flu whose flu symptoms started within the last day or two.

OSELTAMIVIR - ORAL (oss-el-TAM-eh-veer)
COMMON BRAND NAME(S): Tamiflu

USES:
This medication is used to treat illness (symptoms) caused by the flu virus (influenza). Oseltamivir is also used to prevent the flu (e.g., in household members exposed to a flu sufferer).

HOW TO USE:
Take this medication by mouth as directed by your doctor. You may take this with food or milk to minimize stomach upset. Take it as soon as flu symptoms appear or as soon as possible after you have been exposed (both within 48 hours). If you have the flu: Take oseltamivir (Tamiflu) twice a day for 5 days; once in the morning and once in the evening. Complete the entire treatment of 10 doses. To prevent the flu: Take oseltamivir (Tamiflu) once a day for at least 7 days or take it exactly as prescribed by your doctor. This medication works best when the amount of medicine in your body is kept at a constant level. Therefore, take this drug at the same time(s) each day. Take this medication until the full prescribed amount is finished, even if symptoms improve. Stopping the medication too early may result in a relapse of the infection. Inform your doctor if your condition worsens or if new symptoms appear.

SIDE EFFECTS:
Nausea may occur. If this effect persists or worsens, notify your doctor promptly. Tell your doctor immediately if you have any of these unlikely but serious side effects: dizziness, persistent cough. Tell your doctor immediately if you have any of these very unlikely but serious side effects: persistent weakness, fever, sore throat. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS:
Tell your doctor your medical history, including: allergies, kidney problems. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug passes into breast milk. Consult your doctor before breast-feeding.

Expert: Human bird flu vaccine promising
But still plagued with challenges
The development of a human vaccine for bird flu appears promising in trials, but multiple challenges would keep it from reaching large numbers of people quickly in a pandemic, an investigator for the US vaccine trial said Wednesday.
Dr. James D. Campbell, of the University of Maryland Center for Vaccine Development in Baltimore, said worldwide vaccine production capacity is still low.

Campbell also said the current vaccine manufacturing method -- which uses eggs to grow the virus -- is problematic because it requires specialized manufacturers, and because chickens involved in the process could become infected.

In addition, he said it would take months for a vaccine to be produced once a specific pandemic flu strain emerges.

"First you have to make the vaccine seed virus, then you have to produce large quantities of the vaccine, get the vaccine through the regulatory authorization, distribute the vaccine and actually vaccinate people," he said. "And then wait the weeks that it takes after vaccination before the antibodies get to the level that would lead to protection."

Early tests indicate the vaccine currently under development is effective in about 50 percent of patients, and requires a much larger dose than a regular annual flu shot. Multiple shots also are required instead of just one.

Asian states slow to report bird flu
Asian countries have taken too long to report some human cases of bird flu and this could harm efforts to contain any future pandemic, a top World Health Organization (WHO) official said on Tuesday.

Shigeru Omi, the WHO's Western Pacific regional director, said the failing showed the need for countries to improve their ability to detect and report cases of the H5N1 virus rapidly.

"The window of opportunity for containment is very narrow, meaning rapid containment measures must be carried out at least two to three weeks after detection of a potential pandemic event," Omi said in a speech to the WHO's Executive Board.

"However up to now, only half of the reports for human H5N1 cases meet this target. Some reports have been received as late as one or two months after disease onset," he added.

Omi did not identify which Asian countries were to blame.

China was widely criticised in 2003 for its cover-up of the SARS virus, contributing to its eventual spread around the globe.

China on Monday reported its 10th human case of bird flu, a 29-year-old woman from the southwest Sichuan province. The health ministry said the woman fell ill with a fever on January 12 and was in a critical condition in hospital.

A WHO spokeswoman said the United Nations agency was seeking more information from Beijing on the latest case. Six of the 10 people infected in China have died.

India tests birds for h5n1 avian flu, to stock Tamiflu
Blood samples from 10 dead migratory birds in eastern India have been sent for bird flu virus tests, a state minister said on Wednesday.

"We are not taking any chances and have sent the blood samples for avian flu tests," West Bengal Animal Resources Development Minister Anisur Rahaman told Reuters.

State officials said around 40 dead Open-bill Stork chicks had been found in one of the state's five bird sanctuaries in the past week, but added they could have died after falling from their nests during a storm.

In New Delhi, the Union health minister said there were no cases of bird flu and 10,000 blood samples of birds tested so far had come up negative.

"There are no cases in our country ... our main preparation is surveillance; among poultry farms and migratory birds", Anbumani Ramadoss told a news conference without referring specifically to the West Bengal cases where results are expected in a week.

With thousands of migratory birds -- some from China -- due to land in coming weeks, New Delhi is bracing for possible cases and will stockpile Tamiflu, the antiviral avian flu drug .

"To begin with, we are thinking of stockpiling about 10 lakh (one million) doses of Tamiflu," Ramadoss said, adding that officials planned talks with Swiss drugmaker Roche on licensing to make Tamiflu and would also speak to domestic drug majors Ranbaxy Laboratories Ltd and Cipla Ltd.

INDIA'S CIPLA READY

But Ramadoss added that if an bird flu emergency came up, the government could force domestic companies to make Tamiflu.

Mumbai-based Cipla said it had yet to hear from the government but planned to go ahead with making the drug.

"We are not even waiting for government permission," Amar Lulla, joint managing director of Cipla, told Reuters, adding that the company would be ready to make the drug by end-2005 and it could be on shelves by March-April.

Lulla said Cipla had also applied to Roche for a sub-licence to make and supply Tamiflu in places where Roche has a patent.

Roche, which has been under pressure to increase output of Tamiflu, has said it would consider granting other companies licences to make the drug which is not patented in India.

Indian authorities are monitoring nesting sites such as large lakes for hundreds of thousands of migratory birds expected to land in India in the coming weeks.

A central government health official said that all 29 states had been asked to take blood samples of dead birds found at nesting sites and have them tested for the virus at one of five centres.

More than 60 people in Southeast Asia have died of bird flu since it resurfaced in 2003 after a brief outbreak in the 1990s.

Experts say the world is overdue for a human flu pandemic, with the most likely cause an animal strain which mutates.