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FDA Releases New Safety Info on Diabetes Drug Avandia and Side Effects
The following is updated safety information from the Food and Drug
Administration's website. Concerns have been voiced side effects, about a
possible increased chance of heart attack and heart-related deaths in patients
taking Avandia--generic name rosiglitazone--an ingredient in three drugs used to
treat type 2 diabetes: Avandia, Avandaryl, and Avandamet.
What
Patients Should Do If you are a patient taking rosiglitazone: Do not
stop taking Avandia, Avandaryl or Avandamet without first talking to your doctor
about this new information. Discuss the best individualized treatment plan for
your diabetes and other medical conditions. Remember that the best treatment
plan is a team approach between you and your doctor. There is agreement by
several organizations that the overall level of risk appears to be small, but
that the risk deserves serious attention and follow-up. They
are:
American Association of Clinical Endocrinologists American
College of Cardiology American Diabetes Association American Heart
Association Endocrine Society FDA agrees with these organizations and is
conducting a thorough investigation.
What We Know
FDA and GlaxoSmithKline (GSK), the maker of rosiglitazone, have long
recognized that use of drugs containing this ingredient may be associated with
certain heart problems. This information has been included in the prescribing
information for all rosiglitazone-containing products since 2001.
New information regarding fluid-related heart problems has been updated
since 2001 and included in the prescribing information for all three drugs--most
recently in 2006.
GSK combined the data from 42 clinical studies to look at the chance of
other heart problems with rosiglitazone, analyzed the data, and submitted the
results of this analysis to FDA, which is conducting its own analysis of these
data.
These combined data raise the possibility of a new risk from rosiglitazone,
related to the heart. This possible risk, while important, appears to be small.
There are over 14,000 people in these studies, and about 2/3 of them were
treated with rosiglitazone. Rosiglitazone is in a class of drugs called
thiazolidinediones (TZDs). The other approved drug in this group is pioglitazone
(Actos). These are two different drugs, and FDA is evaluating whether they have
the same or different heart-related risks.
Swelling and fluid retention may occur with both drugs, so neither should be
used in patients with troublesome heart failure.
What FDA is Doing
Conducting its own analysis of GSK's combined data, including a detailed
review of the patient information from the 42 studies.
Considering the results of these data along with all other published and
unpublished studies regarding rosiglitazone use and other diabetes drugs to
determine the chance of heart problems. Continuing to update the public as the
agency receives new information, completes its analyses, and reaches conclusions
based on those analyses.
Type 2 Diabetes:
Is a serious and life-threatening disease
Affects about 18 to 20 million Americans
Is a leading cause of coronary heart disease, blindness, kidney failure and
limb amputation
Is usually treated first with diet and exercise, and if they are not enough,
FDA-approved medications, including metformin, sulfonylureas,
thiazolidinediones, insulin, and several newer drugs, to lower blood glucose
levels Differs among each person, so treatment must be individualized.
If you or a loved one has suffered cardiac complications after ingesting
Avandia, you deserve the guidance of an experienced drug attorney. Get a free
case review by filling out the form below.
Click To Talk To Us Online
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