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VIOXX CASE MAY HELP ALTERNATIVE MEDICINE


VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Dr. Jai Maharaj on 10-12-04 15:08


Vioxx case may help alternative medicine

By Jim Warren
Herald-Leader Staff Writer
The Lexington Herald-Leader
Tuesday, October 12, 2004

The recent, unexpected demise of the popular anti-
inflammatory drug Vioxx -- and subsequent concerns that
were raised about similar drugs last week -- could boost
the already growing nationwide interest in complementary
and alternative medicines, two area physicians say.

"I think that, hopefully, this will be a wake-up call for
the general public," said Dr. James Roach of Midway. "I
don't think the public fully recognizes how dangerous
some of these drugs can be."

Dr. Edwards Smith, president of the Maharishi College of
Vedic Medicine in Lexington, agrees.

"When you ask patients out there, they've sort of had it
up to here with harmful drug side effects," Smith said.
"The appeal of natural medicines is that they don't have
the harmful side effects, and in many cases they may be
just as effective as prescription drugs."

Vioxx, a hugely popular treatment for arthritis since its
introduction five years ago, was pulled abruptly from the
market by its manufacturer, Merck and Co., late last
month after post-marketing studies suggested it increased
the risk for heart attack and stroke.

The Food and Drug Administration has deemed similar drugs
safe, but the European Medicines Agency in London said
last week it would review all similar drugs. And
researchers writing in the New England Journal of
Medicine voiced concerns with other drugs, including
Pfizer's popular Celebrex and its newer drug, Bextra.

Doctors, who said there had been rumblings in the medical
literature for some months about possible problems with
Vioxx, still were surprised by the sudden withdrawal of
the drug. Patients who had relied on Vioxx have been left
scrambling to find alternatives.

More at:
http://www.kentucky.com/mld/heraldleader/living/health/9875640.htm

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Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Steve Harris sbharris@ROMAN9.netcom.com on 10-13-04 18:27


usenet@mantra.com (Dr. Jai Maharaj) wrote in message news:...
> Vioxx case may help alternative medicine
>
> By Jim Warren
> Herald-Leader Staff Writer
> The Lexington Herald-Leader
> Tuesday, October 12, 2004
>
> The recent, unexpected demise of the popular anti-
> inflammatory drug Vioxx -- and subsequent concerns that
> were raised about similar drugs last week -- could boost
> the already growing nationwide interest in complementary
> and alternative medicines, two area physicians say.
>
> "I think that, hopefully, this will be a wake-up call for
> the general public," said Dr. James Roach of Midway. "I
> don't think the public fully recognizes how dangerous
> some of these drugs can be."
>
> Dr. Edwards Smith, president of the Maharishi College of
> Vedic Medicine in Lexington, agrees.
>
> "When you ask patients out there, they've sort of had it
> up to here with harmful drug side effects," Smith said.
> "The appeal of natural medicines is that they don't have
> the harmful side effects, and in many cases they may be
> just as effective as prescription drugs."


COMMENT:

We're led to the interesting question of how the *&^% Dr. Smith would
know whether or not any "natural medicines" were more safe or less
safe than Vioxx? Or how the @*^% Dr. Roach proposes to "fully
appreciate" how dangerous some of these "drugs can be" but has
knowledge that the alternatives are not?

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).

What we'd like is for Drs Roach or Smith to tell us of ANY tests of
ANY "natural remedies" which have been tested in double blind placebo
controlled tests using more than 1300 people for more than 18 months,
with a sensitivity which would have detected 5 extra heart attacks,
had their been any. Please tell me of any Ayurvedic herb which has
been that carefully tested for safety. Please cite references.

And please, don't bother to tell me that these things have been given
to millions of people for many years with nobody noticing any
problems. So was Vioxx. These problems don't show up out of the noise
unless you're doing a double blind controlled study with very careful
monitoring. Practitioners treating patients would miss such slight
deviations every time.

SBH


Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Orac on 10-14-04 17:16


In article <79cf0a8.0410131727.2fc43a45@posting.google.com>,
sbharris@ix.netcom.com (Steve Harris sbharris@ROMAN9.netcom.com)
wrote:

> We're led to the interesting question of how the *&^% Dr. Smith would
> know whether or not any "natural medicines" were more safe or less
> safe than Vioxx? Or how the @*^% Dr. Roach proposes to "fully
> appreciate" how dangerous some of these "drugs can be" but has
> knowledge that the alternatives are not?
>
> 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).
>
> What we'd like is for Drs Roach or Smith to tell us of ANY tests of
> ANY "natural remedies" which have been tested in double blind placebo
> controlled tests using more than 1300 people for more than 18 months,
> with a sensitivity which would have detected 5 extra heart attacks,
> had their been any. Please tell me of any Ayurvedic herb which has
> been that carefully tested for safety. Please cite references.
>
> And please, don't bother to tell me that these things have been given
> to millions of people for many years with nobody noticing any
> problems. So was Vioxx. These problems don't show up out of the noise
> unless you're doing a double blind controlled study with very careful
> monitoring. Practitioners treating patients would miss such slight
> deviations every time.

Well said!

--
Orac |"I am not interested in trying to compensate
| for your amazing lack of observation."
|
| Orac


Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Goody-Two-Shoes on 10-14-04 22:22


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.



Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Mark Probert on 10-15-04 08:36



"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.






Re: VIOXX CASE MAY HELP ALTERNATIVE MEDICINE -- Posted by Katherine Wolfe on 10-15-04 10:03



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

> 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.

Vioxx worked fabulously for me. I had some wierd side effects from it, and
had to switch, but I can definitely see how someone might get better relief
from that than from another AI. Too bad this lady has to go the rounds of
recently released medications *again* to see if she can find something that
will work for her.

Katherine


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