Tag Archive | "Effexor"

Americans prefer drugs for depression: survey

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Americans prefer drugs to talk therapy for depression, with nearly 80 percent taking a pill for the condition, Consumer Reports said on Tuesday.

The most popular class of drugs remain the so-called SSRIs such as Prozac, the group found. People found newer, pricier antidepressants less desirable because of side-effects.

Patients benefited just as much from therapy — almost any kind of therapy, the consumer group found in its survey of 1,500 readers.

Those surveyed said they improved just as much after seven or more sessions of talk therapy as if they took drugs and it did not matter if the therapist was a psychiatrist, psychologist or social worker.

Nearly 80 percent of people who had been diagnosed with depression or anxiety were prescribed antidepressants.

Patients were happiest with the selective serotonin reuptake inhibitors or SSRIs, a class that includes Eli Lilly and Co’s Prozac or its generic equivalent fluoxetine;, Pfizer Inc’s Zoloft or sertraline, and Celexa or citalopram and Lexapro or escitalopram from Forest Laboratories Inc.

People complained of more side-effects from serotonin-norepinephrine reuptake inhibitors or SNRIs, a newer, often more expensive class of antidepressants, the survey found.

These include venlafaxine, made by Pfizer-owned Wyeth under the Effexor brand name and Lilly’s duloxetine, sold as Cymbalta.

The survey found a range of side-effects, but the most common one — loss of sexual interest or ability — was less common than in past surveys, the consumer group said.

Source: Reuters

Popularity: 4% [?]

Some anti-depressant drugs associated with increased chance of developing cataracts: Study

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Some anti-depressant drugs are associated with an increased chance of developing cataracts, according to a new statistical study by researchers at the University of British Columbia, Vancouver Coastal Health Research Institute and McGill University.

The study, based on a database of more than 200,000 Quebec residents aged 65 and older, showed statistical relationships between a diagnosis of cataracts or cataract surgery and the class of drugs called selective serotonin reuptake inhibitors (SSRIs), as well as between cataracts and specific drugs within that class.

Published online today in the journal Ophthalmology, the study does not prove causation but only reveals an association between the use of SSRIs and the development of cataracts. The study could not account for the possibility of smoking – which is a risk factor for cataracts – and additional population-based studies are needed to confirm these findings, the researchers say.

This study of statistical relationships is the first to establish a link between this class of drugs and cataracts in humans. Previous studies in animal models had demonstrated that SSRIs could increase the likelihood of developing the condition.

“When you look at the trade-offs of these drugs, the benefits of treating depression – which can be life-threatening – still outweigh the risk of developing cataracts, which are treatable and relatively benign,” says Dr. Mahyar Etminan, lead author of the article, a scientist and clinical pharmacist at the Centre for Clinical Epidemiology at Vancouver Coastal Health Research Institute and an assistant professor in the Dept. of Medicine atUBC.

Researchers found patients taking SSRIs were overall 15 per cent more likely to be diagnosed with cataracts or to have cataract surgery.

The degree of risk among specific and different types of SSRIs varied considerably. Taking fluvoxamine (Luvox) led to a 51 per cent higher chance of having cataract surgery, and venlafaxine (Effexor) carried a 34 per cent higher risk. No connection could be made between fluoxetine (Prozac), citalopram (Celexa), and sertraline (Zoloft) and having cataract surgery.

Co-author Dr. Frederick S. Mikelberg, professor and head of the Dept. of Ophthalmology and Visual Sciences at UBC and head of the Dept. of Ophthalmology at Vancouver General Hospital, notes that the average time to develop cataracts while taking SSRIs was almost two years.

“While these results are surprising, and might inform the choices of psychiatrists when prescribing SSRIs for their patients, they should not be cause for alarm among people taking these medications,” Mikelberg says.

Source: University of British Columbia

Popularity: 10% [?]

Zoloft, Cipralex are tops in antidepressant comparison

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Two antidepressants, Zoloft and Cipralex, work slightly better and are better tolerated compared with 10 other similar drugs for moderate to severe depression, a new review has found.

In Thursday’s online issue of the medical journal The Lancet, an international team of doctors looked at more than 100 previous studies on antidepressants involving nearly 26,000 patients from 1991 to 2007.

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They concluded that Zoloft, or sertraline, and Cipralex, or escitalopram, were the best options when considering benefits, side-effects, and cost.

Edronax was considered the least effective.

“Such findings have enormous implications,” wrote Dr. Sagar Parikh, a psychiatrist at the University of Toronto, in a commentary accompanying the study.

“Now a clinician can identify the four best treatments, identify individual side-effect profiles, explore costs and patients’ preferences and collaborate in identifying the best treatment.”

The study’s authors weighed the drugs based on whether it reduced depression scores on two standardized tests by at least half and if patients had not stopped taking the medication in the last two months.

All of the antidepressants helped and there were no major differences, said the study’s lead author, Dr. Andrea Cipriani of the University of Verona in Italy.

“If a patient is taking a drug and doing well, he should not stop and switch drugs,” Cipriani said.

The other drugs reviewed were:

  • Celexa (citalopram)
  • Cymbalta (duloxetine)
  • Effexor (venlafaxine)
  • Ixel (milnacipran)
  • Luvox (fluvoxamine)
  • Prozac (fluoxetine)
  • Seroxat (paroxetine)
  • Remeron (mirtazapine)
  • Zyban (bupropion)

Side-effects for the various drugs include nausea, sleeplessness, and sexual dysfunction.

The findings may lead doctors to prescribe Zoloft and Cipralex more often, but psychiatrists should also consider alternatives such as behavioural therapy, said Irving Kirsch, a professor of psychology at Britain’s University of Hull.

The study was paid for by the authors’ academic institutions in Britain, Greece, Italy, and Japan.

Cipriani has not received any grants from pharmaceutical companies. Several of his co-authors reported receiving funding from various makers of antidepressants.

Source: cbc.ca

Popularity: 12% [?]

Pfizer, Wyeth Both Braced For Expiration Of Patents On Big Drugs

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A look at Pfizer Inc.’s pharmaceutical sales last year suggests one major reason for its offer to buy Wyeth Pharmaceuticals for $68 billion: sagging revenues from its current drug offerings.

Last year’s overall pharmaceutical sales were off $250 million, or about 1 percent, from the year before, according to Pfizer’s unaudited year-end report. Wyeth, on the other hand, reported an increase in revenues of about 2 percent, or more than $400 million.

Still, both drug companies face a near-term problem with expiring patents on some of their leading compounds.

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For Pfizer, the elephant in the room is Lipitor, the leading medicine in the world, which will be subject to generic competition in 2011, taking a huge bite out of sales numbers that totaled $12.4 billion last year, or more than a quarter of the company’s revenues. Pfizer acquired Lipitor when it bought out Warner-Lambert for $90 billion nine years ago.

”It’s the world’s biggest drug ever,” said health care analyst Les Funtleyder of Miller Tabak & Co. in New York. “No one drug is going to replace it.”

Yet Lipitor isn’t the only problem for Pfizer: Analysts project that about half of the company’s drug sales would dry up because of patent expirations if the company’s research and development operation, headquartered in New London, doesn’t find replacements in the next five years.

Wyeth also has its drug-development issues, with two top compounds facing patent expirations: depression medication Effexor in 2010 and heartburn drug Protonix in 2011. Meanwhile, a promising new Alzheimer’s vaccine that Wyeth has been developing with Elan Pharmaceuticals has been slowed by unexpected results from a clinical trial, and the FDA last year denied two of the company’s other drug candidates.

”R&D is not linear,” said Funtleyder. “More money does not necessarily equal more drugs. There are those eureka moments. It’s cyclical.”

The cycle has been running against major pharmaceutical companies for some time now, and Pfizer has become a poster child for those who believe major R&D investments don’t necessarily guarantee a better drug pipeline. An article on Forbes.com Tuesday, typical of the skepticism regarding the Wyeth deal, noted that in the past decade “Pfizer has launched only one medicine with annual sales surpassing $1 billion, despite plowing more than $60 billion into research and development.”

Indeed, even Pfizer’s one blockbuster drug, Lyrica, traces its roots to Warner-Lambert. Other Pfizer best-sellers include arthritis treatment Celebrex, overactive bladder medication Detrol and cancer compound Sutent, all of which came out of the purchase of Pharmacia in 2003.

Sutent, Detrol, Celebrex and Lyrica are all performing relatively well for Pfizer – particularly the pain medication Lyrica, which showed a sales increase of more than 40 percent last year, launching it into the No. 2 position among the company’s top sellers.

But several other drugs counted on to help shoulder the burden of Lipitor’s loss showed weakness, and Pfizer’s older pharmaceutical pipeline is beginning to show cracks.

”Pfizer is in the most desperate state of anyone in the industry in terms of patent expirations,” Standard & Poor’s analyst Herman Saftlas told Business Week magazine.

As an example, blood pressure medication Norvasc, which once accounted for 10 percent of Pfizer’s bottom line, lost a quarter of its sales last year compared to the year before after facing generic competition for the first time in 2007. And cancer compound Camptosar, which went off patent last year, saw 42 percent of its sales dry up last year.

Other negative performers last year included Chantix, the once-ballyhooed anti-smoking drug that lost its luster in the United States after it was tied to concerns about suicidal thoughts; pain medication Neurontin, which got bad press when Pfizer was accused of suppressing studies showing the drug didn’t help with diabetic nerve pain; and Diflucan, an older anti-fungal drug whose patents expired some time ago.

Pfizer also lost more than $250 million in sales with the patent expiration of Zyrtec, an allergy medication.

On the plus side, psychiatric medication Geodon and antibiotic Zyvox reached $1 billion in sales last year, while erectile dysfunction pill Viagra, still going strong after 10 years on the market, neared the $2 billion mark. But Pfizer’s biggest rising star, on a percentage basis, was cancer drug Sutent, which finished with nearly $850 million in sales, 46 percent more than last year.

Pfizer will need more compounds like Sutent, a chemotherapy drug expected to gain more traction with an aging population of baby boomers. But analysts said there appear to be few if any blockbusters in Pfizer’s pipeline to make a dent in the loss of Lipitor – a situation that caused Forbes.com to headline an article on the Wyeth deal “Big Pharma’s Death Spiral.”

”It’s not necessarily a death spiral, but you have to have new drugs,” said analyst Funtleyder.

Pfizer seems to be staking its biggest hopes on Alzheimer’s disease medicines, including bapineuzumab, which Wyeth has partnered with Elan Pharmaceuticals on and is currently in late-stage trials. It’s unclear, however, whether the partnership will continue once Pfizer takes over Wyeth.

Pfizer has its own Alzheimer’s pipeline, but its current top medication, Aricept, loses patent protection at the end of next year. Pfizer had five Alzheimer’s drugs in development, but its acquisition of Wyeth would triple that total.

”If Wyeth delivers on Alzheimer’s, it will be all worthwhile,” said Funtleyder. “Who knows? Maybe drug development will go into an up cycle, and it will be good to be big.”

Source: TheDay.com

Popularity: 10% [?]

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