Booster Shots

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Heard about the digoxin recall? Probably not.

4:26 PM, May 15, 2008

Raise your hands if you've heard that a version of the heart drug digoxin has been recalled. I'm guessing that's not a lot of hands.

Drug maker Actavis Totowa recently recalled its version, Digitek, late last month because the tablets may contain twice the active ingredient. The recall notice points out that taking too much can cause nausea, vomiting, dizziness, low blood pressure, cardiac instability and an unusually slow heartbeat. And death.

The notice adds that several injuries have already been reported. The drug is distributed by Mylan Pharmaceuticals under a Bertek label and by UDL Laboratories under a UDL label. Actavis Totowa also says that the drug is manufactured in the U.S. (in case you were idly wondering).

Retired registered nurse Yvonne Cordoba, who lives in National City, Calif., brought this to our attention. She'd already contacted a couple of pharmaceutical firms and the Food and Drug Administration (which called her back!) to inquire about the cause of the recall and what was being done about it. She doesn't take the drug herself but knows people who do -- and the potential risks to them of taking too much. (And she apparently missed her calling as an investigative reporter.)

Cordoba was concerned that people taking the drug might not be aware of the recall. Some HMOs called their patients, she learned in her pursuit of answers, but she doubts that everyone taking the drug has been notified. She heard it third-hand from a friend. "Having been in the public health field, I feel they should be informed," she says.

She doesn't have any specific suggestions about how to better notify people who take the drug -- although she politely pointed out that she'd not heard it mentioned in the media. Got it.

For this and other recalls, alerts and warnings, go straight to the FDA. You can even sign up for emailed recall alerts for drugs and other products (cheese, cornbread mix, surgery products). But as Cordoba points out, that doesn't help those folks without online access. So ... tell a friend.

-- Tami Dennis

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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is the Times' Health and Science editor. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, deputy Health and Science editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
Karen Kaplan covers genetics, stem cells and cloning. She and colleague Thomas H. Maugh II comprise about 25% of the unofficial MIT-Alumni-in-Journalism Club, and she is proud to have taken more math (5) than English (0) courses in college. Her contributions to Booster Shots will, she hopes, appear more frequently than postings to her mommy blog.
Thomas H. Maugh II has been a science and medical writer at the Times for 23 years. Before that, he was on the staff of the journal Science for 13 years. He has bachelor's degrees in English and chemistry from MIT and a doctorate in chemistry from UC Santa Barbara.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.