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	<title>Comments on: Vioxx recalled</title>
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	<link>http://www.medrants.com/archives/2108</link>
	<description>Contemplating medicine and the health care system</description>
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		<title>By: Subaqua Sternal Rubs  &#187; Blog Archive   &#187; Merck recalls Vioxx</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-22190</link>
		<dc:creator>Subaqua Sternal Rubs  &#187; Blog Archive   &#187; Merck recalls Vioxx</dc:creator>
		<pubDate>Sun, 22 May 2005 18:24:37 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-22190</guid>
		<description>[...] overed the higher heart risk compared to patients taking dummy pills. 	Seen at: 	Kevin, MD DB&#039;s Medical Rants Rangel, MD [...]</description>
		<content:encoded><![CDATA[<p>[...] overed the higher heart risk compared to patients taking dummy pills. 	Seen at: 	Kevin, MD DB&#8217;s Medical Rants Rangel, MD [...]</p>
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		<title>By: Drug Vioxx</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4931</link>
		<dc:creator>Drug Vioxx</dc:creator>
		<pubDate>Tue, 09 Nov 2004 15:11:22 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4931</guid>
		<description>Agreed, I have seen several comments and concerns raised regarding Vioxx.  Sort of troublesome to know this is possible, something once safe now harmful.</description>
		<content:encoded><![CDATA[<p>Agreed, I have seen several comments and concerns raised regarding Vioxx.  Sort of troublesome to know this is possible, something once safe now harmful.</p>
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		<title>By: Overlawyered</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4741</link>
		<dc:creator>Overlawyered</dc:creator>
		<pubDate>Fri, 08 Oct 2004 02:49:05 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4741</guid>
		<description>&lt;strong&gt;Vioxx medblog roundup&lt;/strong&gt;
There&#039;s been plenty of discussion going on among the medical bloggers about Merck&#039;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 ...</description>
		<content:encoded><![CDATA[<p><strong>Vioxx medblog roundup</strong><br />
There&#8217;s been plenty of discussion going on among the medical bloggers about Merck&#8217;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 &#8230;</p>
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		<title>By: pj</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4725</link>
		<dc:creator>pj</dc:creator>
		<pubDate>Sun, 03 Oct 2004 23:53:11 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4725</guid>
		<description>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, &quot;older&quot; 
NSAIDs have a lot of risk in themselves.  GI Bleeding, fluid retention precipating overt Congestive Heart failure,  renal failure , liver inflammation...etc...

Older NSAID&#039;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?</description>
		<content:encoded><![CDATA[<p>merck estimates US sales of vioxx to be 2 billion annually.<br />
(roughly that equates to 2 million prescriptions/year.)</p>
<p>from a generalist perspective of seeing numerous NSAID related complication over the past 12 years, &#8220;older&#8221;<br />
NSAIDs have a lot of risk in themselves.  GI Bleeding, fluid retention precipating overt Congestive Heart failure,  renal failure , liver inflammation&#8230;etc&#8230;</p>
<p>Older NSAID&#8217;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.</p>
<p>Narcotics have their own multiple attendent risks,</p>
<p> it seems like we are back to NSAIDs and narcotics.<br />
is this good or bad?</p>
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		<title>By: Bernie Simon</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4718</link>
		<dc:creator>Bernie Simon</dc:creator>
		<pubDate>Sat, 02 Oct 2004 00:26:40 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4718</guid>
		<description>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&#039;re harder on the stomach than originally supposed.

OT link of the day: medical students find their education
&lt;a href=&quot;http://www.medicalnewstoday.com/medicalnews.php?newsid=14282&quot;&gt;humiliating&lt;/a&gt;.</description>
		<content:encoded><![CDATA[<p>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&#8217;re harder on the stomach than originally supposed.</p>
<p>OT link of the day: medical students find their education<br />
<a href="http://www.medicalnewstoday.com/medicalnews.php?newsid=14282">humiliating</a>.</p>
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		<title>By: swift</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4712</link>
		<dc:creator>swift</dc:creator>
		<pubDate>Fri, 01 Oct 2004 18:14:17 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4712</guid>
		<description>Evidence indicating these same sorts of adverse cardiovascular effects for Vioxx was published in JAMA in 2001. Nevermind Merck or the FDA, aren&#039;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&#039;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.</description>
		<content:encoded><![CDATA[<p>Evidence indicating these same sorts of adverse cardiovascular effects for Vioxx was published in JAMA in 2001. Nevermind Merck or the FDA, aren&#8217;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&#8217;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.</p>
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		<title>By: Stef</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4704</link>
		<dc:creator>Stef</dc:creator>
		<pubDate>Thu, 30 Sep 2004 17:57:04 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4704</guid>
		<description>Should we worry about Celebrex as well?
Is there any theoretical reason that Vioxx would be more susceptible to this problem than Celebrex?</description>
		<content:encoded><![CDATA[<p>Should we worry about Celebrex as well?<br />
Is there any theoretical reason that Vioxx would be more susceptible to this problem than Celebrex?</p>
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		<title>By: Subaqua Sternal Rubs &#187; Merck recalls Vioxx</title>
		<link>http://www.medrants.com/archives/2108/comment-page-1#comment-4706</link>
		<dc:creator>Subaqua Sternal Rubs &#187; Merck recalls Vioxx</dc:creator>
		<pubDate>Thu, 01 Jan 1970 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/09/30/vioxx-recalled/#comment-4706</guid>
		<description>[...] overed the higher heart risk compared to patients taking dummy pills. 	Seen at: 	Kevin, MD &lt;a href=&quot;http://medrants.com/archives/2004/09/30/vioxx-recalled/&quot;&gt;DB&#8217;s Medical Rants&lt;/a&gt; Rangel, MD&lt;a href=&quot;http://blogborygmi.blogspot.com/2004/09/pain- [...]</description>
		<content:encoded><![CDATA[<p>[...] overed the higher heart risk compared to patients taking dummy pills. 	Seen at: 	Kevin, MD <a href="http://medrants.com/archives/2004/09/30/vioxx-recalled/">DB&#8217;s Medical Rants</a> Rangel, MD<a href=&#8221;http://blogborygmi.blogspot.com/2004/09/pain- [...]</p>
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