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Wed, 29 Jan 2003 13:10:01 -0500

Annual Tradition

 

ANNUAL TRADITION

 

Health Sciences Institute e-Alert

 

January 29, 2003

 

**************************************************************

 

Dear Reader,

 

In an e-Alert dated exactly one year ago today ( " More Bad

News About Remicade and Enbrel " 1/29/02), I gave you the

latest information on the disturbing side effects of two

prescription drugs used to treat rheumatoid arthritis (RA)

and Crohn's disease. Back then I said, " Unfortunately, the

news gets even worse, " and told you about research that

showed both drugs may cause nerve damage that can lead to MS

and other central nervous system disorders

 

A year later, unfortunately, the news continues to get even

worse.

 

-----------------------------

Adding to the list

-----------------------------

 

Earlier this month Reuters Health reported that two large

clinical trials evaluating Enbrel in the treatment of

congestive heart failure (CHF) had been stopped after one of

the trials revealed that Enbrel was suspected of causing CHF

conditions to WORSEN in patients.

 

Enbrel (the brand name for etenercept) was approved by the

FDA in 1998 to treat rheumatoid arthritis. Taken by injection

(self-administered by the patient), the drug's label warns

that " allergic reactions to Enbrel are not uncommon. " These

reactions include the risk of infections, swelling in the

deep layers of the skin, and hives.

 

Now you might wonder why a drug, already known to have side

effects ranging from the annoying to the severe, would be

given two large trials, to test it for an indication it

wasn't even intended for. The simple answer: money. And lots

of it. A month's round of Enbrel doses costs each patient a

staggering $1,500. No surprise then that sales of Enbrel

grossed $907 million in 2001 - an increase of nearly 18

percent over the previous year. So, again, no surprise that

the manufacturers of Enbrel (a company named Immunex, in

partnership with Wyeth), would make every attempt to expand

the market for their bread-winner, in spite of the fact that

the list of unpleasant side effects seems to grow as fast as

the yearly revenue.

 

-----------------------------

Loopholes & scams

-----------------------------

 

And this is where Remicade comes in. Remicade (manufactured

by Centocor, a subsidiary of Johnson & Johnson) is Enbrel's

chief competitor. They were both approved by the FDA in 1998

to treat rheumatoid arthritis, they are both used to treat

Crohn's disease (even though neither drug is approved for

that), they have both been associated with disorders of the

central nervous system (MS and Guillain-Barre syndrome), and

now Enbrel joins Remicade in being known to worsen CHF

symptoms.

 

Remicade, however, has one huge advantage over Enbrel:

Remicade has to be administered intravenously in a doctor's

office. Ironically, this apparent drawback has turned into a

plus, because Medicare reimburses doctors 95 percent of

the " average wholesale price " for drugs that have to be

administered by a doctor. So in spite of the inconvenience,

Medicare recipients receive a huge break on the exorbitant

price. But guess what? Centocor reps are now being

investigated for possible fraud in exploiting this system.

 

Some drug companies have boosted the Medicare reimbursements

to physicians by inflating the average prices they report to

the government. According to The New York Times, early last

year Centocor posted a notice for physicians on its web site,

detailing the " estimated revenue per patient " that doctors

would reap by prescribing Remicade. It's easy to imagine how

this sort of incentive might encourage a doctor to prescribe

Remicade, before trying a low-cost generic drug called

Methotrexate, which is also a standard treatment for

rheumatoid arthritis.

 

Add to that the fact that Medicare paid out more than $140

million for Remicade in 2001 (almost a 300 percent jump over

the amount paid out in 2000), and you don't have to wonder

why Centocor has drawn a federal investigation.

 

-----------------------------

There's GOT to be a better way - and there is

-----------------------------

 

Whew! That's a mighty tangled web of over-priced medications,

dangerous side effects, and dubious drug company maneuvers.

The good news is that the whole mess is avoidable for many

who may find far less expensive relief from RA and Crohns's

disease with two natural alternatives.

 

At HSI, we've written extensively about therapies for both RA

and Crohn's disease. In the February 2001 Members Alert

newsletter, we told you about an oral supplement from Germany

called Wobenzyme, a blend of pancreatic enzymes that clears

the body of the excess antibodies that characterize an

autoimmune disease. Studies have shown that Wobenzyme can

prevent RA flare-ups and help lower levels of these

antibodies, called circulating immune complexes.

 

And in October 2000, we wrote about the therapeutic yeast

saccharomyces boulardii (SB), which nourishes and protects

the healthy intestinal flora. At least two clinical studies

have shown that SB can significantly reduce Crohn's symptoms

compared to placebo.

 

If you or someone you care about has been prescribed Enbrel,

Remicade, or even the lower-priced generic Methotrexate to

treat RA or Crohn's disease, ask your health care provider

about the natural alternatives before signing on for involved

pharmaceutical procedures and their growing list of side

effects.

 

**************************************************************

....and another thing

 

Last week I bought a new portable compact disc player - the

kind that plays CDs like a Walkman. While getting familiar

with how it works, I came across this notice printed on the

back of the unit: " This compact disc player meets all safety

standards and regulations of the FCC, DHHS and FDA. "

 

Huh? Why on earth would the Food and Drug Administration have

regulations about a CD player?

 

In the past I've given Consumer Reports magazine a hard time

for dispensing half-baked advice on health care instead of

doing what they're supposed to do: test and rate cars,

kitchen appliances, and electronic devices like...well, like

compact disc players! And now the FDA has regs for CD

players!? Has the whole world gone mad!?

 

This is as pure a case of over-regulation as you're likely to

find. You would think that meeting all safety standards and

regulations of the Federal Communications Commission and the

Department of Health and Human Services would be more than

enough. But no - they have to drag in the FDA as well?

 

After enjoying a little rant about this at home (I gave my

husband an earful) I settled down and did some research and

found that apparently the FDA's role here has something to do

with " radiation performance. "

 

Hmmm. I wonder - would the radiation performance of a compact

disc player come under the heading of " food " or " drug " ?

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

**************************************************************

Sources:

" Enbrel Arthritis Drug May Worsen Heart Failure " Richard

Woodman, Reuters Health, 1/8/03

" Arthritis Drug May Worsen Congestive Heart Failure " Dr.

Joseph Mercola, Mercola.com

" Methods Used for Marketing Arthritis Drug Are Under Fire "

Melody Petersen, The New York Times, 4/11/02

 

Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

**************************************************************

**************************************************************

If you'd like to participate in the HSI Forum, search past

e-Alerts and products or you're an HSI member and would like

to search past articles, visit http://www.hsibaltimore.com

 

**************************************************************

To learn more about HSI, call (508) 368-7494 or visit

http://www.agora-inc.com/reports/HSI/WHSIC313/home.cfm.

 

**************************************************************

 

 

Gettingwell- / Vitamins, Herbs, Aminos, etc.

 

To , e-mail to: Gettingwell-

Or, go to our group site: Gettingwell

 

 

 

 

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