Kaiser refuses prescriptionsfor Bextra

Kaiser Permanente, the nation’s largest not-for-profit managed-care provider, has stopped prescribing Bextra until tests show whether the painkiller is safe.

The decision came amid “compelling” evidence of heightened heart risks associated with Bextra and a similar drug called Vioxx that manufacturer Merck & Co. pulled from the market in September, according to a company memo Kaiser issued late Friday.

Kaiser spokeswoman Beverly Hayon said the policy, which Kaiser is calling a moratorium, represents the first time the health system’s doctors had decided to stop dispensing a drug that was approved by the Food and Drug Administration.

For Subscribers

FOR SUBSCRIBERSAbdul El-Sayed tries to woo MAHA voters as Democrats seek inroads with RFK’s supporters

FOR SUBSCRIBERSKratom-like substances are popping up in a typically benign supplement

FOR SUBSCRIBERSGOP super PAC increases its spending for Sen. Jon Husted in tough Ohio race

FOR SUBSCRIBERSRecords reveal tumultuous marriage between slain New York Times executive and wife

FOR SUBSCRIBERSFrom clean energy warrior to ‘wall of shame,’ James Talarico reverses on a fossil fuel money pledge

FOR SUBSCRIBERSCongressional staff planned official trip with luxury stops in Italy and France weeks before election

FOR SUBSCRIBERSA harrowing ordeal aboard an Israel-bound plane

FOR SUBSCRIBERSOpenAI CEO Sam Altman to skip congressional hearing on rogue AI agents

FOR SUBSCRIBERSKey DOJ lawyers departed Trump ‘grand conspiracy’ probe amid pressure to produce, source says

FOR SUBSCRIBERSTrump’s new AI chatbot often links to a site launched under Clinton 26 years ago

FOR SUBSCRIBERSAt MAHA summit, industry CEOs the movement once vilified take the stage

FOR SUBSCRIBERSThis Paralympian has two goals: Win medals and give away $500,000 to her teammates

FOR SUBSCRIBERSCornell rape allegation spotlights stringent New York state laws that have long drawn criticism

FOR SUBSCRIBERSThe debate over AI’s future rages on both coasts

FOR SUBSCRIBERSDecades-old march dispute reignites in Northern Ireland, threatening political crisis

The Oakland-based HMO, hospital and clinic network, which serves 8.5 million patients in nine states and the District of Columbia, plans to stop filling new prescriptions for Bextra on Feb. 1 and on March 1 for refills.

Risks vs. benefits

Physicians will be notified with suggestions for alternative medicines they can prescribe. Bextra, made by Pfizer Inc., is most often recommended for arthritis patients.

For Subscribers

FOR SUBSCRIBERSAbdul El-Sayed tries to woo MAHA voters as Democrats seek inroads with RFK’s supporters

FOR SUBSCRIBERSKratom-like substances are popping up in a typically benign supplement

FOR SUBSCRIBERSGOP super PAC increases its spending for Sen. Jon Husted in tough Ohio race

FOR SUBSCRIBERSRecords reveal tumultuous marriage between slain New York Times executive and wife

FOR SUBSCRIBERSFrom clean energy warrior to ‘wall of shame,’ James Talarico reverses on a fossil fuel money pledge

FOR SUBSCRIBERSCongressional staff planned official trip with luxury stops in Italy and France weeks before election

FOR SUBSCRIBERSA harrowing ordeal aboard an Israel-bound plane

FOR SUBSCRIBERSOpenAI CEO Sam Altman to skip congressional hearing on rogue AI agents

FOR SUBSCRIBERSKey DOJ lawyers departed Trump ‘grand conspiracy’ probe amid pressure to produce, source says

FOR SUBSCRIBERSTrump’s new AI chatbot often links to a site launched under Clinton 26 years ago

FOR SUBSCRIBERSAt MAHA summit, industry CEOs the movement once vilified take the stage

FOR SUBSCRIBERSThis Paralympian has two goals: Win medals and give away $500,000 to her teammates

FOR SUBSCRIBERSCornell rape allegation spotlights stringent New York state laws that have long drawn criticism

FOR SUBSCRIBERSThe debate over AI’s future rages on both coasts

FOR SUBSCRIBERSDecades-old march dispute reignites in Northern Ireland, threatening political crisis

“This is not a drug that saves lives,” said Dr. Sharon Levine, who oversees medication usage for Kaiser Permanente’s Northern California division. “It’s a drug that provides a modest degree of pain relief — no better than Motrin — and the size of the risk, given the benefit provided, did not seem warranted.”

The moratorium will last at least six months or “until the FDA and/or Pfizer can provide substantiated evidence to support the cardiovascular safety” of Bextra, the memo said.

The Kaiser doctors who reviewed Bextra’s “safety profile” cited several studies that have raised concerns about whether the drug might increase the risk of heart attacks. They also noted that Bextra is in the same class of drugs as Vioxx, the painkiller Merck pulled from distribution after its own studies showed increased heart attack risks in elderly patients.