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Good Riddance to a Bad Drug (Vioxx)
NY Times ^ | October 2, 2004 | ERIC J. TOPOL

Posted on 10/01/2004 10:14:28 PM PDT by neverdem

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To: FormerACLUmember
What are these patients to do now?

There's still Bextra and, if they don't have an allergy to sulfa drugs, Celebrex.

21 posted on 10/01/2004 11:48:26 PM PDT by neverdem (Xin loi min oi)
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To: neverdem
What are these patients to do now? ... There's still Bextra and, if they don't have an allergy to sulfa drugs, Celebrex.

There are some folks who do NOT respond to Bextra, celexa, or anything other than Vioxx. These people are now royally scr*wed by the Trial Lawyer Industry.

22 posted on 10/02/2004 12:03:24 AM PDT by FormerACLUmember (Free Republic is 21st Century Samizdat)
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To: FormerACLUmember

celexa = celebrex


23 posted on 10/02/2004 12:05:04 AM PDT by FormerACLUmember (Free Republic is 21st Century Samizdat)
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To: neverdem
My husband has severe rheumatoid arthritis and over the years has taken many different drugs including gold. (Read the possible side effects on that sometime.) He was on Vioxx for over a year when his potassium level reached critical levels. His doctor then switched him to Celebrex and later to Bextra. It's been by far the most effective.

I take it as well to forstall a total knee replacement. I am pain free. I'll take the risk as Pfizer says their long-term studies show it's safe.

24 posted on 10/02/2004 12:22:10 AM PDT by Texan (Peace through superior firepower.)
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To: dandi
Neverdem, how do NSAIDs such as naproxen stack up against COX-2 inhibitors as regards liver toxicity?

Liver toxicity or hepatotoxicity is mentioned in a handy pocket reference for almost all NSAIDs except aspirin and ibuprofen. The COX-2 inhibitors have increased ALT/AST mentioned. Those are enzymes found mostly in the liver. When they're elevated because of an adverse drug reaction, it's due to hepatotoxicity, i.e. chemical hepatitis.

Here's PubMed. Try naproxen AND hepatotoxicity. Capitalize the AND. Then try the different COX-2 inhibitors instead of naproxen. You can expand a search by using (trade name OR generic name) such as (Vioxx OR rofecoxib) AND (hepatotoxicity OR hepatitis), or whatever diagnosis. Some search engines like PubMed use AND, OR and NOT as Boolean operators to expand or restrict the search. Check off articles with abstracts.

25 posted on 10/02/2004 12:26:56 AM PDT by neverdem (Xin loi min oi)
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To: neverdem

I'd like on your list, please. Vioxx....the doctors insist I keep taking it.....I've gotten a new doctor. My health has been damaged more from the "cures" than anything else.


26 posted on 10/02/2004 12:17:31 PM PDT by AuntB ("Go count your blessings, and then complain to me"...MY Grandma!)
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To: neverdem
While we remain in this zone of uncertainty, people with arthritis should remember that conventional over-the-counter agents like naproxen (as in Aleve) or ibuprofen (as in Advil) work extremely well, are much cheaper than the Cox-2 agents, and are not known to have any risk of heart attacks.

You just get to bleed out from an Ulcer. Oh joy!

Personally I would prefer to take the risk of a heart attack to living in pain every day. But thanks to this bunch that choice has been taken away.

Why not just inform me of the risks and let me choose?

27 posted on 10/02/2004 12:21:51 PM PDT by Harmless Teddy Bear (There is no Chaos. Only very complicated Order. (Presenting Lady Snuggles of the Lethal Yew in PJ's!)
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To: neverdem

I Took Vioxx and my body swelled up like a toad and my blood
pressure went out of control. But it cured the pain. Told
the doctor and he took me off it immediately and put me on
Celebrex which works pretty well. He did warn me that with
Vioxx and Celebrex there is a remote danger of internal bleeding and if that happens that I was to drop everything and call 911.


28 posted on 10/02/2004 12:27:25 PM PDT by Renatus (C)
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To: neverdem
I'll tell you what. Provide me with a complete list of EVERY "cardiovascular" drug Topol has prescribed for HIS patients over the last 20 years. I will show you a list of Precautions / Adverse Effects / Warnings / and BOXED Warnings which would make your hair curl as well as a list that would wrap around the earth of patients who have died as a result of the medications he prescribed. Pompous and arrogant, Topol would like all of you to know just a seer he is.

Topol relishes wallowing the "I Told You So" afterglow while millions of arthritis sufferers have had a very effective medication withdrawn.

While I have no doubt there may be a few patients who have died while on Vioxx therapy one has to temper that notion with the understanding of the increased risk of cardiovascular complications caused by even the most tolerated and ubiquitous medications.

If you think for one moment that people have not died from taking ibuprofen and naproxen and othe NSAIDs, you are crazy.

My suspicion is that there is more to Topol's indignation than seen at the surface. Clinical studies often create strange bedfellows and bruised egos. I would fully anticipate Topol to attempt to assasinate Merck's pending ARCOXIA submission to further enhance his "I'm a genius and your not" attitude.

29 posted on 10/02/2004 1:41:54 PM PDT by Doc Savage
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To: Renatus
Her's a news flash genius. Your body didn't swell up like a toad (they don't actually swell anyway) because of Vioxx, and I doubt very much that your BP increased as result either.

Any NSAID, including other COX-2 inhibitors can cause a GI bleed. You didn't know or understand that???? Ever hear of the terrible side effects of aspirin???

What was your original diagnosis for which VIOXX was prescribed??? Did you have other already existing cardiovascular syndromes present?? Undiagnosed diabetes??

Your story is similar to Swiss Cheese without further clarification.

30 posted on 10/02/2004 1:49:10 PM PDT by Doc Savage
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To: neverdem

All I know is that I have to take Ibuprofen 3 or 4 times a day, it does not work as well, and it gives me severe heartburn after a few days.

The naproxen is inhibits platelet function - this is not an "unproven" cardioprotective effect. It is *exactly* the reason that aspirin is used to prevent heart attacks and strokes and the reason that people on coumadin (warfarin) can take Celebrex, Bextra and (until this week) Vioxx.

This is what I call "lawyer-talk," what some people will recognize as "CYA."

I am convinced that some of the opposition to many drugs is financial: the people who are pushing universal (govenment) insurance are anti-brand, anti-once-a-day meds.

I will sign any sort of consent to continue my Bextra. (I'm sure that some would rather I take ibuprofen and Nexium, or maybe just die of a GI bleed. The latter would save a lot of money, wouldn't it?)


31 posted on 10/02/2004 8:30:59 PM PDT by hocndoc (Choice is the # 1 killer in the US)
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To: neverdem

I was given Vioxx to take a year ago when I got out of the hospital for a pulmonary embolism. I asked the doctor "does this have any side effects?" he said "NO". I said bullshit,as I went and read up on the drug myself and that with a combination of another med I was on would most likely have driven me right back into ICU.


32 posted on 10/02/2004 8:33:05 PM PDT by My Favorite Headache (Absalom, Absalom, Absalom....)
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To: FormerACLUmember

"One must always be deeply skeptical of the rhetoric of the NY Times, a slick propaganda outlet with little credibility and a massive agenda."

You are letting your bias interfere with your judgement. The article was written by a very respected cardiologist, with lots of facts to back up what he is saying.


33 posted on 10/02/2004 8:42:39 PM PDT by webstersII
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To: hocndoc

I remember a hematologist telling me in the early 1990s that aspirin irreversibly inhibits platelet aggregation, as opposed to the other NSAIDs which reversibly inhibit platelet aggregation.

I vaguely remember an article that recommeded that patients with CAD taking a daily aspirin should take it one hour before any NSAIDs they take for pain for that reason.


34 posted on 10/02/2004 8:49:20 PM PDT by neverdem (Xin loi min oi)
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To: neverdem
Merck discovered that 3.5 percent of patients taking Vioxx suffered heart attacks or strokes as against 1.9 percent taking a placebo

Seems to me this article could have just as easily read, "Placebo causes heart attacks".

35 posted on 10/02/2004 9:10:37 PM PDT by VeniVidiVici (Not Fonda Kerry in '04 // Vets Against Kerry)
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To: webstersII

The New York Times is virulently devoted to the destruction of the American pharmaceutical industry. The bias of the Times is overwhelming and cannot be trusted.


36 posted on 10/02/2004 11:20:43 PM PDT by FormerACLUmember (Free Republic is 21st Century Samizdat)
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To: neverdem
people with arthritis should remember that conventional over-the-counter agents like naproxen (as in Aleve) or ibuprofen (as in Advil) work extremely well, are much cheaper than the Cox-2 agents, and are not known to have any risk of heart attacks.

Ya but they can be murder on your liver.

As an aside, I just caught the first commercial for a local law office already preparing to sue... Fluckin Lawyers should be shot.

37 posted on 10/06/2004 5:54:24 PM PDT by bikepacker67 (Sandy wasn't stuffing his socks, he was stuffing A sock.)
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To: neverdem

Rumor has it that Celebrex and Bextra will soon be withdrawn from the market; VERY soon.


38 posted on 10/07/2004 10:43:51 AM PDT by Born Conservative (20 years of votes can tell you much more about a man than 20 weeks of campaign rhetoric-Zell Miller)
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To: Spyder
Not only that, but the money Merck is going to have to pay out in settling litigation claims is money they won't spend on samples and patient-assistance programs for other drugs they produce.

In less than 48 hours after the news broke about Vioxx, a local lawyer scum already had an ad in the newspaper soliciting Vioxx patients for the litigation lottery.

39 posted on 10/07/2004 10:49:32 AM PDT by SC DOC
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To: Born Conservative

Dear God, I hope not. I take Bextra for the arthritis in my back (which is only a sidebar to the four herniated disks in my thoracic and cervical apine.....)

I cannot imagine returning to a morning without Bextra! It has allowed me to "uncurl" in the morning and actually function. I'm 37 years old, but I feel like I'm 92 first thing in the morning.

Sigh. I hope Bextra isn't pulled!


40 posted on 10/07/2004 10:51:53 AM PDT by ConservativeGadfly
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