Tyrvaya contraindications

Criteria for continuation of coverage (renewal request): Tyrvaya (varenicline) and/or generic equivalent (if available) are considered medically necessaryand will be approved when ALL the following criteria are met (samples are not considered for continuation of therapy ): 1.

Find medical information for Tyrvaya on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures.Side effects. Dosage. How to use. Uses. Tyrvaya and alcohol. Interactions. How it works. Pregnancy. Birth control needs. Breastfeeding. FAQs. Precautions. Overdose. Expiration. Tyrvaya is a...Skype users are reporting that IMs and chats are being sent to third parties, Apple is rumored to launch OS X Mountain Lion on July 25th, Instagram for Android updates with Flickr ...Tyrvaya does not reduce inflammation, it targets the trigeminal parasympathetic pathway which stimulates the lacrimal functional unit – an integrated system consisting of the lacrimal glands, surface of the eye, goblet glands and meibomian glands, and the nerves that connect them – to improve the quality and quantity of tear … Varenicline nasal spray carries no FDA labeled contraindications for use. Refences: 1. Tyrvaya prescribing information. ... Tyrvaya (varenicline) Prior Authorization ... Tyrvaya is the first and only prescription nasal spray used to treat the signs and symptoms of dry eye disease using your own real tears. Common side effects include sneezing, cough, and throat and nose irritation. See full Prescribing Information.Side effects explained. Warnings. What to ask your doctor. Tyrvaya (varenicline) is a prescription drug that’s used to treat dry eye disease. Tyrvaya can …

The results depend on the source, severity, and location of the problem. The results depend on the source, severity, and location of the problem. Updated by: Luc Jasmin, MD, PhD, F... 2 times. a day. ~12 hours. apart. Tyrvaya is sprayed once into each nostril twice a day, about 12 hours apart. If you miss a dose of Tyrvaya, skip that dose and take your next dose at your regularly scheduled time. Do not take an extra dose to make up for a missed dose. Tyrvaya is for use in the nose. Do not shake Tyrvaya. The "Sturgeon Moon" rises on Aug. 11, and you shouldn't miss it. If you’ve been too busy for the last four months to see a supermoon, you can still catch the final one of the year....2 times. a day. ~12 hours. apart. Tyrvaya is sprayed once into each nostril twice a day, about 12 hours apart. If you miss a dose of Tyrvaya, skip that dose and take your next dose at your regularly scheduled time. Do not take an extra dose to make up for a missed dose. Tyrvaya is for use in the nose. Do not shake Tyrvaya.Tim McCarthy. LifeSci Advisors, LLC. (212) 915-2564. [email protected]. Media Contact. Karen Castillo-Paff. (347) 920-0248. [email protected]. One of the largest pharmacy benefit ...The expansion of patient access to TYRVAYA comes as the Company continues to build upon its launch success. Launch to date as of July 1, 2022, TYRVAYA prescriptions have already been written by ...

Take a closer look at what's driving the signs and symptoms of your dry eye disease and understand the power of real tears. Tyrvaya is a prescription nasal spray used to treat the signs and symptoms of dry eye disease. Common side effects include sneezing, cough, and throat and nose irritation. See full Prescribing Information.TYRVAYA increases tear production in the eye after being sprayed in the nose. Use TYRVAYA exactly as your healthcare provider tells you to use it. Do not shake the bottles. Spray TYRVAYA 1 time in each nostril, 2 times daily (about 12 hours apart). A 1-month supply of TYRVAYA consists of 2 nasal spray bottles. Finish 1 bottle before opening the ...There is a potential for administration errors. Administration of varenicline differs from other nasal sprays. Insert the nasal applicator into the left or right nostril. Tilt the nasal applicator and point the tip of the nasal applicator towards the top of the ear on the same side as your nostril.No. *Limitations apply. Eligible, commercially insured patients with coverage for Tyrvaya pay as little as $10, up to a savings maximum of $275 for each 30-day prescription, and as little as $10, up to a savings maximum of $825 for each 90-day prescription. Patient is responsible for any out‑of‑pocket costs once monthly savings limit is ...

Nyack restaurants main street.

This definitely real vision board contains all the things Elon Musk has been dreaming up for his electric car company (and beyond). Most of us don’t see the future like Elon Musk. ... 3. Hold Tyrvaya upright. Place one finger on each side of the base of the nasal spray applicator, and place your thumb underneath the bottle. Place your tongue to the roof of your mouth and breathe gently as you fully press and release the applicator 1 time, just misting the inside of your nostril. Avoid inhaling deeply. Tyrvaya comes as a clear liquid solution in a nasal spray bottle. This medication is available in one strength of 0.6 milligrams (mg) per milliliter (mL) of solution. Each actuation (spray ... The most common side effects of Tyrvaya include sneezing, cough, and throat and nose irritation. Important information you need to know before using Tyrvaya. Tyrvaya is for use in the nose. Do not shake the bottles. What is Tyrvaya ® (varenicline solution)? Tyrvaya is a prescription nasal spray used to treat the signs and symptoms of dry eye ... Varenicline may cause serious side effects. Stop using varenicline and call your doctor at once if you have: a seizure (convulsions); thoughts about suicide or hurting yourself; strange dreams, sleepwalking, trouble sleeping; new or worsening mental health problems--mood or behavior changes, depression, agitation, hostility, aggression;Find medical information for Tyrvaya on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures.

The results depend on the source, severity, and location of the problem. The results depend on the source, severity, and location of the problem. Updated by: Luc Jasmin, MD, PhD, F...Tyrvaya (U.S.N.L.M.) Dosing: 1 spray each nostril bid. Prime with 7 actuations before initial use. Re-prime with 1 actuation if not used for more than five (5) days. Chem Specs: 0.6 mg/mL (0.06%) varenicline solution : Quantities: carton contains 2 spray bottles - 4.2ml each. (60 sprays per bottle) 0.03 mg per spray. Cost: $741.61 per carton (2 ...The FDA has approved Tyrvaya (varenicline solution) Nasal Spray 0.03 mg for the treatment of the signs and symptoms of dry eye disease. Developed by Oyster Point Pharma, it is the first nasal spray approved for this indication. The therapy is believed to bind to cholinergic receptors to activate the trigeminal parasympathetic pathway resulting in …FDA Approved TYRVAYA Nasal Spray for the Treatment of the Signs and Symptoms of Dry Eye Disease on October 15, 2021. ... and instillation-site (nose) irritation. There are no contraindications ...使用tyrvaya 前和每次续药时，请先阅读本说明书。有可能会有新的信息。本信息不能取代与您的医疗保健提供者讨论 您的医疗状况或治疗。 使用tyrvaya 前您需要了解的重要信息： tyrvaya 鼻腔喷剂的组成物品： • tyrvaya 用于鼻腔内。 • 请勿摇晃瓶身。Varenicline (Chantix) is a medication that's used to help you quit smoking. The dosage is based on a timeline, so make sure to follow the directions carefully. Varenicline (Chantix) doesn't contain nicotine like some other medications that help you quit smoking, but it can cause side effects, including nausea and trouble sleeping.numbness or tingling in the hands, feet, or lips. pain or burning in the throat. pains in the stomach, side, or abdomen, possibly radiating to the back. pinpoint red spots on the skin. red, scaling, or crusted skin. redness or other discoloration of the skin. severe sleepiness. severe stomach pain. severe sunburn.Common Tyrvaya side effects may include sneezing (82%), cough (16%), throat (13%), and nose irritation (8%). Most side effects … Sneezing, coughing, or throat/nose irritation may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Varenicline nasal spray has no FDA labeled contraindications for use.(1) REFERENCES . Number. Reference. 1. Tyrvaya prescribing information. Oyster Point Pharma, Inc. October 2021. 2. Dry eye syndrome Preferred Practice Pattern. American Academy of Ophthalmology. ... Commercial _ PS _ Tyrvaya (varenicline) _PAQL … TYRVAYA increases tear production in the eye after being sprayed in the nose. Use TYRVAYA exactly as your healthcare provider tells you to use it. Do not shake the bottles. Spray TYRVAYA 1 time in each nostril, 2 times daily (about 12 hours apart). A 1-month supply of TYRVAYA consists of 2 nasal spray bottles. Finish 1 bottle before opening the ...

Priming: Prime TYRVAYA before initial use by pumping seven (7) actuations into the air away from the face. When TYRVAYA has not been used for more than 5 days, re-prime with 1 spray into the air. Do not shake. 3 DOSAGE FORMS AND STRENGTHS . Nasal spray delivering 0.03 mg of varenicline in each spray (0.05 mL). 4 CONTRAINDICATIONS . None

Tyrvaya FDA Approval History. Last updated by Judith Stewart, BPharm on Nov 4, 2021.. FDA Approved: Yes (First approved October 15, 2021) Brand name: Tyrvaya Generic name: varenicline Dosage form: Nasal Spray Company: Oyster Point Pharma, Inc. Treatment for: Dry Eye Disease Tyrvaya (varenicline) is a nasally administered selective …NO. Tyrvaya Indications. Indications. Dry eye disease. Tyrvaya Dosage and Administration. Adult. Spray once in each nostril twice daily (approx. 12hrs apart). …numbness or tingling in the hands, feet, or lips. pain or burning in the throat. pains in the stomach, side, or abdomen, possibly radiating to the back. pinpoint red spots on the skin. red, scaling, or crusted skin. redness or other discoloration of the skin. severe sleepiness. severe stomach pain. severe sunburn.Varenicline is a generic drug. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less. Varenicline comes in a brand-name version called Tyrvaya, but ...Mar 1, 2024 · A bottle of Tyrvaya will last 15 days. This is because it contains 60 sprays and the recommended dose is ONE spray into BOTH nostrils Twice daily. This means you will use 4 sprays per day in total which will last 15 days. Each prescription of Tyrvaya comes with 2 glass nasal spray bottles which will last you 30 days in total. Continue reading This is a natural way to stimulate tears as one-third of basal tear production is initiated by inhaling air through the nose. 1 Administered twice a day, Tyrvaya is applied to the lower nasal area—the inside of where the lower crease on the nose is located. This may decrease some of the side effects such as throat irritation, coughing or ...Tyrvaya (varenicline solution) is the first and only nasal spray FDA approved for the signs and symptoms of dry eye disease. The spray works by activating the trigeminal parasympathetic pathway in the nose, thus stimulating an increased production of basal tears. The basal tear film is produced by three structures of the eye: the lacrimal ...Prescriber’s Signature: Date: (By signature, the physician confirms the above information is accurate and verifiable by patient records.) Please fax or mail this form to: Magellan Rx Management, LLC Attn: CP – 4201 P.O. Box 64811 St. Paul, MN 55164-0811 Phone: 1-800-424-3312. Fax this form to 800-424-3260.TYRVAYA: Parts of your TYRVAYA nasal spray: • TYRVAYA is for use in the nose. • Do not shake the bottles. • The TYRVAYA carton contains enough medicine for 30 days. o Each carton has 2 glass nasal spray bottles. o Each nasal spray bottle has enough medicine for 15 days of treatment. o Do not open the second nasal spray bottle until you have

One piece modpack.

Notary in clayton nc.

TYRVAYA TM Important Safety Information The most common adverse reaction reported in 82% of patients was sneezing. Events that were reported in 5-16% of patients were cough, throat irritation, and ...Varenicline nasal spray carries no FDA labeled contraindications for use. Refences: 1. Tyrvaya prescribing information. Oyster Point Pharma, Inc. October 2021. 2. Dry eye syndrome Preferred Practice Pattern. ... Tyrvaya (varenicline) Prior Authorization with Quantity Limits TARGET AGENT(S) Tyrvaya™ (varenicline) Brand (generic) GPI ... Criteria for continuation of coverage (renewal request): Tyrvaya (varenicline) and/or generic equivalent (if available) are considered medically necessaryand will be approved when ALL the following criteria are met (samples are not considered for continuation of therapy ): 1. TYRVAYA prescription and dosage sizes information for physicians and healthcare professionals. Pharmacology, adverse reactions, warnings and side effects. ... Tyrvaya Contraindications. Not ... We've seen all of the major rideshare companies introduce subscription services over the past year. But that begs the question: which one is right for you? We may be compensated wh...Descriptions. Varenicline is used together with a support program to help you stop smoking. The program will include counseling and educational materials. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms: Tablet.Background Dry eye disease (DED) is caused by a persistently unstable tear film leading to ocular discomfort and is treated mainly with tear supplementation. There is emerging evidence that nicotinic acetylcholine receptor (nAChR) agonists (e.g., varenicline and simpinicline) nasal sprays are effective for DED. Our systematic review and meta …Priming: Prime TYRVAYA before initial use by pumping seven (7) actuations into the air away from the face. When TYRVAYA has not been used for more than 5 days, re-prime with 1 spray into the air. Do not shake. 3 DOSAGE FORMS AND STRENGTHS . Nasal spray delivering 0.03 mg of varenicline in each spray (0.05 mL). 4 CONTRAINDICATIONS . NoneTYRVAYA® Important Safety Information The most common adverse reaction reported in 82% of patients was sneezing. Events that were reported in 5- 16% of patients were cough, throat irritation, and ...The expansion of patient access to TYRVAYA comes as the Company continues to build upon its launch success. Launch to date as of July 1, 2022, TYRVAYA prescriptions have already been written by ... ….

TYRVAYA™ Important Safety Information The most common adverse reaction reported in 82% of patients was sneezing. Events that were reported in 5-16% of patients were cough, throat irritation, and instillation-site (nose) irritation. There are no contraindications associated with TYRVAYA TM (varenicline solution) Nasal Spray.TYRVAYA nasal spray contains varenicline which is a partial nicotinic acetylcholine receptor agonist of α4β2, α4α6β2, α3β4, and α3α5β4 receptors and a full α7 receptor agonist. Varenicline, as the ... 12 CLINICAL PHARMACOLOGY. 12.1 Mechanism of Action - The efficacy of TYRVAYA in dry eye disease is believed to be the result of ...Rogers Sugar will report earnings from the most recent quarter on May 12.Wall Street analysts expect Rogers Sugar will report earnings per share o... Rogers Sugar will release earn...4 CONTRAINDICATIONS . None. 5 WARNINGS AND PRECAUTIONS . 5.1 Potential Impacts on Cardiovascular Disease . Alpha-adrenergic agonists may impact blood pressure. UPNEEQ should be used with caution in patients with severe or unstable cardiovascular disease, orthostatic hypotension, and uncontrolled hypertension or hypotension.Americans don't seem to understand that guns aren't allowed on planes. During the week of Dec. 10, the Transportation Security Administration (TSA), the federal agency created afte...Priming: Prime TYRVAYA before initial use by pumping seven (7) actuations into the air away from the face. When TYRVAYA has not been used for more than 5 days, re-prime with 1 spray into the air. Do not shake. 3 DOSAGE FORMS AND STRENGTHS . Nasal spray delivering 0.03 mg of varenicline in each spray (0.05 mL). 4 CONTRAINDICATIONS . NoneOYSTER POINT PHARMA, INC. The most common side effects of Tyrvaya include sneezing, cough, and throat and nose irritation. Tyrvaya is for use in the nose. Do not shake the bottles. …. Tyrvaya - varenicline solution - Nasal Spray. 480 likes. Learn more about Tyrvaya® and ask your doctor if Tyrvaya is right for you at www.tyrvaya.com.Tyrvaya is indicated for the treatment of the signs and symptoms of dry eye disease. In the pivotal trials for Tyrvaya, enrollment criteria included minimal signs [i.e., anesthetized Schirmer's Test Score [STS] (range, 0‑10 mm)] and was not limited by baseline Eye Dryness Score [EDS] (range, 2‑100). 1 Tyrvaya contraindications, Priming: Prime TYRVAYA before initial use by pumping seven (7) actuations into the air away from the face. When TYRVAYA has not been used for more than 5 days, re-prime with 1 spray into the air. Do not shake. 3 DOSAGE FORMS AND STRENGTHS Nasal spray delivering 0.03 mg of varenicline in each spray (0.05 mL). 4 CONTRAINDICATIONS None , oystearningspressrelease-q.htm. Document. Exhibit 99.1. Oyster Point Pharma Reports First Quarter 2022 Financial Results and Recent Business Highlights. • TYRVAYA® Nasal Spray Net Product Revenue of $2.7 Million in Q1’22. • Approximately 19,000 TYRVAYA Prescriptions Filled During the Quarter, with Prescriptions Written by Over 4,500 ..., No. *Limitations apply. Eligible, commercially insured patients with coverage for Tyrvaya pay as little as $10, up to a savings maximum of $275 for each 30-day prescription, and as little as $10, up to a savings maximum of $825 for each 90-day prescription. Patient is responsible for any out‑of‑pocket costs once monthly savings limit is ..., View helpful videos featuring real physicians talking about Tyrvaya® and download helpful resources to support your patients. See full Prescribing Information and Important Safety Information. <style>.gatsby-image-wrapper noscript [data-main-image]{opacity:1!important}.gatsby-image-wrapper [data-placeholder …, Save on Tyrvaya® (varenicline solution) Nasal Spray. Get Tyrvaya for as little as $10 for a 30-day or 90-day prescription*. If you are waiting to see if your commercial insurance covers Tyrvaya, you can get up to one 30-day fill for $10 while your coverage is being processed*. Tyrvaya is now covered on 2 out of 3 commercial (employer-sponsored ..., Tyrvaya ® was evaluated across 3 randomized, vehicle-controlled, double-masked studies in which adults aged ≥22 years diagnosed with dry eye disease received 1 spray of either active drug or vehicle in each nostril twice daily. Patient population was 75% female with a mean age of 59 years. 1-7 Real tear production increased by ≥10 mm in ~50% of patients …, Varenicline may cause serious side effects. Stop using varenicline and call your doctor at once if you have: a seizure (convulsions); thoughts about suicide or hurting yourself; strange dreams, sleepwalking, trouble sleeping; new or worsening mental health problems--mood or behavior changes, depression, agitation, hostility, aggression;, TYRVAYA® (Varenicline Solution) Nasal Spray Achieved Net Product Revenue of $5.6 Million in Q3’22Approximately 34,000 TYRVAYA Prescriptions Filled During the Quarter, with Prescriptions Written ..., TYRVAYA nasal spray contains varenicline which is a partial nicotinic acetylcholine receptor agonist of α4β2, α4α6β2, α3β4, and α3α5β4 receptors and a full α7 receptor agonist. Varenicline, as the ... 12 CLINICAL PHARMACOLOGY. 12.1 Mechanism of Action - The efficacy of TYRVAYA in dry eye disease is believed to be the result of ..., 3. Hold Tyrvaya upright. Place one finger on each side of the base of the nasal spray applicator, and place your thumb underneath the bottle. Place your tongue to the roof of your mouth and breathe gently as you fully press and release the applicator 1 time, just misting the inside of your nostril. Avoid inhaling deeply. , varenicline (Tyrvaya) eye drops for burning (inflamed) or itchy eyes. azelastine; cromolyn; ketorolac (Acular) loteprednol (Alrex, Lotemax) prednisolone (Pred Forte, Pred Mild) Xiidra vs. Restasis., Apr 15, 2024 · Tyrvaya is a nasal spray that comes in one dosage form: Nasal spray: 0.03 mg per spray (0.05 mL) Tyrvaya dosage for adults. Tyrvaya is approved by the U.S. Food and Drug Administration (FDA) to treat dry eye disease. Tyrvaya is a nasal spray that passes through the thin skin inside the nose to get directly into the bloodstream in a few minutes. , 2 times. a day. ~12 hours. apart. Tyrvaya is sprayed once into each nostril twice a day, about 12 hours apart. If you miss a dose of Tyrvaya, skip that dose and take your next dose at your regularly scheduled time. Do not take an extra dose to make up for a missed dose. Tyrvaya is for use in the nose. Do not shake Tyrvaya., Oyster Point has launched a patient support program called TEAMTyrvaya™TYRVAYA is the first and only nasal spray approved for the treatment of the signs and symptoms of dry eye disease PRINCETON ..., Varenicline, sold under the brand names Chantix and Champix among others, is a medication used for smoking cessation [5] [7] and for the treatment of dry eye disease. [6] [8] It is a nicotinic receptor partial agonist [5] and a cholinergic agonist. [6] When activated, this receptor releases dopamine in the nucleus accumbens, the brain's reward ..., 4 CONTRAINDICATIONS . None. 5 WARNINGS AND PRECAUTIONS . 5.1 Potential Impacts on Cardiovascular Disease . Alpha-adrenergic agonists may impact blood pressure. UPNEEQ should be used with caution in patients with severe or unstable cardiovascular disease, orthostatic hypotension, and uncontrolled hypertension or hypotension., TYRVAYA ® Important Safety Information The most common adverse reaction reported in 82% of patients was sneezing. Events that were reported in 5- 16% of patients were cough, throat irritation ..., Nov 3, 2021 · TYRVAYA (varenicline solution) Nasal Spray 0.03 mg is a highly selective cholinergic agonist that is FDA-approved to treat the signs and symptoms of dry eye disease as a multidose nasal spray. The ... , NOW APPROVED Tyrvaya™ (varenicline solution) Nasal Spray for the treatment of the signs and symptoms of dry eye disease. 👁 Learn more ️ www.tyrvaya-pro.com Read the press release ️ bit.ly ..., As the first nasal spray approved for DED, Tyrvaya offers another drug delivery option. At this time, there are no known contraindications for its use. Which patients can benefit from varenicline? At Clear Vue Laser Eye Center, we performed a retrospective review of patients who have been using varenicline since it became …, Priming: Prime TYRVAYA before initial use by pumping seven (7) actuations into the air away from the face. When TYRVAYA has not been used for more than 5 days, re-prime with 1 spray into the air. Do not shake. 3 DOSAGE FORMS AND STRENGTHS . Nasal spray delivering 0.03 mg of varenicline in each spray (0.05 mL). 4 CONTRAINDICATIONS . None, TYRVAYA (varenicline solution) Nasal Spray 0.03 mg is a highly selective cholinergic agonist that is FDA-approved to treat the signs and symptoms of dry eye disease as a multidose nasal spray., Advertisement A glider has many of the same parts as an airplane: But, there are significant differences in these parts on a glider, so let's take a look at each. Advertisement Gli..., There is a potential for administration errors. Administration of varenicline differs from other nasal sprays. Insert the nasal applicator into the left or right nostril. Tilt the nasal applicator and point the tip of the nasal applicator towards the top of the ear on the same side as your nostril., Common Tyrvaya side effects may include sneezing (82%), cough (16%), throat (13%), and nose irritation (8%). Most side effects …, TYRVAYA (varenicline solution) Nasal Spray 0.03 mg (formerly referred to as OC-01) is a highly selective cholinergic agonist that is FDA-approved to treat the signs and symptoms of dry eye disease ..., Find medical information for Tyrvaya on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures., Tyrvaya is available in a carton containing two nasal spray amber glass bottles, each containing 60 sprays per bottle. Each spray delivers 0.03 mg varenicline per spray (0.05 mL). Distributed by: Oyster Point Pharma, Inc., Princeton, NJ 08540 Summary of Findings: Tyrvaya’s efficacy was evaluated in two randomized, multicenter, double -, TYRVAYA TM Important Safety Information. The most common adverse reaction reported in 82% of patients was sneezing. Events that were reported in 5- 16% of patients were cough, throat irritation, and instillation-site (nose) irritation. There are no contraindications associated with TYRVAYA TM (varenicline solution) Nasal Spray., TYRVAYA (varenicline solution) Nasal Spray 0.03 mg (formerly referred to as OC-01) is a highly selective cholinergic agonist that is FDA-approved to treat the signs and symptoms of dry eye disease ..., Oyster Point Pharma, Inc. announced Monday that the U.S. Food and Drug Administration (FDA) has granted approval of its TYRVAYA TM (varenicline solution) nasal spray 0.03 mg for the treatment of dry eye disease (DED).. As the first — and currently only — nasal spray approved for DED treatment in the U.S., TYRVAYA TM is a highly …, 2 times. a day. ~12 hours. apart. Tyrvaya is sprayed once into each nostril twice a day, about 12 hours apart. If you miss a dose of Tyrvaya, skip that dose and take your next dose at your regularly scheduled time. Do not take an extra dose to make up for a missed dose. Tyrvaya is for use in the nose. Do not shake Tyrvaya. , Rogers Sugar will report earnings from the most recent quarter on May 12.Wall Street analysts expect Rogers Sugar will report earnings per share o... Rogers Sugar will release earn...