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Healthy Skepticism Library item: 146

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

Maher S.
Heart monitor on arthritis drug
The Australian 2004 Dec 21


Full text:

AUSTRALIA’S prescription drugs watchdog moved yesterday to curb clinical trials of an arthritis drug linked to an increased risk of heart problems.

In the wake of the concerns about Celebrex, the Therapeutic Goods Administration said yesterday it had ordered that no further patients be signed up to clinical trials.

It said organisations conducting trials should consult their ethics committees on how to deal with patients already involved in the trials.

The TGA also said it had fast-tracked a safety review of Celebrex in the wake of the research.

But the Australian Medical Association has called for the drug to be maintained on the Pharmaceutical Benefits Scheme, despite the concerns.

AMA president Bill Glasson said the drug still had “enormous benefits” for most users.

A new US study of the use of Celebrex in preventing colon polyps has shown that people who used between 400mg and 800mg of Celebrex daily had a 2 1/2 times higher risk of developing major heart problems. As a result, the manufacturer, Pfizer Inc, will stop promoting it to consumers. Dr Glasson said most users took only 100mg to 200mg daily.

 

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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