View Full Version : (paxil)paroxetine Hcl Discrepencies


Markquis
01-14-03, 07:52 PM
GENERATION SAVED INC
28 pilgrim lane
willing boro nj,08046

with respects to the 6,145 published total (advertisement) the numbers do not add up. 1.) because: what is meant by pre-marketing assessment and pre-marketing "clinical trials".........I am asking because, by definition, I thought the above two categories are the same. for it is only when you get to the controlled trials, as they results are observed, then, I believed that is the difference begin. my difficulty with that is the difference does not exist. why do I say that? becauser they are both premarket
2.) as per the for the 542, 469, 522 and 735, which adds up to 2,268 and not 6,145, as stated in the controlled trials, and incorrectly stated in the pre-marketing assessment, This is an absolute discrepancy, which is absurd.
This precedent variable throws off all credibility for the controlled trial(s) numbers as well.

Under precautions, the ad states by "officially" confirming that "There is no evidence of mutagenicity with Paxil."
Now, I want to start by saying, c'mon people, did the lab techs or whomever type of managerial authority validating the proofread that was done for the ad to be posted even realized what was written right before that sentence. I'lla significantly greater number of male rats in the 20 mg/kg/day group developed reticulum cell sarcomas vs. animals given doeses of 1 or 5 mg/kg/day. There was also a significantly increased linear trend across dose groups for the occurence of lymphoreticular tumors in male rats. Although there was a dose-related increase in the number of tumors in mice, there was no drug-relted increase in the number of mice with tumors. and then the ad says that "the clinical significance of these findings is unknown." I mean, what kind of ninety-nine cent clinical operations were those. because, going back to basics, In general biology II, better known as "the cell" [and even in Anatomy and physiology, or even in a simple course like human structure and functions] I could have sworn the professor, the lab instructor, and the text defined cancers as mutagenic occurances, along the gene lines neighborhood for that locale. And so you do not even welcome the potential (and not to mention the probable) whims that these same mutations may serve as triggers and catalysts to some of those same observed occurences, such as with the neuronal firings of the neuronal synapses, as was observed for occurences in the nervous systems? Now maybe you may want to correct me as to what the definition of mutagenicity means again. because, affirming or even indirectly asserting reticulum cell sarcomas, and Lymphoreticular tumors [...as with the male rats] are not "...evidence of mutagenicity..." is not only ninety-nince cent work, heck I wouldn't even give it thirty-nine cent or even nine cent, as a medical research student. And I'd reconsider giving it even point nine (.9) cents worth of lab trials value. I mean THIS IS A SHAM!!

3) As a(n) mention (sort of a 'passing-by'): how come libido decrease was observed as a(n) social anxiety observance, as well as a(n) panic and 'gad' disorder observance in the incidence trials for the commonly observed controlled adverse effects, and you did put it for the 6-week placebo controlled trials (which are supposedly the same succeeding trials in that in one you do not let the participant know and in the other you don't--respectively ) but not in the non-placebo controlled trials incidences. because there under under the 6-week placebo, and still under controlled trials, lo and behold there it is. Because, your lab techs should know, unless this is orchestrated, ['cause after all you know (the 'money' is obviously good)] that theirs and the managerial authority in overseeing clincal trials all know that their justifications of the ad-published 20 to 50 mg/day nor that 1% stated frequency are significant variables. Now, do you want to know how I knew that (smile!) :)
they were both of ...controlled trials of similar designs and they were of about the same frequency. So, all I am saying is if you're gonna do it and cater to a certain market or even to the general, at the least and just because... do it RIGHT!! even if for the sake of money. THIS IS CRAZY....I CAN'T BELIEVE I AM SEEING THIS!
Even more frightening, in giving the consumer the "what to expected list" as far as what to expect [Ok, I'll spell it out] as you call 'em "the observed events" YOU DO NOT EVEN CONSIDER GIVING THEM ALL (not to mention any outstanding) POTENTIALS AND PROBABLES. Those such as the basis of your approach which in fact lies in the 'integrated application of four [basic] elements: the stimulus control, the constant's management (here being the behaviors), the contigency management and self-monitoring, as these are supposed to be [required] standards in result reporting anyway. anyway I am done, you people just better go back to the lab...I am deadly serious, [no pun intended] on the consumers now!!! :)


very cordially yours,

business cheif C.O/Manager
[one]..satan it's your time{time up pal}

pumpkinsaren'torange
01-15-03, 12:22 PM
i am so sick of big, major-monoply drug companies. they make me want to spit. i also think that the U.S. should adopt socialized medicine, even at the chagrin of all the uppity doctors.

Markquis
01-15-03, 02:13 PM
they will all pay!!:mad:

Nasor
01-15-03, 03:45 PM
I get kind of sick of people complaining about drug companies. Do you all realize that it costs hundreds of millions of dollars to develop a new drug? Not to mention the unimaginably vast quantities of money that the drug companies waste every year trying to develop drugs that eventually prove to be unsuccessful. The drug companies have to charge a lot for their products if they're going to stay in business. People in the United States like to complain about how much cheaper drugs are in Canada, but they don't seem to realize that if all governments imposed price ceilings on drugs like Canada does, there would very soon be no new drugs because no drug company would want to invest huge amounts of money in research that they could never make a profit off of.

Guess what: if a product requires years of work by highly trained scientists with supercomputers and ultra-modern lab equipment, it's going to be expensive. This is especially true for products like drugs, where relatively few people will be using any given product. If you invest $500 million to develop a new type of computer chip, you can be sure that sooner or later most everyone will be using it; this isn't the case with drugs, where at any given time there might only be a few hundred thousand people who will buy your product.

Markquis
01-15-03, 07:47 PM
Now, before I begin, I thought about writing a little short-story novel again, [obviously as with last night] but you know, I reconsidered :) so instead of torturing anyone else again, here is the response to your dissertation there (without further adue) the one (1) and only point to discuss (or point of discussion) is as follows:

P.1) This is to ASSERT and REAFFIRM that this was not a complaint, but a hopeful appeall to and/or for a localization and movement towards RE-EVALUATING the lab or clinical (if you will) results of the already ongoing effort by Smithkline-Beecham to improve this drug. (NOW BEFORE I CONTINUE, HERE IS THE ACTUAL [AND 'ACTUAL' IS STRESSED HERE] 'SMOKING GUN'.) One of the JAMA 2001 issues (if not all of them, and maybe for probably as long as SB had the slot for the Ad), which have the Paxil demographics inside, for the rights of consumers [you know...as required by federal laws], have more than enough new improvements (over the course of the recent publishings) as per the results of the observations--that of the observed effects, that is, to prove the point I am making, so that we can move on with life ('cause you do remember, it's short you know [and not to mention as these drugs, like Paxil, are making it shorter].
I read your response, and with all due respects, (and don't feel offended now), but by the time I got to your third sentence, I shockingly, not to mention mysteriously, found my mind rudely wandering off in a halucengenic mode of loud echoes of the word 'Duhhhh'! because, I mean, I truly believe you missed the whole and total gist of it, again, no offense!
I do totally recognize and realize your point on the pricing and the privilige to make money, to put plain, AND WOULD NEVER [as they say] "KNOCK A MAN'S HUSSLE." I am ALL for the "Rugged Individualism" type of capitalistic system aspects of it--that of the IMPOSED PRICE CEILING (you mentioned in your comments) as this is a provisional clause that are the very rules and regs addressing these provisions that our Commerce & Trade laws already provides. For if it weren't so This country would actually be a regulated 'Capitalist' system and not a free one, that sometimes I think it may not be.
But in closing, I wish for YOU to REALIZE AND RECOGNIZE that:

THIS IS NOT A TALK OF EXERCISING CAPITALISM
plainly put, "about money' because, my faithful listener, (and here is where you need to read the Ad too.

this is about QUALITY CONTROL/QUALITY ASSURANCE!
The End!

p.s. and that's all it is my man, that's all it was and that's all it ever was. Because, simply reading the observed effects on both controlled trials as well as that for placebo, AND uncontrolled trials, as such with "the premarketing assessment" and "premarking Clinical trials

Nasor
01-15-03, 07:57 PM
I was responding to pumpkinsaren'torange's post about 'big dug companies,' 'uppity doctors,' and socializing medicine. I suppose I should have made that more clear by quoting his post at the beginning of my post, but I thought that it would be obvious. My mistake. In any case, I wasn't trying to hijack your thread or dispute whatever it is that you are claiming about drug quality control.

pumpkinsaren'torange
01-16-03, 02:48 PM
Do you all realize that it costs hundreds of millions of dollars to develop a new drug? Not to mention the unimaginably vast quantities of money that the drug companies waste every year..


yeah...and, that's ANOTHER thing!:mad:

Nasor
01-16-03, 03:14 PM
What are you saying? Are you angry that developing drugs in expensive?

pumpkinsaren'torange
01-16-03, 03:25 PM
truly, it need not be THAT expensive to do the research, i do believe you understand that logic. also, and, this is just my opinion, i believe that the drug companies are a major monopoly ..i also believe that they could have had a cure for cancer and few other diseases years ago. but, think about it...if they provided all the patients with a cure for cancer, they wouldn't make all the billions of dollars off of the patients anymore..think of all the money they'd be losing.

Nasor
01-16-03, 03:35 PM
Originally posted by pumpkinsaren'torange
truly, it need not be THAT expensive to do the research, i do believe you understand that logic. Guess what: if creating a product requires years of work by highly trained scientists with supercomputers and ultra-modern lab equipment, it's going to be expensive. I guess you missed that last time. i also believe that they could have had a cure for cancer and few other diseases years ago. but, think about it...if they provided all the patients with a cure for cancer, they wouldn't make all the billions of dollars off of the patients anymore..think of all the money they'd be losing. This is a common paranoid fantasy. I suppose you also think that the oil companies are suppressing car engines that run off water. :rolleyes:

Abnak
01-17-03, 09:07 AM
I have no problem with companies trying to make money ...that's why they're in business . Socialized medicine is not condusive to quality care , innovative advancement of related medical technologies and medications . It (socialized medicine) would lead to stagnation... for it would displace incentive .

However , I do think that presently some pharmaceutical companies have a overwhelming detrimental effect on patient health , curriculum at universities and doctor methodologies . A very similar example would be like , outright bribery existing in politics . Money and carreer advancement sways most people . Doctors are not immune for monetary inducements .
For a profession that has the lives of their clients in their very hands ....this is unacceptable and enethical .

Paxil has been shown to be both ineffective and only marginally effective in studies that included placebos .
One thing that is not disputed is that Paxil ( as other ssri's ) can have serious adverse effects , like anxiety , Hypertension, emotional lability , vertigo , cerebral anemia , concentration impairment , acne , Nausea and vomiting , ...kind of depressing , eh ?

pumpkinsaren'torange
01-17-03, 11:15 AM
highly trained scientists with supercomputers and ultra-modern lab equipment, it's going to be expense.
:
*** pardon me, but i never said it WASN'T going to be expensive, it's just that it doesn't HAVE to be as expensive and out-of-hand as it's getting. fyi: a lot of that "expense" is getting pocketed in various underhanded ways. i suppose you'll deny that, too. i may be "paranoid", but, you're in denial.





This is a common paranoid fantasy.

rather, i call it a healthy dose of skepticism, and, i'm not the only one who holds that regard in the science field.



]I suppose you also think that the oil companies are suppressing car engines that run off water.


**naw, everyone knows it's the car corporations that are suppressing the builiding/adapting of an auto's engine with the powers to run on pure h20.

eaxelrod
02-04-03, 02:17 PM
>> with respects to the 6,145 published total (advertisement)
>> the numbers do not add up. . .
>> as per the for the 542, 469, 522 and 735, which adds up
>> to 2,268 and not 6,145, as stated in the controlled trials,
>> and incorrectly stated in the pre-marketing assessment,
>> This is an absolute discrepancy, which is absurd.

The Prescribing Information for Paxil states that the numbers 542, 469, 522, 735, and 676 are each individual trials for OCD, panic disorder, social anxiety disorder, generalized anxiety disorder, and posttraumatic stress disorder, respectively. It also states that some groups are "in overlapping categories". This means that
1) a + b + c + d + e will not give you a total number of trial participants, and

2) not all patients that participated in a clinical trial are included in the summary. Open and double-blind studies, uncontrolled and controlled studies, inpatient and outpatient studies, and fixed-dose and titration studies were all included in the Phase II and Phase III clinical trials for Paxil, while typically the results for only controlled or double-blind studies (depending on the drug) are shown in the summary.

>> Under precautions, the ad states by "officially" confirming
>> that "There is no evidence of mutagenicity with Paxil." . . .
>> even realized what was written right before that sentence.

What was written right before that sentence?


>> then the ad says that "the clinical significance of these
>> findings is unknown." . . . defined cancers as mutagenic
>> occurances, along the gene lines neighborhood for that
>> locale. And so you do not even welcome the potential (and
>> not to mention the probable) whims that these same
>> mutations may serve as triggers and catalysts to some of
>> those same observed occurences . . . Now maybe you may
>> want to correct me as to what the definition of mutagenicity
>> means again. because, affirming or even indirectly asserting
>> reticulum cell sarcomas, and Lymphoreticular tumors [...as
>> with the male rats] are not "...evidence of mutagenicity..."

If you are getting at what I think you are getting at, you are stating that 2 different types of cancerous growth appeared, while the ad says "there is no evidence of mutagenicity". This could mean that, thought the cancers were there, they did not appear in an abnormal proportion in a controlled clinical trial. If they occured at the same rate in the control group and the expiremental group, then the findings are inconclusive.


>> 3) As a(n) mention (sort of a 'passing-by'): how come libido
>> decrease was observed as a(n) social anxiety observance,
>> as well as a(n) panic and 'gad' disorder observance in the
>> incidence trials for the commonly observed controlled
>> adverse effects . . .

I have no idea what you are talking about here. I am having trouble decphering sentences without sentence structure, punctuation, or capitalization. Maybe you can fill me in.

pumpkinsaren'torange
02-05-03, 01:52 PM
I have no idea what you are talking about here. I am having trouble deciphering sentences without sentence structure, punctuation, or capitalization. Maybe you can fill me in.

I, too, would like some clarification...

eaxelrod
02-05-03, 02:13 PM
Glad I'm not the only one. /g/

Markquis
02-06-03, 03:27 PM
HEY what the hell do that mean 'bout your statement1) a+b+c+d+e+ will not give you a total number of trial participants, and
first of all you lost me.
second of all, you didn't read...
third and last (but not the least) that wasn't stated man, that's bull shit!
in your second comment where u said ...Open and double-blind studies, uncontrolled and controlled studies, inpatient and outpatient studies,... and etc.., you know what the hell you said!
'cause i'll have u know that, that was the discrepancy #1 (being one of the main reasons why I decided to spend precious time addressing in pointing it out.

- 'bout ur question asking "what was written before that sentence?"

I was refering to the fact that the ad mentioned two different sarcomas observed [of which the last time I checked sarcomas were supposed to be cancerous type of occurences]
and to make it worst for you [in showing everyone, yourself the first] how you wasted your time in even consdering responding to me, you help me in making my point by shooting yourself down.
read what u said again, and let me do the honours... [here] I'll quote it for you :D
..."there is no evidence of mutagenicity". This could mean that, thought the cancers were there, they did not appear in an abnormal proportion in a clinical trial. If they occured at the same rate in the control group and the experimental group, then the findings are inconclusive ?
~ Now, what hell was,
or even better... [hell] let me rephrase....
WHAT IN THE CLEAR BLUE..... DO YOU THINK YOU WERE DOING?:m: Now, I know u weren't smoking it...'cause it should have made 'ya more clear minded.
I mean, lets do it again... and PLEASE, listen to what u said...[let me highlight]
u actually said that though the cancers were there!
they did not appear in an abnormal proportion...
I mean, what the hell.....man!
it is an observance, it should not have made a difference whether it controlled observation, abnormal....[or even normal :bugeye:
for that matter.
look anyway, that was just confusing man, and I do not know who the hell u are, telling me a professional, "oh, here's where I went wrong... or misunderstood, or whatever other shit like that.

eaxelrod
02-06-03, 04:28 PM
>> second of all, you didn't read...

Maybe if you could construct even a semi-coherent sentence, I would be able to understand you a bit better.

>> third and last (but not the least) that wasn't stated man,
>> that's bull shit! in your second comment where u said
>> and etc.., you know what the hell you said!
>> 'cause i'll have u know that, that was the discrepancy #1
>> (being one of the main reasons why I decided to spend
>> precious time addressing in pointing it out.

You said, "the 542, 469, 522 and 735, which adds up to 2,268 and not 6,145, as stated in the controlled trials, and incorrectly stated in the pre-marketing assessment, This is an absolute discrepancy, which is absurd." I pointed out that not all of the clinical trial participants are included in the summary and, therefore, aren't included in the advertisement. There is no discrepancy.

>> I was refering to the fact that the ad mentioned two
>> different sarcomas observed [of which the last time I
>> checked sarcomas were supposed to be cancerous type
>> of occurences] I mean, lets do it again... and PLEASE,
>> listen to what u said...[let me highlight] u actually said
>> that though the cancers were there! they did not appear
>> in an abnormal proportion... I mean, what the hell.....
>>man! it is an observance, it should not have made a
>> difference whether it controlled observation, abnormal....
>> [or even normal for that matter.

Let me dumb it down a bit. By stating that the malignancies did not occur in an abnormal proportion, I mean that [for example] 2 of the patients in the control group developed some type of cancer, while 2 of the patients in the experimental group developed some type of cancer. Since the cancer did not appear in the experimental group in a higher proportion than it appeared in the control group, we cannot tell if paroxetine did or did not cause or contribute to the cancer growth. Since the findings are inconclusive, this must be stated in the trial summary.


>> and to make it worst for you [in showing everyone,
>> yourself the first] how you wasted your time in even
>> consdering responding to me, you help me in making my
>> point by shooting yourself down.

Shot myself down, huh?

>> I do not know who the hell u are, telling me a professional,
>> "oh, here's where I went wrong... or misunderstood, or
>> whatever other shit like that.

First of all, if you were actually a clinical studies/ pharmaceutical/ medical professional, you would have clearly understood my original statements.

Second of all, you DID make you original post on a forum, and a scientific one at that. This means that your statements are open to correction and/or debate.

eaxelrod
02-06-03, 04:50 PM
>> truly, it need not be THAT expensive to do the research

Research is becoming dramatically more expensive because of huch higher FDA standards than years past. Now the FDA even regulates the number of trial participants for paticular classes of pharmaceuticals, while 50 years ago clinical trials weren't even mandatory.

The smallpox vaccine is a perfect example of improved drug safety. As everyone knows, it was administered widely 30 years ago. So what is the problem now? The problem is that it kills 2-3 out of every 1,000,000 people, and causes severe, sometimes irreversable, adverse effects to about 35 others out of the same 1,000,000 people.

If one of the vaccines that we still use today, for example, the MMR vaccine (Measles, Mumps, Rubella), had the same occurance of adverse effects or death as the smallpox vaccine, it would never recieve FDA approval. At that rate, it probably wouldn't even have recieved FDA approval in the early 1980's. Our current standards are much, much higher than they ever were, and our nearly doubled average life expectancy (since 1900) is proof that these higher standards are improving the general health of the population.

Markquis
02-06-03, 04:52 PM
LOOK MAN,
I gonna stop all this babbling wit you, Ok, 'cause u ain't saying nothing. and if I pay attention to what ur saying we're just gonna back and forth.
with all those discrepancies [and in the ad too] to make it worse, (and God forbid if I had read the actual final reports), I demand that smithkline beecham pull that shit off the market--to the people that they're selling too. because, even in something as simple as an unproportionate/abnormal occurence with those 4 cases, (both with the 2 controlled and 2 in the experimental) it proves that this is a sham, SB can't make money like that. keep it real, not on others' expense, not to mention they dying as it is.

eaxelrod
02-06-03, 05:20 PM
>> because, even in something as simple as an
>> unproportionate/abnormal occurence with those 4 cases,
>> (both with the 2 controlled and 2 in the experimental) it
>> proves that this is a sham, SB can't make money like that.

By stating that there were 4 patients in which malignancies occured, I was merely providing an example. Actually, there were no patients, not a single one, that experienced any type of cancer during the trials, or since the drug has been on the market. The cancer was only shown in rats and mice that were given 3.9 and 2.4 times the recommended human dose, respectively. Out of about 50,000 pharmaceuticals, I honestly can't think of a single one in which the animal studies (while the animals are given such an outrageous dose) did not show cancerous growth.

The maximum daily dose for paroxetine is 60mg per day. Lets assume that the AVERAGE human taking paroxetine weighs 200lbs (the average weight of a human is actually about 150lbs, but paroxetine users typically aren't average), or 90kg. How much does a rat weigh, 2 pounds? If a rat weighs 2 pounds, this is slightly less than 1kg. The LOWEST dose that the rats and mice were given is 1mg. This dose works out to be 1mg/kg of body weight.

If a human were to be given the lowest rat dose, the person would be ingesting 90mg of paroxetine per day. Except in the case of an overdose, a person will never take 90mg per day (much less 2,250mg -- the MAXIMUM animal dose) since the maximum daily dose is 60mg. Even still, only 1 out of 100 rats that were exposed to the 90mg equavilent dose showed any type of cancerous growth. To take 2,250mg a person would have to ingest 56 tablets in a single day -- almost twice as much as their prescription for the entire month.

>> with all those discrepancies [and in the ad too] to make it
>> worse, (and God forbid if I had read the actual final reports),
>> I demand that smithkline beecham pull that shit off the
>> market

The full prescribing information is available at:

http://us.gsk.com/products/assets/us_paxil.pdf

>> keep it real, not on others' expense, not to mention they
>> dying as it is.

If you know someone who is dying of ANY FDA approved medication, you should ensure that it is reported to the FDA.

Markquis
02-06-03, 06:43 PM
so uh!

what happened!

ok, you know what...let's stop this game....this child's play...

I am gonna assume that (umm! say) maybe you didn't type in the url extensions to the website correctly, or better yet, maybe you didn't give the right adress. because, I'll have you know when I used the www. (extension) and also only typed in http://us.qsk.com/
you wanna know what happened?
I'll tell 'ya....as you maybe didn't already know!

I RECEIVED A(n) DISCOVER SPONSORING SITE.
it's actually rapidsearch.com

In anycase, I wasn't going to ask you...but just for the satisfaction of making you :) , I am now [officially] asking you for the official transcript to the study.
and I mean the whole thing. even the by annum follow-ups!

so, get to it!
also, (and don't accuse of dumbing you down again OK! :D )
but the three paragraphs you wrote were all simply...3 fucking-asses of independent (not to mention insignificant) variables. Now you can smile!:m: :eek:

eaxelrod
02-06-03, 07:17 PM
>> you didn't type in the url extensions to the website correctly

Maybe you should try clicking the link.

>> or better yet, maybe you didn't give the right adress.
>> because, I'll have you know when I used the www.
>> (extension) and also only typed in http://us.qsk.com/
>> you wanna know what happened?
>> I'll tell 'ya....as you maybe didn't already know!
>> I RECEIVED A(n) DISCOVER SPONSORING SITE.

Great. Not try using a G instead of a Q. www.gsk.com
GSK = GlaxoSmithKline

>> I am now [officially] asking you for the official transcript to
>> the study.
>> and I mean the whole thing. even the by annum follow-
>>ups!

I have yet to see a clinical trial in which the results are published in full. If the results are pulled together in a more thorough report than the trial summary, the information is not public. The raw data from the clinical trial belongs to the organization that paid for the trial. The most thorough information that I have ever seen came from a clinical trial summary, which, by the way, is included in the full prescribing information for FDA approved pharmaceuticals.

Lets try this again.
http://us.gsk.com/products/assets/us_paxil.pdf

>> but the three paragraphs you wrote were all simply...3
>> fucking-asses of independent (not to mention insignificant)
>> variables.

It doesn't look like a dependant variable was included in the animal studies. Placebo experiments aren't necessary for animal studies.

Markquis
02-06-03, 07:54 PM
YO! YO! YO! YO! YO! YO! YO! YYYOOOO!!!
LISTEN, LISTEN, LISTEN, LISTEN, LISTEN, LISTEN, LISTEN LISTEN,
MANNNNNNN!!! (oh, and by the way like my man is saying here....I am gonna give you the smoking guns!!
better...I'll (add to it) by rephrasing it... I am going to smoke you!

you cockrocking, fucking bitch!!!
syke naw, just fucking wit 'ya

but for real though, WHAT DO YOU THINK THE RULES AND REGULATIONS SUPPORTING THE VERY STATUTES, OF THE AMENDING LAWS THAT WERE INCORPORATED INTO OUR [OR SHOULD I SAY] THE NATION'S TRADE AND COMMERCE LAWS! under the FDR's administration! what in the fucking blue skies do you think those were for! Man! if you need a new supplier, I'll give one of my spots bro', because the gunja you're getting is fucking you up man, I mean, have you heard of the expression, "water on the brain" , like, your shit you're smoking is litterally turning your brain into oatmeal, man!! I mean what the hell, who's paying you to say this, are you doing it for fun.! anyway!

UH, listen, BUDDY, I THINK FDR MEANT IT WHEN HE SIGNED THAT BILL, BRO' ENFORCING THAT 'FULL DISCLOSURE' ACT, if you wanna call it that.

and I would have blasted you more, but I am glad you redeemed yourself there when you saidThe most thorough information that I have ever seen came from a clinical trial summary, which, by the way, is included in the full prescribing information for FDA approved pharmaceutica
because in that same sentence, you saidI have yet to see a clinical trial in which the results are published in full. If the results are pulled together in a more thorough report than the trial summary, the information is not public.

of course I knew you wouldn't keep quiet for long, because if you didn't know, you would eventually find out the magnitude of what you just said...'cause, if you anyone who's anyone, you know that the FDA will get or would have gotten the (and I repeat as you said) "FULL" clinical trial.

eaxelrod
02-06-03, 08:59 PM
I have no idea what the purpose of this statement is:

"but for real though, WHAT DO YOU THINK THE RULES AND REGULATIONS SUPPORTING THE VERY STATUTES, OF THE AMENDING LAWS THAT WERE INCORPORATED INTO OUR [OR SHOULD I SAY] THE NATION'S TRADE AND COMMERCE LAWS! under the FDR's administration! what in the fucking blue skies do you think those were for! Man! if you need a new supplier, I'll give one of my spots bro', because the gunja you're getting is fucking you up man, I mean, have you heard of the expression, "water on the brain" , like, your shit you're smoking is litterally turning your brain into oatmeal, man!! I mean what the hell, who's paying you to say this, are you doing it for fun.! anyway!"

>> UH, listen, BUDDY, I THINK FDR MEANT IT WHEN HE SIGNED
>> THAT BILL, BRO' ENFORCING THAT 'FULL DISCLOSURE' ACT,
>> if you wanna call it that.

If you are talking about disclosing the full information of clinical trial data, the clinical trial summary counts as full disclosure. Every pertinent number and statistic is included in a clinical trial summary, and the summary tells the reader everything that the actual trial data would. The only difference is that the actual trial data is expressed in terms of laboratory results and medical charts, it isn't "summarized". That is what the summary is for.

>> you know that the FDA will get or would have gotten the
>> (and I repeat as you said) "FULL" clinical trial.

I said, "I have yet to see a clinical trial in which the results are published in full," meaning that the summary isn't 500,000 pages long (like the raw data), full of unrelated blood pressure, cholesterol, and and urine test data (which was already known from the prior 2 trials) that isn't pertinent to the trial. All of this data is collected and analyzed, even though it was already done in the prior 2 trials, to show that the drug does or does not affect particular body systems.

The pharmaceutical companies, or the organization that is conducting the trials, sends all of the raw data, all of the medical charts on every patient, all of the test results on every patient, and all of the patient report forms submitted by every patient, to the FDA. Along with the raw data, the organization submitting the drug application submits the clinical trial summary and the proposed prescribing information. The FDA then reviews the raw data (which is why it can take the FDA upwards of 2 years to approve a new drug) and compares the data to the trial summary and the prescribing information. If there is any pertinent information that is missing the drug will not be approved, and the organization submitting the application must wait another 2 possible years for another review.

The organization submitting the application has their own team of pharmacists, doctors, and chemistry PhD's, and the FDA has their own team of PharmD's, MD's, and PhD's. Each group has a separate team of statistical analysts, led by PharmD's, to compose and interpret the data. You are suggesting a recall of paroxetine, which is absurd. You must be suggesting that the information obtained in the clinical trial is innacurate, or the FDA is corrupt and somehow biased in favor of the pharmaceutical companies. I fail to see your reasoning.

Instead of writing half-witted insults, why don't you review the FDA approved prescribing information yourself.

Abnak
02-06-03, 11:13 PM
eaxelrod , do you have a comment on this SSRI study ? I think it was funded by several pharmaceutical companies ...which is surprising considering some of the conclusions .

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

http://journals.apa.org/prevention/volume5/pre0050023a.html

" Approximately 80% of the response to medication was duplicated in placebo control groups "

Some patients were able to descern that they recieved a placebo because of lack of side effects ... ( " Antidepressant clinical trial data indicate that the ability of patients and doctors to deduce whether they have been assigned to the drug or placebo condition exceeds chance levels possibly because of the greater occurrence of side effects ... " ) therefore , the difference between these drugs and fake ones are negligible . " (T)he medications should not have been approved."

pumpkinsaren'torange
02-08-03, 01:35 PM
:mad:

for pete's sake, you can't believe every little jot and tittle you read on a website. learn to discriminate and investigate. :bugeye: :eek: :D

eaxelrod
02-08-03, 10:57 PM
>> for pete's sake, you can't believe every little jot and tittle
>> you read on a website. learn to discriminate and investigate.

What website are you talking about?

eaxelrod
02-12-03, 04:31 PM
>> do you have a comment on this SSRI study ? I think it
>> was funded by several pharmaceutical companies ...which
>> is surprising considering some of the conclusions .

I think that, once they discovered that there was a smaller than previously thought difference between the control and experimental groups, they chose to continue the trial because cancelling a trial is usually indicative of serious adverese and/or unexpected effects, i.e. the enormous HRT study that was cancelled this fall. If they were to cancel it, rumors would be floating around about the safety of the drugs. It is much simpler to explain away the situationally negative results than to cover up the results.

I am not incredibly suprised by the results of the study, but I am wary of them. Each of the drugs in the study each already completed a handful of their own studies that prove their safety and effectiveness vs a placebo. A conclusion cannot easily be formed from the differing results of a single study vs the of numerous unrelated studies, so obviously further testing needs to be done.


It may be a feeble attempt for an explanation, but I would not be suprised if the study turned into a huge marketing ploy (once they could predict the results) to shift SSRI users over to an entirely new class of drug. Then I realized that only 4 of the 6 antidepressants tested were SSRI's (fluoxetine, paroxetine, citalopram, and sertraline), while the other 2 (venlafaxine and nefazodone) are 'generic' antidepressants that are chemically unrelated to SSRI's.

pumpkinsaren'torange
02-15-03, 01:15 PM
look, i have many comments on the subject, but, no one gives a rats ass what i think...i could care less what the Pharm. "conglomerates" print about their "studies" ...blah.