...and now, prescription niacin!

the Cardinal

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Pay 5-10 times the cost of OTC red yeast rice extract, fish oil extract, and now niacin by using Lovastatin (prescription red yeast rice extract), Omacar (prescription fish oil extract), and now, Cordaptive, which is a prescription niacin extract, to stay heart-healthy!

The sad part is that so many consumers are so uninformed and (willfully) ignorant about actively managing their own health.

Despite overwhelming evidence that moderate lifestyle changes combined with specific OTC nutritional supplementation is at least as effective as some prescription drugs for many patients that struggle with high chlolesterol, high triglycerides, clogged arties, etc..., it appears the FDA continues to pooh pooh the benefits of certain OTC product compounds while promoting (through it's approval process) the same dang compounds WHEN it can be patented into a "new" drug by big pharma.

By LINDA A. JOHNSON

TRENTON, N.J. (AP) - An experimental cholesterol treatment touted by drugmaker Merck & Co. (MRK) significantly reduced artery-clogging fats in late-stage testing, but it got a mixed reception from Wall Street analysts Tuesday.

The drug, called Cordaptive, can both raise good cholesterol and lower bad cholesterol. It combines an extended-release form of the B vitamin niacin with a chemical to inhibit an often intolerable niacin side effect called flushing - redness, burning and tingling of the face.

At a European cardiology conference Sunday, Merck for the first time reported results of a major study of Cordaptive. The 24-week study, which included about 1,600 patients, found that compared with dummy pills, Cordaptive produced an 18 percent drop in levels of LDL-C, or "bad" cholesterol; a 26 percent drop in another type of blood fat called triglycerides, and a 20 percent increase in levels of HDL-C, or "good" cholesterol.

Those results were about the same whether or not patients were also taking cholesterol-lowering drugs called statins. Among study patients taking Cordaptive, 29 percent had moderate flushing or worse, versus 56 percent of patients taking just extended-release niacin and 6 percent of those taking a dummy pill.

Analyst Steve Brozak of WBB Securities said the safety profile for Cordaptive, which is awaiting Food and Drug Administration approval, wasn't perfect but is "not problematic."

"I think that the FDA will be predisposed to approve it," Brozak said, given the many people with heart disease or uncontrolled cholesterol, which contributes to hardening of the arteries.

Joseph Tooley, an analyst at A.G. Edwards Pharmaceutical Group, wrote that Cordaptive appears as safe as niacin and that its reduced flushing differentiates it from existing products.

But Cowen and Co. analyst Steve Scala wrote that Cordaptive's safety profile "trended less favorably" than extended-release niacin, with measures of substances in the blood that can indicate potential liver damage, muscle damage and blood-sugar problems a little worse for Cordaptive than the extended-release niacin.

"We think there's no difference between those, especially given the size of the trial," responded Dr. John Paolini, head of the Cordaptive product development team at Merck. "Most importantly, there were no cases of hepatitis" or symptoms of liver damage in the patients.

Any worrisome changes in blood levels of enzymes were temporary and ended when patients stopped taking Cordaptive, he said.

Niacin has been used to control cholesterol for decades, and an extended release version, called Niaspan, has been on sale for years. The flushing problem, however, has prevented many patients from reaching the most effective dose and caused many others to stop taking niacin or Niaspan altogether, Paolini said in a telephone interview from the conference in Vienna.

In a statement Tuesday, Abbott Labs, maker of Niaspan, countered that facial flushing is generally a temporary side effect, which can be easily managed with aspirin.

Cordaptive would beef up Merck's cholesterol franchise, a key area because its statin drug Zocor, which had been Merck's top seller, has seen sales plunge since it got generic competition a year ago. Merck and partner Schering-Plough Corp. (SGP) jointly market two other cholesterol drugs, Zetia and Vytorin.

Scala forecast $150 million in Cordaptive sales in 2008, with revenue growing to $700 million in 2012. Banc of America Securities analyst Chris Schott predicted $665 million in 2011 sales.

Morgan Stanley (MS) analyst Jami Rubin agreed that sales could top $700 million by 2011, but noted that Abbott Labs is developing a concentrated version of its niacin drug.

Merck shares fell 13 cents to $50.04 in trading Tuesday.

---

On the Net:

Merck & Co., Inc. is a global research-driven pharmaceutical company dedicated to putting patients first.
 
Squeaks4ver

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it use to be RX only.. i remember my dad having to get it from the pharm. and then they took it off.. i am sure it will keep doing that forever
 
prld2gr8ns

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I bet the "chemical" added to prevent the flushing is salycylic acid(Aspirine). So my question is... if these big pharm companies continue to push this new "innovative" research and filing patents for their "discoveries", will OTC eventually become a thing of the past?
 
celc5

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I bet the "chemical" added to prevent the flushing is salycylic acid(Aspirine). So my question is... if these big pharm companies continue to push this new "innovative" research and filing patents for their "discoveries", will OTC eventually become a thing of the past?
I was thinking EXACTLY the same thing prelude! HIGH FIVE! When's niacin gonna be taken off the shelf... Aspire... CoQ10... Melatonin... etc etc
 
dsade

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I bet the "chemical" added to prevent the flushing is salycylic acid(Aspirine). So my question is... if these big pharm companies continue to push this new "innovative" research and filing patents for their "discoveries", will OTC eventually become a thing of the past?
That's the goal of Big Pharma, the FDA, and the WHO.
 
celc5

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I thought the Who played Pinball Wizard... fill in this ignorant nutraplanet junky :fool2:
 
prld2gr8ns

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I thought the Who played Pinball Wizard... fill in this ignorant nutraplanet junky :fool2:
World Health Organization.

WHO supports the development and distribution of safe and effective vaccines and pharmaceutical drugs.
 
dsade

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World Health Organization.

WHO supports the development and distribution of safe and effective vaccines and pharmaceutical drugs.
And complete control of ANYTHING remotely related to body function, including vitamins...to the point where everything must be obtained from a physician..with a prescription...at 1000times current price.
 
celc5

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think it will ever get to the point where we need a scipt to shop at NP and other similar sites/stores? ...would that force you to be a pharmacist d? I know that's hypothetical but it's an uncomfortable scenario for a consumer and from a sales standpoint
 
dsade

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think it will ever get to the point where we need a scipt to shop at NP and other similar sites/stores? ...would that force you to be a pharmacist d? I know that's hypothetical but it's an uncomfortable scenario for a consumer and from a sales standpoint
Nutraplanet would go out of business, as there would be nothing left to sell of any consequence. Maybe a few non-functioning roots and herbs.

If you look at the recent stance of the FDA, and movement towards legislation, ANY claims must basically jump through the same hoops as prescription meds, which would remove most of the market. It is not a far step beyond that the EU legislation would be adopted, thereby killing any kind of alternate medicine/self-life enhancement through vitamins and herbs without doctor's apprival (and all the increases in costs that go along with that.)

Basically, they want power and more money.
 
celc5

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Not to mention that we choose a lot of supplements as already healthy individuals WITHOUT symptoms to treat. That would be a nightmare trying to justify scripts.

It's difficult for a healthy person to obtain a script for anything even if it could be preventing poor health scenarios. ...not to mention that prevention is more cost-effective than treatment. It seems that insurance companies/legislature suddenly have learning disabilities when it comes time to understand that concept.
 
jmh80

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Someone let me know when I have like a week left to buy a sh*t-ton of supps/vitamins before they are banned (or whatever).
 
dsade

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Someone let me know when I have like a week left to buy a sh*t-ton of supps/vitamins before they are banned (or whatever).
How about we let you know when it is time to contact your congressional reps and make you voice heard.

Ok...the time is NOW.
 
celc5

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How about we let you know when it is time to contact your congressional reps and make you voice heard.

Ok...the time is NOW.
D, if you started an online petition, you'd have THOUSANDS of us that would back you up. You have one heck of a business and wonder how the box of goodies shows up at my doorstep 30 seconds after I hit the order button :cheers:

Or, maybe inlcude an informative letter in your shipments giving us an opportunity to have an educated voice :think:
 
dsade

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Or, maybe inlcude an informative letter in your shipments giving us an opportunity to have an educated voice :think:
This is not a bad idea at all.
 

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i write my congress person and others weekly, and will continue until i get a real response. im working my way to a bachelors in biology and become a dr. or get a Phd. When i finally have the credentials i hope to make a difference forcing common sense.
 
2fresh

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I tried 300mgs of Niacin for the first time today, because a customer returned it to our store.

Personally I think the flushing red feeling is really cool. I turned all red and got all tingly. Pretty fun if you ask me!

Isn't there something where you need a script for high doses of Niacin? 3 grams or? Why don't people just buy the 1000mg ones and take 3?

What's so damn hard about taken a multi that makes you take more then one pill!! You guys don't even know how many people refuse to take more then one pill ahhhh sorry Late night rant
 
Grunt76

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And complete control of ANYTHING remotely related to body function, including vitamins...to the point where everything must be obtained from a physician..with a prescription...at 1000times current price.
Indeed.
 
BullzEye

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Is it not true that high levels of Niacin B3 inhibit triglicerides being utilised for energy?
 

the Cardinal

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Is it not true that high levels of Niacin B3 inhibit triglicerides being utilised for energy?
If you happen to be diagnosed with high triglycerides - like many, many 35 and older folks in this country - you wouldn't give a rats behind about the inhibition effect except to be ecstatic about it.

Using OTC niacin alone can bring down the levels of dangerously high triglycerides to very manageable levels. Of course, if high triglycerides are not a concern, then there is no good reason that I'm aware of to use therapeutic dosages.
 

AM07

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What we need is a complete overhaul and genocide of every politician (except Ron Paul) in office today. Preferably place them all on an island in the middle of Pacific and just nuke that b!tch!
 
bombBoogie

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What we need is a complete overhaul and genocide of every politician (except Ron Paul) in office today. Preferably place them all on an island in the middle of Pacific and just nuke that b!tch!
I would like to see all of them in a beach, fighting for survival. Using makeshift weapons, and eating whatever they can find. While it is being broadcast on some network :D probably spike tv.
 
MashedPotato

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Well guys, if all else fails we can all move to Mexico.

And open up El Nutraplaneta. :woohoo:
 
jezzab05

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Anyone know anything more about this Niacin-Roids product? Theres a link to the site around here somewhere. Apparently its legal, 100% safe, and extremely effective. Though it looks more like an overpriced vitamin.
 
swoody

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Anyone know anything more about this Niacin-Roids product? Theres a link to the site around here somewhere. Apparently its legal, 100% safe, and extremely effective. Though it looks more like an overpriced vitamin.

Niacin-Roids??? :toofunny::jaw: You've GOT to be kidding...
 
jezzab05

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lol, unfortunately not. it looked ridiculous, but i saw the link from here, although it was probably on an ad banner. the website even makes claims from researchers who dont exist (well google doesnt think so anyway.) :run:
 
drksun

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I bet the "chemical" added to prevent the flushing is salycylic acid(Aspirine). So my question is... if these big pharm companies continue to push this new "innovative" research and filing patents for their "discoveries", will OTC eventually become a thing of the past?
aspirin is acetylsalicylic acid, i know this becuase we made asprin in my chem class last week, you react salycylic acid with acetic anhydride to get aspirin.
 

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