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The popular and heavily advertised
arthritis drugs Vioxx and Celebrex have been linked by researchers to an
increase in the risk of blood, clots, heart attacks and strokes. The study from
the Cleveland Clinic appeared in the Journal of the American Medical Association
and was based on an analysis of previous clinical trials. Celebrex and Vioxx are
projected to produce U.S. sales greater than $6 billion this year.
In a study of more than 8,000
patients that compared the COX-2 inhibitor rofecoxib (Vioxx) with the
traditional NSAID naproxen, the risk of cardiovascular problems, including heart
attack, chest pain related to heart disease, stroke, sudden death and blood
clots, was more than two times higher in the rofecoxib group than in the
naproxen group.
Vioxx and Celebrex are classified as and known as COX-2 inhibitors, or coxibs.
COX-2 inhibitors, like older drugs such as ibuprofen and naproxen, are
nonsteroidal anti-inflammatory drugs, or NSAIDs. Older NSAIDs reduce
inflammation by blocking an enzyme called COX-2, but they also block another
enzyme called COX-1. This enzyme helps protect the lining of the stomach, so
blocking COX-2 can cause stomach irritation. COX-2 inhibitors only block COX-2,
leaving the stomach-protecting COX-1 alone.
The annual rates of heart attack in
both the Celebrex (celecoxib) and Vioxx (rofecoxib) studies were increased
compared to a review of studies containing a total of more than 48,000 patients.
In those studies, 0.52% of patients taking an inactive placebo pill had a heart
attack each year. The annual rate of heart attack was 0.74% for patients taking
rofecoxib and 0.80% for those taking celecoxib.
The researches believe that until
more research is done, doctors should use caution in prescribing Vioxx and
Celebrex to patients with heart disease.
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We bring this important information
to your attention to better educate you about the risks and dangers of
prescription and pharmaceutical drugs.
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