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Healthy Skepticism Library item: 11210

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Novartis Pulls Painkiller in Australia
Associated Press 2007 Aug 13
http://biz.yahoo.com/ap/070813/switzerland_novartis_prexige.html?.v=1


Full text:

Novartis Pulls Painkiller From Australian Market After Deaths

BASEL, Switzerland (AP) — Novartis AG said it has pulled its pain relief drug Prexige from the Australian market, which was requested by the national drug regulator after two patients using the drug died and two others had to undergo liver transplants.

Patients in Australia should stop taking the medication immediately, return any remaining tablets to their pharmacist and seek medical advice on alternative treatment, Novartis said in a statement posted on its Web site.

Australia’s Therapeutic Goods Administration said it had received eight reports of serious liver reactions in patients taking the drug.

“It seems that the longer people are on the medicine, the greater the chance of liver injury,” its principal medical adviser, Dr. Rohan Hammett, said in a statement.

The Swiss company said the drug — which is not sold in the United States — is still available in about 50 countries. Australia is the only country where Prexige is available in a 200 milligram dose, as opposed to a 100 milligram dose sold elsewhere.

Novartis said the company was already reducing the dosage of the drug in Australia when national regulators requested its withdrawal.

“Although we’re working with (the regulators), we still believe in the risk-benefit profile of the drug,” said spokesman John Gilardi.

Novartis said serious side effects were rare for non-steroid anti-inflammatory drugs such as Prexige.

It said an estimated 60,000 patients have used Prexige in Australia since November 2005, mostly for pain relief in connection with osteoarthritis.

Sales of the drug reached $52 million in the first half of the year, said Gilardi.

Novartis shares rose 0.3 percent to close at 65.15 Swiss francs ($54.04) on the Zurich exchange.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909