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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
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.
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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
show quoted sections
From: Fawbert, Stephen
Medicines and Healthcare products Regulatory Agency
30 December 2009
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
show quoted sections
From: Fawbert, Stephen
Medicines and Healthcare products Regulatory Agency
1 February 2010
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>>
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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
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
show quoted sections
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.
From: Hashmi, Nageen
Medicines and Healthcare products Regulatory Agency
11 June 2010
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...
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Communications via the GSi may be automatically logged, monitored and/or
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D. Speers left an annotation (27 February 2010)
knowledgeable FOI request is made.
Thank you for your time
Dee
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