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Biotech / Medical : Biotech Valuation -- Ignore unavailable to you. Want to Upgrade?


To: FiloF who wrote (14143)11/16/2004 9:14:01 AM
From: Biomaven  Read Replies (1) | Respond to of 52153
 
increased risk of pneumonia with Prilosec

This was an observational study, not a controlled study. They did not appear to control for the fact that people on Prilosec were more likely to have severe reflux than people on H2 blockers. Reflux is a known risk factor for pneumonia - people, particularly bed-ridden elederly, aspirate stomach contents, causing pneumonia.

In any even the risk was very small - certainly small compared to the known risk from taking NSAIDs without Prilosec.

When you are talking chronic use, the calculus may be different - there to my mind the choice becomes Celebrex or an NSAID plus Prilosec. Celebrex doesn't work quite as well as most NSAIDs (e.g., Naprosyn) and Naprosyn still appears to have a slight edge on cardioprotectiveness. Long-term nephrotoxicity (kidney damage) is a question mark with both, with the Celebrex risk still relatively unquantified and the Naprosyn risk fairly low but most definitely present.

Peter