Posted On: February 22, 2012

Army: Workout Supplements May Have Caused Two Soldiers' Deaths

904104_army.jpgThe US Army is investigating whether the death of two soldiers was in any way caused by workout supplements. Both soldiers died after being engaged in physical activity on a Southwest Army base. Dimethylamylamine (DMAA), the active ingredient in these workout supplements, was later found in both soldiers' toxicology reports. The Army is trying to determine whether there is a connection between health problems and these popular workout supplements.

Perhaps the most well known examples of these pre-workout "boosters" are Jack3d and OxyElite Pro, both manufactured by USPlabs. Both products contain DMAA and are advertised as being able to increase the taker's energy and lead to better workouts. Currently both Jack3d and OxyElite Pro are classified as dietary supplements and subsequently do not need to be approved by the Food and Drug Administration (FDA).

A recent New York Times article quoted Kerri Toloczko, a USPlabs spokeswoman, as stating that "there have been over one billion doses of DMAA-containing products taken without a single corroborated serious" health problem among those taking the workout boosters as directed. But while those responsible for manufacturing and marketing these products claim they are safe when used as directed, medical experts are claiming there might be serious health concerns when taking DMAA.

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Posted On: June 29, 2011

Law Limiting Sale of Customer Prescription Data Overturned by Supreme Court - Sorrell v. IMS Health

The U.S. Supreme Court examined a Vermont law that limited the use of patient information collected by pharmacies to determine whether or not 18 V.S.A. § 4631 violated pharmacies' First Amendment rights. The Supreme Court held that the Vermont law did place unnecessary limits on the speech of pharmaceutical companies and had failed to justify these limits within the law itself. Therefore, the Court found Vermont's Confidentiality of Prescription Information statute to be unconstitutional as it currently stands in Sorrell v. IMS Health, No. 10-779.

Medical%20Recs%201.jpgThe Vermont law at issue, 18 V.S.A. § 4631, sought to limit pharmacies from selling their client's demographic information to pharmaceutical companies. Basically, whenever a patient fills a prescription at a pharmacy, information on that patient is generated. The pharmacy then sells that information to "data miners," who compile the data into coherent reports, which are then sold to pharmaceutical manufacturers. The drug companies then use this data for "detailing", a process through which they promote their medications to doctors in the hopes of increasing the sale and use of their drug.

The goal of §4631 was to limit the practice of detailing by eliminating the role of the data miners; under the law, pharmacies were no longer able to sell patients' information to data miners. The law sought to limit the commercial use of patient information and its sale to pharmaceutical companies. However, it did allow this information to be used in other ways, e.g., for medical research purposes. In fact, it was this arbitrary divide of what was allowed and what was not that led to the Supreme Court's ruling in Sorrell.

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Posted On: June 27, 2011

Generic Drug Companies Held to Lower Standard Than Name Brand Counterparts - U.S. Supreme Court Rules in Pliva v. Mensing

Federal preemption has long been a hot button issue in pharmaceutical drug cases, with consumer advocates arguing that drug companies should be held to the sometimes higher state standards. However, the U.S. Supreme Court appears to have reversed the federal preemption stance it took in Wyeth v. Levine. In Wyeth, the Court held that the negligence claim against the pharmaceutical company was not preempted by federal regulations and that the drug company was liable for its failure to provide adequate warning of its drug's dangers.

pill_bottle_and_pills.jpgHowever, in Pliva v. Mensing, No. 09-993, the Supreme Court ruled that a pharmaceutical manufacturer could not be sued under state law for failing to warn consumers about its drug's risks. This decision seems to go against the Court's ruling in Wyeth just two years ago; both lawsuits deal with federal preemption issues and involve states setting higher safety regulations than the Food and Drug Administration (FDA). Yet in Wyeth, the Court held the drug company responsible, while in Pliva, the Court ruled the pharmaceutical lawsuit was barred under federal preemption.

Yet on closer inspection, there appear to be some key differences between the facts surrounding the drug warning labels in Wyeth and Pliva. The main issue in both the Wyeth and the Pliva pharmaceutical cases involved an FDA regulation referred to as "changes being effected" (CBE). Under the CBE regulation, a drug manufacturer may modify its warning label without prior FDA approval if the modifications will improve the drug's safety. Under CBE regulations, the FDA approval comes after the warning changes, not before; however, the assumption is that the warning changes in such matters are so important to consumer safety that the FDA will eventually approve those changes.

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Posted On: June 15, 2011

Contaminated Heparin Lawsuit Awarded $625,000 By Cook County Jury - Johansen v. Baxter International

The first case to go to trial in the series of Cook County pharmaceutical negligence lawsuits against Baxter International received a $625,000 verdict against the pharmaceutical manufacturer. The Illinois lawsuit of Estate of Johansen v. Baxter International, Inc., et al., 09 L 11175, was filed after the plaintiff, Steven Johansen, died as a result of receiving contaminated Heparin distributed by the defense.

Baxter_heparin%201.jpgHundreds of lawsuits have been filed against Deerfield-based Baxter International, Inc. and Scientific Protein Laboratories, its supplier, after the Food and Drug Administration (FDA) discovered that the companies had been selling contaminated Heparin. The tainted Heparin was discovered to contain oversulfated chondroitin sulfate, which is a synthetic chemical created from animal cartilage that is typically distributed as a dietary supplement. According to tests run by the FDA, the false chemical mimics the real drug, Heparin.

However, not only does the oversulfated chondroitin sulfate not have the same blood thinning effects of Heparin, but can actually cause adverse reactions in patients taking it. The synthetic chemical has been found to cause vomiting, difficulty breathing, a drop in blood pressure, and other severe reactions. The plaintiff, Steven Johansen, first received low doses of the contaminated Heparin during dialysis treatment in December 2007, with no obvious reaction. However, Johansen later received a second, much higher dose of the contaminated Heparin, which resulted in his death five days later.

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Posted On: May 20, 2011

FDA Okays Abbott's Marketing of Trilipix as Combo Medication

The Food and Drug Administration (FDA) voted to allow Trilipix, a cholesterol lowering medication, to continue to be marketed as a drug that can prevent heart attacks. The approval comes despite government studies showing that there were no substantial changes in incidences of heart attacks in patients taking Trilipix in conjunction with other cholesterol lowering medications.

cholesterol%201.jpgIn addition to allowing Abbott to continue marketing Trilipix as reducing the risk of heart attacks despite evidence to the contrary, the FDA also voted against measures that would have forced the drug manufacturer to change the drug's label to include disclaimers of the drug's effectivenss.

The only stipulation the FDA imposed on Abbott was that it must conduct its own study on Trilipix's effects on reducing heart attacks. Experts have suggested that this study could cost Abbott over $100 million to conduct. While this might seem like a large sum of money, it pales in comparison to the $1.6 billion that Abbott Laboratories made last year off sales of Trilipix and TriCor, another cholesterol lowering drug.

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Posted On: September 9, 2010

Prescription Drug Liability Case Receives $21 Million Verdict - Bartlett v. Mutual Pharmaceutical Co., Inc.

A New Hampshire jury awarded the state's highest product liability verdict ever when it awarded Karen Bartlett $21 million for the injuries she incurred as a result of taking Sulindac, an anti-inflammatory prescription drug manufactured by Mutual Pharmaceutical Co., Inc. The jury found the drug company liable for Bartlett's injuries based on the concept that it should have known that the drug was unreasonably dangerous. Bartlett v. Mutual Pharmaceutical Co., Inc.

Rx%20writing%202.jpgBartlett was initially prescribed Sulindac to treat her shoulder pain. However, quickly after beginning the medication she began to experience skin irritation and a sensation of having "pebbles" in her throat and eyelids. Eventually these symptoms worsened as the drug continued to essentially burn Bartlett from the inside out, leaving her with burns to over 65% of her body. In addition, Bartlett was left legally blind despite undergoing 12 eye surgeries. Bartlett was eventually diagnosed with Stevens-Johnson Syndrome and toxic epidermal necrolysis (SJS/TEN).

The main legal issue in the pharmaceutical liability case was whether or not the drug, Sulindac, was unreasonably dangerous and whether the pharmaceutical company should have known that it was dangerous. At the trial the plaintiff's attorney presented evidence demonstrating that Sulindac has been linked with incidents of SJS/TEN. Furthermore, plaintiff demonstrated that the occurrences of SJS/TEN among consumers taking Sulindac was higher than any other anti-inflammatory medication on the market.

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Posted On: August 26, 2010

Illinois Pharmacy's Duty to Warn Customers of Drug Interactions Examined By Illinois Appellate Court - DiGiovanni v. Albertson's, Inc.

A recent Illinois Appellate Court case reviewed what a drug store's duty is to its customers regarding possible drug interactions in an Illinois pharmaceutical lawsuit. In DiGiovanni v. Albertson's, Inc., No. 04 L 3580, the decedent's estate alleged that the pharmacy had a duty to warn the decedent about a possible interaction between her two prescribed medications, an interaction that eventually caused her death. However, both the Cook County trial court and the appellate court agreed that the pharmacy did not have a duty to warn the customer of the possible drug interaction in the present pharmaceutical malpractice case.

Pill%20Bottle%201.jpgThe decedent had been prescribed Tenoretic, a medication to treat high blood pressure, by her longtime doctor, Dr. Shastri. When filling the prescription the pharmacy noted that Tenoretic could interact with lithium, which the decedent was also taking to treat her manic depression. Upon noting the possible interaction the pharmacist called Dr. Shastri, who had prescribed both medications, to determine whether he should continue to fill both prescriptions. Dr. Shastri directly told the pharmacist to fill the prescriptions and stated that he would monitor the decedent for possible interactions.

The following week DiGiovanni returned to the same pharmacy for a prescription refill of the same medications. At the time a different pharmacist again noted the possibility of a drug interaction between the two medications. However, the pharmacist refilled both prescriptions after reviewing a note on the decedent's file indicating that her doctor would be monitoring her for possible drug interactions.

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Posted On: June 16, 2010

Johnson & Johnson Drug Recall Update: Pharmaceutical Company Not Cooperating According to Oversight Committee

The U.S. House Committee on Oversight and Reform are accusing Johnson & Johnson of being uncooperative, providing false information, and employing delay tactics during its interactions with the House Committee. The congressional investigation launched on May 27, 2010 against Johnson & Johnson, was done so in response to widespread drug recalls by the pharmaceutical company.

Pills%20C%203.bmpAccording to the House Committee, Johnson & Johnson told members of its staff that the recall involves 6 million bottles of children's medicine, but then informed the FDA that the recall actually involved more than 136 million bottles. The chairman of the House Committee, Edolphus Towns, said, "We need to know where the spin is and where the truth begins."

Johnson & Johnson has denied the allegations claiming the company provided misinformation, instead providing an alternate interpretation for the wide discrepancy between the two values. Its spokesperson stated that the discrepancy in numbers was in response to two different questions from government officials. Johnson & Johnson says the 6 million bottles refers to the total number of the product in stores at the time of the recall, while the 136 million bottles refers to the estimated amount in the hands of customers.

However, it is unclear whether these estimates include the two new recalled products Johnson & Johnson added to its recall list as of yesterday. Benadryl Allergy Ultratab tablets and Extra Strength Tylenol have now be added to the list of recalled Johnson & Johnson products.

The already recalled products include Children's Benadryl, Children's Motrin, Children's Tylenol, and Infants' Tylenol. A complete list of all the recalled Tylenol products can be found at the company's website.

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Posted On: June 4, 2010

GlaxoSmithKline Avandia Case Settles: First of Many Cases Set For Trial

The first Avandia case set for trial against drug manufacturer GlaxoSmithKline (GSK) settled for an undisclosed amount. The pharmaceutical litigation case was brought against GSK after new studies of Avandia revealed that using the drug could increase the risk of heart attacks and strokes.

Avandia%201.jpgNo details of the settlement or the terms were announced except a statement indicating that the details of the settlement were to remain confidential. And while GSK would not indicate how many plaintiffs were involved in the recent settlement, according to reports by Deutsche Bank, as many as 5,000 claims for damages were reportedly consolidated in this Philadelphia case.

If the alleged number of settled claims is correct, then this could mean that GSK has settled almost half of the pending Avandia claims. Analysts have been evaluating the progress of GSK's Avandia lawsuits and had originally estimated there to be around 13,000 claims against GSK that would take around $6 billion in total to settle. While GSK has yet to confirm the actual numbers in any of the Avandia cases, according to a recent Reuters's article by Ben Hirschler, the recent developments indicate that GSK's final payout would be considerably less. New estimates indicated that the final payout might be close to $1.1 billion instead of the $6.6 billion originally anticipated.

It will be interesting to see whether GSK plans to settle the next set of claims, which is scheduled for an October 2010 trial in Philadelphia. To date it has not settled any of its multi-district litigation claims that are pending in federal court.

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Posted On: May 28, 2010

Recall of Children's Tylenol Subject of Congressional Hearing Entitled "Johnson & Johnson's Recall of Children's Tylenol and Other Pediatric Medicines"

Yesterday the House Committee on Oversight and Government Reform Johnson & Johnson's Recall of Children's Tylenol and Other Pediatric Medicines" in order to further investigate McNeil Consumer Healthcare/Johnson & Johnson's recall of numerous children's medicines.

Congress%201.jpgSince its April 10, 2010 voluntary recall, Johnson & Johnson has recalled around 136 million bottles of more than 40 different types of popular medicines. A complete list of all the recalled children's Tylenol products can be found at the company's website. The list of drugs recalled by McNeil include Infants' Tylenol, Children's Tylenol, and Children's Benadryl, and Children's Motrin.

The massive recall of children's Tylenol products was the result of manufacturing defects and poor quality control at McNeil's manufacturing plants that caused the medications to contain either too much of the active ingredients, inactive ingredients that failed to meet testing standards, or metal specks within the medications.

The House committee's investigation was set into motion by Chairman Towns and Darrell Issa (R-CA) earlier this month due to the large number of medicines included in the Tylenol recall. McNeil Consumer Healthcare could face a number of repercussions from the Food and Drug Administration (FDA), including seizures of its current products, criminal penalties, and/or additional sanctions.

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Posted On: May 27, 2010

Alli and Xenical (Orlistat) Could Cause Severe Liver Injury: FDA Warns of Dangers of Weight Loss Drug

Yet another weight loss drug has been accused of posing a safety risk due to its potential causing of liver damage or failure. Yesterday the U.S. Food and Drug Administration (FDA) completed its safety review of the the weight loss drug Orlistat, which has been marketed under the names of Alli and Xenical, in connection with reports of severe liver injury. Alli is manufactured by GlaxoSmithKline (GSK), while Xenical is manufactured by Hoffmann-La Roche (Roche).

FDA%20b%201.jpgThese reports of potential liver damage due to a weight loss drug come on the heels of similar reports of liver injury associated with Hydroxycut, which led to a massive recall of the weight loss supplement.

After undergoing an investigation into the safety of Xenical and Alli, the FDA found that Alli and Xenical could in fact cause liver damage in rare cases and therefore has approved the weight loss drugs to stay on the market as long as their labels are changed to include warnings of potential liver damage.

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Posted On: May 26, 2010

Children's Tylenol Recalled By FDA

The U.S. Food and Drug Administration (FDA) announced what could amount to a nationwide recall of children's Tylenol and dozens of other over-the-counter medicines. The FDA conducted an inspection at a McNeil drug plant in Pennsylvania that has resulted in the recall of more than 40 varieties of liquid pediatric medicines Tylenol, Motrin, Benadryl and Zyrtec. These products may contain metal particles over the limit allowed to meet safety requirements.

Following the discovery that some of the Tylenol products from its plant could contain metal, McNeil initiated a voluntary recall of all products manufactured at that plant. According to McNeil, its April 2010 recall was a precautionary measure and was not based on "adverse medical events". The McNeil recall included not only Tylenol products, but also other popular children's medicines, such as children's Motrin, Zyrtec, and Benadryl products

TylenolLogo%201.gifTylenol is one of the brands made by a unit of Johnson & Johnson. One of the major distributors of these pediatric liquid products is Perrigo, a company based in Michigan that supplies children medicines to big pharmacy companies like Walgreens and CVS. Perrigo has also received a warning from the FDA that it has committed serious manufacturing errors of its own. Tablets of ibuprofen reportedly contained metal shavings.

Also reported by the FDA are questions of safety and reliability of these products. Other deficiencies in the report included bacterial contamination of raw products, inadequate maintenance of equipment and the fact that no follow up was conducted to investigate 46 consumer complaints as to foreign materials and black or dark particles in the products. Some of the complaints are more than a year old.

Click here for the full list of all the recalled Tylenol products.

For additional information on the timeline of the Tylenol recall, see Parija Kavilanz's article at CNNMoney.com.

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Posted On: April 23, 2010

AstraZeneca Settles Federal Investigation on Illegal Drug Marketing

The U.S. Department of Justice completed a deal with pharmaceutical company AstraZeneca where the drug company agreed to pay $520 million to settle a federal investigation into questionable marketing practices for its anti-psychotic drug, Seroquel.

Pills%20C%201.jpgThe government had accused AstraZeneca of violating anti-kickback laws through its practice of paying doctors to refer Seroquel to patients while it also brought in additional money from government health care programs like Medicare and Medicaid. The pharmaceutical company was also accused of promoting favorable research on Seroquel's effects which misled doctors and patients alike, while at the same time failing to disclose studies that showed Seroquel increased the risk of diabetes.

Currently there are over 25,000 pharmaceutical litigation claims against AstraZeneca alleging that Seroquel caused increased incidences of diabetes and weight gain. AstraZeneca's aggressive marketing and promoting of Seroquel helped increase the prescription of the anti-psychotic drug among children and the elderly, oftentimes for indications or uses not approved by the Food and Drug Administration (FDA).

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Posted On: March 1, 2010

Wyeth v. Levine Used to Reverse Pre-Emption of Chicago Pharmaceutical Litigation Case Against Glaxo Smith Kline (GSK)

An Illinois prescription drug case that originally had been dismissed due to issues of federal preemption, has been reinstated by the 7th Circuit Court of Appeals in Chicago. This case, Mason v. SmithKline Beecham Corp. d/b/a Glaxo SmithKline, No. 08-2265,___F.3d___, 2010 WL 605922 (7th Cir. Feb. 23, 2010) may be the first decision that addresses preemption with respect to prescription drugs.

Rx%20Warning%201.jpgThe original Illinois prescription drug lawsuit was brought by the parents of 23 year-old Tricia Mason after she committed suicide just two days after being started on the prescription drug Paxil. The Illinois prescription drug lawsuit alleged that Paxil increases the risk in suicide in children and young adult, which the manufacturer should have known and therefore had a duty to warn its users.

The lawsuit alleged that GSK violated Illinois law by choosing not to warn Tricia Mason on its label that Paxil increases the risk of suicide for children and young adults. Two years after the decedent's suicide, Paxil added a label warning of an increased risk of suicide among children taking the drug.

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Posted On: January 13, 2010

Baycol Drug Manufacturing Decision Reversed By Illinois Supreme Court

The Illinois Supreme Court recently clarified the scope of the Illinois Consumer Fraud Act in its decision in the pharmaceutical litigation case of De Bouse v. Bayer AG, et al., No. 107528. The Supreme Court ruled that a consumer could not bring an action claiming fraud under the Act if the consumer had not received deceptive information indirectly or directly from the defendant drug manufacturer.

Rx_symbol%203.pngIn De Bouse, the plaintiff was claiming economic damages against Bayer AG, the manufacturer of the drug Baycol. The plaintiff had purchased and taken Baycol on three occasions prior to the drugs withdrawal from the market for its potential harmful side effects. It is important to note that the plaintiff was not alleging any damages due to the drug's side effects.

The plaintiff's case was brought under the Illinois Consumer Fraud and Deceptive Businesses Practices Act along with several other class action plaintiffs. The claim alleged that the plaintiff was harmed by the Bayer's concealment of Baycol's negative side effects because the drug manufacturer was able to inflate prices for Baycol as a result of its deceptive omissions regarding the drug's potential side effects.

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