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Læknaneminn - 01.04.1997, Qupperneq 106

Læknaneminn - 01.04.1997, Qupperneq 106
Peter Duesberg ancl David Rasnick Table 7 Anti-HIV/AIDS drugs taken by HIV-positives 1 Drug HIV-positives (n=2,801) Anri-infectives (see below) 1,584 (57%) Analgesics/antipyretics 1,539 (55%) Vitamins 1,307 (47%) Antihistamines 810(29%) Antacids/antidiarrhetics/laxatives 571 (20%) Anxiolytics/sedatives 517(18%) Corticosteroids (topical/systemic) 423 (15%) Sympathomimetics (adrenergics) 381 (14%) Antidepressants/tranquiJizers 323 (12%) An ti tussi ves/expecto ran ts 316(11%) Electrolytic/caloric diuretics 280 (10%) Cardiovascular 195 (7%) Vaccines 133 (5%) None of the above (confirmed) 0 (0%) Anti-Infectives by name Penicillins 550 (20%) Acyclovir 476 (17%) Topical antifiingals 442 (16%) Erythromycin 376 (13%) Aerosolized pentamidine 260 (9%) Cephalosporins 254 (9%) Co-trimoxazole 246 (9%) Systemic antifungals 244 (9%) Tetracyclines 210 (7%) Miscellaneous ft-lactam 83 (3%) Dapsone 84 (3%) 1 Fogelman I, Lim L, Bassett R, Volberding P, Fischl MA, Stanley K, Cotton DJ, for the AIDS Clinical Trials Group. Prevalence andpatterns of use of concomitant medications among partici- pants in three multicenter human immunodeficiency virus type 1 clinical trials. Journal ofAcquired Immune Deficiency Syndromes 1994; 7:1057-1063. 5) Although AZT and other DNA chain terminators are prescribed since 1987 to healthy and ill HIV-posi- tives for the rest of their lives, there are as yet no ani- mal experiments that have ever tested to what degree these inevitably toxic substances accelerate death. Moreover, animal experiments would be necessary to determine how AZT and other anti-viral prescription drugs interact with the many recreational drugs that are, or have been, consumed by most AZT recipients — a question that none of the licensing studies has even addressed. It is therefore not possible to know how HlV-positives could possibly benefit from AZT’s hypothetical anti-HIV effects in view of its certain cell toxicity. As of 1996 the DNA chain-terminators are pre- scribed in combination with another group of experi- mental anti-HIVdrugs, the protease inhibitors, under new labels, that give the impression that these “cock- tails” are entirely new treatments 29, 173'176. But the mor- bidity and mortality of the long-term consumption of protease inhibitors alone or in combination with DNA chain terminators have neither been determined in ani- mals nor in humans. Surprisingly, the fate of the first two groups of AIDS patients that are claimed to have benefited by protease inhibitors published in two arti- cles and two editorials in Nature in January 1995 has not been mentioned since 33,34, ’77,17S. The absence of any follow-up of these promising claims is particularly odd since Nature has published numerous articles on AIDS and protease inhibitors. 4.2. Epidemiology of AZT and supplemental anti- HIV/AIDS medications 1) AZTand other DNA chain-terminators. Every year since 1987 about 200,000 HlV-positive people are pre- scribed AZT and other DNA chain-terminators as anti-HIV drugs for the rest of their lives 26, m. Because of the high cost (about $10,000 per year) most AZT recipients are Americans or Europeans 26,29. As of 1996 about 1.8 million (200,000 HIV-posi- tives per year over 9 years) Americans and Europeans have been on AZT for an average of 1 year. The one- year-average on AZT is derived from the fact that with- in one to two years the average AZT recipient suc- cumbs to the toxicities of AZT and of recreational drugs, and that many drop out after only a few months due to unbearable drug intoxication 26 lí0, ’79. In the words of the HIV/AIDS establishment, “AZT loses its effect after a year or two because the virus becomes resistant” ‘80. The above estimate is compatible with the total of $2.5 billion in AZT sales by Glaxo/Burroughs Wellcome 1S1. Since the wholesale price for a daily dose of 500 mg AZT per person for one year is $2,000 26, $2.5 billion corresponds to 1.25 million patient-years of AZT prescriptions since 1987. Since recreational drugs are acknowledged AIDS risks 14,2S, and since AZT is prescribed as AIDS pro- phylaxis and therapy, the epidemiology of AZT use is in fact similar to that of recreational drug use ,0'í-130- 182_ Although national statistics are not available, numer- ous studies indicate that the vast majority of AZT recipients are adult male homosexuals, and that a LÆKNANEMINN 104 1. tbl. 1997, 50. árg.
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