Monday, January 03, 2005

Health News Article | Reuters.com: "By Maggie Fox, Health and Science Correspondent
WASHINGTON (Reuters) - More than 70 percent of patients who took painkillers such as ibuprofen for more than three months suffered damage to their small intestines, U.S. researchers reported on Monday.
The study is yet another blow to patients trying to find ways to treat arthritis pain, after reports that the most advanced drugs, called COX-2 inhibitors, can raise the risk of heart death.
Dr. David Y. Graham of the Baylor College of Medicine in Houston and colleagues studied 21 patients taking a range of drugs called non-steroidal anti-inflammatory drugs, or NSAIDS. They compared them to 20 patients taking either acetaminophen, an unrelated painkiller, or nothing.
'Small-bowel injury was seen in 71 percent of NSAID users compared with 10 percent of controls,' they wrote in Monday's issue of the journal Clinical Gastroenterology and Hepatology.
'We have always known that NSAIDs can cause potentially deadly stomach complications, but the extent of the impact on the small intestine was largely unknown until now,' Graham added.
Arthritis pain is incurable but can be treated with a range of drugs, including NSAIDS such as aspirin, ibuprofen or naproxen; acetaminophen; or the newer drugs called COX-2 inhibitors.
NSAIDS work very well but damage the stomach and intestine. They are blamed for 16,500 deaths a year in the United States alone, Graham said.
BENEFIT VS. RISK
'Anybody who takes aspirin or (other) NSAIDS for a year has a 1 to 4 percent risk of serious gastrointestinal complications,' Graham said in a telephone interview.
'If the drugs didn't have such benefits, we'd have taken them off the market some time ago.' "
We examine recent drug safety issues (see Vioxx and Celebrex), and concerns and lawsuits on yoursurgery.net: "WASHINGTON DC -- The news on drug safety hasn't been very positive lately as even some of the staunchest defenders of the FDA and pharmaceutical companies have been quick to point out the severe health risks associated with prescription drugs, and the U.S. Government's inability to protect it's citizens from painful and potentially deadly side-effects.
In testimony Thursday, November 18, before the Senate Finance Committee, Food and Drug Administration reviewer David Graham cited such blockbusters as: Celebrex, Vioxx, Crestor, Accutane, Bextra, Serevent, and Meridia.
In fact, in a recent news item by AP Science Writer DIEDTRA HENDERSON, Graham contended the country is 'virtually defenseless' against a repeat of the Vioxx debacle. In fairness to Merck, Dr. Steven Galson of the FDA rejected that comment as having 'no basis in fact.'
To read the entire article, click here.
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YourSurgery's Research Resources
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