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Medical Forum / Diseases and Disorders / Arthritis / December 2004

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Celebrex and heart risk

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Mary Z - 17 Dec 2004 15:45 GMT
Crap this is bad news from ABC.

NEW YORK Dec 17, 2004 — Pfizer Inc. said Friday it has found an
increased risk of heart problems with patients taking its painkiller
Celebrex, a drug that is in the same class as the Vioxx, which was
pulled from the market in September because of safety concerns.

Pfizer said the increased risk was found in one of two long-term
cancer prevention trials, while the other trial showed no increased
risk.

The National Cancer Institute, which was conducting the study for
Pfizer, suspended the use of Celebrex after finding that patients
taking 400mg to 800mg of the drug daily were found to have a risk of
2.5 times greater of experiencing heart problems than those who
weren't. A separate cancer study found no increased heart risk with
patients taking 400mg of Celebrex per day.

Pfizer was conducting the trials as part of an effort to find a new
application for the drug.

The news sent the stock of the giant pharmaceutical maker plunging in
early trading on the New York Stock Exchange, where its shares were
down $5.61, or more than 19 percent, at $23.37.

Both Celebrex and Vioxx, which is made by Merck & Co., are a type of
drug called cox-2 inhibitors, which have become popular because of
their effectiveness in treating the pain of arthritis and other
ailments.

Earlier this month, the Food and Drug Administration said it was
adding a warning to the labels of another Pfizer drug, Bextra, warning
of potential heart problems associated with the use of Bextra in
people who have recently had heart bypass surgery. Bextra is also a
cox-2 inhibitor type of drug.

Celebrex is currently approved for use in the United States for the
treatment of arthritis and pain.

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spodosaurus - 17 Dec 2004 16:06 GMT
Just a side note, but I wonder why they keep referring to these
anti-inflamatory drugs as painkillers. Is it because painkiller abuse
among celebrities is such a big deal in the USA that the press think the
term is more likely to be recognised by the public? Even if that isn't
the reason for the use of the word, the public perception will probably
be that these are like narcotic painkillers, and I'm concerned that
people with arthritis who really need these medicines will avoid them
because of the inappropriate terminology used by the media. :-(

Ari

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I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. To jump to the end
of the story, as a result of this I need a bone marrow transplant. Many
people around the world are waiting for a marrow transplant, too. Please
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Janet R - 17 Dec 2004 16:14 GMT
That is very true....never thought of that before.

Janet R

| Just a side note, but I wonder why they keep referring to these
| anti-inflamatory drugs as painkillers. Is it because painkiller abuse
[quoted text clipped - 6 lines]
|
| Ari
Nann Bell - 18 Dec 2004 04:56 GMT
I think it is because the drugs have been heavily marketed and advertised in
the US for "arthritis pain", primarily OA pain.  Thus the widespread
perception that they are pain killers primarily.  
Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

>> Just a side note, but I wonder why they keep referring to these
>> anti-inflamatory drugs as painkillers. Is it because painkiller
[quoted text clipped - 20 lines]
>> http://www.abmdr.org.au/
>> http://www.marrow.org/ 
Rick - 17 Dec 2004 16:55 GMT
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Spondylitis, Psoriatic Arthritis, IBD, and all they may bring. Uveitis,
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---------------------------------
RISG.ORG Current news supplement. Week 12-16-04
---------------------------------
Posted Friday, December 17, 2004 by Rick:

Celebrex Trial Stopped After Heart Attacks
Reuters, NY - 28 minutes ago
NEW YORK (Reuters) - A government-sponsored trial of Pfizer Inc.'s
blockbuster arthritis drug Celebrex was halted after patients taking the
medicine had more ...
(link:http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=7126619)
http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=7126619

Pfizer Statement On New Information Regarding Cardiovascular ...
mysan.de, Germany - 2 hours ago
... FirstCall/ -- Pfizer Inc said it received new information last night
about the cardiovascular safety of its COX-2 inhibitor Celebrex (celecoxib)
based on an ...
(link:http://www.mysan.de/international/article16230.html)
http://www.mysan.de/international/article16230.html

Pfizer Reports Heart Risk With Celebrex
NewsFactor Network, CA - 12 minutes ago
After finding that patients taking 400mg to 800mg of Celebrex daily were
found to have a 2.5 times greater risk of experiencing heart problems than
those who ...
(link:http://business.newsfactor.com/story.xhtml?story_title=Pfizer-Reports-Heart-Risk
-With-Celebrex&story_id=112.3261776&category=business
)
http://business.newsfactor.com/story.xhtml?story_title=Pfizer-Reports-Heart-Risk
-With-Celebrex&story_id=112.3261776&category=business


Pfizer halts Celebrex sales in Turkey
Seattle Post Intelligencer, WA - Nov 24, 2004
said Wednesday it has temporarily halted sales of its pain reliever Celebrex
in Turkey because health authorities there sought to include very
restrictive ...
(link:http://seattlepi.nwsource.com/business/apbiz_story.asp?category=1310&slug=Pfizer
Celebrex)
http://seattlepi.nwsource.com/business/apbiz_story.asp?category=1310&slug=Pfizer
Celebrex

Study: Celebrex Safer Than Vioxx
CBS News - Dec 7, 2004
(AP) New research suggests that top-selling pain reliever Celebrex does not
carry the same heart attack risk as Vioxx, a ... "Vioxx and Celebrex look
different. ...
(link:http://www.cbsnews.com/stories/2004/12/07/health/main659540.shtml)
http://www.cbsnews.com/stories/2004/12/07/health/main659540.shtml

Pfizer: Celebrex Increases Risk of Heart Problems
NEW YORK - Pfizer Inc. (PFE) said Friday it found an increased risk of heart
problems with patients taking its painkiller Celebrex, a drug that is in the
same class as Merck's Vioxx, which was pulled from the market in September
because of safety concerns.
(link:http://www.foxnews.com/story/0,2933,141838,00.html)
http://www.foxnews.com/story/0,2933,141838,00.html

Rick Hahn
rick@risg.org
http://www.risg.org

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Rick Hahn
Rick@risg.org
http://www.risg.org

> Crap this is bad news from ABC.
>
[quoted text clipped - 37 lines]
> Visit my website:
> http://www.mzuschlag.com 
Nann Bell - 18 Dec 2004 04:56 GMT
> Crap this is bad news from ABC.
>
[quoted text clipped - 6 lines]
> cancer prevention trials, while the other trial showed no increased
> risk.

sigh.......... it may be back to the old NSAIDs unless you have a particular
history fo GI problems form them.  once again, we have to weigh the options
and balance the risks.......

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

Bruce - 19 Dec 2004 22:41 GMT
The GI side effects are largely avoided with the use of topical NSAID
Pennsaid, it is diclofenac sodium.
Bruce

>> Crap this is bad news from ABC.
>>
[quoted text clipped - 12 lines]
> options
> and balance the risks.......
Brad Clarke - 20 Dec 2004 04:03 GMT
>>The GI side effects are largely avoided with the use of topical NSAID
>>Pennsaid, it is diclofenac sodium.
>>Bruce
Yeah, but it doesn't come in a "body dunking" size yet :)

My wife has used it for her knee, and it works extremely well.

Brad
spodosaurus - 18 Dec 2004 15:39 GMT
> The National Cancer Institute, which was conducting the study for
> Pfizer, suspended the use of Celebrex after finding that patients
> taking 400mg to 800mg of the drug daily were found to have a risk of
> 2.5 times greater of experiencing heart problems than those who
> weren't. A separate cancer study found no increased heart risk with
> patients taking 400mg of Celebrex per day.

I think we need to look more closely at this. First, another study found
no increased risk. Second, what was the base risk? The reporter says
that it was 2.5 times greater than the other group not taking celebrex.
What was the other group's risk? 2%? 1%? We need to know this to be able
to judge whether the increased RISK (not a certainty) is worth it for
acceptable quality of life. We take risks everyday to improve our
quality of life. Heck, we take a REAL risk everytime we get behind the
wheel of an automobile of being in an accident. I'm too tired right now
to dig up the actual study, assuming it's been published and not fed to
the media, but if anyone can provide a link I'd be most grateful.

Cheers,

Ari

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. To jump to the end
of the story, as a result of this I need a bone marrow transplant. Many
people around the world are waiting for a marrow transplant, too. Please
volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

firechief - 18 Dec 2004 19:27 GMT
Ari wrote:

> I'm too tired right now to dig up the actual study, assuming it's
> been published and not fed to the media, but if anyone can
> provide a link I'd be most grateful.

It's in the NIH story I posted Friday evening.
Thumper - 23 Dec 2004 15:33 GMT
>> The National Cancer Institute, which was conducting the study for
>> Pfizer, suspended the use of Celebrex after finding that patients
[quoted text clipped - 17 lines]
>
>Ari

I spoke to my RD friday at my normal appointment.  He didn't seem
worried.  He said "it's helping you isn't it."  It's not as cavalier
as it sounds.  I take 400 mg a day which is at the low end of the
clinical trial.  I wonder how many take more than that?  I intend to
continue to use it but had already been trying to taper down to 200mg.
Thumper
To reply drop XYZ in address
Cooly - 18 Dec 2004 21:40 GMT
And guess who just ordered a 90 day supply Thursday.
Cooly

> Crap this is bad news from ABC.
>
[quoted text clipped - 37 lines]
> Visit my website:
> http://www.mzuschlag.com 
 
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