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    Repiglican Roast

    A spirited discussion of public policy and current issues

    Name:
    Location: The mouth of being

    I'm furious about my squandered nation.

    Wednesday, August 29, 2007

    Drug Warning Labels Should Include FDA Ties to Big Pharma

    They're just dropping like Chinese imports -- prescription drugs that turn out to be deadly after FDA approval.

    Not just Vioxx -- recently found to cause kidney problems on top of the heart attacks for which it was pulled -- but its seven deadly sisters named by the FDA's Dr. David Graham before Congress in 2004: Crestor, Meridia, Serevent, Lotronex, Arava, Accutane and Bextra.

    After a post-Vioxx damage control campaign -- "FDA has confidence in the safety and efficacy of Crestor" read AstraZeneca ads which the FDA pulled -- it wasn't that confident. The cholesterol drug Crestor was found in the heart journal Circulation to be eight times more likely to cause rhabdomyolysis, kidney failure or spillage of protein in the urine than other cholesterol drugs.

    Thirty users of Meridia, Abbott Laboratories' weight-loss drug, died of cardiovascular problems from 1997 to 2003 and 224 other experienced nonfatal strokes, heart attacks and other cardiovascular ailments according to FDA reports.

    And Accutane manufacturer Hoffman-La Roche Inc. goes to trial this October in Madison County, Illinois -- where the first Vioxx trial occurred -- to defend charges that its acne drug caused Jason Peipert's inflammatory bowel disease, which ruined the young soccer star's career.

    Then there's Sanofi-Aventis' notorious antibiotic Ketek -- blamed in the death of four and liver injury or failure of 37 since 2004 -- whose primary clinical trials doctor, Anne Kirkman Campbell, is in federal prison in Lexington, KY for forging data for money. (Test subjects included her entire staff and members of her family.)

    Another doctor upon whose clinical data Ketek was approved conducted trials while his medical license was on probation and was arrested for cocaine and gun possession soon after.

    And consider the atypical anti-psychotics whose marketing was also "atypical," with 29 percent of AstraZeneca's Seroquel sales coming from off-label Alzheimer use, even though studies say it worsens the condition. Or Eli Lilly settling 29,000 lawsuits from inadequate warnings about Zyprexa's diabetes, weight gain and pancreas infection side effects.

    Finally there's GlaxoSmithKline's Avandia, prescribed for 1 million Americans for type 2 diabetes and now known to increase the risk of heart attack by 43 percent and cardiovascular death by 64 percent.

    Avandia is more expensive and dangerous than older drugs and NOT more effective, said Dr. Graham to a joint panel of experts convened to consider the drug in July -- a charge he could also level against the other suspect drugs and Big Pharma itself.

    But instead of pulling the purloined drugs, the FDA just adds warnings and subtracts uses.

    Ketek is no longer recommended for sinus infections; just community acquired pneumonia.

    Meridia is only recommended for people who have to lose 30 pounds or more who don't have poorly controlled hypertension, a history of heart disease, stroke or severe liver or kidney disease.

    And Accutane users are clearly warned about suicidal behavior, birth defects and inflammatory bowel disease risks to the drug on the label.

    Because pulling the drugs not only affects sales, company image and stock price, it feeds lawsuits. ("The drug was so unsafe they PULLED IT FROM THE MARKET.")

    Besides, thanks to fast-tracking and six-month approvals, no one knows if a drug is dangerous anyway until a critical mass of human guinea pigs takes/tests it. Only about 3,000 people are tested in clinical trials that are conducted premarket, and what if the drug harms one in every 3,001? Do you really think lethal tests on beagles and other mammals keep you safe? Talk about dying in vain.

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    Monday, August 06, 2007

    Corporate Scum try to stave off single payer health care by throwing crumbs

    Seven popular antibiotics will be available free from Publix supermarkets for people with prescriptions, even if they have a health insurance provider that would pay for them, the company and Gov. Charlie Crist said Monday.

    Fourteen-day supplies of the seven drugs, among the most commonly prescribed, will be available at all 684 of the chain's pharmacies in five states. Publix said it is not limiting the number of prescriptions that customers may fill for free.

    The prescription antibiotics available under the program are amoxicillin, cephalexin, sulfamethoxazole/trimethoprim, ciprofloxacin, penicillin VK, ampicillin and erythromycin.

    The company joins other retailers that offer discounted drug programs, including Target (TGT) and Wal-Mart Stores (WMT), but Publix Super Markets officials say the company is the first large regional chain to offer certain drugs at no cost.

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    Monday, June 04, 2007

    Pfizer Faces Criminal Charges in Nigeria

    The move represents a rare -- perhaps unprecedented -- instance in which the developing world's anger at multinational drug companies has boiled over into criminal charges. It also represents the latest in a string of public-relations blows stemming from the decade-old clinical trial, in which Pfizer says it acted ethically.

    The government alleges that Pfizer researchers selected 200 children and infants from crowds at a makeshift epidemic camp in Kano and gave about half of the group an untested antibiotic called Trovan. Researchers gave the other children what the lawsuit describes as a dangerously low dose of a comparison drug made by Hoffmann-La Roche. Nigerian officials say Pfizer's actions resulted in the deaths of an unspecified number of children and left others deaf, paralyzed, blind or brain-damaged.

    The lawsuit says that the researchers did not obtain consent from the children's families and that the researchers knew Trovan to be an experimental drug with life-threatening side effects that was "unfit for human use." Parents were banned from the ward where the drug trial occurred, the suit says, and the company left no medical records in Nigeria.

    Pfizer and its doctors "agreed to do an illegal act," the criminal charges state, and behaved "in a manner so rash and negligent as to endanger human life."

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