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Change in side effects listed on statins label

Ben Goldacre made this Freedom of Information request to Medicines and Healthcare products Regulatory Agency

The request was partially successful.

From: Ben Goldacre

30 November 2009

Dear Sir or Madam,

In February 2008 the Medicines and Healthcare products Regulatory
Agency published Drug Safety Update, Volume 1, Issue 7. After a
review of clinical trial data, spontaneous reports of suspected
adverse drug reactions, and published literature, this concluded:
“product information for statins is being updated to reflect a
number of different side-effects as class effects of all statins...
that treatment with any statin may sometimes be associated with
depression, sleep disturbances, memory loss, and sexual
dysfunction." This document also outlined a new warning to explain
that statin therapy might rarely be associated with interstitial
lung disease.

These changes were not made until November 2009. This was reported
to be due to objections by one company manufacturing statins.

Please can you send me all documents and correspondence relating to
this delay, the discussions between the MHRA, the EMEA, and the
company about the addition of this new side effects information to
the side effects listed on the label, and the name of the company
concerned.

Yours faithfully,

Ben Goldacre

Link to this

From: MHRA Information Centre
Medicines and Healthcare products Regulatory Agency

30 November 2009

Dear Enquirer,

Thank you for your enquiry to the Information Centre at the MHRA.

Please accept this automated response as acknowledgement that your
enquiry has been received and will be dealt with as quickly as
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Your enquiry will be dealt with as follows; straightforward requests
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References

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1. http://www.mhra.gov.uk/Contactus/index.htm

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From: MHRA Information Centre
Medicines and Healthcare products Regulatory Agency

1 December 2009

Our Ref: FOI 09/473

Dear Mr Goldacre,

RE: REQUEST UNDER THE FREEDOM OF INFORMATION ACT 2000

Thank you for your enquiry which we received on 1st December 2009.

I confirm that your request is being handled under the Freedom of
Information Act and you should receive a reply within 20 working days
from our date of receipt.

If you need to contact us again about this request, please quote the
reference number above.

Yours Sincerely

Central Enquiry Point
Information Centre
MHRA
Market Towers
London SW8 5NQ

Tel: +44 (0)207084 2000
FAX: +44 (0)207084 2353

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From: Fawbert, Stephen
Medicines and Healthcare products Regulatory Agency

30 December 2009


Attachment 09 473 reply 1.pdf
44K Download View as HTML


Dr Goldacre

Please find a preliminary reply attached.

Yours sincerely

Stephen Fawbert

Stephen Fawbert
Information for Public Health Group
Vigilance and Risk Management of Medicines (VRMM)
Medicines and Healthcare products Regulatory Agency (MHRA)
Market Towers 14-110
1, Nine Elms Lane
London
SW8 5NQ

Tel: 020 7084 2788

www.yellowcard.gov.uk

www.mhra.gov.uk

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Link to this

From: Fawbert, Stephen
Medicines and Healthcare products Regulatory Agency

1 February 2010


Attachment 09 473 reply 2.pdf
66K Download View as HTML


Dear Dr Goldacre

Please find a reply attached.

Yours sincerely

Stephen Fawbert

Stephen Fawbert
Information for Public Health Group
Vigilance and Risk Management of Medicines (VRMM)
Medicines and Healthcare products Regulatory Agency (MHRA)
Market Towers 14-110
1, Nine Elms Lane
London
SW8 5NQ

Tel: 020 7084 2788

[1]www.yellowcard.gov.uk

[2]www.mhra.gov.uk

<<09 473 reply 2.pdf>>

This email and any files transmitted with it are confidential. If you are
not the intended recipient, any reading, printing, storage, disclosure,
copying or any other action taken in respect of this email is prohibited
and may be unlawful.

If you are not the intended recipient, please notify the sender
immediately by using the reply function and then permanently delete what
you have received.Incoming and outgoing email messages are routinely
monitored for compliance with the Department of Healths policy on the use
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Communications via the GSi may be automatically logged, monitored and/or
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References

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2. file://www.mhra.gov.uk

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From: Ben Goldacre

26 February 2010

Dear Mr Fawbert,

many thanks for your long reply.

Please can I see the documents which you do hold on the dialogue
between Dutch MEB and AZ on this issue.

Yours sincerely,

Ben Goldacre

Link to this

From: Fawbert, Stephen
Medicines and Healthcare products Regulatory Agency

26 February 2010

Dear Dr Goldacre

Thank you for your email. Today is my last day in MHRA VRMM division
but I will ensure that one of my colleagues actions this request.
Yours sincerely

Stephen Fawbert

Stephen Fawbert
Information for Public Health Group
Vigilance and Risk Management of Medicines (VRMM)
Medicines and Healthcare products Regulatory Agency (MHRA)
Market Towers 14-110
1, Nine Elms Lane
London
SW8 5NQ

Tel: 020 7084 2788

www.yellowcard.gov.uk

www.mhra.gov.uk

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D. Speers left an annotation (27 February 2010)

Its amazing that when people leave their posts or go on annual leave, it always seems to be around the time a
knowledgeable FOI request is made.
Thank you for your time
Dee

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Keith Farnish left an annotation ( 3 March 2010)

The suggestion, although not mentioned in the reply, is that it was the MHRA that was far too slow to follow up on the "hold off" requests by AZ, giving them a clear few months each time. In effect the MHRA just rolled over in the face of the "we do not agree with your evidence" by a multinational drugs company. This is appalling. You should request any documentation pertaining to the delays between each of the "hold off" requests, that led to the overall delay in publishing the new guidelines.

Link to this

From: Hashmi, Nageen
Medicines and Healthcare products Regulatory Agency

11 June 2010


Attachment Electronic letterhead FOI response 09 473 2.doc
127K Download View as HTML

Attachment Redacted 09473 AZ letter to MEB 2009.pdf
941K Download View as HTML

Attachment Redacted 09473 AZ letter to MEB 2008.pdf
690K Download View as HTML

Attachment Redacted 09 473 document 3.pdf
2.2M Download View as HTML


Dear Dr Goldacre

Attached is the MHRA's response to your FOI request about the update of
Statin SPCs.

<<Electronic letterhead- FOI response 09 473 (2).doc>> <<Redacted 09473 AZ
letter to MEB 2009.pdf>> <<Redacted 09473 AZ letter to MEB 2008.pdf>>
<<Redacted 09 473 document 3.pdf>>

Kindest Regards
Dr Nageen Hashmi

Tel: 020 7084 2664
14-148 MT, MHRA, 1 Nine Elms Lane, Vauxhall, London, SW5 8NQ. Fax: 020
7084 2293

This email and any files transmitted with it are confidential. If you are
not the intended recipient, any reading, printing, storage, disclosure,
copying or any other action taken in respect of this email is prohibited
and may be unlawful.

If you are not the intended recipient, please notify the sender
immediately by using the reply function and then permanently delete what
you have received.Incoming and outgoing email messages are routinely
monitored for compliance with the Department of Healths policy on the use
of electronic communications.

For more information on the Department of Healths email policy, click

http://www.dh.gov.uk/DHTermsAndCondition...

show quoted sections

Communications via the GSi may be automatically logged, monitored and/or
recorded for legal purposes.

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