---

VIOXX CASE MAY HELP ALTERNATIVE MEDICINE


Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Harvey R. Stone on 10-15-04 10:51



"Mark Probert" wrote in message
news:98Sbd.12336$Fe6.5271238@news4.srv.hcvlny.cv.net...
>
> "Goody-Two-Shoes" wrote in message

> news:21num09gctsjotglpogqtamjbnsk1rljqj@4ax.com...
>> sbharris@ix.netcom.com (Steve Harris sbharris@ROMAN9.netcom.com)
>> wrote:
>>
>> >Vioxx was pulled from the market after a study of longer than 1.5
>> >years with more than 1300 people enrolled in tests of the drug vs.
>> >placebo. No difference in stroke or heart attack risk was noted at
>> >1.5 years of use, but only after that did the excess risk become
>> >apparent. The trial was halted when the Vioxx group finally had a
>> >total of 10 strokes or heart attacks vs. 5 for placebo (statistically
>> >likely less than 3% of the time).
>>
>> Clearly there must be some sort of co-factor for those unlucky
>> additional five. Is there any effort made to find out what it is? Do
>> we understand the mechanism of action of this particular drug in
>> causing the extra strokes or heart attacks or do we simply rely on the
>> statistics and that's that?
>>
>> It seems to me that this blanket withdrawal type of solution
>> --something similar happened with fen-fen (however it's spelled) and
>> with HRT--denies us a drug that may be perfectly safe for 97% of the
>> population if we can only identify what the co-factor is. Or if we're
>> willing to take the risk.
>
> I was in the pharmacy a few days after it was pulled. This elderly woman,

> leaning on her quad cane, was pleading with the pharmacist to renew her
> Vioxx prescription. She said she would rather risk a heart attack than be
> in
> the pain she had been in before she started on Vioxx. Nothing else worked
> as
> well.
>
> Those creeps who are deriving a perverse glee from this incident should

> experience her pain for a few days.
>

Ooooh, you make a very good point. It is a point that includes the choice
people make when they take a DMARD...... The choice of Vioxx as a NSAID
has been taken away for good reasons and it is about Tomorrow not
about today's pain. Its about tomorrows death. We have people who are
not in pain making choices for the people who are...... I am sorry to say
that I am not smart enough to give an answer to that.

Harv



Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Mark Probert on 10-15-04 13:22



"Harvey R. Stone" wrote in message
news:t6Ubd.5266$Lk3.755@newssvr12.news.prodigy.com...
>
> "Mark Probert" wrote in message

> news:98Sbd.12336$Fe6.5271238@news4.srv.hcvlny.cv.net...
> >
> > "Goody-Two-Shoes" wrote in message
> > news:21num09gctsjotglpogqtamjbnsk1rljqj@4ax.com...
> >> sbharris@ix.netcom.com (Steve Harris sbharris@ROMAN9.netcom.com)
> >> wrote:
> >>
> >> >Vioxx was pulled from the market after a study of longer than 1.5
> >> >years with more than 1300 people enrolled in tests of the drug vs.
> >> >placebo. No difference in stroke or heart attack risk was noted at
> >> >1.5 years of use, but only after that did the excess risk become
> >> >apparent. The trial was halted when the Vioxx group finally had a
> >> >total of 10 strokes or heart attacks vs. 5 for placebo (statistically
> >> >likely less than 3% of the time).
> >>
> >> Clearly there must be some sort of co-factor for those unlucky
> >> additional five. Is there any effort made to find out what it is? Do
> >> we understand the mechanism of action of this particular drug in
> >> causing the extra strokes or heart attacks or do we simply rely on the
> >> statistics and that's that?
> >>
> >> It seems to me that this blanket withdrawal type of solution
> >> --something similar happened with fen-fen (however it's spelled) and
> >> with HRT--denies us a drug that may be perfectly safe for 97% of the
> >> population if we can only identify what the co-factor is. Or if we're
> >> willing to take the risk.
> >
> > I was in the pharmacy a few days after it was pulled. This elderly
woman,
> > leaning on her quad cane, was pleading with the pharmacist to renew her
> > Vioxx prescription. She said she would rather risk a heart attack than
be
> > in
> > the pain she had been in before she started on Vioxx. Nothing else
worked
> > as
> > well.
> >
> > Those creeps who are deriving a perverse glee from this incident should
> > experience her pain for a few days.
> >
>
> Ooooh, you make a very good point. It is a point that includes the

choice
> people make when they take a DMARD...... The choice of Vioxx as a NSAID
> has been taken away for good reasons and it is about Tomorrow
not
> about today's pain. Its about tomorrows death. We have people who
are
> not in pain making choices for the people who are...... I am sorry to
say
> that I am not smart enough to give an answer to that.

Nor am I. The pharmacist was very kind to her and gave her a list of
possible substitues which he told her that she should bring to her doctor.

Severe constant pain is a nightmare for people.

I have two close friends who are in constant pain. One suffers from Reflex
Sympathetic Dystrophy and his pain has only been relieved by methadone. His
wife left him.

The other one had a garage door with a newly installed opener fall onto her
neck and she wound up have three neck surgeries, the last one being a failed
fusion. She netted over $1.5M from Sears, and would gladly give the money
back for a day without pain. She is on morhpine and baely functions.
Fortunately, her husband is a great guy and is totally supportive of her aft
15 years.




Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Steve Harris sbharris@ROMAN9.netcom.com on 10-15-04 15:45


"Harvey R. Stone" wrote in message news:...

> Ooooh, you make a very good point. It is a point that includes the choice
> people make when they take a DMARD...... The choice of Vioxx as a NSAID
> has been taken away for good reasons and it is about Tomorrow not
> about today's pain. Its about tomorrows death. We have people who are
> not in pain making choices for the people who are...... I am sorry to say
> that I am not smart enough to give an answer to that.
>
> Harv


COMMENT:

Your government thinks it is. Though to be fair, Vioxx was pulled off
the market by the maker, not the FDA. Those who claim some kind of
deception by the maker should keep this in mind.

Indeed, Vioxx increases the risk for heart attack and stroke by about
50%. You can do that easily by smoking a couple of cigarettes a day,
or by gaining 30 lbs. Or by being a couch potato.

The question of how much pain relief is worth a very small chance on
your life, is a good one. People risk their lives to have plastic
surgery to correct the size of their noses or whatever. People risk
their lives to fly to Paris for vacation, or drive on the freeway to
grandma's for Thanksgiving dinner. Why shouldn't they be allowed to
take a risk to relieve constant pain?

The answer of course is: no particular reason. The Vioxx risk is just
something that hadn't been noted before. If it had, it's possible the
drug would have been approved anyway. After we get used to it, perhaps
it will be on the market again.

Anybody seen the recent TV ads for Enbrel? You risk death from
infection, maybe an increased risk of developing lymphoma, and god
knows what else, all just to fix the heartbreak of psoriasis. Go
figure.

SBH


Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by David Wright on 10-15-04 19:12


In article <79cf0a8.0410151445.37321314@posting.google.com>,
Steve Harris sbharris@ROMAN9.netcom.com wrote:
>"Harvey R. Stone" wrote in message
>news:...
>
>> Ooooh, you make a very good point. It is a point that includes the choice

>> people make when they take a DMARD...... The choice of Vioxx as a NSAID
>> has been taken away for good reasons and it is about Tomorrow not
>> about today's pain. Its about tomorrows death. We have people who are
>> not in pain making choices for the people who are...... I am sorry to say
>> that I am not smart enough to give an answer to that.
>>
>> Harv
>
>

>COMMENT:
>
>Your government thinks it is. Though to be fair, Vioxx was pulled off

>the market by the maker, not the FDA. Those who claim some kind of
>deception by the maker should keep this in mind.
>
>Indeed, Vioxx increases the risk for heart attack and stroke by about

>50%. You can do that easily by smoking a couple of cigarettes a day,
>or by gaining 30 lbs. Or by being a couch potato.
>
>The question of how much pain relief is worth a very small chance on

>your life, is a good one. People risk their lives to have plastic
>surgery to correct the size of their noses or whatever. People risk
>their lives to fly to Paris for vacation, or drive on the freeway to
>grandma's for Thanksgiving dinner. Why shouldn't they be allowed to
>take a risk to relieve constant pain?
>
>The answer of course is: no particular reason. The Vioxx risk is just

>something that hadn't been noted before. If it had, it's possible the
>drug would have been approved anyway. After we get used to it, perhaps
>it will be on the market again.

I'd bet against that. Merck will have its hands full defending
lawsuits by zillions of people who once stood next to someone who was
taking Vioxx.

I believe Merck has a second generation COX-2 inhibitor in the
pipeline (I think I recall reading it was already available in
Europe). So that'll probably be the next product, though I'm sure now
we'll need another 1.5-year study to see if it causes cardiovascular
problems, or maybe the heartbreak of psoriasis.

-- David Wright :: alphabeta at prodigy.net
These are my opinions only, but they're almost always correct.
"If I have not seen as far as others, it is because giants
were standing on my shoulders." (Hal Abelson, MIT)




Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Goody-Two-Shoes on 10-15-04 22:13


wright@clam.prodigy.net (David Wright) wrote:

>In article <79cf0a8.0410151445.37321314@posting.google.com>,
>Steve Harris sbharris@ROMAN9.netcom.com wrote:
>>"Harvey R. Stone" wrote in message
>>news:...

>>The question of how much pain relief is worth a very small chance on
>>your life, is a good one. People risk their lives to have plastic
>>surgery to correct the size of their noses or whatever. People risk
>>their lives to fly to Paris for vacation, or drive on the freeway to
>>grandma's for Thanksgiving dinner. Why shouldn't they be allowed to
>>take a risk to relieve constant pain?

>>The answer of course is: no particular reason. The Vioxx risk is just
>>something that hadn't been noted before. If it had, it's possible the
>>drug would have been approved anyway. After we get used to it, perhaps
>>it will be on the market again.

>I'd bet against that. Merck will have its hands full defending
>lawsuits by zillions of people who once stood next to someone who was
>taking Vioxx.

Hmmm, you can still obtain Fen-Fen (or is it Phen-Phen?) from Mexico
so maybe a non-US supplier will be happy to jump in an fill the gap
for Vioxx. Maybe even a non-US manufacturer. Both via that
no-prescription-needed cheap pharmacy, the internet.

But no one answered my question: Is there a follow-up going on in the
medical research world or maybe Merck to find the co-factor and how
exactly Vioxx causes these excess deaths? The objective is to be able
to identify in advance persons who because of the co-factor would have
certain heart attack or stroke. Those people obviously shouldn't take
the drug: the rest of us can eat it like candy.

BTW, I'm also not entirely convinced of the validity of this study
despite the press falling over themselves to accept anything that's
based on "statistics" -- you know about damn lies... I suppose. Like
the used car salesman there's an aura of "Just trust us." On the face
of it it's almost impossible to randomize a trial of this nature: you
don't know the entire population and you can't compel any randomized
subject to participate.



Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Ilena Rose on 10-16-04 06:06


On Sat, 16 Oct 2004 02:12:49 GMT, wright@clam.prodigy.net (David
Wright) wrote:

>Merck will have its hands full defending
>lawsuits by zillions of people who once stood next to someone who was
>taking Vioxx.


Perhaps you mean the thousands of widows, widowers and orphans of
their customers who died because they kept their product on the market
to make billions ... and "forgot" to warn them of the heart attack
risks.


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