Fred A. Baughman Jr., MD comments:
Lawmaker: FDA Resisting Antidepressant Probe
1 hour, 49 minutes ago
By Lisa Richwine
WASHINGTON (Reuters) - A top Republican lawmaker on Thursday charged the
U.S. Food and Drug Administration (news - web sites) with hindering a
congressional investigation into whether the agency suppressed a possible
link between antidepressant use and suicidal behavior in youth. [Fred A. Baughman Jr., MD:
the fundamental
character of the FDA has changed since the early 60's when they stopped the marketing of
thalidomide in the US and largely protected us from the epidemic congenital
amputations. Today we would, I am sure, have an immense population of such newborns
with the FDA and this administration standing strong, claiming there was no causal link.
We are worse off for the FDA today, believing in the least they protect us. Clearly, the
FDA with all of the government is on the payroll of big pharma]
Rep. Joe Barton (news, bio, voting record), chairman of the U.S. House
Energy and Commerce Committee, said the FDA (news - web sites) has been
uncooperative during the committee's inquiry, which began as a general probe
into the risks of the mood-enhancing medicines in children and teens. [Fred A. Baughman Jr., MD:
all of
whom are normal, though the psycho-pharm-gov cartel says each with troubled behavior
or emotions has a brain disease; always a lie]
"Unfortunately, over the last several months, the committee has been met
mostly with stonewalling, slow-rolling and plain incompetency from the FDA,"
said Barton, of Texas.
The committee asked the agency to supply lawmakers with all related
documents, but an FDA employee decided to limit the number of records it
sent, Barton charged.
If necessary, "we will send committee staff to the FDA with the (U.S.)
Capitol Police ... and we will go through the files ourselves," he said.
Dr. Janet Woodcock, FDA's acting deputy commissioner for operations, said
the agency had supplied the requested documents and the "FDA will make every
effort to cooperate with the committee."
She also said committee investigators had declined invitations to review
documents at the FDA but were still welcome to do so.
Seven months ago, the committee began probing whether the widely used drugs
would increase the risk of children and teenagers committing suicide,
prompted by the agency review of the medicines.
One FDA reviewer, Andrew Mosholder, concluded there was a link, but other
agency officials disagreed and decided Mosholder should not present his
views at an advisory committee meeting held earlier this year.
Questions about a possible link first arose last year when regulators
reviewed clinical trials of children who took GlaxoSmithKline Plc's Paxil.
Only Eli Lilly and Co.'s Prozac, sold generically as fluoxetine, is approved
for treating pediatric depression.
The agency review also includes Pfizer Inc.'s Zoloft, Forest Laboratories
Inc.'s Celexa, Wyeth's Effexor, Bristol-Myers Squibb's Serzone, Solvay's
Luvox, Akzo Nobel's Remeron, and two other GlaxoSmithKline drugs --
Wellbutrin and Zyban.
The FDA has not reached a final decision about any link, but last month said
it would update antidepressant labels to include information from various
studies.
It also called for a separate analysis from Columbia University that
Mosholder has said echoes many of his concerns.
A panel of outside experts convened by the FDA meets next week to discuss
the new analysis and other information.
The antidepressant controversy has prompted calls for better disclosure of
clinical trials that yield unfavorable results. Manufacturers did not
publicize studies that raised safety questions and that failed to show the
effectiveness of most of the drugs in treating pediatric depression. [Fred A. Baughman Jr., MD:
not safe and
not effective. The risk vs. benefit analysis does not add up to reason or justification to
use in children]
To forestall future similar problems, major medical journals said this week
they would not publish results from any clinical trials that are not
registered in a national database.
"The bottom line is that physicians and researchers who formulate treatment
guidelines for patients must be able to trust the information that they
use," Dr. Ronald Davis, an American Medical Association trustee, said at the
hearing. (Additional reporting by Susan Heavey)
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