Thursday, May 28, 2009

Seriously????

Yesterday I picked up my son's first HFA inhaler. Here's how it went...

Pharmacist: Here's the new "environmental friendly" inhaler.

Me: Oh, you mean the one that doesn't work as well?

Pharmacist: That's the one.

Then comes the sticker shock. The old CFC type inhaler with the same exact "medicine" cost $5.00 the new and improved, save the ozone, inhaler cost $38.00. That's the co pay amount with insurance. The word on the street is that the old inhalers were 1/3 of the cost.

My question is how many CFC's were in the old inhalers? Rescue inhalers are for emergencies. Does a small amount of CFC's really matter if it is saving a trip to the ER and a life?

The problem with the HFA inhalers are that they clog and the propellant is not forceful enough to deliver the medicine effectively. So when your son is at soccer game and suddenly has an asthma attack and needs his inhaler.....you go to use it and it clogs. Delivering no medicine. Now you have two choices. 1-Get some warm water and soak the inhaler to unclog it or 2-go to the ER or call 911.

Well, it looks like the drug companies will be stuffing more green in their pockets and the hospitals will receive more clients all because we now have "green" inhalers.

2 comments:

  1. Here's a great site http://www.savecfcinhalers.org/

    You can sign the petition to save CFC asthma inhalers

    ReplyDelete
  2. Please pass this info along to all of your friends and family.
    Ozone-friendly inhalers could face early demise
    http://www.journalgazette.net/article/20090330/BIZ/303309942/1031/BIZ

    Benefits vague, problems clear in inhaler ban
    http://www.journalgazette.net/article/20090330/BIZ/303309941

    Asthma Patients Outraged at Indifference to Problems with New Inhalers:
    http://www.consumeraffairs.com/news04/2009/02/asthma_hfa02.html

    Olympian Jackie Joyner-Kersee: FDA "Insensitive" to Asthma Patients' Problems:
    http://www.consumeraffairs.com/news04/2009/03/asthma_hfa04.html

    The number of patient complaints is skyrocketing:
    http://www.consumeraffairs.com/health/hfa_inhalers.html

    Read the thousands of complaints at this petition:
    http://www.ipetitions.com/petition/saveCFCinhalers/signatures.html

    Patients at askapatient.com are reporting HFA inhalers as "useless" with a rating of 1.2 on
    a scale of 1 to 5 with 5 being the best and 1 being the worst:
    http://www.askapatient.com/viewrating.asp?drug=20503&name=PROVENTIL-HFA

    You can only wonder if the FDA is trying to kill asthmatics:
    http://www.opednews.com/populum/diarypage.php?did=11627

    Also worth mentioning from the FDA website is the fact that a manufacturer of one of the HFA

    inhalers admits in it's own new drug application to the FDA that it's HFA based albuterol is less

    safe and effective than it's CFC based albuterol:
    http://www.fda.gov/cder/foi/nda/2001/20-983_Ventolin-HFA_medr_P1.pdf

    These quotes taken directly from the new drug application for Ventolin HFA.

    "In the multiple dose adolescent and adult studies, albuterol HFA showed a numerically smaller

    improvement in FEV1 than was seen with albuterol CFC
    "

    "There was other evidence that the HFA formulation delivers a lower/less effective dose on a per

    acutation basis than the CFC product.
    In the single dose, dose ranging study in adults, and in

    the single dose methacholine challenge study in adults one and two acutations of albuterol CFC were

    statistically indistinguishable in terms of effect, whereas significant differences were seen

    between one and two acutations of albuterol HFA. Finally, the combined adolescent/adult studies

    showed that the HFA formulation had a longer median time to onset of effect
    (4.2-9.6 minutes

    versus 3.6-4.2 minutes), had a shorter duration of effect(1.55-3.30 hours versus 2.29 - 3.69

    hours), and was associated with more albuterol 'back up' use than the CFC formulation."

    "We note that in the two 12 week clinical trials in adolescents and adults, Ventolin HFA

    Inhalation Aerosol consistently showed a smaller effect size than Ventolin CFC Inhalation

    Aerosol
    "

    "Because it is expected that many physicians will prescribe Ventolin HFA Inhalation Aerosol for

    patients who have previously used the CFC formulation, it would be appropriate to include some

    description of the relative effectiveness of these two formulations in the product label."

    "Unfavorable changes in physical examinations were observed in the ears, nose, and throat category

    as follows: 8% placebo HFA; 13% albuterol HFA; and 5% albuterol CFC."

    ReplyDelete