Re: Tendon issues with Ab'sl?

[Guest guest]

Hi Laurie

It is something we always talked about when I used to treat horses,

not sure in the small animal world but I avoid them in canine athletes

Tomlinson BVSc MS PhD DACVS CCRP

Certified Canine Rehabilitation Practitioner

Twin Cities Animal Rehabilitation Clinic

12010 Riverwood Dr, Burnsville MN 55337

www.tcrehab.com

From:

VetRehab [mailto:VetRehab ] On Behalf Of Dr.

Laurie McCauley

Sent: Friday, January 04, 2008 3:15 PM

To: VetRehab

Subject: Tendon issues with Ab'sl?

I saw this come

across another list that I belong to and was wondering if anyone had heard

anything about it?

Group Sues FDA for Stronger

Warnings

Jan 3, 7:16 PM (ET)

WASHINGTON (AP) - A consumer

group sued the Food and Drug Administration Thursday, charging the agency is

ignoring calls for stronger warnings that Cipro and similar antibiotics may

cause serious tendon injuries.

Labels of the

fluoroquinolone family of antibiotics - drugs that include the popular Cipro

and Levaquin - already warn about rupture of tendons and other tendon injuries,

but at the bottom of a list of other side effects.

The consumer group Public

Citizen wants those warnings upgraded to the FDA's most severe type, a so-called

black-box warning - and for patients to get pamphlets with every bottle that

describe the risk. It argues that too few patients know they're supposed to

quit using the drugs if they experience symptoms such as pain or inflammation,

before the tendon actually ruptures.

Public Citizen filed a

petition seeking the stronger warning in August 2006.

The state of Illinois had

filed a similar petition the previous year.

The FDA is violating its own

statutes and putting patients at risk in taking so long to settle the issue,

Public Citizen said in the suit filed in U.S.

District Court for the District

of Columbia.

When Public Citizen first

filed the petition, FDA's database showed 262 reports of tendon ruptures

between November 1997 and December 2005, along with hundreds of other tendon

problems in users of these antibiotics. Since then, the FDA has received an

additional 74 reports of tendon ruptures, said Public Citizen's Dr. Sidney

Wolfe. Only a fraction of drug side effects typically are reported to the

agency, he noted.

An FDA spokesman said the

agency was evaluating the lawsuit and declined comment.

[Guest guest]

Also something I remember way-back-when in PT school.  I've not seen documented evidence in dogs.Amie Amie Lamoreaux Hesbach, MSPT, CCRP, CCRTDirector of RehabilitationNext Step Animal Rehabilitation & FitnessThe Mid-Atlantic Animal Specialty Hospital (MASH)Huntingtown, land, USAwww.vetmash.comOwnerFor Paws Rehabilitation, LLCwww.forpawsrehabilitation.comFaculty MemberThe Canine Rehabilitation InstituteWellington, FloridaSnowmass, Coloradowww.caninerehabinstitute.comPresidentAnimal Rehabilitation Special Interest GroupOrthopaedic SectionAmerican Physical Therapy Association (APTA)www.orthopt.orgwww.apta.org Hi LaurieIt is something we always talked about when I used to treat horses, not sure in the small animal world but I avoid them in canine athletes  Tomlinson BVSc MS PhD DACVS CCRPCertified Canine Rehabilitation PractitionerTwin Cities Animal Rehabilitation Clinic12010 Riverwood Dr, Burnsville MN 55337www.tcrehab.com<image001.jpg> From: VetRehab [mailto:VetRehab ] On Behalf Of Dr. Laurie McCauleySent: Friday, January 04, 2008 3:15 PMTo: VetRehab Subject:  Tendon issues with Ab'sl? I saw this come across another list that I belong to and was wondering if anyone had heard anything about it? Group Sues FDA for Stronger WarningsJan 3, 7:16 PM (ET) WASHINGTON (AP) - A consumer group sued the Food and Drug Administration Thursday, charging the agency is ignoring calls for stronger warnings that Cipro and similar antibiotics may cause serious tendon injuries. Labels of the fluoroquinolone family of antibiotics - drugs that include the popular Cipro and Levaquin - already warn about rupture of tendons and other tendon injuries, but at the bottom of a list of other side effects. The consumer group Public Citizen wants those warnings upgraded to the FDA's most severe type, a so-called black-box warning - and for patients to get pamphlets with every bottle that describe the risk. It argues that too few patients know they're supposed to quit using the drugs if they experience symptoms such as pain or inflammation, before the tendon actually ruptures. Public Citizen filed a petition seeking the stronger warning in August 2006.The state of Illinois had filed a similar petition the previous year. The FDA is violating its own statutes and putting patients at risk in taking so long to settle the issue, Public Citizen said in the suit filed in U.S.District Court for the District of Columbia. When Public Citizen first filed the petition, FDA's database showed 262 reports of tendon ruptures between November 1997 and December 2005, along with hundreds of other tendon problems in users of these antibiotics. Since then, the FDA has received an additional 74 reports of tendon ruptures, said Public Citizen's Dr. Sidney Wolfe. Only a fraction of drug side effects typically are reported to the agency, he noted. An FDA spokesman said the agency was evaluating the lawsuit and declined comment.