Merck, the Fda, and the Vioxx Recall

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MAN 4720
Nov. 15, 2011
Merck, the FDA, and the Vioxx Recall
In 1999 the Food and Drug Administration (FDA) had approved Vioxx, what would become Merck’s “blockbuster” drug. Although the FDA had approved the drug there was uncertainty of the safety of drug. Vioxx was approved to treat a variety of conditions, such as osteoarthritis and acute pain, but there was also a chance that it would increase cardiovascular problems. What I found most interesting about this case was the changes in how drugs are brought to consumers, from how they are approved to how they are informed of the drug. Strengths

Merck was heading in the right direction with its drug Vioxx. They wanted the drug to be a “blockbuster”, used for multiple symptoms and everyday use. Merck used direct-to-consumer advertising to fuel sales of Vioxx. Vioxx seemed to benefit stakeholders on both ends of the spectrum, until it was found to cause cardiovascular problems. Merck did continue to research the effects of its drug and eventually voluntarily withdrew Vioxx. This is a strength in that they made the right ethical decision to withdraw the drug, even though it did take almost 5 years. Weaknesses

Merck’s weakness would be that it did not research its drug thoroughly enough for possible problems before seeking approval from the FDA. The FDA etimates that 139,000 people in the United States had had a heart attack or stroke as a result of taking VIoxx. This could have been prevented if Merck had properly researched the drug or recalled it in a more appropriate time. Opportunities

Prescription drug companies can have their drugs reach the market much faster than in the past. Approval time from the FDA went from 27 months in 1993 to 14 months in 2001, saving a company an estimated $41.7 million in lost revenue a month. This would benefit internal as well as external stakeholders. In 1997 the FDA allowed drug companies to advertise directly-to-consumers (DTC), which proved to be very beneficial to...
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