General fitness, health and nutrition · Public discussion

? for Sharon Hope

Started by listener · · Last activity · 2 posts · 403 views

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General fitness, health and nutrition
Published
23 March 2004
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24 March 2004
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listener
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  1. You've been using the figure of "106 million" statin users
    to bolster your claim of huge numbers of people affected by
    side effects. If I remember correctly, you got that number
    from the WSJ..?

    Zee just posted an atricle that contains the following:

    "It is estimated on the basis of the criteria in the
    national guidelines that 36 million people in the United
    States should be taking a statin, but only 11 million are
    currently being treated. Worldwide the discrepancy is even
    more staggering; more than 200 million people meet the
    criteria for treatment, but fewer than 25 million take
    statins, wrote Dr. Eric J. Topol (search) in an editorial
    accompanying the study in the New England Journal of
    Medicine."

    I have read this "25 million worldwide" figure elsewhere.

    Can you please clarify?

    L.

  2. The numbers came from the Fortune Magazine article cited
    below, and are for 2002. I would be astonished if the
    numbers were not significantly higher now.

    In the article they give both pieces of the puzzle:

    Lipitor had 42% of the statin market share in 2002 Lipitor
    had 44 million people world wide taking the drug in 2002

    If 44,000,000 = 42% of statin patients, you can readily
    estimate 100%.

    You can also readily estimate the 2% population with adverse
    effects that the statin industry admits to on the
    physician's information (all statins have some of the
    adverse effects in common).

    Similarly, if a researcher not funded by the industry is
    reporting a 15% incidence of significant cognitive adverse
    effects, and the industry is admitting to 2% (per adverse
    effect), you can easily estimate the population within that
    range. You can also logically conclude that the estimates
    are not that dissimilar, given that Dr. Golomb referred to
    a class of cognitive adverse effects, while the industry
    labeling identifies multiple individual cognitive effects
    at ~2% each (totalling to a number much closer to Dr.
    Golomb's number).

    The article: PFIZER The $10 Billion Pill Hold the fries,
    please. Lipitor, the cholesterol-lowering drug, has become
    the bestselling pharmaceutical in history. Here's how Pfizer
    did it. FORTUNE Monday, January 6, 2003 By John Simons

    According to the article: "In 2002, Lipitor achieved
    estimated sales of $7.4 billion while commanding a 42%
    market share in this class of drugs, known as statins. Its
    closest rival, Merck's Zocor, held 32% of the market."

    "Last year some 44 million people around the world lowered
    their cholesterol by taking daily doses of the drug he
    invented 17 years ago, a chemical compound called
    atorvastatin calcium." ("he" refers to Bruce Roth, vice
    president of chemistry at Pfizer's Ann Arbor laboratories)

    <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    You've been using the figure of "106 million" statin users
    to bolster your claim of huge numbers of people affected
    by side effects. If I remember correctly, you got that
    number from the WSJ..?

    Zee just posted an atricle that contains the following:

    "It is estimated on the basis of the criteria in the
    national guidelines that 36 million people in the United
    States should be taking a statin, but only 11 million are
    currently being treated. Worldwide the discrepancy is even
    more staggering; more than 200 million people meet the
    criteria for treatment, but fewer than 25 million take
    statins, wrote Dr. Eric J. Topol (search) in an editorial
    accompanying the study in the New England Journal of
    Medicine."

    I have read this "25 million worldwide" figure elsewhere.

    Can you please clarify?

    L.

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