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'Black-box' drug warnings.(drug wise)(Illustration)

Consumer Reports

| September 01, 2004 | COPYRIGHT 2004 Consumers Union of the United States, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Some prescription-drug warnings are so grave that they're displayed in black-bordered boxes on package inserts. If you're taking one of the top-selling "black box" drugs, listed below, don't stop taking it on your own, but do discuss options with your physician. In one study, doctors ignored a black-box warning in two-thirds of patients who were given the drug. In another study, they failed more than half the time to heed cautions to monitor patients.

 
DRUG             USE                  BOXED WARNING (EXCERPTS) 
 
ESTROGENS        Menopausal symptoms  Increased risk of certain 
(Premarin)       and prevention of    cancers, cardiovascular 
                 postmenopausal       disease; dementia in some 
                 osteoporosis         patients when taken with 
                                      medroxyprogesterone. Should 
                                      be prescribed at the lowest 
                                      effective dose for the shortest 
                                      time. 
 
FENTANYL         Moderate to severe   Only for patients who are 
(Duragesle)      chronic pain         tolerant to opioid drugs. 
                                      Safely not established in 
                                      children under 2 years old. 
                                      ...

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