Over-the-Counter NSAID Danger Ignored by Docs and Regulators

February 21, 2013

21 Feb (GAIA HEALTH) – Diclofenac has long been known to be a killer, every bit as dangerous as Vioxx, which may have killed half a million people in the US alone. But diclofenac isn’t only a prescription drug. It’s sold over-the-counter. Yet doctors keep prescribing it and regulators do nothing to control or even warn about it. 

Diclofenac is a very common over-the-counter NSAID (non-steroidal anti-inflammatory drug) that can kill at a significantly greater rate than most other NSAIDs. It may be even deadlier than the infamous Vioxx, which officially killed tens of thousands of people. The reality, as reported in Gaia Health, is frighteningly worse. It’s more likely that Vioxx killed half a million Americans.

But Vioxx was only available by prescription. Diclofenac is available both by prescription and casually in drug stores and supermarkets—any place where you might buy over-the-counter pain pills. It’s so profitable that the number of names under which it’s sold is stunning—well over a hundred. You’ve likely seen it as Anuva, Voltarol, Sandoz, or Voltral.

Gaia Health warned about Diclofenac in Diclofenac Deaths May Dwarf Vioxx Disaster: Health Agencies Helped It Happen. About a year-and-a-half ago, a PLoS article reported that heart attacks are 1.4 times more likely if  patients take Diclofenac[1].


Now, we have new PLoS reports documenting and discussing the reality. The aforementioned study examines several existing studies to identify the relative risks of different NSAIDs[1]. They found that all NSAIDs studied increase the risk of heart attacks to some degree.

Etoricoxib increases the cardiovascular risk by more than double and etodolac increases the risk 1½ times. These are prescription-only drugs.

Much more worrisome, though, is diclofenac. Notice that result for rofecoxib, which is the generic name for Vioxx, is almost the same as that for diclofenac.

Now consider that diclofenac is being heavily pushed on people in pharmacies and supermarkets. It is a very popular over the counter drug. Therefore, it’s only reasonable to assume that diclofenac is killing far more people than Vioxx ever did—and Vioxx was pulled off the market for precisely this same risk!

The Evidence-Based Medicine Fraud

The PLoS study, “Use of Non-Steroidal Anti-Inflammatory Drugs That Elevate Cardiovascular Risk: An Examination of Sales and Essential Medicines Lists in Low-, Middle-, and High-Income Countries”, states the issue clearly:

NSAIDs with a high risk of cardiovascular complications are widely used. Diclofenac and etoricoxib together account for approximately one-third of all sales of NSAIDs in the countries included in our analysis. There was no difference between high- and low-income countries. Diclofenac was by far the most popular NSAID, despite having an RR [relative risk] identical to rofecoxib, which was withdrawn from world markets 8 years ago owing to cardiovascular toxicity. The information on cardiovascular risk associated with diclofenac has been available to regulators, writers of guidelines and essential medicines lists, and prescribers for at least 5 years. Calls have been made for its withdrawal. High levels of sales as recently as 2011 suggest that none of this information has resulted in effective action. There has been a slow decline in prescription numbers in England, Australia, and Canada since 2006, but it remains popular in all three countries, particularly in England where it is the single most-prescribed NSAID.[2] [Emphasis mine.]

Please read this statement carefully. It makes absolutely clear that, in spite of the risks being known for many years, little or no change has been made in prescriptions of diclofenac.

What’s all that we hear modern medicine so proudly proclaim? Their practice is based on evidence? You know the mantra of evidence-based medicine is based on scientific studies.

In fact, modern medicine is not generally based on science. It’s based on profits. Science is used primarily by Big Pharma—misused, in reality—to push its drugs on us by any means possible. Pseudo studies are produced that make false claims, both for efficacy and safety.

For more on this article go to Gaia Health.

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