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May 29, 2009

Heparin Contamination Worries Not Over for Baxter

Last week, three patients in a Delaware hospital, each of whom received Heparin, a blood thinner distributed by Baxter International Inc., suffered intra cranial bleeding. Baxter insists that the injuries, while unfortunate, are not related to the quality of its Heparin product.

Heparin, an anticoagulant used to decrease the clotting ability of blood, is used to treat blood clots in the veins, arteries and lungs. It is also used in some surgeries to prevent the formation of blood clots. In January 2008, increased complaints to the FDA of serious allergic reactions to Heparin were traced to contaminated Heparin distributed by Baxter International. The contaminant, known as oversulfated chondroitin sulfate (OSCS), can lead to death and serious injury, including low blood pressure, abdominal symptoms and shortness of breath. On February 28, 2008, Baxter recalled all of its multi-dose and single-dose vials of Heparin and HEP-LOCK flush products.

Also last week, the FDA issued a second Form 483, Notice of Inspectional Observations, to Scientific Protein Laboratories (SPL), citing six violations of Good Manufacturing Practices (GMP), including failure to follow safety procedures regarding the cleaning of equipment used in the manufacture of Heparin and failure to follow up on known reported deficiencies of material suppliers. SPL was the supplier of the component ingredients in the contaminated Heparin distributed by Baxter International.


YAZ - Not All It’s Made Out To Be

YAZ, a birth control pill manufactured by Bayer Healthcare, often is touted not only as effective in the prevention of pregnancy, but also as effective in the treatment of premenstrual dysphoric disorder (PMMD) and acne. But in October 2008, the FDA deemed Bayer’s advertisement of YAZ, known for its slogan – “Beyond Birth Control”- misleading and in violation of federal regulations.

According to the FDA, Bayer’s ads overstated the effectiveness of YAZ and understated its risks. Bayer’s ads claimed YAZ was effective in treating the symptoms of premenstrual symptoms (PMS), when in fact YAZ was not approved for the treatment of PMS. The FDA also concluded that YAZ has not been proven as a treatment for severe acne, and that Bayer’s advertising of YAZ as a treatment for acne of all severities was misleading. Most critically, the FDA found that the ads failed to adequately disclose the serious risks associated with YAZ. YAZ has additional risks because the progestin, drospirenone, can lead to hyperkalemia (high potassium levels), which may result in serious heart and health problems. In fact, adverse events, such as heart attacks, strokes, blood clots, and even death have been reported to the FDA.

Therefore, the FDA ordered Bayer to cease the misleading advertisements and requested Bayer to submit a plan for the dissemination of truthful information regarding the use and effectiveness of YAZ. These corrective advertisements, reported to cost Bayer $20 million, began in February 2009 and are scheduled to run through July 2009.


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