In March, 2015, the FDA issued new labeling requirements to manufacturers
of prescription testosterone supplements. This new labeling details the
potential risks of heart attack and stroke among patients taking these
supplements. The FDA also required the labeling to caution men against
using testosterone supplements for any reason other than the approved
use—for men with diagnosed hypogonadism. Despite the fact testosterone
supplements gained FDA approval
only for use in men with hypogonadism, it is estimated that less than half
of all men using testosterone supplements have such a diagnosis. It is
also believed that twenty-five percent or more of all men using a testosterone
supplement have not even had their testosterone levels measured.
The FDA Considers Testosterone Dangers
More than a year ago, after receiving reports regarding the questionable
safety of testosterone supplements, the FDA vowed to take a “hard
look” at this class of drugs. Once the FDA’s investigation
was completed—and the agency met with the Drug Safety and Risk Management
Advisory and the Bone, Reproductive and Urologic Drugs Advisory committees
to discuss the drugs—the decision was made to increase warnings
on testosterone labeling. In June 2014 the FDA warned doctors prescribing
testosterone and patients taking the supplement of an increased risk of
deep vein thrombosis, pulmonary embolism and venous thromboembolism.
Testosterone Observational Studies and Meta-Analyses
In order to reach a decision regarding new labeling advice, the FDA reviewed
five observational studies and two meta-analyses of placebo-controlled
trials. The goal was to determine the risk of cardiovascular events associated
with testosterone supplements. Two of the observational studies determined
there was statistically significant cardiovascular injury associated with
testosterone supplements, two found a mortality benefit with the supplements
and one study was inconclusive. The XU meta-analysis included twenty-seven
published placebo-controlled trials with mostly middle age and older subjects.
Of 1,773 patients treated with testosterone, 180 suffered an adverse cardiovascular
event. The Corona meta-analysis included 26 similar trials; of 1,895 men
treated with testosterone, 51 major, adverse cardiovascular events were reported.
Heart Attack and Stroke Added to Labeling as Significant Risk Factors of
Testosterone
The newest labeling requirements which add heart attack and stroke as risks
associated with testosterone supplements will help those who have already
filed lawsuits against testosterone manufacturers. Since 2001, the market
for prescription testosterone supplements has grown by leaps and bounds.
Testosterone manufacturers coined the marketing phrase “Low T,”
urging men who suffered from fatigue, low libido, loss of muscle mass,
increases in belly fat, and loss of bone density to ask their doctors
for a prescription. In 2013, revenues for testosterone supplements exceeded
$2.4 billion. AbbVie, the manufacturer of AndroGel, has more than half
the testosterone market, therefore had more than $1 billion in sales in
2013. Other manufacturers of testosterone supplements include Eli Lilly
(Axiron), Auxilium Pharmaceuticals (Testim, Testopel and Striant), Endo
Pharmaceuticals (Fortesta), Pfizer (Depo-Testosterone) and Actavis (Androderm).
Symptoms Which Can Signal an Adverse Cardiovascular Event or Stroke
One study published in the Journal of American Medical Association in November
2013, put the risk of having an adverse cardiovascular event at 29 percent
higher for men using a testosterone supplement than for those not using
testosterone. Another study published in August 2013, detailed the potential
risks of blood clots for men taking testosterone supplements. Testosterone
supplements can cost from $400-$500 per month, with some insurance companies
covering the cost. Patients using any brand of testosterone supplement
are urged to seek immediate medical attention if they experience chest
pain, slurred speech, weakness in one area or one side of the body or
difficulty breathing. If you feel you have suffered injury related to
a testosterone supplement, it is important to speak to a knowledgeable
attorney as soon as possible to determine whether filing a testosterone
lawsuit is right for you.
National Dangerous Drug Lawyers
You have a right to seek justice if you or someone you love has sustained
a heart attack or cardiac complication after using a low testosterone
drug. Drug companies who routinely put profits before people should pay
for their negligence—and their unscrupulous behavior. To learn more
about your legal options or to schedule a free consultation call the
Philadelphia product liability lawyers at Golomb & Honik today at
1-800-355-3300 or 1-215-985-9177 or fill out our confidential
Contact Form.
The national dangerous drug lawyers at Golomb & Honik have successfully
represented individuals in Philadelphia, Pennsylvania, New Jersey, and
throughout the United States.