FDA panel: Lower maximum daily dose of Tylenol

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Government experts called for sweeping safety restrictions Tuesday on the most widely used painkiller, including reducing the maximum dose of Tylenol and eliminating prescription drugs such as Vicodin and Percocet.

The Food and Drug Administration assembled 37 experts to recommend ways to reduce deadly overdoses with acetaminophen, which is the leading cause of liver failure in the U.S. and sends 56,000 people to the emergency room annually. About 200 die each year.

"We're here because there are inadvertent overdoses with this drug that are fatal and this is the one opportunity we have to do something that will have a big impact," said Dr. Judith Kramer of Duke University Medical Center.

But over-the-counter cold medicines — such as Nyquil and Theraflu — that combine other drugs with acetaminophen can stay on the market, the panel said, rejecting a proposal to take them off store shelves.

The FDA is not required to follow the advice of its panels, though it usually does. The agency gave no indication when it would act on the recommendations.

In a series of votes Tuesday, the panel recommended 21-16 to lower the current maximum daily dose of over-the-counter acetaminophen from 4 grams, or eight pills of a medication such as Extra Strength Tylenol. They did not specify how much it should be lowered.

The panel also endorsed limiting the maximum single dose of the drug to 650 milligrams. That would be down from the 1,000-milligram dose, or two tablets of Extra Strength Tylenol.

A majority of panelists also said the 1,000-milligram dose should only be available by prescription.

The industry group that represents Johnson & Johnson, Wyeth and other companies defended the current dosing that appears on over-the-counter products.

"I think it's a very useful dose and one that is needed for treating chronic pain, such as people with chronic osteoarthritis," said Linda Suydam, president of the Consumer Healthcare Products Association.

The experts narrowly ruled that prescription drugs that combine acetaminophen with other painkilling ingredients should be eliminated. They cited FDA data indicating that 60 percent of acetaminophen-related deaths are related to prescription products.

But some on the panel opposed a sweeping withdraw of products that are widely used to control severe, chronic pain. Prescription acetaminophen combination drugs were prescribed 200 million times last year, according to the FDA.

"To make this shift without very clear understanding of the implications on the management of pain would be a huge mistake," said Dr. Robert Kerns of Yale University.

If the drugs stay on the market, they should carry a black box warning, the most serious safety label available, the panel decided.

"If we don't eliminate the combination products we should at least lower the levels of acetaminophen contained in those medicines," said Sandra Kewder, FDA's deputy director for new drugs, summarizing the panel's vote.

Percocet and similar treatments combine acetaminophen with more powerful pain relieving narcotics, such as oxycodone.

If the combination products are eliminated, the acetaminophen and the other ingredients could be prescribed separately. In effect, patients would take two pills instead of one, and be more aware of the acetaminophen they are consuming.

Vicodin is marketed by Abbott Laboratories, while Percocet is marketed by Endo Pharmaceuticals. Both painkillers also are available in cheaper generic versions.

"The panel recommending banning Vicodin and Percocet seems a little draconian," said Les Funtleyder, an analyst for Miller Tabak & Co.

Drug companies avoided the most damaging potential outcome with the defeat of proposal to pull NyQuil and other over-the-counter cold and cough medicines that combine acetaminophen with other drugs.

These drugs can be dangerous when taken with Tylenol or other drugs containing acetaminophen, according to the FDA, but cause only 10 percent of acetaminophen-related deaths.

"I don't think we should be advocating a solution to a problem that really is not there," said Dr. Osemwota Omoigui, of the Los Angeles pain clinic.

A recall of combination cold medicines would have cost manufacturers hundreds of millions of dollars in revenue. Total sales of all acetaminophen drugs reached $2.6 billion last year, with 80 percent of the market comprised of over-the-counter products, according to IMS Health, a health care analysis firm.

"The acetaminophen people dodged a bullet," said Erik Gordon, a University of Michigan business professor who studies the biomedical industry.

Even with the lower daily dosage recommendation, consumers will likely keep taking as many pills as they think they need to ease their pain, Gordon said.

Analyst Steve Brozak of WBB Securities said the panel votes were a "shot across the bow" of the pharmaceutical industry.

"This basically puts more government oversight into something that heretofore has been less than present," Brozak said.

___

AP Business writers Stephen Manning and Donna Borak contributed to this report.

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2.4
{"commentId":7945797,"authorDomain":"kylen"}

56,000 people a year can't follow directions so 304 million people need to be restricted. That is 0.0184174343% of the population. They are barking up the wrong tree here.

{"commentId":7945797,"threadId":"616069","contentId":"2984137","authorDomain":"kylen"}
  • 6 votes
Reply#1 - Tue Jun 30, 2009 1:36 PM EDT
{"commentId":7946074,"authorDomain":"kshark"}

LOL Bingo

{"commentId":7946074,"threadId":"616069","contentId":"2984137","authorDomain":"kshark"}
    #1.1 - Tue Jun 30, 2009 1:46 PM EDT
    {"commentId":7946621,"authorDomain":"jdl-28"}

    Never said the FDA was very smart, the doses we been taking work so what will it do now. I am sorry some people are stupid and can not follow direction but the FDA is saying the balance of us are unable to follow direction and they must hold our hands and help us. I am sick of government making decision for me, I for one can think for myself and do not need anyone making decision for me period.

    Everyone that work for the government should be replace for they seem to think they know everything and us poor little must obey what they say. funny our country is in trouble do to their bad decision not our.

    {"commentId":7946621,"threadId":"616069","contentId":"2984137","authorDomain":"jdl-28"}
    • 1 vote
    #1.2 - Tue Jun 30, 2009 2:07 PM EDT
    {"commentId":7947891,"authorDomain":"fallout"}

    We adapt to our situation. The more we get babied, the more we need to be since we lose the skills and intelligence to survive on our own. OTOH, the more we stand on our own, learn about the world around us, and make our own decisions, the more capable we become of being free and independent, which leads to further evolution.

    I am constantly baffled by this reversal of evolution that we seek to impose upon ourselves...

    {"commentId":7947891,"threadId":"616069","contentId":"2984137","authorDomain":"fallout"}
      #1.3 - Tue Jun 30, 2009 2:49 PM EDT
      {"commentId":7957654,"authorDomain":"smjones"}

      As a pharmacy technician, I see the value in Vicodin, Percocet and other related drugs. Pulling them from the market is a terrible idea. Roxicodone (the same thing as Percocet but without the Tylenol) is widely abused and results in many deaths due to overuse every year. Everything can be misused and abused, but it doesn't make it a less valuable product for the vast majority of people. One thing the FDA should do is require a change in the abbreviated name. Percocet = oxycodone-APAP Vicodin = hydrocodone-APAP Many people don't realize APAP = acetaminophen/Tylenol and then take Tylenol on the side. Perhaps adding a very clear auxillary label to prescription bottles of meds containing acetaminophen would help clear the confusion, but don't make people suffer because a small percentage are misusing their medications.

      {"commentId":7957654,"threadId":"616069","contentId":"2984137","authorDomain":"smjones"}
      • 2 votes
      #1.4 - Tue Jun 30, 2009 10:09 PM EDT
      {"commentId":7961777,"authorDomain":"comsen"}

      I suspect a lot of people have died from morphine. Perhaps that should be banned as well.

      {"commentId":7961777,"threadId":"616069","contentId":"2984137","authorDomain":"comsen"}
      • 1 vote
      #1.5 - Wed Jul 1, 2009 8:21 AM EDT
      {"commentId":7974876,"authorDomain":"jimnmare"}

      The continued dumbing down of America is still alive and well I see. I think its a joke to think that we now will be unable to take a tylenol because of some dumb asses who cant read and or think its a cheap high. The FDA is just like its three lettered cousin the FCC in that these people think that they know whats best for this country and probably the world with the egos they share. Gee lets now take vicodin and percocets off the market because they contain accetominophin also. HHHMMMM I just two back surgeries done with in three months of each other, they prescribed me METHADONE for all hells sake. I myself would much rather take a perc for pain than that. Is that what they are thinking behind closed doors ? hhmmm lets get them to prescribe that now, @!$%#s. What happened to personal responsibility in this country by the way, what political correctness gone even farther off the charts now. I can see the new state of the union address " Due to the continued problem of a small number of the public being unable to follow directions, and because we here at the FDA say so on the behalf of all of us we will no longer be able to sit and @!$%# without a government study due to the over whelming number of hemorrhoids due to people thinking out their ass and using too much analgesic in combination with an over abundance of Tylenol. We the all knowing led by the less aware leading the masses who know more than we give them credit for now say to you this nation once built on civil liberties and the pursuit of personal freedoms will now be subjected to untold amounts of bureaucracy and ridiculous regulations intended to make more headaches than they are worth and pad the coffers of a select few in this government and upper management of a selected group of drug companies." I hate to say it guys but unless we take back the government and make sure they work for us again we are all screwed.

      {"commentId":7974876,"threadId":"616069","contentId":"2984137","authorDomain":"jimnmare"}
      • 2 votes
      #1.6 - Wed Jul 1, 2009 6:41 PM EDT
      {"commentId":7984924,"authorDomain":"gregziglar"}

      I've heard that drinking too much water can kill you!

      We all know that drinking too much alcohol can kill you, but I don't see anyone talking about reducing the alcohol level in vodka, for example!

      I guess the alcohol lobbyists have more money than acetaminopphine lobbyist.

      {"commentId":7984924,"threadId":"616069","contentId":"2984137","authorDomain":"gregziglar"}
        #1.7 - Thu Jul 2, 2009 11:19 AM EDT
        Reply
        {"commentId":7945872,"authorDomain":"norcal55"}

        Does this mean drug dealers are going to get involved. Am I going to have to make an Excedrin or Tylenol deal in some back alley? "Psst, you in the dark, I need a fix."

        Just out of curiosity I'd like to know how this idea will have follow through other than paying more for less? How do they expect, for example, to keep someone with a headache from taking 3 aspirins to get rid of the headache it used to take 2 to fix?

        {"commentId":7945872,"threadId":"616069","contentId":"2984137","authorDomain":"norcal55"}
        • 3 votes
        Reply#2 - Tue Jun 30, 2009 1:39 PM EDT
        {"commentId":7948219,"authorDomain":"fallout"}
        Just out of curiosity I'd like to know how this idea will have follow through other than paying more for less? How do they expect, for example, to keep someone with a headache from taking 3 aspirins to get rid of the headache it used to take 2 to fix?

        You pointed out the obvious flaw in their plan. You can't fix stupidity but they're pretending to try. Actually I surmise it goes deeper than that. They know they can't fix stupidity but they have to justify their existance and pretend to be increasing safety regulations.

        Of course the public eats up this propaganda without even looking into what regulations they are and if they will actually make people safer (hint: they're mostly like this, trying to keep people from winning darwin awards).

        This is waste, plain and simple.

        {"commentId":7948219,"threadId":"616069","contentId":"2984137","authorDomain":"fallout"}
        • 2 votes
        #2.1 - Tue Jun 30, 2009 3:00 PM EDT
        {"commentId":8047066,"authorDomain":"foller-0873"}

        I believe percocet is abused in hospital settings as well as on the street.

        I met people who complained a lot about percocet during hospitalization and in the community. a person I know is a victim of percocet/oxycodone during hospitalization. It seems like some docs profit from them and prescribed them like candy. I met some docs who prescribed percocet and oxycodone while stroke needed intervention treatment.

        This is not only those who don't read prescription's labels that become a victim of percocet/oxycodone. However, some docs overprescribed them to some of the elderly population, the addicts, and those residing in hospice or some nursing homes.

        Some people file out these narcotics in different pharmacies that have no way of tracking them.

        Percocet/ oxycodone can taget the pain very well, but at the same time can induce memory loss, lethargy, delirium and etc.

        Please do understand that some patients cannot stay alert when taking either percocet or oxycodone four times a day.

        Depending on the young person's condition they may work, but the drug "percocet or oxycodone" may kill one even faster if the person is immunocompromised (on chemo, on glucoccorticoid, on other multiple meds and etc.)

        By not administering percocet or oxycodone to an elderly parent with cancer he lived past a century even though there was a prescription for these drugs. If one day the family gave her either one of these narcotics, the elderly parents slept all day without eating.

        pharmaceutical companies need to fix whatever is wrong with them and prevent patients from developping lethargy, coma, delirium and etc.

        What's sad? having neurological complications from them, some docs may diagnose some patients with Alzheimer disease while these narcotics may be the culprit.

        At first they may work (target the pain), but their long term uses are problematic to certain population-percocet/oxycodone-induce tolerance or/dependance.

        Another person was taking them and the person slept with food in his mouth right after taking the first pill.

        If there're better substitutes for them, why not ban them for the safety of all.

        I agree with FDA to lower the dose of tylenol.

        Acetaminophen OTC prevents certain people to delay or follow treatment on time.

        {"commentId":8047066,"threadId":"616069","contentId":"2984137","authorDomain":"foller-0873"}
        • 1 vote
        #2.2 - Mon Jul 6, 2009 12:25 AM EDT
        {"commentId":8047174,"authorDomain":"foller-0873"}

        a correction to the last paragraph

        some people delay treatment b/c they abuse over the counter (OTC) acetaminophen causing them to develop liver failure and etc.

        {"commentId":8047174,"threadId":"616069","contentId":"2984137","authorDomain":"foller-0873"}
          #2.3 - Mon Jul 6, 2009 12:39 AM EDT
          Reply
          {"commentId":7945882,"authorDomain":"Griff69"}

          And THIS is the government that's going to magically lower health care costs...

          {"commentId":7945882,"threadId":"616069","contentId":"2984137","authorDomain":"Griff69"}
          • 2 votes
          Reply#3 - Tue Jun 30, 2009 1:39 PM EDT
          {"commentId":7946013,"authorDomain":"norcal55"}

          The government CAN lower health care costs. They already have in some public examples. The FDA seems to be mired in too much free time thinking on micro-management.

          {"commentId":7946013,"threadId":"616069","contentId":"2984137","authorDomain":"norcal55"}
          • 1 vote
          #3.1 - Tue Jun 30, 2009 1:43 PM EDT
          {"commentId":7946257,"authorDomain":"Griff69"}

          I would agree that they could; I just doubt that they will. They seem to spend much more time and energy raising costs.

          {"commentId":7946257,"threadId":"616069","contentId":"2984137","authorDomain":"Griff69"}
          • 2 votes
          #3.2 - Tue Jun 30, 2009 1:52 PM EDT
          {"commentId":7946753,"authorDomain":"norcal55"}

          Griff, in health care they would have to seriously work long hours to even match the failure that we have in our current health care system. Not that they wouldn't, but it may be an impossible failure to match. lol

          {"commentId":7946753,"threadId":"616069","contentId":"2984137","authorDomain":"norcal55"}
          • 1 vote
          #3.3 - Tue Jun 30, 2009 2:11 PM EDT
          {"commentId":7950189,"authorDomain":"vaca50"}

          Griff,

          Given that our healthcare costs are probably the highest in the world per person right now, we have no place to go but up! We're number 1!! Yeah! The health insurance industry and pharma are responsible for the cost of healthcare in this country. Buying up shelf space in pharmacies, doctors, pharmacists, tv ads and politicians is expensive after all and requires lotsa $$$$.

          {"commentId":7950189,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
          • 1 vote
          #3.4 - Tue Jun 30, 2009 4:01 PM EDT
          Reply
          {"commentId":7946432,"authorDomain":"bdavis8529"}

          Over the counter pain medicine sucks that's why people take so many they work for like 15 minutes. Vicodins last for 4-8 hours and allow people to continue to do there jobs. Vicodins need to be more acessable to americans who need better pain meds.

          My family doctor won't prescribe even though he knows my history. He sends me to a pain specialist who will presribe but to get that I have to also see a back specialist who then sends me to physical therapy for a month. This happens at least 3 times a year it costs me vacation days and many lost hours. I can't change doctors because they refuse to give out vicodins to new patients so the only options are to put up will all that crap or just buy them from some drug dealer for 3 dollars each and save a ton of money and time.

          {"commentId":7946432,"threadId":"616069","contentId":"2984137","authorDomain":"bdavis8529"}
          • 1 vote
          Reply#4 - Tue Jun 30, 2009 1:59 PM EDT
          {"commentId":7985018,"authorDomain":"gregziglar"}

          Rhazes, to your point, that is exactly what happens. The war on drugs doesn't work because people who want drugs bad enough will buy the drugs.

          And, although I think it's a very bad idea to buy vicodin from a drug dealer, there have been times (an absessed tooth once) that if a drug dealer had knocked on my door with $3.00 vicodins, I'm not sure what I would have done.

          {"commentId":7985018,"threadId":"616069","contentId":"2984137","authorDomain":"gregziglar"}
            #4.1 - Thu Jul 2, 2009 11:23 AM EDT
            Reply
            {"commentId":7946538,"authorDomain":"restless-shadows"}

            For 56,000 people? So instead of taking two pills for 1,000 milligrams, I'll take three or four because my head really hurts? Yet another reason for government to interfere in our lives.

            As a result, how many people will now go to their doctors to get prescriptions for stronger doses of painkillers? How many will visit emergency wards to obtain painkiller prescriptions? What's the outcome of an increase in prescription painkillers going to be?

            {"commentId":7946538,"threadId":"616069","contentId":"2984137","authorDomain":"restless-shadows"}
            • 2 votes
            Reply#5 - Tue Jun 30, 2009 2:04 PM EDT
            {"commentId":7947496,"authorDomain":"gator025"}

            They need to quit mixing vicodin and percocet with acetaminophen people take those like candy and the acetaminopen kills the liver.

            {"commentId":7947496,"threadId":"616069","contentId":"2984137","authorDomain":"gator025"}
            • 2 votes
            Reply#6 - Tue Jun 30, 2009 2:37 PM EDT
            {"commentId":7949847,"authorDomain":"ashepp3"}

            In the update to this article:

            "Government experts say prescription drugs like Vicodin and Percocet that combine a popular painkiller with stronger narcotics should be eliminated because of their role in deadly overdoses.

            A Food and Drug Administration panel voted 20-17 that prescription drugs that combine acetaminophen with other painkilling ingredients should be pulled off the market. "

            Anyone else think that is a terrible idea?

            I'm pretty sure adults can make their own decision about whether or not to use a particular drug, the FDA needs to stop trying to restrict everything! This is getting absolutely ridiculous.

            The acetaminophen part of these drugs really is the health issue, they should start combining the opiates with something less harmful. If they feel they have to do something, they should begin there.

            {"commentId":7949847,"threadId":"616069","contentId":"2984137","authorDomain":"ashepp3"}
            • 2 votes
            Reply#7 - Tue Jun 30, 2009 3:50 PM EDT
            {"commentId":7964100,"authorDomain":"FlaEMT"}
            The acetaminophen part of these drugs really is the health issue, they should start combining the opiates with something less harmful. If they feel they have to do something, they should begin there.

            That's exactly what this move IS about. All this vote says is to remove the Tylenol from the pills and to change the dosage printed on the Tylenol box.

            They're NOT coming down on the narcotic ingredient, just not allowing it to be packaged with the Tylenol any longer.

            {"commentId":7964100,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
              #7.1 - Wed Jul 1, 2009 10:45 AM EDT
              Reply
              {"commentId":7950548,"authorDomain":"vaca50"}
              An overdose of acetaminophen can cause serious harm to your liver. The maximum amount of acetaminophen for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. One Percocet tablet may contain up to 650 mg of acetaminophen. drugs.com/percocet.html

              It's the combination of drugs that's issue, not whether you should take one or the other. Adults can still make the same decision without a hybrid drug like this. A doctor can prescribe just the narcotic and prescribe two OTC tylenol every 6 hours as well. People don't realize they are popping dangerous levels of acetaminophen when they take that extra percocet or two during spikes in pain.

              {"commentId":7950548,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                Reply#8 - Tue Jun 30, 2009 4:13 PM EDT
                {"commentId":7950751,"authorDomain":"ashepp3"}

                Right, but as far as I know (correct me if I'm wrong), you can't get these narcotics straight.

                Unless people do cold-water extraction, they can't get away from the acetaminophen when taking them.

                If the FDA does take these particular drugs off the market, they need to provide an alternative form of the narcotics.

                {"commentId":7950751,"threadId":"616069","contentId":"2984137","authorDomain":"ashepp3"}
                • 1 vote
                #8.1 - Tue Jun 30, 2009 4:21 PM EDT
                {"commentId":7951400,"authorDomain":"vaca50"}

                ashepp3, this type of ban will force the drug companies to dilute them with something inert. We can always say that if someone dies of liver failure due to alcoholism it's their own damn fault, quit drinking!

                If they die from liver failure due to an excessive amount of acetaminophen because they were hooked on either of these drugs or HAD to take them to control pain is a different story. This isn't about stupid people who can't follow instructions, this is about a hybrid medicine that truly doesn't have to be. Who benefits from this type of hybrid drug? Many users do of course but so do drug companies who charge (probably name-brand price) for the acetaminophen as well.

                {"commentId":7951400,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                  #8.2 - Tue Jun 30, 2009 4:45 PM EDT
                  {"commentId":7962434,"authorDomain":"mizflame98"}

                  No, it's about stupid people who take these drugs. Every time I get a prescription there is a 2 page information sheet on what the drug is, the dosage, why it's being prescribed, and side effects. If people don't bother reading up on what they put in their bodies then why should some of us who take time to see what our medicines are pay the price? In my opinion that's natural selection at work.

                  {"commentId":7962434,"threadId":"616069","contentId":"2984137","authorDomain":"mizflame98"}
                    #8.3 - Wed Jul 1, 2009 9:08 AM EDT
                    {"commentId":7963969,"authorDomain":"FlaEMT"}
                    If the FDA does take these particular drugs off the market, they need to provide an alternative form of the narcotics.

                    They're already out there. Johnson & Johnson just has most of the doctors so deeply in their pockets that very few people ever get them prescribed, so not a lot of people out there know about them.

                    In the end, this REALLY will only hurt J&J, making them promote Tylenol on it's own merits instead of letting them piggy-back on narcotics.

                    {"commentId":7963969,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                      #8.4 - Wed Jul 1, 2009 10:38 AM EDT
                      Reply
                      {"commentId":7950736,"authorDomain":"jra1055"}

                      Ashepp3:

                      you obviously are too smart to work for the government. You have hit the answer right on the head. If these idiots take vicodin and percocet off the market, what do the chronic pain sufferers use? Is the answer to increase the opiate and decrease the acetaminophen per pill? This, even to a layman, seems counter productive with the goverment's goal of taking narcotics away from the entire population. I wish everyone of the geniuses could experience one week's worth of chronic pain that doesn't respond to anything but vicodin or percocet. Morons, abosolutely morons.
                      {"commentId":7950736,"threadId":"616069","contentId":"2984137","authorDomain":"jra1055"}
                      • 1 vote
                      Reply#9 - Tue Jun 30, 2009 4:20 PM EDT
                      {"commentId":7951261,"authorDomain":"palsgrafman"}

                      Gotta cut costs. Bottom line. Carbon credits won't cut it.

                      {"commentId":7951261,"threadId":"616069","contentId":"2984137","authorDomain":"palsgrafman"}
                        #9.1 - Tue Jun 30, 2009 4:40 PM EDT
                        Reply
                        {"commentId":7950920,"authorDomain":"zomzom"}

                        This article is missing an important point. Painkillers (hydrocodone) typically contain large amounts of accetominophan, which is why so many people get liver failure from tylenol (because the hydrocodone is addictive). That's what needs to be targetted. Stop making doctors sell drugs that include warnings like "Hey, these are addictive, I'm going to prescribe them to you, you absolutely do need them and, by the way? They're poisoning your liver because the pharmacutical companies wanna make a couple extra bucks off forcing me to sell a version that includes an ass-load of tylenol."

                        {"commentId":7950920,"threadId":"616069","contentId":"2984137","authorDomain":"zomzom"}
                        • 2 votes
                        Reply#10 - Tue Jun 30, 2009 4:27 PM EDT
                        {"commentId":7951399,"authorDomain":"palsgrafman"}

                        Nothing is going to change people. There will be more under the table bribes going on by the pharmaceutical and physician lobbies after the national health care bill passes.

                        Let me back up a bit. There will be change. The FDA will announce that acetaminophen is actually good for you, and that you should enjoy 3 tablespoons of it daily with your morning cup of joe. Although, we will never figure out why this roll call on c-span is brought to us by the makers of tylenol. Hmmmm?

                        {"commentId":7951399,"threadId":"616069","contentId":"2984137","authorDomain":"palsgrafman"}
                          Reply#11 - Tue Jun 30, 2009 4:45 PM EDT
                          {"commentId":7952315,"authorDomain":"vaca50"}

                          An aspirin a day keeps the heart attack away! You may be right Obamasized. You seem a bit angry about it tho. Watch that blood pressure! :)

                          {"commentId":7952315,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                            #11.1 - Tue Jun 30, 2009 5:17 PM EDT
                            {"commentId":7953117,"authorDomain":"palsgrafman"}

                            Funny thing is, I used to get worked up about this stuff. Kinda like death I guess. Everyone passes at some point. Same as with these new programs. Everything will pass. Getting worked up serves no purpose.

                            {"commentId":7953117,"threadId":"616069","contentId":"2984137","authorDomain":"palsgrafman"}
                              #11.2 - Tue Jun 30, 2009 5:47 PM EDT
                              {"commentId":7962807,"authorDomain":"traveler9501"}

                              Wait until your own child has severe pain, like mine did. She has tolerated painful migraine headaches for 18 years without drugs, but in April she had kidney stones so bad she was crying. She thought she was dying. You'd be in the doctor's face wanting relief for your child, just like me.

                              {"commentId":7962807,"threadId":"616069","contentId":"2984137","authorDomain":"traveler9501"}
                                #11.3 - Wed Jul 1, 2009 9:33 AM EDT
                                {"commentId":7964138,"authorDomain":"palsgrafman"}

                                Been there, personally. Not fun. I never took anything either. I could always tell when one was on the way, so I would just go lay down and relax... as best I could that is.

                                I've been in the doctor's face before over my kids. Not for the want of medicine, but for the doctor's advice to take certain meds.

                                Seems to me, that I could tell you what medication would be prescribed before my kids went, or at least what the diagnosis was going to be.

                                My oldest boy was easy. He could go in for a broken arm and the doctor would give him an anti-biotic for the strep and increase his pulmicort to stave off the inevitable asthma attack. Every time he went in. I had asthma and my boy doesn't have near the symptoms I had. Long story short, we've since thrown that expensive nebulizer and the plethora of meds in the garbage. My son had some slight difficulties breathing while he was taking that crap. Now he is fine, and was fine almost immediately after we stopped giving it to him.

                                Long winded but to get to a point. We promoted the practice of doctors prescribing this crap without doing a proper diagnosis by going and filling the prescription. Not any more. I question everything. I truly believe that there is a severe problem with over-medicating in this country. Its not all the doctors fault. People have to take responsibility.

                                {"commentId":7964138,"threadId":"616069","contentId":"2984137","authorDomain":"palsgrafman"}
                                  #11.4 - Wed Jul 1, 2009 10:47 AM EDT
                                  {"commentId":7977304,"authorDomain":"vaca50"}

                                  Obamasized, thanks for the insightful story. Spent anytime in this world and you've got a medical story or two to tell. Hope your kids are all ok now and thriving.

                                  {"commentId":7977304,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                                    #11.5 - Wed Jul 1, 2009 9:21 PM EDT
                                    Reply
                                    {"commentId":7955933,"authorDomain":"tishamauro"}

                                    We are a nation of over medicated whiners. We take pills for every little ailment that comes along and then wonder why our kidneys and liver are suffering.

                                    Our bodies make us feel pain for a reason. Pain medication only masks the pain. The underlying problem still exists. An occasional head ache or muscle pain is one thing but this nation pops pills for every minor ache and discomfort.

                                    {"commentId":7955933,"threadId":"616069","contentId":"2984137","authorDomain":"tishamauro"}
                                    • 1 vote
                                    Reply#12 - Tue Jun 30, 2009 8:10 PM EDT
                                    {"commentId":7962287,"authorDomain":"mizflame98"}

                                    Well, that's nice and all but it's not the government's place to tell people that they can't use Tylenol for pain relief. Especially when there are some diseases that have no cure and the only thing available for that particular disease is pain management.

                                    {"commentId":7962287,"threadId":"616069","contentId":"2984137","authorDomain":"mizflame98"}
                                      #12.1 - Wed Jul 1, 2009 8:59 AM EDT
                                      {"commentId":7962835,"authorDomain":"traveler9501"}

                                      Yes, the pain does indicate a problem. But in the case of my daughter the only alternative was giving her straight morphine (if they pull oxycodone) or else doing surgery to remove kidney stones, which would drive health care costs up. An Rx for Percocet is far cheaper for the patient than the cost of a surgery, even outpatient.

                                      {"commentId":7962835,"threadId":"616069","contentId":"2984137","authorDomain":"traveler9501"}
                                        #12.2 - Wed Jul 1, 2009 9:35 AM EDT
                                        {"commentId":7963782,"authorDomain":"FlaEMT"}
                                        . But in the case of my daughter the only alternative was giving her straight morphine (if they pull oxycodone)

                                        They ARE NOT pulling Oxycodone! They are not even pulling Tylenol. They are only saying don't let doctors FORCE doses of Tylenol on patients in order to get them a dose of oxycodone. They can still tell you to take the Tylenol, or even write a prescription for it if needed for insurance coverage. If anything this is just allowing MORE choices, not less since it allows either dug separately besides the combination.

                                        {"commentId":7963782,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                          #12.3 - Wed Jul 1, 2009 10:27 AM EDT
                                          Reply
                                          {"commentId":7961892,"authorDomain":"my-pockets-r-mt"}

                                          Is the yet another czar in our near future?

                                          {"commentId":7961892,"threadId":"616069","contentId":"2984137","authorDomain":"my-pockets-r-mt"}
                                            Reply#13 - Wed Jul 1, 2009 8:31 AM EDT
                                            {"commentId":7962256,"authorDomain":"mizflame98"}

                                            First they came for the Cheerios, next they came for acetaminophen, what next? Aqua Fina? This nanny state we're living in is pathetic. Because of a few stupid people, I now have to suffer with my arthritis because they will try to ban some of the medications I take for pain. Obamacare at it's finest.

                                            {"commentId":7962256,"threadId":"616069","contentId":"2984137","authorDomain":"mizflame98"}
                                              Reply#14 - Wed Jul 1, 2009 8:56 AM EDT
                                              {"commentId":7962516,"authorDomain":"slimkim"}

                                              I'm just going to ask for Vicoprofen. How come no one else has thought of that???

                                              {"commentId":7962516,"threadId":"616069","contentId":"2984137","authorDomain":"slimkim"}
                                                Reply#15 - Wed Jul 1, 2009 9:13 AM EDT
                                                {"commentId":7969745,"authorDomain":"megidoloan"}

                                                Lots of people, such as myself, are allergic to NSAIDs, so vicoprofen is not an option for them.

                                                {"commentId":7969745,"threadId":"616069","contentId":"2984137","authorDomain":"megidoloan"}
                                                  #15.1 - Wed Jul 1, 2009 2:53 PM EDT
                                                  Reply
                                                  {"commentId":7962740,"authorDomain":"traveler9501"}

                                                  This is just plain stupid (not surprisingly). People will just take more OTC Tylenol to make up for the missing dosage. As for Vicodin and Percocet, if we eliminate them, we might as well go to straight morphine. Take it in a hospital, driving medical care costs up! My daughter had severe kidney stones in April, the whole month, and the ONLY thing that helped her with the pain was Percocet (oxycodone). She took morphine the 4 times she was in the ER but she got an Rx for Percocet at home, and she has a high threshhold for pain, so you can see she really needed it. She has lousy health insurance also; her deductible for prescriptions is so high, I, a disability retiree, had to help her with the cost of ER visit and the drugs.

                                                  Everyone here so far is right - the government trying to control our bodies and our private lives.

                                                  {"commentId":7962740,"threadId":"616069","contentId":"2984137","authorDomain":"traveler9501"}
                                                    Reply#16 - Wed Jul 1, 2009 9:29 AM EDT
                                                    {"commentId":7963552,"authorDomain":"FlaEMT"}
                                                    People will just take more OTC Tylenol to make up for the missing dosage.

                                                    But the idea is that they will be more aware of how much Tylenol they are taking then.

                                                    the government trying to control our bodies and our private lives.

                                                    If that were what this was about, they'd be banning Tylenol or at least controlling it like Sudafed. ALL they are doing is saying the drug makers can't try to hide an OTC med inside a pescription one. It even says in the article that the exact same regimen will still be available, just in two pills now.-- "If the combination products are eliminated, the acetaminophen and the other ingredients could be prescribed separately. In effect, patients would take two pills instead of one, and be more aware of the acetaminophen they are consuming."

                                                    {"commentId":7963552,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                      #16.1 - Wed Jul 1, 2009 10:15 AM EDT
                                                      {"commentId":7963690,"authorDomain":"thewrays1"}

                                                      Having worked as a psychiatric nurse for over 35 years, and taught pharmacotherapy in several universities. There's a basic truth, people believe "more is better". I interview patients everyday that astound me with their revelations of how much acetaminophen or ibuprofen they take daily "to sleep, or for this/that pain. And if we're voting, before we banish Percocet or Vicodin, PLEASE BAN XANAX!!!!!!

                                                      {"commentId":7963690,"threadId":"616069","contentId":"2984137","authorDomain":"thewrays1"}
                                                        #16.2 - Wed Jul 1, 2009 10:22 AM EDT
                                                        {"commentId":7977376,"authorDomain":"vaca50"}

                                                        I'm not saying that the government is trying to control our minds. If it's trying to control our minds it was doing it long before Obama came along. The partisan sniping here is still incredibly ignorant of the facts after all this discussion. I realize this is anecdotal arguments but at least follow some logic or reason other than chicken little logic. The sky is falling! is not an argument it's a cry.

                                                        {"commentId":7977376,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                                                          #16.3 - Wed Jul 1, 2009 9:26 PM EDT
                                                          Reply
                                                          {"commentId":7963823,"authorDomain":"bobthecat"}

                                                          I've downed an entire bottle of Tylenol in one day and no liver damage. But if you're taking that much Percocet you deserve to puke. And what exactly are they basing this definition of a bad painkiller, it's the ONLY pain killer. What do they want people to do, take two Bayer and call them in the morning but you can't cause you're up all night with agony. I surely hope that would take care of thier "headach" They don't have to prescribe it, thay's what doctors are for. I'm upset if you can't tell.

                                                          {"commentId":7963823,"threadId":"616069","contentId":"2984137","authorDomain":"bobthecat"}
                                                            Reply#17 - Wed Jul 1, 2009 10:29 AM EDT
                                                            {"commentId":7964539,"authorDomain":"FlaEMT"}
                                                            I'm upset if you can't tell.

                                                            But why??? Tylenol will still be available, and since you've stated already that you ignore printed dosages and maximums by downing "an entire bottle of Tylenol in one day ", I can't believe that changing the printed dosages will in any way effect how much you take.

                                                            {"commentId":7964539,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                              #17.1 - Wed Jul 1, 2009 11:07 AM EDT
                                                              Reply
                                                              {"commentId":7963889,"authorDomain":"thewrays1"}

                                                              I find it it interesting they want to ban Vicodin but not Lortab (both referred to as hillbilly heroin) and they're almost identical drugs.

                                                              {"commentId":7963889,"threadId":"616069","contentId":"2984137","authorDomain":"thewrays1"}
                                                                Reply#18 - Wed Jul 1, 2009 10:33 AM EDT
                                                                {"commentId":7964293,"authorDomain":"FlaEMT"}

                                                                From what I read, Lortab will be included too. One of the sentences in the article cited "Percocet and similar treatments" , implying that Percocet and Vicodin are only examples, not an exhaustive list.

                                                                {"commentId":7964293,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                                  #18.1 - Wed Jul 1, 2009 10:55 AM EDT
                                                                  {"commentId":7965659,"authorDomain":"thewrays1"}

                                                                  I'd like to see a comparative study of these drugs to the use of the Benzodiazepines (especially Xanax).

                                                                  {"commentId":7965659,"threadId":"616069","contentId":"2984137","authorDomain":"thewrays1"}
                                                                    #18.2 - Wed Jul 1, 2009 12:01 PM EDT
                                                                    {"commentId":7966015,"authorDomain":"FlaEMT"}

                                                                    Yep, Benzo's are another WAY overprescribed drug. The problem is that no matter which drug they choose to look at next, someone will always find a different one they feel should have come first. I guess we should just be glad they finally decided to get out of the pharmaceutical companies' pockets and start doing the job they were created for in the first place, no matter where they start. Even if your particular pet peeve wasn't first, maybe it will be next. :-)

                                                                    {"commentId":7966015,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                                      #18.3 - Wed Jul 1, 2009 12:16 PM EDT
                                                                      {"commentId":7977411,"authorDomain":"vaca50"}

                                                                      The government isn't banning anything as far as I know. <yawn> It's like threading a needle over and over. My last breath in this thread. Good luck convincing the unconvincible the sky isn't actually falling and we're not in the matrix. <sigh>

                                                                      {"commentId":7977411,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                                                                        #18.4 - Wed Jul 1, 2009 9:28 PM EDT
                                                                        Reply
                                                                        {"commentId":7964387,"authorDomain":"ncreader"}

                                                                        I agree with the comments posted protesting the government's proposed actions. The black box warning regarding liver failure with too much acetaminophen is a good idea but I do not want government to be in charge of my health care--that's why I have a primary care physician who knows me and my medical history making decisions regarding the medications I should or should not take. I cannot take aspirin on a daily basis and I am very careful about how much acetaminophen I take each day for chronic pain. Requiring a prescription for medications containing acetaminophen and a narcotic or opiate is prudent and just common sense but don't ban medications which help countless people with chronic pain who follow their doctor's orders and do not abuse meds.

                                                                        {"commentId":7964387,"threadId":"616069","contentId":"2984137","authorDomain":"ncreader"}
                                                                          Reply#19 - Wed Jul 1, 2009 11:00 AM EDT
                                                                          {"commentId":7964774,"authorDomain":"FlaEMT"}
                                                                          I do not want government to be in charge of my health care

                                                                          I agree, but how are they from this??? Your doctor can still give you the exact same medications after this vote. All they are saying is that the manufactureres can't package both in one pill. Everything about this vote is strictly concerning packaging. First they have to package the two drugs separately, secondly, they have to change the dosages printed on the packaging. These "meds" being banned aren't stand alone drugs, only particular ways of packaging drugs that aren't being banned. All the drugs in these meds are still available. This is more akin to requiring tamper proof packaging than to banning drugs.

                                                                          {"commentId":7964774,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                                            Reply#20 - Wed Jul 1, 2009 11:19 AM EDT
                                                                            {"commentId":8015199,"authorDomain":"vaca50"}

                                                                            ok, does it seem like you're talking to a wall? Some of these people are like in another atmosphere when it comes to understanding that THE GOVERNMENT ISN'T BANNING THIS DRUG ALTOGETHER. It's just reconsidering these particular drugs as hybrids. You will still be able to take these drugs until they kill you if you want! You'll just have to take them seperately.

                                                                            I don't want the government in charge of my healthcare either, but I don't want the health insurance companies in charge either! Therefore give me a Public Option and I'll have yet another choice! In my best Mel Gibson/William Wallace impersonation....FREEDOM!!

                                                                            {"commentId":8015199,"threadId":"616069","contentId":"2984137","authorDomain":"vaca50"}
                                                                              #20.1 - Fri Jul 3, 2009 9:43 PM EDT
                                                                              Reply
                                                                              {"commentId":7965412,"authorDomain":"titankreno"}

                                                                              Long, long overdue. The industry has been advertising these drugs for even the most minor of ailments. They are being overused by the public because the public is being led to believe by the industry that they are harmless. Not so.

                                                                              {"commentId":7965412,"threadId":"616069","contentId":"2984137","authorDomain":"titankreno"}
                                                                                Reply#21 - Wed Jul 1, 2009 11:50 AM EDT
                                                                                {"commentId":7965726,"authorDomain":"rowmey"}

                                                                                All medications come with risks. Remember Vioxx? A lot of people were upset by its ban because of the good it gave over the risks. Tylenol has been around 50 years. I take it knowing the dangers as well as the dangers of bleeding ulcers from too much aspirin. Even if you are overtaking acetaminophen your body still builds up this medicine so there is that added danger to the liver if you take it regularly. But I believe its safe enough and shouldn't be tampered with. Leave these medications alone. They do far more good than harm, unless you like to live with pain.

                                                                                {"commentId":7965726,"threadId":"616069","contentId":"2984137","authorDomain":"rowmey"}
                                                                                • 1 vote
                                                                                Reply#22 - Wed Jul 1, 2009 12:04 PM EDT
                                                                                {"commentId":7966173,"authorDomain":"heybambii"}

                                                                                Have they considered what restricting percocet and vicoden would do to our War amputee's? Many have phantom pain associated with the amputation and often time percocet and vicoden are prescribed in conjunction with nerve pain meds to try to control the pain. I doubt anyone at the FDA has considered this important issue...

                                                                                {"commentId":7966173,"threadId":"616069","contentId":"2984137","authorDomain":"heybambii"}
                                                                                  Reply#23 - Wed Jul 1, 2009 12:24 PM EDT
                                                                                  {"commentId":7966375,"authorDomain":"FlaEMT"}
                                                                                  Have they considered what restricting percocet and vicoden would do to our War amputee's?

                                                                                  ALL it will do is change their prescription from Hydrocodone w APAP(Vicodin or Percocet) to a prescription for straight Hydrocodone plus a possible dose of OTC APAP (Tylenol). Once again a non-issue since they will still get the same drugs, just packaged differently.

                                                                                  What's sadder is using these heros as a tool try to make this into an issue it's not. To think their sacrifice is being used for something so trivial. For shame. :-(

                                                                                  {"commentId":7966375,"threadId":"616069","contentId":"2984137","authorDomain":"FlaEMT"}
                                                                                    #23.1 - Wed Jul 1, 2009 12:32 PM EDT
                                                                                    Reply
                                                                                    {"commentId":7969059,"authorDomain":"slimkim"}

                                                                                    So I've talked to my doctor and got a script for Vicoprofen. I'm happy. Doesn't sound like anyone else on this board has figured out this combination.

                                                                                    {"commentId":7969059,"threadId":"616069","contentId":"2984137","authorDomain":"slimkim"}
                                                                                      Reply#24 - Wed Jul 1, 2009 2:24 PM EDT
                                                                                      {"commentId":7982109,"authorDomain":"bluecollarbytes"}

                                                                                      What about ibuprofen?

                                                                                      Doctors refused pain meds so ibuprofen was used to relieve incredible pain over the course of 3 years, resulting in 4 unit blood transusion from massive ulcer. Somach Doctor mentioned HALF of his work is related to ibuprofen.

                                                                                      __________________________

                                                                                      With all the medications they could pick on, they conveniently chose a high-profile one. This adminstration is nothing if not "Look at us".

                                                                                      {"commentId":7982109,"threadId":"616069","contentId":"2984137","authorDomain":"bluecollarbytes"}
                                                                                        Reply#25 - Thu Jul 2, 2009 8:57 AM EDT
                                                                                        {"commentId":10417318,"authorDomain":"breelaboy"}
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