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Medical Forum / Diseases and Disorders / Sinusitis / September 2006

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For Those Who May Take Ketek....

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Steven L. - 30 Aug 2006 02:49 GMT
Besides the recently reported problem with Ketek causing possible liver
damage, my ENT clued me in to another problem:
Some of his patients have reported severe lower back pain while on
Ketek.  My ENT didn't pay too much attention to it--until he himself had
to take Ketek for an infection and he got the same symptom.  So now he's
reluctant to recommend Ketek anymore.

I guess a doctor really gets nervous about a medication's side effects
when it ends up making him sick too.  :-)

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Steven D. Litvintchouk
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judy.n - 31 Aug 2006 13:52 GMT
The FDA completed their safety review of ketek--it caused several cases
of liver failure, leading to deaths and liver transplants, and
concluded that the risk was not excessive, but they have to put a
warning on the label that if your eyes turn yellow, or your urine turns
dark, or you feel ill (hard to tell when you're taking it because
you're ill), to stop the drug and get liver function tests.
 Ketek was held up for years due to safety concerns. Some of the
additional studies were found to be poorly performed in private
clinical sites.
 For the last 4 years the drug company has been giving lectures about
how ketek is going to be the answer to drug resistance.
 Maybe they'll develop another drug in it's class--modified
macrolide--that's safer.
Judy
> Besides the recently reported problem with Ketek causing possible liver
> damage, my ENT clued me in to another problem:
[quoted text clipped - 10 lines]
> Email:  sdlitvin@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.
Steven L. - 01 Sep 2006 07:08 GMT
> The FDA completed their safety review of ketek--it caused several cases
> of liver failure, leading to deaths and liver transplants, and
> concluded that the risk was not excessive, but they have to put a
> warning on the label that if your eyes turn yellow, or your urine turns
> dark, or you feel ill (hard to tell when you're taking it because
> you're ill), to stop the drug and get liver function tests.

Actually, it might be a good idea to also get a liver function test
*before* starting on Ketek, or Diflucan, or any other drug that is known
to cause serious liver side effects.  If your liver is already abnormal
(without your knowing about it), then Ketek or Diflucan could make this
much worse--possibly fatal.  When my physician put me on a long course
of Diflucan, she wisely had me take a liver function test first (it was
normal).

Just like it would be better for your peace of mind to have an EKG
*before* starting on a quinolone or other drug that could prolong the QT
interval.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

 
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