Vioxx recalled

Date September 30, 2004

I generally resist new medications. Most 55 year old physicians do. I know the old drugs well. And I have seen too many new drugs withdrawn from the market after side effect reporting.

Many of my friends took Vioxx. The name is just so cool. 2 XXs – wow. But the coolness and promise of this drug now becomes history – Merck Announces Withdrawl of Vioxx Painkiller

Pharmaceutical giant Merck & Company is pulling its blockbuster arthritis drug Vioxx from the market worldwide because new data from a clinical trial found an increased risk of heart attack and stroke.

Whitehouse Station-based Merck said Thursday that data from the trial showed the increased risk of heart attack and other cardiovascular complications began 18 months after patients started taking Vioxx.

The data comes from a three-year study aimed at showing that Vioxx at a 25 milligram dose prevents recurrence of polyps in the colon and rectum. The trial was stopped after Merck discovered the higher heart risk compared to patients taking dummy pills.

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8 Responses to “Vioxx recalled”

  1. Subaqua Sternal Rubs » Merck recalls Vioxx said:

    [...] overed the higher heart risk compared to patients taking dummy pills. Seen at: Kevin, MD DB’s Medical Rants Rangel, MD

  2. Stef said:

    Should we worry about Celebrex as well?
    Is there any theoretical reason that Vioxx would be more susceptible to this problem than Celebrex?

  3. swift said:

    Evidence indicating these same sorts of adverse cardiovascular effects for Vioxx was published in JAMA in 2001. Nevermind Merck or the FDA, aren’t the physicians who prescribed this drug just as liable? Shows what you get when you rely on drug reps for your CME. With a nod to the impact of the religious right on the news media landscape, I’m afraid that all those who have written scripts for this drug these past three years may end up burning in hell for their part in this travesty.

  4. Bernie Simon said:

    I was never convinced of the value of this class of drugs (Cox-2 inhibitors) over plain old NSAIDs, especially in light of recent evidence that they’re harder on the stomach than originally supposed.

    OT link of the day: medical students find their education
    humiliating.

  5. pj said:

    merck estimates US sales of vioxx to be 2 billion annually.
    (roughly that equates to 2 million prescriptions/year.)

    from a generalist perspective of seeing numerous NSAID related complication over the past 12 years, “older”
    NSAIDs have a lot of risk in themselves. GI Bleeding, fluid retention precipating overt Congestive Heart failure, renal failure , liver inflammation…etc…

    Older NSAID’s despite this are my preferred meds but I must admit when patients seemed at very high risk for GI bleeding and had severe arthritis my choices were limited. Cox 2 seemed like a break through. it is scary to see someone transfused with several units of blood, NG tube, cardiac monitor or ICU and then telling a loved one that the GI bleed led to a Heart attack.

    Narcotics have their own multiple attendent risks,

    it seems like we are back to NSAIDs and narcotics.
    is this good or bad?

  6. Overlawyered said:

    Vioxx medblog roundup
    There’s been plenty of discussion going on among the medical bloggers about Merck’s withdrawal of its arthritis drug. For posts especially relating to the courtroom implications, follow the italics: Derek Lowe (first, second posts); KevinMD (lots of …

  7. Drug Vioxx said:

    Agreed, I have seen several comments and concerns raised regarding Vioxx. Sort of troublesome to know this is possible, something once safe now harmful.

  8. Subaqua Sternal Rubs » Blog Archive » Merck recalls Vioxx said:

    [...] overed the higher heart risk compared to patients taking dummy pills. Seen at: Kevin, MD DB’s Medical Rants Rangel, MD [...]

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