The death of Cytotec/misoprostol as we know it
From: Paul Prior MD (pprior@clover.net)
Wed Sep 13 23:06:44 2000
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I kind of passed over the discussion on the letter released from
Searle regarding cytotec and inductions as I hadn't seen it yet.
Well, today I read it.
I am, to be frank, absolutely stunned. I can understand a
manufacturer stating that a drug has not been studied in that area
(not true) or that it is off-label and not supported by the company,
but that letter literally cut off my legs below the knees. After
reading it, I don't think I'll be using the drug for induction any
more. Not because I think it's not safe - I think the literature in
non-VBACs is strongly reassuring and my personal experience has been
outstanding with it.
But the reality is if you would ever end up on the witness stand
having a copy of that letter (blown up to about 10 feet size, of
course) shown to a jury - you are absolutely dead in the water.
Maybe everyone else already blew off steam on the last discussion over
this, or maybe nobody is using misoprostol as much as I have been, but
this is a real problem for my practice.
Score another point for the plaintiffs bar.
What other products does Searle make - so I can be sure not to
prescribe any of them.....?
--
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