Cin. OH rehab

[Guest guest]

Any rehab folks in the Cincinnati area?

From: VetRehab [mailto:VetRehab ] On Behalf Of Freedman

Sent: Monday, January 07, 2008

7:18 PM

To: VetRehab

Subject: Re: Tendon

issues with Fluoroquinolones

Toni

I'm not sure where you got your info' but it isn't

correct-cruciate dz isn't a result of inflamm-we don't see as many acute tears

in humans because of dog's comformation and activity, as well as an associated

collagen degenration and loads. The inflammation is not pre-existing-it's

been there as part of the inflamm repsonse to the ligamentous pathology, not

the opposite. Also, meniscal injury contributes to this as well.

Freedman VMD CCRT

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.

Warren, NJ

07059

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