Popular painkillers being taken off United States market
Fifty years later after the appearance of the popular widely used painkillers Darvon and Darvocet, along with their generic equivalents, which can be simply replaced according to experts in the area of pain had noted on Friday. This had just came after the FDA announced that they are requesting these pain medications be taken off the United States pharmaceutical market.
They FDA founded their decision based upon information which had indicated a serious risk of heart rhythm abnormalities. This covers years of debate over the very serious side effects of Darvon. Darvon’s generic brand is propoxypene which had first been granted it’s approval for use in 1957.
Public Citizen’s Health Research Group’s Director Dr. Sidney Wolfe, criticized the actions of the FDA remarking it is too late and asked for a congressional hearing as to why the FDA took so long of a time to act on this medication.
In requesting for removal of the medication, the FDA has requested physicians to cease prescriptions of this drug immediately. However, they are suggesting to patients to continue propoxyphene in their quick consultations with physicians to look for an alternative.
Propoxyphene is an opioid which is used in the treatment of mild to moderate pain.
Estimations by the FDA shows that ten million people have used propoxyphene in 2009. Most of those people also receiving it in a drug combination with acetaminophen, a compound which is a Darvocet trade name.
Dr. Al Anderson, a family physicians in Minneapolis and President of the American Academy of Pain Management board of directors, comments a lot of the physicians who prescribe propoxyphene do so just because the medication has been in existence for a long time, making it a known drug.
Dr. Anderson continues the withdrawal of this drug will harm a number of patients who cannot take other painkiller medications. However, for most of the patients there are alternative medications like oxycodone and morphine. This does take one means away but it is a small one.
Dr. Mehul Desai, director of pain medicine at George Washington University Hospital in Washington, stated that there are numerous better options and it tended to be a poor pain reliever.
Propoxyphene was taken off the market by Britain regulators in 2005 and European Union in 2009, due to the fact of its numerous health concerns.
An FDA advisory committee in January of last year had voted 14-12 not to continue with the marketing of the drug. However, that recommendation had been denied by the FDA. The agency did however, required a study on the drugs cardiac effects. The study did in fact show there was an elevated risk for heart arrhythmia in all persons including healthy patients.
Dr. John Jenkins, director of new drugs in the FDA’s Center for Drug Evaluation and Research, had remarked via a telephone interview press conference with reporters that they had decided that the risk of the drug did not outweigh its benefits anymore.
Dr. Wolf, still noting that the FDA should have done something a lot sooner. That Public Citizen had attempted for more than thirty years to impose limits on the drugs usage and did in fact petition the FDA to ban the drug.
Information concerning the drugs toxicity pointed out by the FDA which came in Friday’s announcement from an animal study which was done thirty years ago noted Dr. Wolfe. He continued to say that a minimum of 1,000 people in the United States had died from using propoxyphene since that ban had occurred in Britain in 2005.
Dr. Wolfe branded the agency’s lack of action “a serious indictment of the FDA’s long-lasting unwillingness to protect people in this country from a deadly but barely effective painkiller.”
Judgment against their regulatory actions in recent years, the announcement on Friday carries on a harder FDA line concerning drug safety. This is the second time in a month and half that the agency impelled that the drug be taken off the market.
Darvon and Darvocet are manufactured by Xanodyne Pharmaceutical Inc., located in Newport, Kentucky. They have acknowledged that they will comply with the FDA’s demand to take the drug off the market. The manufactures of the generic version propoxyphene are expected to follow the same course of action.
Currently estimates have shown that around 38 million persons use alternative medicine to treat chronic pain. Some of the top alternative pain treatments:
In a survey conducted this year in alternative treatments for chronic pain chiropractic care came in as the most popular choice used by 74% of persons.
Most chiropractic tend to use the Palmer theory of subluxation. It does not matter what theory is employed all chiropractors employ spinal adjustments for pain. Chiropractic care is extremely effective and especially in the area of pain which comes from the central nervous system. Chiropractic care returns a person to normal functioning of muscles, joints and cardiovascular system. It eliminates the source of the pain.
Doctors of chiropractic do employ other treatment methods for chronic pain not limited to nutritional advice, herbs and other therapies.
Trigger point therapy is one therapy commonly used in the elimination of chronic pain. Trigger point is the extremely irritable point in the muscles which are linked with tense bands of muscle fibers. Manipulations will reproduce the pain pattern at first however, continued manipulation will decrease and eventually eliminate the pain.
Persons who suffer from chronic pain regardless of the area or source of the pain seek chiropractic treatments for its effectiveness and non-drug approach and its ability to provide long term pain management.
Acupuncture has been noted as another effective treatment in the area of chronic pain. The National Institutes of Health has verified this claim. It can be a very effective treatment for numerous types of pain. It has been noted to be useful in the area of headaches, back pain, tennis elbow, fibromylagia and carpal tunnel.
The noted theory is that acupuncture releases endorphins, the bodies own natural painkillers. Studies have demonstrated when these are released into the body the pain becomes decreased.
Yoga, Tia Chi and Qi Gong have all been noted to aide in the relief of chronic pain.
In yoga the asana can relieve chronic pain in numerous ways which include lowering stress levels which in turns make muscle spasms decrease. When the spasms are decreased so is the pain level.
Tai Chi provides effective pain relief that has even allowed some persons to reduce their pain medications. The movements are gentle and graceful. Tai Chi works great for arthritis pain and pain in elderly persons since the movements are totally safe.
Qi Gong has the same effectiveness of Tai Chi and the movements are also gentle and totally safe.
There are more than 100 herbs used for chronic pain. If you are unfamiliar with herbs it is best to consult an herbalist who can guide you for which herbs would be best based upon your health and pain condition and level.
Willow bark is one of the most effective herbs which have been demonstrated in numerous studies for chronic pain.
Boswellia acts as an anti-inflammatory to reduce pain and inflammation.
Devils Claw extract has been proven in scientific studies to be effective for pain especially in the back where it is equal to the use of the pain medication Vioxx.
Some alternative medicine practitioners in or around Detroit area:
A & L Chiropractic Center
24281 Middlebelt Road
Vespirini Chiropractic Life Center
12912 East Eight Mile Road
Detroit Community Acupuncture
4100 Woodward Avenue
Acupuncture & Herbs Miracle
23700 Orchard Lake Road Suite K
535 Griswold Street