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In August 13
2003, the Food and Drug Administration (FDA)
approved Crestor (rosuvastatin) to lower
cholesterol. Crestor is the sixth cholesterol
lowering "statin" drug on the U.S. market. The
other members of the statin family are
atorvastatin (lipitor), fluvastatin (lescol),
lovastatin (mevacor), pravastatin (pravachol), and
simvastatin (zocor). These drugs are only approved
to be used along with a low-cholesterol diet and
an exercise program to lower cholesterol. Another
statin, cerivastatin (baycol), was removed from
the market because of at least 31 reports of fatal
rhabdomyolysis, an adverse reaction involving the
destruction of muscle tissue that can lead to
kidney failure.
Rosuvastatin will be sold by
AstraZeneca of Wilmington, DE under license from Shionogi & Co.,
Ltd., of Osaka, Japan.
As reported by the consumer
group Public Citizen, AstraZeneca originally filed its
application with the FDA to market rosuvastatin in June 2001.
The application was delayed after reports of kidney damage and
muscle weakness (an early signal for rhabdomyolysis) in clinical
trials in patients taking 80 milligrams of the drug per day. The
company stopped development of the 80 milligram dose, and
rosuvastatin will only be sold in 5, 10, 20, and 40 milligram
strengths. There will also be special restrictions on the
distribution of the 40 milligram strength.
Public Citizen opposed the
approval of rosuvastatin because it alleged that the drug causes
abnormal elevations in urine protein and blood that are signals
for serious kidney toxicity, and is the only statin that has
shown life-threatening rhabdomyolysis in pre-approval clinical
trials.
Rhabdomyolysis is a potentially
life-threatening condition that occurs when a large number of
skeletal muscle cells die, resulting in the release of a massive
amount of muscle protein (known as myogloblin) into the
bloodstream. The muscle protein can become trapped in the
kidneys, clogging up the filtering process of the kidneys and
leading to kidney or renal failure. In addition, potassium
released from the damaged muscle cells can cause malignant heart
rhythms resulting in cardiac arrest.
Symptoms of rhabdomyolysis
include muscle pain, weakness, tenderness, malaise, fever, dark
urine, nausea, and vomiting. The pain may involve specific
groups of muscles or may be generalized throughout the body.
If you are suffering from
rhabdomyolysis or kidney problems, and have taken Crestor,
contact Belluck & Fox for an immeidate legal evaluation. Drug
litigation can be extremely complex. It is best to seek the
counsel of a personal injury attorney with experience in this
field of law.
Belluck & Fox has substantial experience with defective product
litigation, including pharmaceutical and medical product cases.
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