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Grant Request Forms

Grant Request Forms

Click on the following links to download grant request forms.

Package of forms:


Individual forms:

Remember to include the following with your submission:

  • Program agenda, if applicable, with timing, title(s), faculty and learning objectives
  • The amount of funding requested, including a budget detailing the proposed use of funds
  • IRS Letter of Determination providing evidence of 501 (c)(3) tax-exempt status (for charitable grants)

Please send all forms to Salix by one of the means below:

  • E-mail:

or

  • Fax: 919-415-3372

or

  • Mail:
  • Salix Pharmaceuticals, Inc.
  • Grants Coordinator, Medical Affairs
  • 1700 Perimeter Park Drive
  • Morrisville, NC 27560

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APRISO™ is a locally-acting aminosalicylate indicated for the maintenance of remission of ulcerative colitis in patients 18 years and older. APRISO is contraindicated in patients with hypersensitivity to salicylates, aminosalicylates, or to any of the components of APRISO capsules. The recommended dose of APRISO is four 0.375 g capsules once daily in the morning (1.5 g/day) with or without food. Because dissolution of the coating of APRISO granules depends on pH, APRISO should not be coadministered with antacids. Patients with phenylketonuria should be aware that APRISO contains aspartame, equivalent to 0.56 mg of phenylalanine. In two well-controlled clinical trials, the most common treatment-related adverse events occurring in at least 3% of adult patients taking 1.5 g/day of APRISO were headache (11% vs. 8% for placebo), diarrhea (8% vs. 7% for placebo), upper abdominal pain (5% vs 3% for placebo), nausea (4% vs 3% for placebo), nasopharyngitis (4% vs 3% for placebo), influenza and influenza-like illness (4% vs 4% for placebo) and sinusitis (3% vs 3% for placebo).

For complete Prescribing Information, please click here.

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