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Why Tweaking Molecular Structures Can Be Hazardous to Our Health

Simon M. Helfgott, MD  |  Issue: June 2014  |  June 1, 2014

Before long, rofecoxib and its sister drug, valdecoxib, were withdrawn from the market at the request of the U.S. Food and Drug Administration. As major purveyors of NSAID therapy, I think we have all become skittish about their use in many of our patients.

When a kid tinkers with a chemistry set, there may be a flash and a charred kitchen wall. When doctors tinker with nature, the damage may be much harder to repair.

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Simon M. Helfgott, MD, is associate professor of medicine in the division of rheumatology, immunology and allergy at Harvard Medical School in Boston.

References

  1. Edelson AM. John Robert Vane: 1927–2004. J Cardiovasc Pharmacol. 2005;45(3):280–282.
  2. Moncada S. Obituary: John R. Vane (1927–2004). Nature. 2005;433(7021):28.
  3. Mueller RL, Scheidt S. History of drugs for thrombotic disease. Discovery, development and directions for the future. Circulation. 1994;89(1):432–449.
  4. Craven LL. Experiences with aspirin (acetylsalicylic acid) in the nonspecific prophylaxis of coronary thrombosis. Miss Valley Med J. 1953;75(1):38–44.
  5. Bresalier RS, Sandler RS, Quan H, et al. Cardiovascular events associated with rofecoxib in a colorectal adenoma chemoprevention trial. N Engl J Med. 2005;352(11):1092–1102.
  6. Graham DJ, Campen D, Hui R, et al. Risk of acute myocardial infarction and sudden cardiac death in patients treated with cyclo-oxygenase 2 selective and non-selective non-steroidal anti-inflammatory drugs: Nested case-control study. Lancet. 2005;365(9458):475–481.

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Filed under:Biologics/DMARDsDrug UpdatesOpinionResearch RheumRheuminationsSpeak Out Rheum Tagged with:anti-inflammatoryBiosimilarsdrugHelfgottpatient careResearchrheumatologistrofecoxib

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