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Tom Lamb
Wilmington, NC, USA
Tom Lamb is an attorney, or lawyer, who represents patients and their families in drug injury lawsuits.
Interests: law, news, information, drugs, legal, medical, fda, pharmaceutical, medications, side-effects, drug-injury, drug-safety, regulatory
Recent Activity
Quoted from Former FDA Commissioner David Kessler might testify against J&J in Philly case David Sell Posted: Monday, January 26, 2015, 8:39 AM Former Food and Drug Administration Commissioner Dr. David Kessler might testify for the plaintiff in coming days in a lawsuit against drugmaker Johnson & Johnson that is being heard in Philadelphia Court of Common Pleas. Contrary to several media reports, this is not the first trial of a case involving the antipsychotic drug Risperdal, which was approved more than a decade ago for schizophrenia. J&J has been accused of promoting the drug for unapproved uses in... Continue reading
Posted 8 minutes ago at Pharmaceutical Drug Litigation Updates
Health Canada Currently Conducting Epidemiological Study Of These Incretin-Based Type 2 Diabetes Medications To Assess This Potential Drug Safety Issue (Posted by Tom Lamb at From the October 2014 edition of the Canadian Adverse Reaction Newsletter we get this drug safety review of the diabetes drugs Bydureon, Byetta, Januvia, And Victoza, "Incretin-based therapies and the risk of pancreatic cancer". From that relatively recent Health Canada article we get this information: Non-clinical studies have suggested that incretin-based therapies can lead to increased pancreatic cell proliferation. These findings, along with international reports of pancreatic cancer in patients using incretin-based therapies, raised concerns over the potential risk of developing pancreatic cancer with the use of these drugs. Pancreatic cancer is the fourth leading cause of cancer death in Canada with a 5 year relative survival ratio of 8%. Risk factors for pancreatic cancer include, but are not limited to, smoking, obesity, a family history of pancreatic cancer, chronic pancreatitis and diabetes. In 2013, Health Canada informed health care professionals that cases of pancreatic cancer had been reported internationally with the use of exenatide; no Canadian cases were reported at the time. As of July 31, 2014, Health Canada received 13 reports of... Continue reading
Posted 7 days ago at Drug Injury Watch
Researchers Found An Almost 10-Times Increased Risk Of Severe Intestinal Malabsorption Associated With Benicar After 2-Years Use Compared To Some Other Blood Pressure Medications (Posted by Tom Lamb at We continue to hear about patients who have been diagnosed with sprue-like enteropathy or intestinal malabsorption while using Benicar, Azor, Tribenzor, or Benicar HCT, and we have written previously about the still-emerging Benicar drug injury litigation. In May 2014 the medical journal Gastroenterology published an article, "Severe Malabsorption Associated With Olmesartan: A French Nationwide Cohort Study", which provides some insight concerning the association between Benicar and a side effect that is often initially mistaken for celiac disease. From the Abstract for this medical journal article about that French Benicar study: Introduction: Several cases of severe sprue-like enteropathy have been reported in patients treated with [Benicar (Olmesartan medoxomil)], an angiotensin II receptor blocker (ARB) approved for the treatment of hypertension. The association has been questioned: in the ROADMAP phase 3-trial, the rate of diarrhea was similar in patients who received [Benicar (olmesartan)] and placebo. The objective of this study was to assess in a large, nation-wide patient cohort, the risk of severe intestinal malabsorption associated with [Benicar (olmesartan)], compared with ARBs... Continue reading
Posted Jan 12, 2015 at Drug Injury Watch
Crystal: Thank you for sharing your experience with us. It seems many patients who get started on Eliquis do not receive all the information they may really need in order to make an informed (and safe) decision whether to use this new drug. Tom Lamb
1 reply
Erectile Dysfunction (ED) Drugs And Pulmonary Arterial Hypertension (PAH) Medications May Cause Increased Rate Of Melanoma Metastasis (Posted by Tom Lamb at To start, we get our background facts and some commentary from "Hard Times for Oncogenic BRAF-Expressing Melanoma Cells", a Preview piece in the January 2011 edition of the Cancer Cell medical journal. [Malignant cutaneous melanoma] progression occurs in around 20% of cases to an aggressive, metastasizing form of the disease with extremely poor patient survival rates Nearly half of all melanomas carry an activating mutation in BRAF Recently, Marais and colleagues (Arozarena et al., 2011) have provided an extremely exciting and novel insight into the critical issue of melanoma cell invasiveness, discovering that it can be elicited by the downregulation of PDE5A Active-site directed selective inhibitors of this enzyme are used acutely for the treatment of penile erectile dysfunction (PED) and infantile hypertension This elegant study thus provides an important insight into the mechanism whereby oncogenic B-RAF promotes invasiveness in melanoma cells through a mechanism that pivotally involves PDE5A downregulation and elevation of cGMP levels The study by Marais and colleagues mentioned in those third and fifth points, above, is the subject of this article, "Oncogenic BRAF... Continue reading
Posted Jan 5, 2015 at Drug Injury Watch
While European Drug Regulators Have Been Concerned About This Aspect Of Xolair Safety, FDA Has No Warning About Arteriothrombotic Risks Of Xolair (Posted by Tom Lamb at In September 2014 the FDA issued an update about its safety review of the Genentech asthma medication Xolair (omalizumab), which we reported about in this earlier post, "Xolair Asthma Drug Associated With Higher Rate Of Heart Attacks, Pulmonary Hypertension, Blood Clots Causing PEs And/Or DVTs, And Brain Blood Vessel Problems". From the Data Summary of that September 26, 2014 FDA Drug Safety Communication: The manufacturer of Xolair, Genentech, initiated the postmarketing commitment study titled An Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-Term Safety in Patients with Moderate to Severe Asthma (EXCELS) in June 2004 to assess the long-term safety of Xolair A higher incidence rate per 1,000 patient years of overall cardiovascular and cerebrovascular serious adverse events was observed in Xolair-treated patients compared to non-Xolair-treated patients, as well as for myocardial infarction, unstable angina, transient ischemic attack, pulmonary embolism/venous thrombosis, and pulmonary hypertension. No increases in the rates of ischemic stroke or cardiovascular death were observed in patients treated with Xolair compared to non-Xolair-treated patients. In this post we... Continue reading
Posted Dec 26, 2014 at Drug Injury Watch
Advertisements As Well As Prescribing Information / Drug Label Seem To Downplay The Fact That There Is No Reversal Agent For Eliquis, Yet (Posted by Tom Lamb at In print advertisements for their relatively new blood thinner medicine Eliquis, Bristol-Myers Squibb and Pfizer state in the Important Safety Information section ("August 2014" version): ELIQUIS can cause bleeding, which can be serious, and rarely may lead to death. But at the very start of these print ads, in larger print, is this point -- #2 of "3 GOOD REASONS": ELIQUIS has less major bleeding than warfarin. If one delves further into the Eliquis advertisements you may see in popular magazines, you will find this: While taking ELIQUIS... it may take longer than usual for any bleeding to stop. What you will not see, however, is any statement to the effect that there is no reversal agent to stop a serious bleeding event that may happen while a patient is on Eliquis. That is, Bristol-Myers Squibb and Pfizer do not state in these advertisements that there is no FDA-approved antidote for Eliquis as regards its blood-thinner effect at this time. Put simply, there seems to be a failure to warn patients... Continue reading
Posted Dec 20, 2014 at Drug Injury Watch
And New Blood Clot Side Effect Lawsuits, Including Some Involving The Lesser-Known Safyral And Beyaz DRSP Pills, Are Still Being Filed Against Bayer (Posted by Tom Lamb at Bayer's latest update on the ongoing litigation concerning its drospirenone (DRSP) birth control pills -- Yasmin, YAZ, Safyral, and Beyaz -- as set forth in its Stockholders' Newsletter Financial Report as of September 30, 2014, published on October 30, 2014, is as follows: Yasmin™ / YAZ™: As of October 13, 2014, the number of claimants in the pending lawsuits and claims in the United States totaled about 4,000 (excluding claims already settled). Claimants allege that they have suffered personal injuries, some of them fatal, from the use of Bayer’s drospirenone-containing oral contraceptive products such as Yasmin™ and / or YAZ™ or from the use of Ocella™ and / or Gianvi™, generic versions of Yasmin™ and YAZ™, respectively, marketed by Barr Laboratories, Inc. in the United States. As of October 13, 2014, Bayer had reached agreements, without admission of liability, to settle the claims of approximately 9,200 claimants in the U.S. for a total amount of about US$1.8 billion. Bayer has only been settling claims in the U.S. for venous clot injuries... Continue reading
Posted Dec 12, 2014 at Drug Injury Watch
Quoted from Article Comments (0) FDA warns Pfizer's antipsychotic could cause fatal skin reaction Thu Dec 11, 2014 10:01am EST (Reuters) - Pfizer Inc's antipsychotic Geodon and generic versions of the drug can trigger a potentially fatal skin reaction, the U.S. Food and Drug Administration warned on Thursday. A new warning has been added to the drug's label to describe the condition - known as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) - which may start as a rash and spread all over. Other symptoms include fever, swollen lymph nodes and organ inflammation. Geodon, known generically as ziprasidone,... Continue reading
Quoted from Bayer, J&J fight calls to unify suits Jef Feeley, Bloomberg News Posted: Sunday, December 7, 2014 Johnson & Johnson and Bayer are fighting calls to consolidate lawsuits over Xarelto, an anticoagulant drug that has been blamed in the bleeding deaths of 65 patients. Bayer produces the drug. J&J, which has major operations in the Philadelphia region, owns U.S. rights to the blood thinner. Patients who took Xarelto, which has no antidote, and other plaintiffs in the lawsuits accuse the drugmakers of downplaying the medicine's bleeding risks and asked that the cases be gathered before U.S District Judge... Continue reading
Judge Pisano's Rulings About Merck's Pre-September 2010 Fosamax Label And Its Subsequent Revised Fosamax Label Are Being Challenged By The Plaintiffs (Posted by Tom Lamb at We are drawing from this Merck corporate SEC filing, "Form 10-Q, For the quarterly period ended September 30, 2014" (at pp.20-21 of PDF file), for this update on the Fosamax - femur fracture lawsuits. While most of these drug injury lawsuits filed against Merck are pending in the New Jersey state court system -- as of September 30, 2014, approximately 2,920 cases, according to Merck -- we are going to focus on what is going on currently in the federal court Fosamax MDL for femur fracture cases. Federal District Court Judge Joel Pisano is presiding over this Fosamax MDL. And from the most recent Merck Form 10-Q SEC filing we get these facts about what has been going on in that litigation: [O]n March 26, 2014, Judge Pisano issued an opinion finding that all claims of the approximately 650 plaintiffs who allegedly suffered injuries prior to September 14, 2010 were preempted and ordered that those cases be dismissed. The majority of those plaintiffs are appealing that ruling to the U.S. Court of Appeals... Continue reading
Posted Dec 5, 2014 at Drug Injury Watch
Recently Revised Topamax Label Includes Data Of 2014 Annual Report From The North American Antiepileptic Drug (NAAED) Pregnancy Registry (Posted by Tom Lamb at By means of an October 21, 2014 FDA letter to Janssen Pharmaceuticals, Inc. we first learned there was going to be a label change concerning Topamax and cleft lips in infants: Revisions to Section 8.1 to describe the most recent data pertaining to the risk of oral clefts in infants exposed to topiramate during pregnancy, based on data from the 2014 Annual Report from the North American Antiepileptic Drug (NAAED) Pregnancy Registry. Here is the revised Topamax (topiramate) Prescribing Information, updated October 2014 (accessed 11/20/14), with the above-referenced revision in section 8 USE IN SPECIFIC POPULATIONS, at 8.1 Pregnancy: Human Data Data from the NAAED Pregnancy Registry (425 prospective topiramate monotherapy-exposed pregnancies) indicate an increased risk of oral clefts in infants exposed during the first trimester of pregnancy. The prevalence of oral clefts among topiramate-exposed infants was 1.2% compared to a prevalence of 0.39% for infants exposed to a reference [antiepileptic drug (AED)]. In infants of mothers without epilepsy or treatment with other AEDs, the prevalence was 0.12%. For comparison, the Centers for Disease Control... Continue reading
Posted Nov 24, 2014 at Drug Injury Watch
Quoted from Testosterone treatment: Fountain of youth or heart attack risk? Jeff Swiatek November 21, 2014 It's almost predictable. First came the drug company ads aimed at older men. Feeling tired, irritable, lost your sex drive? Try our testosterone product. Then came the response ads from trial lawyers. Suffered a heart attack or stroke while taking testosterone? Sue 'em. It's the latest battle over drug side effects, and the stakes are high. Artificial testosterones are among the best selling drugs on the market. More than 2 million American men have prescriptions for more than half a dozen products that... Continue reading
Thank you for your comment. Yes, and there were Pradaxa lawsuits filed which are the subject of a recent large settlement by Boehringer Ingelheim, the "responsible" drug company. Now there are Xarelto lawsuits being filed, with Eliquis cases under investigation as possible lawsuits to be filed in the near future. Safety before profits seems the better course for pharmaceuticals. Tom Lamb
1 reply
A Reversal Agent For Eliquis Currently Under Development Comes Too Late For People With Trauma-Induced Bleeding Incidents, Some Who Bled To Death (Posted by Tom Lamb at _________________________________________________________________ UPDATE: Eliquis Antidote Will Come Too Late For People Who Suffered Serious Bleeding Events, Some Which Caused The Deaths Of Patients Advertisements As Well As Prescribing Information / Drug Label Seem To Downplay The Fact That There Is No Reversal Agent For Eliquis, Yet (12/21/14) _________________________________________________________________ Eliquis (apixaban) was the last of the three "new-generation" anticoagulants to make it to the market. It was approved by the FDA in 2012. Pfizer and Bristol-Myers Squibb are the two drug companies which share the profits and responsibility for Eliquis. The first such new blood thinner released was Pradaxa (dabigatran), a direct thrombin inhibitor by Boehringer Ingelheim. Next came Xarelto (rivaroxaban) by Johnson & Johnson, which was approved in 2011. Significantly, none of these three blood thinners -- Pradaxa, Xarelto, and Eliquis -- currently have an approved antidote for a patient experiencing a trauma-induced bleeding event or needing emergency surgery. We wrote about this drug safety problem in this article, "Eliquis And Xarelto, Like Pradaxa, Linked To Serious Bleeding Events Due To Fact No... Continue reading
Posted Nov 17, 2014 at Drug Injury Watch
Medical Journal Article Reports On Two Patients Who Experienced Severe Liver Damage Onset During Xarelto Treatment (Posted by Tom Lamb at Most adverse drug reaction case reports associated with the still relatively new anticoagulant Xarelto (rivaroxaban) involve serious bleeding side effects such as gastrointestinal (GI) bleeds and rectal bleeding as well as irreversible life-threatening trauma-induced atypical bleeding incidents. A recent article, however, published by the medical journal JAMA Internal Medicine, "Symptomatic Hepatocellular Liver Injury With Hyperbilirubinemia in Two Patients Treated With Rivaroxaban", discusses a different serious Xarelto side effect: drug-induced liver injury / liver damage. _____________________________________________________________________ Free Xarelto Case Evaluation Strictly Confidential, No Obligation. ______________________________________________________________________________ From a medical site summary about this recent Xarelto liver safety study, "Rivaroxaban and Liver Injury: Case Studies Add to Safety Questions", we get these facts: A case study in JAMA Internal Medicine reports on two patients that experienced severe liver injury onset during treatment with the oral anticoagulant [Xarelto (rivaroxaban)]. The first patient was a 52-year-old man who developed severe lobular hepatitis two months after initiation of [Xarelto (rivaroxaban)] 10mg/day for the prevention of deep vein thrombosis (DVT) after internal fixation of a tibia fracture. The preserved lobular architecture and lack of fibrosis... Continue reading
Posted Nov 10, 2014 at Drug Injury Watch
To start, I am sorry to hear about your unfortunate experience using the generic version of Zocor. Unfortunately, what you heard about the legal situation is correct. The Pliva, Inc., et al. v. Mensing case was decided by the Supreme Court of the United States (SCOTUS) on June 23, 2011. Justice Clarence Thomas delivered the opinion of the Court, concluding that federal drug regulations applicable to generic drug manufacturers directly conflict with, and thus pre-empt, state law claims (see, in particular, pages 4–14 and 17–20 of this Pliva v. Mensing SCOTUS opinion). The bottom line is that the US Supreme Court ruled in favor of the generic drug company and against the injured patient such that at the present time any "failure to warn" lawsuit involving a generic drug would be dismissed based on this Mensing case ruling. Justice Sonia Sotomayor, in her dissent opinion, did well in pointing out the apparent absurdity of this new Supreme Court ruling about generic drug company lawsuits: "As a result of today’s decision, whether a consumer harmed by inadequate warnings can obtain relief turns solely on the happenstance of whether her pharmacist filled her prescription with a brand-name or generic drug. The Court gets one thing right: this outcome 'makes little sense'." I wish you the best in all aspects going forward. Tom Lamb
1 reply
Finding Applies Also To ED Drugs Cialis, Levitra, Staxyn, and Stendra, As Well As Pulmonary Arterial Hypertension (PAH) Medications Revatio And Adcirca (Posted by Tom Lamb at About six months ago we posted this item, "Viagra May Increase Risk Of Melanoma In Men Who Have Used This ED Drug, According To An April 2014 Medical Journal Article", in which we reported that Viagra (sildenafil), a popular erectile dysfunction (ED), appeared to increase the risk for malignant melanoma, a potentially fatal form of skin cancer. That medical journal article, "Sildenafil Use and Increased Risk of Incident Melanoma in US Men: A Prospective Cohort Study", was published by JAMA Internal Medicine in April 2014. Since then, there has been some commentary pieces written by medical reporters about this Viagra - melanoma study. First, from the American Council on Science and Health (ACSH) web site, there is "Viagra and melanoma correlation: Is it real?". From that article, we get this apparent validation of the underlying medical study: Unlike many of the junk studies we routinely lambaste here, this one is well run and also has a biologically plausible mechanism to explain the findings. It is also a prospective study—one planned in advance... Continue reading
Posted Nov 3, 2014 at Drug Injury Watch
Quoted from Stronger warning on Iclusig blood clot risk The Pharmaceutical Journal, 30 OCT 2014 Warnings about the risks of developing a blood clot or blocked artery with Iclusig (ponatinib), a leukaemia treatment, are to be made more robust, following the results of a European Medicines Agency (EMA) review. The EMA said that any risks would be likely to be linked to dosage but insufficient data meant that it did not have enough information to recommend that the existing starting dose of 45mg a day should change. The agency announced that it is launching a study into the safety... Continue reading
Quoted from Takeda, Lilly Win 99.6% Cut in Actos Punitive Damages By Jef Feeley 2014-10-28 Takeda Pharmaceutical Co. and Eli Lilly & Co. won a more than a 99 percent cut in a $9 billion punitive damages award over claims the drugmakers hid the cancer risks of their Actos diabetes medicine. Jurors properly found officials of Osaka, Japan-based Takeda and Indianapolis-based Lilly intentionally hid the health risks of the drug and should pay punitive damages, U.S. District Judge Rebecca Doherty in Lafayette, Louisiana, ruled. Still, the panel’s decision to order Takeda to pay $6 billion and Lilly $3 billion... Continue reading
Cymbalta Discontinuation Syndrome / Symptoms Include "Brain Zaps", Extreme Mood Swings (anger, irritability), And Neurological Or Physical Problems (Posted by Tom Lamb at While generally thought of as an antidepressant drug, Cymbalta (duloxetine) from Eli Lilly and Company has been approved by the FDA for use by patients diagnosed with: Major Depressive Disorder; Generalized Anxiety Disorder; Diabetic Peripheral Neuropathic Pain; Fibromyalgia; and, Chronic Musculoskeletal Pain Based on prescriptions for these several medical conditions and others -- by means of so-called "off-label" prescribing -- Cymbalta became a blockbuster drug for Lilly after being approved by the FDA in 2004. The first generic versions of Cymbalta were approved by the FDA on December 11, 2013. The Prescribing Information, or drug label, for Cymbalta (duloxetine) (accessed 10/27/14) indicates that stopping this drug is no more problematic than other SSRIs and SNRIs (serotonin and norepinephrine reuptake inhibitors). From this section of the label, 5.7 Discontinuation of Treatment with Cymbalta: Discontinuation symptoms have been systematically evaluated in patients taking duloxetine. Following abrupt or tapered discontinuation in placebo-controlled clinical trials, the following symptoms occurred at 1% or greater and at a significantly higher rate in duloxetine-treated patients compared to those discontinuing from placebo: dizziness, headache,... Continue reading
Posted Oct 27, 2014 at Drug Injury Watch
Quoted from Biogen's Tecfidera sales miss estimates; confirms first PML case By Bill Berkrot October 22, 2014 (Reuters) - Biogen Idec Inc said on Wednesday sales of its big-selling new multiple sclerosis drug Tecfidera fell short of Wall Street's lofty expectations, and the company confirmed a serious brain infection in a patient who took the oral medication, sending its shares 7 percent lower. Biogen reported the first case of progressive multifocal leukoencephalopathy (PML) in a Tecfidera patient, who had been part of a clinical trial and was taking the drug for 4-1/2 years. The patient, who died of pneumonia,... Continue reading
I am sorry to hear about the recent loss of your uncle. Tom Lamb
1 reply
These Impulse Side Effects, As Seen In Adverse Drug Events Reports, Are Much Higher Than Previously Thought According To New Medical Journal Article (Posted by Tom Lamb at Thomas Moore, A.B., a senior scientist at the Institute of Safe Medication Practices (ISMP), together with his fellow authors of a new medical journal article are calling for the addition of a so-called "black-box" warning to the drug labels for Mirapex, Requip, Neupro, and other medications used for Parkinson's disease and restless leg syndrome. Based on their findings about impulse control problems associated with these "dopamine agonists" drugs, they think there should be a heightened warning about unusual side effects in the form of compulsive behaviors involving gambling, shopping, and sex. This new medical journal article is "Reports of Pathological Gambling, Hypersexuality, and Compulsive Shopping Associated With Dopamine Receptor Agonist Drugs", which was published online October 20, 2014 by the medical journal JAMA Internal Medicine. From an October 21, 2014 news report by HealthDay, "Parkinson's Drugs May Spur Compulsive Behaviors", we get this commentary and insight: Drugs commonly used to treat Parkinson's disease may raise the risk of so-called impulse control disorders, according to a new review. These disorders include compulsive... Continue reading
Posted Oct 21, 2014 at Drug Injury Watch
Thank you for sharing with us your unfortunate experience using YAZ. I am glad you are currently recovering from your side effect. As regards the legal situation here in the US as regards incidents like yours: At the present time Bayer is only negotiating cases where the date of injury or death was before April 2012, given the defense lawyers' position that a label change the drug company made that month distinguishes the "later" cases from the pre-April 2012 cases as regards their level of legal liability. Here is an article which I wrote about that label change: Drug Injury Watch: April 2012 Yasmin / YAZ Label Change: FDA Warns About Increased Risk Of Blood Clots Possible Due To Drospirenone ( I wish you the best in all aspects going forward. Tom Lamb
1 reply