Clearing Up The Confusion About Celebrex
A recent study has
revealed an increased risk of heart attacks and
strokes in people taking high doses of Celebrex,
a cox-2 inhibitor manufactured by Pfizer Inc.
Celebrex is a popular NSAID (Non-Steroidal Anti-Inflammatory
Drug) painkiller used in the treatment of arthritis
and has been prescribed by many doctors not only
America alone, but the world over. This is because
Celebrex lessens the inflammation caused by arthritis
in the joints, without damaging the lining of
the stomach muscles.
The National
Cancer Institute in conjunction with Pfizer
Inc., was conducting a study of Celebrex in the
treatment of cancerous colorectal polyps, when
this discovery was made. In their clinical trials
the NCI found that patients taking 800 milligrams
of Celebrex had a 3.4 times greater risk of developing
cardiovascular disease, than compared to those
taking a placebo. In those patients taking 400
milligrams of Celebrex a 2.5 time’s greater
risk was discovered. Of the 2000 patients studied,
15 of them taking 400 mgs and 20 of them taking
800 mgs of Celebrex suffered some type of cardiovascular-related
death, in the form of a heart attack or stoke.
Now with these recent revelations and Pfizer’s
refusal to pull Celebrex off the shelves, many
people are confused about what to do. Many long
term users are worried, while many others are
wondering how the FDA approved this drug. And
after the Vioxx fiasco, people are essentially
scared. To clear up the confusion once and for
all, below are some answers given by experts.
Firstly, the reason why Pfizer has not pulled
this drug from the market is that although the
NCI study has shown an increased risk of developing
heart attacks and strokes in patients taking Celebrex,
in a similar study conducted by the company itself,
no such link was and has been found. An informed
decision can only be made with the help of a doctor.
People taking Celebrex need to talk to their
physicians about the potential health risks. Instead
of worrying, they need to speak to their health
care professional about what needs to be done.
At the moment the FDA is closely reviewing Celebrex
and has advised all doctors to use the lowest
possible effective dosage of this drug. Studies
are now being conducted to look into the potential
risks of taking Celebrex. Doctors have also been
advised to evaluate alternative therapies in light
of this discovery, so as to protect their patients.
There are other drugs in the market that can
ease the inflammation and pain caused by arthritis.
They include aspirin, naproxen and ibuprofen.
And to protect patients who are especially sensitive
to stomach irritation, painkillers with proton
pump inhibitors (PPIs) like Nexium, Prevacid or Prilosec can be
prescribed. Tylenol can also provide some pain
relief.
Doctors also advise lifestyle changes that can
bring about pain relief from arthritis. By losing
even just 10 pounds overweight patients can experience
relief from arthritic pain. Extra body weight
increases stress on the joints of the body and
speeds up the damage caused by arthritis. |