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  Pharmaceuticals
 
Therapeutic area Trade mark Compound Mechanism Indication (may vary by country)
CNS disorders Seroxat/Paxil paroxetine selective serotonin reuptake inhibitor depression, panic,
anxiety
  Wellbutrin bupropion noradrenaline reuptake
inhibitor
depression
  Imigran/Imitrex sumatriptan 5-HT1 agonist migraine,
cluster headache
  Naramig/Amerge naratriptan 5-HT1 agonist migraine
  Lamictal lamotrigine sodium channel
modulator
epilepsy
  Requip ropinirole dopamine D2 agonist Parkinson’s disease
  Zyban bupropion SR noradrenaline reuptake
inhibitor
smoking addiction
Respiratory Flixotide/Flovent fluticasone propionate inhaled
anti-inflammatory
asthma, bronchial conditions
  Serevent salmeterol xinafoate bronchodilator bronchial asthma, bronchitis
  Seretide/Advair salmeterol and fluticasone propionate bronchodilator/
anti-inflammatory
asthma
  Flixonase/Flonase fluticasone propionate intranasal anti-inflammatory hayfever, perennial rhinitis
  Ventolin salbutamol/albuterol bronchodilator bronchial asthma, bronchitis
  Becotide/Beclovent beclomethasone dipropionate inhaled
anti-inflammatory
bronchial asthma, bronchitis
  Beconase beclomethasone dipropionate intranasal anti-inflammatory hayfever, perennial rhinitis
Anti-bacterials Augmentin amoxycillin/clavulanate potassium broad spectrum
antibiotic
common infections
  Zinnat/Ceftin cefuroxime axetil oral antibiotic common infections
  Fortum/Fortaz ceftazidime injectable antibiotic severe, life threatening infections
  Amoxil amoxycillin broad spectrum
antibiotic
common infections
  Zinacef cefuroxime injectable antibiotic surgical infections
Anti-virals
Trizivir lamivudine, zidovudine and abacavir reverse transcriptase inhibitor HIV/AIDS
  Combivir/Biovir lamivudine and zidovudine reverse transcriptase inhibitor HIV/AIDS
  Epivir/3TC lamivudine reverse transcriptase inhibitor HIV/AIDS
  Retrovir/AZT zidovudine reverse transcriptase inhibitor HIV/AIDS
  Ziagen abacavir reverse transcriptase inhibitor HIV/AIDS
  Agenerase amprenavir protease inhibitor HIV/AIDS
  Valtrex/Zelitrex valaciclovir DNA polymerase
inhibitor
shingles, genital herpes
  Zovirax aciclovir DNA polymerase
inhibitor
herpes infections,
shingles, chicken pox,
cold sores
  Zeffix/Heptavir/
Heptodin/Epivir HBV
lamivudine reverse transcriptase inhibitor chronic hepatitis B
infection
  Relenza zanamavir neuraminidase inhibitor influenza treatment
  Malarone atovaquone electron transport
system inhibitor
malaria
treatment/prophylaxis
Metabolic and gastro-
intestinal
Avandia rosiglitazone PPAR-gamma agonist type 2 diabetes
Zantac ranitidine hydrochloride anti-secretory duodenal ulcers, stomach ulcers, reflux and dyspepsia
  Pylorid/Tritec ranitidine bismuth
citrate
anti-secretory plus
antibiotic
eradication of H pylori
Vaccines Havrix     hepatitis A
  Engerix-B     hepatitis B
  Twinrix     hepatitis A and B
  Infanrix     diphtheria, tetanus, acellular pertussis
Oncology and emesis Zofran ondansetron 5-HT3 receptor
antagonist
nausea and vomiting from cancer therapy
  Hycamtin topotecan topoisomerase
1 inhibitor
ovarian cancer, small
cell lung cancer
  Navelbine vinorelbine cytotoxic non-small cell lung
cancer, breast cancer
  Panorex Mab17-1A monoclonal antibody colorectal cancer as
adjuvant therapy
Cardiovascular Coreg carvedilol alpha/betablocker congestive heart failure
  Lanoxin digoxin cardiac anti-arrhythmic congestive heart failure, cardiac arrhythmia
  Flolan epoprostenol inhibitor of blood clotting primary pulmonary hypertension
  Lacipil lacidipine calcium channel blocker hypertension
  Pritor telmisartan angiotensin II antagonist hypertension
 

Products - Pharmaceuticals

GlaxoSmithKline’s principal pharmaceutical products are presently directed to 10 major therapeutic areas. An analysis of sales by these therapeutic areas, and a description of the principal products, are set out below:
 
Sales by therapeutic area 2000
£m
1999
£m
1998
£m
Central nervous system disorders 3,279 2,720 2,400
Respiratory 2,789 2,382 2,096
Anti-bacterials 2,472 2,383 2,278
Anti-virals 1,899 1,610 1,347
Metabolic and gastro-intestinal 1,232 886 908
Vaccines 842 776 726
Oncology and emesis 710 613 549
Cardiovascular 463 449 390
Dermatologicals 249 254 243
Arthritis 210 275 301
Others 837 842 949
Divested products 447 428 376
  15,429 13,618 12,563
 
 

Central nervous system (CNS) disorders
Seroxat/Paxil is a selective serotonin reuptake inhibitor (SSRI) approved for depression, panic, obsessive compulsive disorder and social anxiety disorder, with approvals being obtained for generalised anxiety disorder and post traumatic stress disorder.

Wellbutrin is also an anti-depressant, available in the USA in normal or sustained release tablet formulations.

Imigran/Imitrex is a 5HT1 receptor agonist used for the treatment of severe or frequent migraine and cluster headache, and has become the reference product in this sector. Naramig/Amerge is the Group’s newer migraine product.

Lamictal is a treatment for epilepsy. Used alone or in combination with other products, it has achieved penetration of this mature market through successful treatment of severe cases.

Requip is a specific dopamine D2-like receptor for the treatment of Parkinson’s disease.

Zyban is a novel, nicotine-free prescription medicine, available as a sustained-release tablet, for treating the problem of smoking addiction.

Respiratory
Serevent is a long-acting bronchodilator, and Ventolin a selective short-acting bronchodilator, for the treatment of asthma.

Flixotide/Flovent and Becotide/Beclovent are inhaled steroids for the treatment of inflammation associated with bronchial asthma and chronic bronchitis.

Seretide/Advair, a combination of Serevent and Flixotide, offers a long-acting bronchodilator and an anti-inflammatory in a single inhaler.

Flixonase/Flonase and Beconase are intra-nasal preparations for the treatment of perennial and seasonal rhinitis.

The Group’s respiratory products are now available in a wide choice of delivery systems, including the Diskus/Accuhaler, a dry powder multi-dose inhaler.


Anti-bacterials
The Group markets a range of antibiotics.

Augmentin is a broad-spectrum antibiotic suitable for the treatment of a wide range of common bacterial infections, and is particularly effective against respiratory tract infections.

Zinnat is an oral antibiotic used primarily for community-acquired infections of the lower respiratory tract. Fortum and Zinacef are used in the hospital-based injectable antibiotics market.

Anti-virals
Combivir, a combination of Retrovir and Epivir, has consolidated the position of these two reverse transcriptase inhibitors as the cornerstone of many multiple anti-HIV product regimens. Physician acceptance has clearly demonstrated the value placed on minimising the ‘pill burden’ faced by patients.

Ziagen is the Group’s new reverse transcriptase inhibitor. The product’s potency, ease of use and resistance profile will allow it to play a significant role in a variety of highly active, well tolerated, and simplified HIV treatment regimens.

Trizivir is a combination of Combivir and Ziagen, combining three anti-HIV therapies in one tablet, for twice daily administration.

Agenerase is a new protease inhibitor for the treatment of HIV, the first medicine of this class to be brought to the market by GlaxoSmithKline. Agenerase has a twice daily dosing regime and no significant food or drink restrictions.

Zeffix has been approved for marketing in the USA, Europe, China and other markets for the treatment of chronic hepatitis B.

Zovirax is used for the treatment of herpes infections such as chicken pox, genital herpes, shingles and cold sores. The newer anti-herpes compound, Valtrex, reinforces the Group’s presence in this market as a treatment for zoster and the episodic and long-term suppression of genital herpes.

Relenza, the Group’s novel treatment for influenza, is the first of a new class of drug known as a neuraminidase inhibitor, and targets the primary site of viral replication through direct delivery to the airways via an inhaler.

Metabolic and gastro-intestinal
Avandia is the most potent of a novel class of oral anti-diabetic agents called thiazolidinediones or PPAR-gamma agonists, for the treatment of type 2 diabetes.

Zantac, for the treatment of peptic ulcer disease and a range of gastric acid related disorders, continues to play a major role in treatment in a number of markets, even where patent protection has been lost. Pylorid/Tritec is used, in combination with antibiotics, for the eradication of helicobacter pylori, a causative agent in ulcers.

Lotronex, a novel treatment for the multiple symptoms of irritable bowel syndrome, was approved for use in the USA following priority review and launched in 2000, but was subsequently withdrawn following discussions with the US Food and Drug Administration over the interpretation of data relating to gastro-intestinal side effects.

Vaccines
GlaxoSmithKline markets a range of hepatitis vaccines. Havrix protects against hepatitis A and Engerix-B against hepatitis B. Twinrix is a combined hepatitis A and B vaccine, protecting against both diseases with one vaccine and available in both adult and paediatric strengths.

Infanrix is a range of paediatric vaccine combinations. Infanrix provides protection against diphtheria, tetanus and pertussis (whooping cough). Infanrix PeNta provides additional protection against hepatitis B and polio, and Infanrix HeXa further adds protection against haemophilus influenzae type b, which causes meningitis.

Additionally GlaxoSmithKline markets Priorix, a measles, mumps and rubella vaccine, Typherix, a vaccine for protection against typhoid fever, LYMErix, a vaccine for protection against LYME disease.

Oncology and emesis
Zofran is used to prevent nausea and vomiting associated with chemotherapy and radiotherapy for cancer, and is available in both oral and injectable forms. It is also approved for use in the prevention and treatment of post-operative nausea and vomiting.

Hycamtin is a second line treatment both for ovarian cancer and for small cell lung cancer.

Panorex is the first monoclonal antibody to be licensed for cancer therapy.

Cardiovascular
Coreg is a blocking agent which has been proven to be effective in treating mild and moderate congestive heart failure.

Dermatologicals
The Group’s principal dermatological products, Betnovate, the higher potency Dermovate and the newer Cutivate are anti-inflammatory steroid products used to treat skin diseases such as eczema and psoriasis.

Divested products
In accordance with agreements for regulatory approvals of the merger between Glaxo Wellcome and SmithKline Beecham, the products Kytril, for the treatment of chemotherapy – and radiotherapy – induced nausea and vomiting, and Famvir, an anti-viral for the treatment of shingles and herpes, were divested in December 2000.

Products – Consumer Healthcare
GlaxoSmithKline’s principal consumer products are presently directed to three major areas. An analysis of sales by these areas is set out below:

 
  2000
£m
1999
£m
1998
£m
Over-the-counter medicines 1,454 1,434 1,328
Oral care 642 614 584
Nutritional healthcare 535 488 459
Divested products 19 10 4
  2,650 2,546 2,375
 
   
Category
Product
Over-the-counter medicines  
Analgesics
Panadol
Dermatologicals Oxy
Gastro-intestinal Tums
  Tagamet HB
  Zantac Relief
Respiratory tract Contac
  Beechams
  Beconase Hayfever
Smoking control Nicorette
  NicoDerm CQ
  NiQuitin CQ
  Nicabate
Vitamins and naturals Abtei
Oral care Aquafresh
  Macleans
  Odol
  Dr Best
Nutritional healthcare Lucozade
  Ribena
  Horlicks
   
 

Over-the-counter medicines
The most significant products are Panadol, a widely available non-aspirin analgesic; the smoking cessation products Nicorette, NicoDerm CQ, NiQuitin CQ and Nicabate; Tums, the calcium-based antacid and Tagamet HB for the prevention and relief of heartburn; Contac and the Beechams range for the treatment of colds and influenza; and a variety of vitamin and tonic products led by Abtei in Germany. Consumer Healthcare will market additionally OTC versions of Zantac and Beconase.


Oral care
The leading oral care products are Aquafresh, Macleans and Odol toothpastes and toothbrushes sold under the Aquafresh and Dr Best trademarks.


Nutritional healthcare
In this category the principal products are Lucozade, the glucose energy drink; Ribena, a line of juice drinks rich in vitamin C; and Horlicks, a range of milk-based malted food and chocolate drinks.


Block Drug
In January 2001 GlaxoSmithKline completed the acquisition of Block Drug. This will add to the product range Sensodyne toothpaste, Poli-Grip denture adhesive and Polident denture cleaner.

 
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