Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

FDA Panel Recommends Approval of Diet Drug Qnexa

FDA Panel Recommends Approval of Diet Drug Qnexa
A U. S. Food and Drug Administration Advisory Committee today recommended approval of the weight reduction drug Qnexa, cure many hope can help millions of Americans who have a problem with obesity.

In voting 20 to 2 for approval, the committee said today that Qnexa's weight reduction benefits for the chronically obese outweighed the risks of birth defects and cardiovascular problems which have been from the drug. An FDA advisory panel recommended against approval this year over concerns concerning the drug's unwanted effects, and the FDA rejected it briefly after that. Vivus, the drug's manufacturer, recently submitted additional research.

The committee today recommended that the manufacturer take an amount of steps to avoid the drug from causing birth defects like cleft palate, including a possible warning label targeted toward women of childbearing years.

The FDA has considered numerous anti-obesity drugs in the past twenty years, but most have didn't meet the agency's standards for safety and effectiveness. But up to now, data on Qnexa suggests that the drug may be the most effective in helping patients shed around 10 percent of their bodyweight. Those changes, along with diet and exercise modifications, could go quite a distance toward alleviating some of the health problems connected with obesity, such as diabetes and high blood pressure.

Critics say the chance of potentially dangerous unwanted effects of Qnexa, such as increased heartrate, heart attacks and arrhythmias, are too great to make the drug available to millions of people, especially because long-term effects of the drug remain largely unknown.

"Public health can't tolerate another diet drug approved which has not been accepted for cardiovascular risk especially in light of the suggested findings of Qnexa, " said Dr . Sidney Wolfe, director of the health research group at Public Citizen, an advocacy group.

Obesity currently plagues one-third of Americans and contains been associated with high blood pressure, diabetes and a selection of other chronic, expensive health problems. Doctors and dietitians routinely recommend changes in diet and exercise because the safest and most effective way to shed pounds. But some acknowledge that these strategies just don't work with a large number of obese patients. Bariatric surgery, though largely successful in producing weight reduction, is not a viable option for many individuals.

Dr . Melina Jampolis, an obesity specialist in San francisco bay area, said the existing options for treating obesity are "frustratingly limited, " and said it might be helpful if patients had additional tools to aid their weight reduction.

"I believe that combination therapy is vital as you'll find so many individual and overlapping mechanisms that make weight reduction difficult, " she said. "So the more of these you could address with medication therapy when necessary, the more effective a regimen will be. "

Kansas Teen Shot Hoops in Meningitis-Induced Coma

Teen basketball star Maggie Meier had perfect free-throw form, even though she was in a coma.

In the fall of her freshman year of senior high school, Meier got meningitis, a bacterial disease that spurred swelling in her brain and sparked terrifying seizures in the healthy student athlete.

"I'll remember it, " said Meier's mom, Margaret, a pediatric intensive care unit nurse. "Her eyes rolled right back, and I knew that which was happening. It had been terrifying. "

That seizure, the initial of 20 that night, marked the beginning of a 100-day hospital stay for then-14-year-old Meier of Overland Park, Kan., most of which she spent in a coma.

"Seeing her each day, not getting much better, it had been horrible, " Margaret said, detailing the tubes that delivered nourishment and life-saving medications to her unresponsive daughter. "But she'd do things that would make us know she was still there. "

Although Meier couldn't talk or walk in her trancelike state, she could still shoot hoops.

"She would wake up for just two to five minutes and shoot the ball, then be completely from it again, " said Margaret, describing an ideal swish of a beach ball through the makeshift net of Meier's sister's arms. "That's whenever we knew we were going to get her right back, and obtain her right back completely. "

Meier's neurologist, Dr . William Graf, said he'd never seen any such thing enjoy it.

"It was just incredible, " said Graf, now a professor of pediatrics and neurology at Yale University in New Haven, Conn. "She couldn't walk or eat, had no basic functions, but still had this perfect shooting motion. It had been engrained. "

The severe swelling in Meier's brain had disrupted the connections between nerve cells, and there was no guarantee those connections would ever be restored.

When Meier's immune system cleared the disease and she finally woke up, she had to relearn everything -- how to walk, talk, read and behave -- from scratch.

"She was very childlike, " said Margaret Meier, describing the tendency of children to "just say whatever they want" without inhibition. "All those social things you learn over a long time, she had to relearn. And she had some aggressive behaviors, especially towards me. "

Over 8 weeks of intensive rehab, and with the unwavering support of her parents and five siblings, Meier slowly returned.

"It wasn't easy, " her mom said, recalling the violent outbursts and the have to install special locks on all the doors. "It was months and months of intense work. "

Five months after she was hospitalized, Meier returned to Blue Valley Northwest Senior high school, where she got one-on-one instruction from the special education teacher in addition to physical and occupational therapy. Her spot on the basketball team bench was lovingly marked with a sign and her teammates wore beads on the shoes with her initials.

"Basketball was hugely essential in her recovery, " said Margaret. "It's been such a major section of her life since third grade, and she always wanted to make contact with it. "

And in her sophomore year, she did, earning an area on the Huskies' junior varsity team. Another season, Meier joined the varsity squad. And on Monday, her high school's Senior Night, the 17-year-old was area of the starting lineup.

"To see where she is now, after what she's been through, " said Margaret, voice shaking, "she's just such a great kid. "

In the fall, Meier will start college at Benedictine College in Atchison, Kan., where she plans to major in nursing or special education. Her mom can't imagine an improved fit. "She can really relate, " she said.

Whether Meier will play college ball is still up in the air, given her certainly hectic class schedule and busy social life. But her mom is confident she can do any such thing she puts her mind to.

"If she really wants to play ball, we'll be behind her 100 percent, " she said. "We're so pleased with her. "