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| Zyprexa linked with Diabetes, Judge scales back Lawsuit. |
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| Written by Toma Grubb | |
| Friday, 25 April 2008 | |
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Arlene, A new member to our site alerted me to a new drug warning.
I started doing a little digging and found some disturbing results. Not only is
there a problem, but the FDA and the legal system are working to sweep it under
the carpet. Thank you Arlene. For some time we have been aware of higher risks of type 2 diabetes in people with depression. When I first heard of it was unclear if diabetes was causing the depression or if depression increased the risks. Now the picture is a bit clearer. Zyprexa linked with Diabetes Eli Lilly's best selling drug, olanzapine (Zyprexa), originally approved for schizophrenia, then for bi-polar disorder, is prescribed widely. But the drug has been shown to produce early onset diabetes, severe hyperglycemia--and deaths. Adolescents and young adults appear to be at particular risk. On November 28, 2001, the Journal of the American Medical Association published a letter written by Dr. Elizabeth Koller, an FDA medical officer, Dr. P. Murali Doraiswamy, a Duke University psychiatrist warning that according to FDA's MedWatch data, patients taking either olanzapine or clozapine were 10 times more likely to become diabetic than the general population. JAMA Those findings have been corroborated by several other studies. Yet, the FDA has done little to warn doctors and consumers. Patients taking the drug should, at the very least have their blood sugar monitored, but if doctors are unaware of the risk patients are not monitored. The Baltimore Sun reports: "Japan's Health Ministry, concerned by reports of two deaths and seven comas, barred doctors last year from prescribing Zyprexa for any new patients with diabetes, and warned them to monitor closely those already on the drug by regularly measuring blood-sugar levels. British drug regulators issued a warning in April." According to Dr. Doaiswamy, in Japan, a strong, highlighted warning appears at the very beginning of the Zyprexa label. The FDA has not required a warning beyond inconspicuous mention of the possibility of sugar problems in patients who take atypicals.
Public Citizen advises physicians and consumers to look to the Japanese label for the most accurate information. It states:
* Olanzapine is contra-indicated for use in patients with diabetes or a history of diabetes.
* Olanzapine should be used with caution in patients with risk factors for diabetes, including hyperglycemia, obesity or a family history of diabetes.
* Patients receiving olanzapine should be carefully monitored for symptoms of hyperglycemia and the drug should be discontinued if such symptoms occur. The symptoms of severe hyperglycemia include weakness, excessive eating, excessive thirst, and excessive urination.
* Physicians should educate patients and their family members about the risk of serious hyperglycemia associated with the olanzapine and how to identify the symptoms of hyperglycemia. |
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