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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Avandia and Macular Edema

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W. Baker - 29 Mar 2006 23:43 GMT
Did any of you see an article today in the NY Times about Avandia and the
other forms of the drug in combination with metformin and another with a
sulf?  The doing papers now warn tht Avandia may increase the chance of
getting diabetic macular edema and MD's have been sent notices alerting
them to this.

Altough Actos works similarly to Avandia, it's manufacturer says it has
seen no incidence of increased mcular edema with the use of Actos, white
the Avandia company is behind this warning about its own drug.  

There was some discussion , in the article, about not being sure if this
is actually something asociated with the underlying diabetes or if the
drug is actually causing the increaseed risk.

I am sure somene else willl find the URL for this article or for the
original notice, but I did think it worth bringing to the attention of the
group.  

Wendy
morris - 30 Mar 2006 00:26 GMT
Wendy,

When this first came out about a month ago, the reports said there was
a 1 in 10,000 chance of this happening, and that usually it was
assocaited with edema in, if I recall correctly, the legs.  I asked my
retinologist about it; he had seen the reports but he didn't think
there was reason for me to worry.

Morris

> Did any of you see an article today in the NY Times about Avandia and the
> other forms of the drug in combination with metformin and another with a
[quoted text clipped - 15 lines]
>
> Wendy
Jenny - 30 Mar 2006 14:45 GMT
> Wendy,
>
[quoted text clipped - 3 lines]
> retinologist about it; he had seen the reports but he didn't think
> there was reason for me to worry.

This didn't "First come out" a month ago. An ophthalmologist reported on
seeing it in a passel of patients at a major medical conference more
than 2 years ago. It was written up at the time in the "Diabetes in
Control"  newsletter and appeared on my web page discussing the pluses
and minuses of oral drugs for diabetes.

All that has happened now is that enough cases have been reported that
the makers of Avandia are scared of a major lawsuit and are taking
corrective action.

Actos isn't prescribed nearly as frequently as Avandia, which may be the
reason that the problem hasn't surfaced there. It took over 6 years for
it to surface with Avandia.

In a previous message someone asked how I could know more than doctors
about drug side effects. The answer is because I take the time to read
medical newsletters specializing in Diabetes research which busy doctors
in general practice don't have time to do. This is a good example of how
useful that can be.

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Loretta Eisenberg - 30 Mar 2006 00:39 GMT
Wendy, thanks for sharing this information with us.  It doesnt affect me
personally as I dont take avandia, but there might be others that do.
They will be contacting their doctors.

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
W. Baker - 30 Mar 2006 02:11 GMT
: Did any of you see an article today in the NY Times about Avandia and the
: other forms of the drug in combination with metformin and another with a
: sulf?  The doing papers now warn tht Avandia may increase the chance of
: getting diabetic macular edema and MD's have been sent notices alerting
: them to this.

: Altough Actos works similarly to Avandia, it's manufacturer says it has
: seen no incidence of increased mcular edema with the use of Actos, white
: the Avandia company is behind this warning about its own drug.  

: There was some discussion , in the article, about not being sure if this
: is actually something asociated with the underlying diabetes or if the
: drug is actually causing the increaseed risk.

: I am sure somene else willl find the URL for this article or for the
: original notice, but I did think it worth bringing to the attention of the
: group.  

: Wendy

A little Oops here.   The article I saw was in the newest issue of the
ADA's Diabetic Forcast on page 16.  It arrived today and I was reading it
whie I was also reading the newspaper.  As both were in another room than
my computer, I cited the wrong source.  the information is the same as I
wrote though.

Wendy
Janet Wilder - 30 Mar 2006 03:05 GMT
> Did any of you see an article today in the NY Times about Avandia and the
> other forms of the drug in combination with metformin and another with a
[quoted text clipped - 15 lines]
>
> Wendy

For several years it's been known that Avandia can cause edema in
certain patients. My DH went into CHF from it.

Signature

-----------
Janet Wilder
The Road Princess
http://janetwilder.blogspot.com

W. Baker - 30 Mar 2006 18:01 GMT
: > Did any of you see an article today in the NY Times about Avandia and the
: > other forms of the drug in combination with metformin and another with a
[quoted text clipped - 15 lines]
: >
: > Wendy

: For several years it's been known that Avandia can cause edema in
: certain patients. My DH went into CHF from it.

This is referring specifically to MACULAR EDEMA in the eye.  the general
problem of actos and avandia with bodily and heart edema is well known and
has been discussed on this list in the past.  The particular application
to the diabetic eye, which is prone to this condition, was not included in
previous discussion here aobut edema in general or congestive heart
failure.

Wendy
Jenny - 31 Mar 2006 00:45 GMT
> This is referring specifically to MACULAR EDEMA in the eye.  the general
> problem of actos and avandia with bodily and heart edema is well known and
> has been discussed on this list in the past.  The particular application
> to the diabetic eye, which is prone to this condition, was not included in
> previous discussion here aobut edema in general or congestive heart
> failure.

Edema in the macula was described in the conference presentation
reported some years ago by Diabetes in Control.  They have the best
coverage of diabetes topics of any online resource I've found.

For those who aren't familiar with this newsletter, it is free and is
sent to your email from http://www.diabetesincontrol.com . Each week the
most recent diabetes research findings and convention presentations are
summarized on this site. I used to use Medscape but I find Diabetes in
Control gives better coverage.

Signature

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control

 
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