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Avandia vs. Actos: A Doctor's Advice

Avandia linked to 42% greater risk of heart attack





By Henry J. Fishman, M.D.
ConsumerAffairs.com

September 13, 2007

Diabetes
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Study: Avandia May Do More Harm than Good
FDA Orders New Warning For Avandia
U.S. Kidney Disease on the Rise
Fish Oil May Fight Diabetes
Avandia vs. Actos: A Doctor's Advice
Avandia Linked to 42% Greater Risk of Heart Attack
Soft Drink Sweetener Linked to Diabetes in Kids
Diabetes Drugs to Get 'Black Box' Warnings
FDA Rejects Advice to Pull Avandia From Market
FDA Advised to Pull Avandia From Market
Avandia, Other Diabetes Drugs Increase Risk of Heart Failure
Dairy Products May Protect Against Metabolic Syndrome
Portion-Control Dishes May Help Obese Diabetics
FDA Issues Safety Alert on Diabetes Drug Avandia
Stem Cell Treatment May "Cure" Diabetes
Diabetes Risk May Be In The Genes
Holiday Gluttony Can Spell Disaster for Undiagnosed Diabetics
Malaria Drug May Fight Common Cause of Diabetes, Heart Disease
Feds Attack Fake Diabetes Cures
FDA Approves New Treatment for Diabetes
Feds Warn Of Counterfeit Diabetes Tests
Study: Weightlifting Helps Overweight Teens Avoid Diabetes
Researchers Say They Can Reverse Type 1 Diabetes
Study: Obesity Major Factor in Diabetes Epidemic
Too Much, Too Little Sleep Linked To Diabetes In Men
Procedure Cures Some Diabetic Mice
Ethnicity Skews Diabetes' Effect on Heart
Pig Cells May Be Useful in Diabetes Treatment
Protein Triggers Fat-Saturated Cell Death
FDA Approves Diabetes Inhaler Exubera
FDA Panel Greenlights Diabetes Inhaler
Breastfeeding May Decrease Diabetes Risk
Low-Fat Dairy Products May Lower Diabetes Risk in Men
Scientists Find Diabetes "Switch"
New Diabetes Treatment Approved
Knowledge of Diabetes Doesn't Always Affect Outcomes
Moderate Exercise Helpful to Diabetes-Prone Women
Life Expectancy Increases; Diabetes Epidemic Worsens

Diabetes patients were alarmed and confused to hear this week's reports about heightened heart attack risks from the popular drug Avandia.

There's really no need for confusion, though there may be need for concern. Here's a simple summary of what happened:

Doctors took a long look at how two drugs used by Type II diabetics affect the heart, and published their results in the Journal of the American Medical Association.

They gave a thumbs up to Actos, and thumbs down to Avandia.

According to studies involving some 19,000 people, Actos can cut the rate of heart attacks, stroke, and even death from heart disease by nearly 20%, though it may cause a slight increase in the rate of heart failure.

Avandia, on the other hand, in four studies of 14,000 people, increased the rate of heart attacks, strokes and heart failure by a whopping 42%. Thankfully the rate of cardiac deaths did not change

And so, if you are on medicines for Type II diabetes, talk to your doctor. Tell him or her you want to make sure the benefits of your medicine outweigh its risks, including the risk of heart trouble.

Public health officials will be deciding whether or not to take Avandia off the market. Until then, you need to decide -- in consultation with your physician -- whether you want to keep taking it or switch to something else.

If you are taking Avandia, don't just stop taking it. Talk to your doctor first and make an informed decision about which course of treatment is best for you. Statistics are scary but we are all different and you shouldn't make what could be a life-or-death decision based on news stories.



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