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Introduction

Before a new medication can be prescribed or sold over the counter it must be approved by the Food and Drug Administration or FDA. In order for the FDA to approve a medication, the pharmaceutical company must show that the medication is both safe and effective for use in the treatment for which it is intended. To show this efficacy and safety the pharmaceutical company will spend many years conducting a series of studies. The clinical testing of experimental drugs is normally done in three phases, each successive phase involving a larger number of people. Once the FDA has granted a New Drug Approval (NDA), pharmaceutical companies also conduct post marketing or late phase three/phase four studies.