Study: Fen-Phen can cause heart disease
July 8, 1997
Web posted at: 2:58 p.m. EDT (1858 GMT)
ROCHESTER, Minnesota (CNN) -- The popular diet drug Fen-Phen
can cause heart disease in some patients, Mayo Clinic
researchers said Tuesday.
The finding, which was unexpected, will be published in the
August 28 edition of New England Journal of Medicine. In an
unusual move, the editors of the journal said they decided to
release the information early given the impact
on public health.
A L S O :
Full text of the report:
Valvular heart disease associated with fenfluramine-phentermine
The study documents the cases of 24 women living in the upper
Midwest with no history of heart problems. The women had
taken Fen-Phen for six to 18 months and experienced a
deterioration in the valves of their hearts. Five of them
had surgery to replace the valves. When the surgeons
examined the defective valves they discovered the valves were
covered with an unusual white coating.
Heart-valve deterioration is considered a serious condition
that sometimes requires surgery. It can be a silent
condition causing no symptoms for years until it becomes
severe. If untreated it can lead to congestive heart
failure.
Fen-Phen is a combination of two drugs -- fenfluramine, an
appetite suppressant, and phentermine, a mild stimulant.
When combined they create a powerful diet drug.
Before Tuesday's announcement, primary pulmonary
hypertension, a serious lung disease, was the only known
serious side effect of Fen-Phen. Pulmonary hypertension is a
disorder in which the arteries supplying the heart have an
abnormally high blood pressure. Patients become short of
breath, and heart failure can follow, then death.
In 1996, there were 18 million prescriptions written for
Fen-Phen in the United States.
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