| > | | | | citing the risks to the study's participants. |
| PremPro was introduced to the market to help | | | | Additionally, the Women's Health Initiative Memory |
| ease the side effects commonly associated with | | | | Study (WHIMS), a sub study of the WHI, recently |
| menopause, however, because of the serious and | | | | concluded that women treated in the study with |
| harmful risks associated with the hormone | | | | PremPro, conjugated estrogens 0.625mg |
| replacement therapy a study was halted by the | | | | combined with medroxyprogesterone acetate |
| National Institute of Health (NIH). Women must be | | | | 2.5mg, have a greater risk of developing probable |
| aware of the side effects of this drug in order to | | | | dementia than those on placebo. |
| protect themselves from breast cancer | | | | A recent study by Newcomer et al., which found |
| developing. | | | | that there was a nearly 210 percent risk of |
| As women age they develop menopausal | | | | developing lobular breast cancer among patients |
| symptoms that may cause serious discomfort | | | | taking a CHRT therapy, PremPro, compared to |
| and irregularities among their daily lives. | | | | those not undergoing any type of hormonal |
| Technology has assisted in the development of | | | | therapy treatment. This risk may be as high as |
| many treatments and pharmaceuticals to | | | | 430%. |
| decrease the menopause side effects, including | | | | Another large study that was conducted in the |
| PremPro, which is a combined hormone | | | | United Kingdom also was stopped prematurely |
| replacement therapy (CHRT). | | | | because the founders of the study considered it |
| In July 2002, the National Institute of Health (NIH) | | | | unlikely that the trial would provide evidence to |
| halted a $700 million, eight year publicly funded | | | | influence clinical practice in the next 10 years. |
| study of the benefits of HRT, by The Women's | | | | In January 2003, Wyeth issued a "Dear Health |
| Health Initiative (WHI) three years earlier than | | | | Care Professional" letter at the request of the |
| planned because of the risks associated with | | | | Federal Food and Drug Administration (FDA). The |
| these drugs. Unfortunately, the risks associated | | | | letter detailed the new labeling of PremPro, |
| with the treatments exceeded the benefits of | | | | including a "black box" warning stating that |
| the drug. Specifically, the study found a higher | | | | estrogen plus progesterone therapies should not |
| incidence of serious injury for women who took | | | | be used for the prevention of cardiovascular |
| PremPro compared to those who received a | | | | disease. |
| placebo. The main conclusions of the study | | | | Additionally, the warning included information from |
| included: | | | | the Women's Health Initiative/National Institute of |
| * The estrogen plus progestin combination does | | | | Health study detailing the potential adverse side |
| not prevent heart disease. | | | | effects of taking PremPro, and advised health |
| * For women taking this estrogen plus progestin | | | | care providers to prescribe PremPro for the |
| combination, the risks outweighed the benefits | | | | shortest duration consistent with treatment goals. |
| (fewer hip fractures and colon cancers). | | | | The FDA has advised manufacturers of these |
| The study found that long-term use of PremPro | | | | drugs to continually update their labels based off |
| is dangerous because PremPro significantly | | | | of results from the Women's Health Initiative |
| increases the risk of the following: | | | | (WHI). This information will allow individuals to |
| * Stroke by 41%. | | | | understand the risks as they are identified. |
| * Blood Clots by 113%. | | | | In March 2003, the FDA approved a new, lower |
| * Heart Attacks - Cardiovascular Disease by 22%. | | | | dose of PremPro to help with these goals. |
| * Breast Cancer by 26%. | | | | Numerous class action lawsuits have been filed |
| The risks were so alarming that the NIH canceled | | | | because of injuries caused as a result of taking |
| the study in advance of the planned end date | | | | PremPro. |