What is the relationship between the Food and Drug Administration, Diabetes and my lack of ability to CLOSE MY MOUTH (also known as LOCKJAW?) Give up?
The answer can be found in an April 15th, 2016 article entitled, “FDA: 2 Diabetes Drugs May Be Linked to Heart Failure Risk.” In this article the FDA states,
“Diabetes drugs containing saxagliptin and alogliptin may raise the risk of heart failure.” They go on to mention the specific drugs including: Onglyza (saxagliptin), Kombiglyze XR (saxagliptin and metformin extended release), Nesina (alogliptin), Kazano (alogliptin and metformin) and Oseni (alogliptin and pioglitazone”)
This means the FDA has identified the clear potential dangers of drug ingredients as well as identifying the specific medications containing these potentially dangerous ingredients. If the article ended here, I would have offered the FDA a “high five” for doing a fine job. Unfortunately, I read the ENTIRE article which resulted in my jaw dropping to an open and LOCKED position. Here is what caused this response!
The FDA said it’s asking doctors to consider discontinuing medications containing saxagliptin and alogliptin in patients who DEVELOP HEART FAILURE. If blood sugar is not well-controlled with current treatments, other diabetes drugs may be needed, the agency said.
“CONSIDER” discontinuing medications in patients who DEVELOP HEART FAILURE? I might have to write the FDA to see when it is medically indicated to continue prescribing a medication to a patient you have already helped achieve heart failure!!!!! The next sentence is almost as bad. “If blood sugar is not well-controlled, other diabetes drugs may be needed.” Does this mean if blood sugar IS WELL CONTROLLED, we should stay the course and see how much additional heart failure results? Maybe the next article written by the FDA should be entitled:
“UNDERSTANDING WHY IATROGENIC (means doctor induced) CAUSES ARE THE 3RD LEADING CAUSE OF DEATH” (behind cardiac disease and cancer!) Bet you didn’t realize that! It’s TRUE.
The article also stated:
“The agency (FDA) added that patients on these drugs should contact their doctor if they develop signs and symptoms of heart failure.” “People with type 2 diabetes who use these drugs should not stop taking them without consulting with their doctor.”
Now, when patients are placed on anti-anxiety medication they are advised to IMMEDIATELY STOP THE MEDICATION if suicidal thoughts appear. Apparently, symptoms related to heart failure aren’t serious enough to consider altering the use of this medication until a doctor is consulted. I’m certain the argument is based on a dangerous spike in sugar levels, right? Here’s a novel concept; prescribe alternative medications that control blood sugar WITHOUT CAUSING POTENTIAL HEART FAILURE in the first place!!! It doesn’t take rocket science to figure this out.
The purpose of this posting is to share reality with all of you. We like to believe that medicine is based purely on science. We like to believe our doctors know which medications are best for us. This post explains WHY you must learn to play a bigger role in your own health; not only from a preventative standpoint, but from a pro-active standpoint COMMUNICATING with your doctor. You must learn to ask questions and understand the potential risks to be able to decide WITH YOUR DOCTOR your best available options. Would you really want to take a medication that has proven to increase chances of heart failure if other options are available? Do you really believe your doctor will volunteer this information without be asked for the risks associated with it? Some may ask, “why would a doctor recommend a medication with increased dangerous side effects? I like to call it, RISK vs. REWARD. Is the RISK to your life worth the REWARD the doctor receives for prescribing the medication (also known as “the perks?”) Since the FDA has approved the drug, the doctor gets to wipe his or her hands clean if adverse reactions occur. It doesn’t matter if the doctor could have chosen a different medication. The decision would be considered within the standards of practice justifying its use. The only one hurt in the process would be YOU, THE PATIENT.
I hope this makes an impact on your thinking as well as an improved future relationship with your doctor. If you would like to read the actual article you can find it: https://www.nlm.nih.gov/medlineplus/news/fullstory_158144.html
Don’t wind up with “LOCKJAW” looking like this fella because you ignored my advice!