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Pfizer Still Pushing Chantix, Even for Mentally Ill

Pfizer Still Pushing Chantix, Even for Mentally Ill

Date Published: Friday, June 6th, 2008

Pfizer Inc., trying desperately to save the reputation of Chantix, is claiming the anti-smoking drug is safe - even for people suffering from mental illness. This, in spite of the fact that the Food & Drug Administration (FDA) is reviewing Chantix due to a number of serious side effects, including severe depression and suicide.

Chantix was supposed to be a blockbuster for Pfizer. It was approved in 2006, and was the first nicotine receptor partial agonist - meaning it blocks nicotine receptors in the brain - on the market. But there have been at least 34 reports of suicides related to Chantix in the US. According to an FDA Nov. 2007 Early Communication, the agency said that its preliminary assessment revealed many of the cases reflected new-onset of depressed mood, suicidal ideation, and changes in emotion and behavior within days to weeks of initiating Chantix treatment. In February, the FDA said “it appears increasingly likely that there may be an association between Chantix and serious neuropsychiatric symptoms.” The agency said that it had asked Pfizer to elevate the prominence of safety information regarding suicidal thoughts and other psychiatric problems to the warnings and precautions section of the Chantix prescribing information, or labeling.

Then last month, the Institute for Safe Medication Practices issued a report detailing Chantix adverse event repots to the FDA. The report specifically cited 224 reports of potential heart-rhythm disturbances, 372 reports of possible movement disorders and 544 reports of likely glycemic problems, including diabetes. There were also reports of traffic accidents and falls linked to Chantix. As a result of the Institute’s report, the Federal Aviation Administration banned Chantix use by pilots and air traffic controllers. Earlier this week, the Federal Motor Carrier Safety Administration said that “… it appears that medical examiners should not certify a driver taking Chantix because the medication may adversely affect the driver’s ability to safely operate a commercial motor vehicle.” The report also led the FDA to announce another Chantix safety review.

Pfizer, which is counting on Chantix to be one it biggest growth drivers, has embarked on an aggressive campaign to prop up the drug’s image. The campaign includes advertisements in the country’s biggest newspapers, as well as a letter campaign to physicians. Pfizer will also submit “opinion” pieces to the editorial pages of newspapers meant to address “misconceptions” about the drug.

Yesterday, as part of that campaign, Pfizer held a roundtable discussion with members of the media. Representatives from Pfizer insisted Chantix is safe, and cited studies - which were paid for by the company - that found no suicide risk. One of the key points the company tried to make at the meeting was that depression - which is a risk factor for suicidal behavior - is not unusual in people who are trying to quit smoking. But some of the reports involving bizarre behavior in Chantix users - including that of musician killed when he tried to break down a neighbors door - sound a bit extreme to be typical of nicotine withdrawal.

Meanwhile, in an Associated Press interview, Pfizer Senior Medical Director Dr. Martina Flammer said Chantix is even safe for the mentally ill, although he suggested such patients inform doctors of their medical history. Pfizer also said it has funded grants to independent scientists to investigate severe adverse events of Chantix in patients with depression, schizophrenia and alcoholics.

But David Gonzales, co-director of Oregon Health & Science University’s Smoking Cessation Center and who led Chantix clinical trials, told the Associated Press that people with schizophrenia and other mental illness were deliberately excluded from those studies so that adverse events couldn’t be attributed to a pre-existing condition.

Pfizer Still Pushing Chantix


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    Thursday, April 24, 2008


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    EWAN MCGREGOR - MCGREGOR FINDS QUALITY OF LIFE AS AN EX-SMOKER

    Movie star EWAN MCGREGOR has a better quality of life now he has quit smoking because he no longer has to hunt for cigarettes, ashtrays and lighters before he can sit and relax.

    EWAN MCGREGOR , the Scottish actor quit just over a year ago with the help of hypnotherapy and now he can't believe he had so many problems giving up in the past.He says, "The idea of life without cigarettes is terrifying but it's so much better... and it's so easy - you just don't smoke."I found the most annoying thing about cigarettes - apart from the fact that they give you emphysema and cancer and it makes you stink and not have any money, and you have to stand outside in the snow, and all of those things - is that you couldn't do anything without them."I couldn't stand the fact that I couldn't just sit down - I'd have to go and find my cigarettes and, 'Where's my ashtray and my lighter?' I'd always be looking for things... Now I can just sit down."And MCGregor insists that, if he can quit, anyone can: "I did it as a second profession; I used to act and smoke."


    22/04/2008 01:48

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      Tuesday, November 20, 2007


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      FDA Eyes Possible Risks of Pfizer’s Anti-Smoking Pill

      FDA Eyes Possible Risks of Pfizer’s Anti-Smoking Pill

      Posted by Jacob Goldstein

      The FDA is reviewing the safety of Pfizer’s popular Anti-Smoking Pill

      Chantix. The agency is studying reports submitted by Pfizer describing suicidal ideation, “occasional suicidal behavior” and other changes in behavior and mood associated with the drug. Problems seem to come on within days or weeks of starting the drug.

      But it’s too soon to say whether the drug is clearly linked to psychiatric problems, the agency said in this “early communication” it issued this afternoon. The fact that people are trying to quit smoking may have something to do with the problems, the agency notes

      The FDA also said it’s reviewing “a number of recent reports in the popular press and internet sites.” No word on whether they’ve stumbled on this Health Blog post, which describes not only the drug’s commercial success, but also the highly publicized death of a musician who was taking Chantix. (He was shot by a neighbor.)

      The agency also said it’s reviewing reports of drowsiness in some people taking the drug, and recommended that patients taking Chantix should be careful driving until they know how the drug affects them. Patients should also tell their doctor if they have mood or behavior changes while taking the drug.

      Healthcare professionals should monitor patients taking Chantix for behavior and mood changes. Patients taking this product should report behavior or mood changes to their doctor and use caution when driving or operating machinery until they know how quitting smoking with Chantix may affect them.

      Read the complete 2007 MedWatch safety summary including a link to the FDA Early Communication Sheet about an Ongoing Safety Review regarding this issue at:

      http://www.fda.gov/medwatch/safety/2007/safety07.htm#Chantix
      .


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