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Biotech / Medical : Pharma News Only (pfe,mrk,wla, sgp, ahp, bmy, lly) -- Ignore unavailable to you. Want to Upgrade?


To: Anthony Wong who wrote (746)9/6/1998 9:41:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
The Age, Australia: Row over Viagra package warning
September 4, 1998

By MARY-ANNE TOY

Approval of the anti-impotence drug Viagra has been delayed
because the manufacturer has rejected a condition that its
Australian packaging carry a warning about its being associated
with sudden deaths. The federal Health Minister, Dr Michael
Wooldridge, announced last week that the approval had been
fast-tracked on the condition it carry a boxed warning reading:
''The use of Viagra in men with cardiac disease has been
associated with sudden death.

''The concomitant use of nitrates and Viagra is contraindicated.''

Viagra, which has been on sale in the United States since April
with a warning that taking nitrate drugs at the same time as
Viagra can be dangerous, has been linked with 69 verified
reports of death. But there was no proof that Viagra had caused
the fatalities, except where the nitrates warning had been
ignored.

Dr Wooldridge said Australia was insisting on the more
extensive warning because of concern about wider health
effects, but yesterday the manufacturer, Pfizer, said the wording
of the recommended warning was unacceptable.

The controversy was fuelled yesterday by an exchange of letters
in the New England Journal of Medicine in which doctors have
warned that the health dangers of Viagra, particularly for men
with heart disease, could be more extensive.

Pfizer's corporate affairs manager, Mr Alan Brindell, said heart
problems were more likely to be due to the renewed sexual
activity made possible by the drug, rather than the drug itself.
The statement that Viagra's use by men with cardiac disease was
linked with sudden death gave the wrong impression.

''It is inappropriate and not factually correct,'' he said. Mr
Brindell said he now expected Viagra would be available for
sale within four or five weeks after the parties agreed on the new
wording.

The New England Journal of Medicine letters cited anecdotal
evidence linking Viagra with a wide range of problems including
a fatal lung bleeding, heart attacks and increased bladder
infections in spouses of men taking Viagra.

Cardiologists said yesterday they were more concerned about
problems arising from people using Viagra bought on the black
market without medical supervision. The director of the Alfred's
Heart Centre, Professor Garry Jennings, said several patients
had obtained the drug from overseas and the sooner it was
available legally here the better as it was essential that it was only
taken under strict medical supervision.

The president of the Cardiac Society of Australia and New
Zealand, Dr Michael Jelinek, said the danger of a drug like
Viagra was that people over-exerted themselves. ''If you give
yourself the first bit of serious horizontal activity in years it ...
could trigger a heart attack.

theage.com.au