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	<title>Comments on: Vytorin (Ezetimibe/simvastatin) Doesn&#8217;t Work; You Wouldn&#8217;t Know.</title>
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	<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/</link>
	<description>Seattle's Only Scientist</description>
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		<title>By: Ezetimibe VS Simvastatin VS Vytorin</title>
		<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/comment-page-1/#comment-3820</link>
		<dc:creator>Ezetimibe VS Simvastatin VS Vytorin</dc:creator>
		<pubDate>Wed, 16 Mar 2011 22:33:54 +0000</pubDate>
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		<description>Alright, so I&#039;m certainly no expert but agree 100% that big pharma advertising is extremely irritating and in my mind they&#039;re all Dr Jekyll and Mr Hyde like in their approach to truth not to mention the fact that they&#039;re spending more on advertising than they do on research while also doing their utmost to block generic alternatives whenever they can, often with the FDA being more or less taken for a ride when it comes to argumentation.</description>
		<content:encoded><![CDATA[<p>Alright, so I&#8217;m certainly no expert but agree 100% that big pharma advertising is extremely irritating and in my mind they&#8217;re all Dr Jekyll and Mr Hyde like in their approach to truth not to mention the fact that they&#8217;re spending more on advertising than they do on research while also doing their utmost to block generic alternatives whenever they can, often with the FDA being more or less taken for a ride when it comes to argumentation.</p>
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		<title>By: kaushik</title>
		<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/comment-page-1/#comment-1610</link>
		<dc:creator>kaushik</dc:creator>
		<pubDate>Fri, 02 Apr 2010 08:48:13 +0000</pubDate>
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		<description>a good drug would reduce intima media that is already more than normal thick. if u carefully read the study, the study population had normal thick i.m. it is more like saying, that a fever pill did not reduce temperature, and hiding the fact that it was given to a person who was not having any fever...</description>
		<content:encoded><![CDATA[<p>a good drug would reduce intima media that is already more than normal thick. if u carefully read the study, the study population had normal thick i.m. it is more like saying, that a fever pill did not reduce temperature, and hiding the fact that it was given to a person who was not having any fever&#8230;</p>
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		<title>By: Drugs and Devices - Dear Science</title>
		<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/comment-page-1/#comment-1557</link>
		<dc:creator>Drugs and Devices - Dear Science</dc:creator>
		<pubDate>Fri, 02 Oct 2009 03:46:09 +0000</pubDate>
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		<description>[...] At the shallowest depths are the most obvious additions to costs, the vast sums of money spent on marketing to consumers and doctors alike. Next down are the costly FDA trials, phase I, II and III that must be completed [...]</description>
		<content:encoded><![CDATA[<p>[...] At the shallowest depths are the most obvious additions to costs, the vast sums of money spent on marketing to consumers and doctors alike. Next down are the costly FDA trials, phase I, II and III that must be completed [...]</p>
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		<title>By: Thomas Robey</title>
		<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/comment-page-1/#comment-98</link>
		<dc:creator>Thomas Robey</dc:creator>
		<pubDate>Wed, 09 Apr 2008 03:40:33 +0000</pubDate>
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		<description>What about the next statement following the negative finding?

The results of our study showed that the addition of ezetimibe to the highest recommended dose of simvastatin did not reduce the intima–media thickness of the carotid-artery wall in this cohort of patients with familial hypercholesterolemia, &lt;b&gt;despite significant incremental reductions in levels of both LDL cholesterol and C-reactive protein&lt;/b&gt;.

Have the OTHER drugs shown this effect?  To my knowledge, carotid artery thickness is not the standard endpoint for hyperlipidemia drugs. 

I think your point that Vytorin is no better, and maybe not as good as the older generic drugs IS spot-on.  But it is also good to remember that those older drugs have the benefit of long-term studies like Eiko suggests.  Vytorin smells like a marketing gimmick, but I would be more comfortable with a softer critique, since there is plenty we do not know yet about ezetimibe.</description>
		<content:encoded><![CDATA[<p>What about the next statement following the negative finding?</p>
<p>The results of our study showed that the addition of ezetimibe to the highest recommended dose of simvastatin did not reduce the intima–media thickness of the carotid-artery wall in this cohort of patients with familial hypercholesterolemia, <b>despite significant incremental reductions in levels of both LDL cholesterol and C-reactive protein</b>.</p>
<p>Have the OTHER drugs shown this effect?  To my knowledge, carotid artery thickness is not the standard endpoint for hyperlipidemia drugs. </p>
<p>I think your point that Vytorin is no better, and maybe not as good as the older generic drugs IS spot-on.  But it is also good to remember that those older drugs have the benefit of long-term studies like Eiko suggests.  Vytorin smells like a marketing gimmick, but I would be more comfortable with a softer critique, since there is plenty we do not know yet about ezetimibe.</p>
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		<title>By: Eiko</title>
		<link>http://dearscience.org/2008/04/07/vytorin-ezetimibesimvastatin-doesnt-work-you-wouldnt-know/comment-page-1/#comment-97</link>
		<dc:creator>Eiko</dc:creator>
		<pubDate>Wed, 09 Apr 2008 01:22:22 +0000</pubDate>
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		<description>Hi Science!

I agree that drug advertising is incredibly annoying.

As far as this article goes, though, I wouldn&#039;t go as far as to say that the drugs &quot;don&#039;t work&quot;.  What kind of an endpoint is mean intima-media thickness of the carotid artery?  Why do I care about that clinically?  I don&#039;t.  Show me some numbers with real endpoints: stroke, TIA, MI.</description>
		<content:encoded><![CDATA[<p>Hi Science!</p>
<p>I agree that drug advertising is incredibly annoying.</p>
<p>As far as this article goes, though, I wouldn&#8217;t go as far as to say that the drugs &#8220;don&#8217;t work&#8221;.  What kind of an endpoint is mean intima-media thickness of the carotid artery?  Why do I care about that clinically?  I don&#8217;t.  Show me some numbers with real endpoints: stroke, TIA, MI.</p>
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