With no clear guidelines, recommendations are all over the map:
“Patients have asked questions about Avandia,” said Dr. Patrick Cogley, a primary care doctor in Iowa. “I have told them to continue taking their Avandia.”Cogley added, though, that he has not given out any new prescriptions for Avandia, and a committee in his practice is further investigating the drug’s safety.
Dr. Stanley Mirsky has taken an opposite approach. An endocrinologist at New York City’s Lenox Hill Hospital, he said, “In my practice, I have stopped Avandia.”
Mirsky said he is substituting other diabetes medications for Avandia.
Related posts:
- Avandia: The RECORD study
- Avandia: Prescriptions have dropped to zero
- Does Avandia cause heart attacks, and why the RECORD study is important
- Steven Nissen was wrong about Avandia
- Avandia, MI, and cardiac death
- Avandia: WSJ cries politics
- Avandia and meta-analysis
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Oh dear! No clear guidelines! What are we supposed to do?? Think or something!!
This is where the guideline monkeys get in trouble. When they have to negotiate through clinical decisions that are outside the bounds of guidelines and the pale of imagined certainties with which they defend their clinical anxieties.
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