Natrolip Brand Plan

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    NatrolipNatrolipBrandBrandPlanPlan

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    PlanPlan

    Fats &Fats &FactsFacts

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    What is Lipid ?

    A lipid is a fat soluble substance.

    It is a term describing a solubility characteristic.

    T h e m a jo r typ e s o f lip id s a re

    C h o le ste ro l Trig ly ce rid e

    P h o sp h o lip id s

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    Structural components of membranes: Lipids

    separate cells from the external environment;

    separate internal components (organelles)

    Storage and transport of energy

    Protective functions: Waterproofing

    Regulators: Hormones (steroids)

    Precursors: Vitamins (A,D,E,K)

    Functions of lipids

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    What is Cholesterol ?

    It is an important constituent of cell membranes. It is a key compound for the synthesis of steroid

    hormones and bile acids.

    H ig h le v e l o f ch o le ste ro l in th e b lo o dis ca lle d h y p e rch o le ste ro le m ia

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    Serum Cholesterol levels

    /2 4 0 m g d L o r h ig h e rH ig h

    /2 0 0 to 2 3 9 m g d L-B o rd e rlin eh ig h

    /Le ss th a n 2 0 0 m g d LD e sira b le

    These are based on fasting plasma cholesterol levels.

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    What are Triglycerides ?

    It is the chemical form in which most fat exists in

    food as well as in the body.

    It is also present in the blood plasma.

    Calories ingested in a meal and not used

    immediately by the body are converted to

    triglycerides and stored.

    Excess Triglyceride in plasma is called Hypertriglyceridemia

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    Serum Triglyceride levels

    These are based on fasting plasma triglyceride

    levels.

    /5 0 0 m g d L o r h ig h e rV e ry h ig h

    /2 0 0 to 4 9 9 m g d LH ig h

    /1 5 0 to 1 9 9 m g d L-B o rd e rlin e

    h ig h

    /Le ss th a n 1 5 0 m g d LN orm al

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    What are Lipoproteins ?

    Complex of Fats and Proteins are called

    Lipoproteins.

    The major Lipoproteins are: Chylomicrons

    Very Low Density Lipoproteins (VLDL)

    Intermediate Density Lipoproteins (IDL) Low Density Lipoproteins (LDL)

    High Density Lipoproteins (HDL)

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    What are Chylomicrons ?

    Largest and least dense of all lipoproteins. Offload their TGs to the peripheral tissues

    like muscle and adipose tissues by theaction of LPL.

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    What is LDL cholesterol ?

    LDL-C transports cholesterol from liver to tissues for

    distribution.

    Excess LDL-C in blood can lead to a condition known as

    atherosclerosis which is responsible for CHD and

    strokes .

    High levels of LDL-C reflect an increased risk of heart

    disease and stroke.

    Thus LDL cholesterol is called "bad" cholesterol.

    Lower levels of LDL-C reflect a lower risk of heart

    disease.

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    What is HDL cholesterol?

    It transports cholesterol from body to liver for

    elimination.

    HDL cholesterol is known as "good" cholesterol

    because a high HDL level seems to protectagainst heart attack.

    The opposite is also true: a low HDL level (less

    than 40 mg/dL) indicates a greater risk.

    A low HDL cholesterol level also may raise stroke

    risk.

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    Normal lipid profile

    TOTAL CHOLESTEROL 120-200 mg/dLChylomicrons None (after 12 hrs of fasting)VLDL 1-30 mg/dL

    LDL 60 to 160 mg/dLHDL 35 to 65 mg/dL

    LDL to HDL ratio Less than 3.5Triglycerides 10 to 160 mg/dL

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    Atherosclerosis

    Hardening of the Arteries Characterized by raised and rough lesions

    (fibrous plaque) High cholesterol, particularly LDL-C, is a definite

    risk factor for Atherosclerosis

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    v (therosclerosis deposition of)holesterol and blood clot often,orms where arteries divide ashere is often more turbulence in.lood flow at these sites

    A th e ro scle ro sisth e ro scle ro sis

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    A th e ro scle ro sis

    C A D \IH D \S tro ke

    H y p e rlip id em ia

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    Current therapeutic options

    Statins: Atorvastatin\Simvastatin\Rosuvastatin

    Fibrates: GemfibrozilNiacin Vit B3

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    Current therapeutic options-limitations

    Statins: Prolonged use of statins leads to

    muscle weaknessFibrates:

    Prolonged use leads to drug resistance

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    Alternate therapeutic options

    Omega 3 fatty acids: Regulates cholesterol absorption

    Reduces cholesterol biosynthesis Increases cholesterol catabolism

    Niacin: Reduces free fatty acids in blood

    Reduces VLDL in liver

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    Alternate therapeutic options -Phytosterol

    Phytosterol: Esters of omega 3 fatty acids

    n a tu ra l w ay to im p ro ve b lo o dip id s p ro file

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    urrent h e ra p e u tic o p tio n se rce p tio n m a p p in gg h

    Lo w H ig hafety

    Fibrates

    Statins

    Phytosterols

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    MicellesMicelles Free cholesterolFree cholesterol

    Chylomicrons AdipocytesAdipocytes

    LiverLiver

    ntestinal mucosantestinal mucosaBile saltsBile salts

    Plant sterols

    PC1L1PC1L1transporterransporter ABCG5/G8ABCG5/G8transportertransporter

    Phytosterols inhibit cholesterol absorption

    OA of Phytosterol

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    For balanced lipid profile

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    For balanced lipid profile

    hytosterols Long Term Benefits

    Reduces incidence of coronary heart diseas

    -Reduces C reactive protein by. %28 2 1) , / , - ,1 JAMA July 23 30 2003 Vol 290 No

    4

    ) ( ), , . .2 British Journal of Nutrition 2006 96 Suppl 1-S89 S93

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    -onsumption of Omega 3 fatty acids from-ish or fish oil supplements- *Omega 3 supplements reduce TG in patients

    with diabetes and elevated TG:Background :Recommendations,Fish intake specifically

    - ,omega 3s in fish oilassociated with decreased:risk of CVD

    :ADA

    2 or more servings per(week of fish except)commercially fried ( )Eicosapentaenoic acid EPA

    ( )Docosahexaenoic acid DHA:AHA

    - /1 3 g of EPA DHA incapsule form

    * Primarily fish oil supplements

    American Diabetes Association (2007) Diabetes Care;30(Suppl 1):S48-S65.

    Lichtenstein et al. (2006) Circulation;114:82-96.Wang et al. (2006) Am J Clin Nutr;84:517.

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    .ournal of Nutrition 2008; ( ): -Jun 138 6 1086 90

    ,n Hyperlipidemia( )hytosterol and Omega 3 fatty acid Phytomega

    e proven SynergisticSynergistic& ComplimentaryComplimentaryfor lowering - &LDL C TGs2

    . %educes plasma total cholesterol by 13 3

    - . %educes LDL C by 12 5 2 . %to 24 4 3

    . % ( - . %)ncreases HDL levels by 8 6 than plain omega 3 7 1

    . % %educes TG levels by 25 9 to 40 4 ( - . %than plain omega 3 22 3

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    Balance the lipid profileBalance the lipid profile

    NaturallyNaturallywith

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    NatrolipFor balanced lipid profile

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    The Product

    Each softgel capsule contains: Phytosterol - 300mg

    EP acid - 120mg DH acid - 80mg

    Niacin

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    The packing

    Each pack contains 3 strips of 10softgel capusules

    Primary packing 10sSecondary packing 10s X 3

    Tertiary packing 10 X (10s X3)

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    The price

    MRP of each strip containing 10softgel capsule is Rs.84

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    Launch rationale

    Increasing the rate of metabolicdisorders thereby increased

    prevalence of IHD\CHD and stroke All such life threatening symptoms arehaving common cause i.e alteredlipid profile in the blood

    Addressing such issue with a drugderived naturally will attract both Drsand patients who are in borderline

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    The positioning

    Natrolip is the first line natural lipidlowering agent

    Adj. in patients needing a higher doseof statins\Fibrates

    1) Nutrition Reviews Jun 2006, Vol 64, No. 7.

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    Differentiation with currenttherapy

    Long term effects

    Reduce triglyceride levels

    Lower LDL-c Levels

    Decrease total-cholesterol/HDL-

    cholesterol ratio

    Potential synergy with other

    therapies

    Lower risk for coronary arterydisease

    Lower CVD risk associated withtype 2 diabetes

    Lower CVD risk associatedwithobesity

    Short term effects

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    The segmentation

    Cons.PhysiciansTop Gen.practitioners

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    The indications

    Cons.physicians: Hyperlipidemia with co-morbid

    IHD\CHD

    Borderline elevation of triglycerides

    M k t i li id

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    Market scenario lipidRegulators

    Statins 410 crsFibrates 10crsOthers 40crs

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    Strategy

    Natrolip will focus on patients withhealth conscious want to initiatetherapy with natural medicinerather than lipid lowering agents.

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    Promotional theme - proposed

    Prevention is better than cure

    Iron fist in the velvet glove

    Protect it to protect you

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    Communication strategy

    To highlight the approval of US-FDA forphytosterolas a dietery supplement indyslipidemia

    Phytosterol is a natural way balancinglipid profile in the blood

    To highlight long term treatment withstatins leads to muscle weakness

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    V.A Communication

    Visual aid will communicate thehighlights of initiating treatmentwith Natroplip For those who are in high risk of

    developing hyper\dys lipidemia

    Those who doesnt tolerate high dose

    of statins Added benefit of Niacin at optimal

    daily dose

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    LBL Communication

    LBLs will communicate thehighlights of the combination ofNatroplip Highlights of phytosterol

    Highlights of omega 3 fatty in reducingrisk of IHD\CHD and stroke

    Regulatory approval of the Natrolipcombination

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    Inputs strategy

    Inputs will be designed in such a wayit will co-relate the theme nature.

    Hand made paper chit blocks Wooden table tops

    Palm leave book marks

    Trail pack to important drs

    Patient education booklets\Posters

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