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Medical Forum / General / Cardiology / November 2004CRESTOR ????
My cousin's doctor has put him on 10mg of Crestor. I am saying its not smart to do that in light of the negative discussion going on about that statin. Even the FDA has Crestor under scrutiny. Therefore, I wonder why the doctor is pushing Crestor unless he's being influenced by the manufacturer. Is that possible? If not, why would a physician prescribe a medication that is under the gun? Am I right in questioning the use of Crestor, even at a low doses? Reasoning: There have been reports of excessive cases of kidney damage at 80mg, which is a dose they dropped. Fine. But that does not make me feel confident that a safer dose, of a potentially harmful drug at a higher dose, is any better at lower doses, given the cumulative effect of build up in the body. Opinion??? > My cousin's doctor has put him on 10mg of Crestor. I am saying its not smart > to do that in light of the negative discussion going on about that statin. [quoted text clipped - 12 lines] > > Opinion??? Indeed. Why would a physician prescribe this drug which has no track record? One reason could be that physicians are being paid to prescribe it. Go here and read the article on Crestor: http://tinyurl.com/3vvj2 http://www.medicationsense.com/articles/july_sept_04/crestor_truth.html And here re physicians being paid to recruit for pharma: from the Montreal Gazette. Tuesday » February 24 » 2004 Cozying up to drug firms disturbs some physicians Heart doctor complained to professional order after being invited to refer patients to clinical trial CHERYL CORNACCHIA The Gazette Tuesday, February 24, 2004 Cardiologist Colin Rose, who also teaches medicine at McGill, says close relationships to drug firms undermine doctors' willingness to try non-pharmaceutical treatments for their patients. When a company contacted Colin Rose and offered to pay him $6,000 to refer patients to a drug study, they had the wrong doctor. Rose, a cardiologist at the Montreal General Hospital, not only said no, but he passed the written offer to the Collège des médecins du Québec, suggesting it investigate the ethics of paying doctors to refer patients. "I'm about the last one on Earth they should have contacted," Rose said yesterday. It turns out that the physicians' college doesn't investigate those kinds of cases, but the doctor is no less upset by the offer to send patients to the study, which was sponsored by Merck Frosst. Rose, who is also an assistant professor of medicine at McGill University, is outspoken about what he sees as an increasingly cozy relationship between doctors and drug companies. He says it undermines doctors' will to suggest alternatives like lifestyle changes instead of prescription drugs. The hypercholesterolemia and coronary heart disease study to which Rose referred is being conducted by the Clinical Research Consultant Group at the Seaforth Medical Building on Côte des Neiges Rd . The group's letter to Rose, dated Nov. 18, 2003, detailed how he would receive an honorarium of $6,000 if he referred at least one patient being treated for high cholesterol and heart disease. He would have been required to perform a physical exam of the patients at the beginning and end of the study and write the initial prescription. Nurses employed by the group would do the rest - seeing patients throughout the 12-week study. The study is evaluating the cholesterol-lowering efficacy of a 10-milligram dose of a drug called Ezetimibe when given with a 10-milligram or 20-milligram dose of Atorvastatin, another cholesterol-lowering drug. Both drugs are approved for use in Canada. Rose later received an e-mail from Bernice Pynn, the lead researcher of the drug study, saying "at this time there is no discussion of publication" of the study results. Pynn, a biochemist, was unavailable for comment yesterday. However, an assistant at the clinical research group confirmed the multisite study is sponsored by Merck Frosst. So far, she said, 15 patients are enrolled in Montreal. Vincent Lamoureux, a spokesperson for Merck Frosst in Kirkland, said doctors are sometimes compensated for their time. However, he said, he was unfamiliar with the study Rose cited, even though "there definitely seems to be a link to some of what we do." > My cousin's doctor has put him on 10mg of Crestor. I am saying its not smart > to do that in light of the negative discussion going on about that statin. [quoted text clipped - 12 lines] > > Opinion??? Would suggest you let your cousin discuss his/her concerns with his/her doctor just as s/he would probably let you do the same. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 Sure he could Andrew. But people on the patient side of medications have to get the other side somewhere. Why not from a willing relative with the time and compassion to do some research and present it, for his cousin to make the decision? Many people are overwhelmed with the idea of illness, as well as the effects, let alone having to do all the research themselves at a stressful time. I wish I had had someone like Gary to help me out when I needed it. I may not have ended up in the Baycol mess that brought me here. Zee > Sure he could Andrew. But people on the patient side of medications > have to get the other side somewhere. Why not from a willing relative [quoted text clipped - 7 lines] > > Zee The concern is that a jaundiced eye is unable to see clearly. May God bless you on this Lord's day, dear Zee whom I love, in Christ's precious name. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 I can see what Harvard Medical School is saying. I can see what FDA is saying in Senate hearing about 7 medication, Crestor being one of them. I can see where VIOXX was FDA approved and later dropped. So these eyes can see that having FDA approval is not a guarantee. In statins, there is choice. I have a simple question for you. When you have a fasting blood test, and you get a report with a few things scrawled on it, like TC, Trig, LDL, HDL, and all the usual culprits, where is the liver test results. or is that a separate test? > > Sure he could Andrew. But people on the patient side of medications > > have to get the other side somewhere. Why not from a willing relative [quoted text clipped - 31 lines] > Is this spam? > http://makeashorterlink.com/?N69721867 >>Why not from a willing relative with the time and compassion to do some research and present it, for his cousin to make the decision? Many people are overwhelmed with the idea of illness, as well as the effects, let alone having to do all the research themselves at a stressful time. I agree. I don't know what a certain relative of mine would do without his son to inquire about his medications, keep track of medications he is taking by putting them in pill boxes, etc etc etc. God Bless these thoughtful people. Dee |
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