pIRS
possible Intergel Reaction Syndrome (pIRS)
We have decided to initiate research into "possible
INTERGEL REACTION SYNDROME" (pIRS). The goal of this
work will be to gather information concerning the best strategies
for treating people with pIRS. We hope to share this information
with a panel of experts with view to making recommendations
to patients concerning treatment for their condition.
In the initial stages of this work, we want to hear from
anyone who may have experienced pIRS. We are particularly
interested to hear about the therapy you have received. This
will enable us to construct a more formal questionnaire.
Please send email to david.wiseman@adhesions.org
with brief details of when you received Intergel, the type
of procedure in which it was used and the reactions you may
have experienced.
Background
On March 27 2003, Johnson & Johnson (J&J, with its
manufacturing partner Lifecore Biomedical - LCBM) voluntarily
withdrew the anti-adhesion product - INTERGEL - from the market
pending an investigation into the circumstances surrounding
some adverse events including post-operative pain and inflammatory
reaction. There were also two deaths where the product had
been used after the accidental puncture of the bowel. A third
death has also been discussed in various company communications.
FDA has also announced an investigation concerning this matter.
These investigations are still ongoing. According to estimates
provided by J&J, there have been 200-300 people affected
by pIRS.
We have been contacted by a number of patients who may have
experienced pIRS seeking advice on how best to treat the condition.
Because there is no centralized source of information for
them, we have decided to initiate this effort.
Please note that since the cause of the alleged reactions
to INTERGEL has not yet been determined, we are calling this
"possible INTERGEL REACTION SYNDROME". We are aware
of a number of lawsuits regarding this matter and wish to
point out that our effort here is independent of any final
determination as to cause or liability. Regardless of where
one stands in any lawsuit, surely everyone can agree that
the patients' welfare must come first.
Our goal is merely to gather and provide information to patients
who may have suffered from pIRS, in the most rapid manner
possible. We therefore welcome the collaboration of all those
interested in the welfare of INTERGEL patients.
Accordingly, we have requested J&J to provide more information
on the proper treatment of patients who may have suffered
pIRS. In addition to financial support, we have also requested
any information, however seemingly trivial, from their research
that may help to devise the best treatment for these patients.
To see our previously posted information below on this subject.
INTERGEL Withdrawn from Market
by Company
GYNECARE Voluntarily Suspends Marketing and Sales of Anti-Adhesion
Product Pending Evaluation of Postmarketing Events
Gynecare (division
of Johnson & Johnson) have voluntarily withdrawn the anti-adhesion
product - INTERGEL - from the market pending an investigation
into the circumstances surrounding some adverse events including
post-operative pain and inflammatory reaction. There were
also two deaths where the product had been used after the
accidental puncture of the bowel. The relationship between
the product and these events is not certain, but the company
are investigating it.
WHAT TO DO IF YOU THINK YOU HAVE HAD SIMILAR
REACTIONS
The IAS has been contacted by a number of patients
who have asked us what to do if they believe they have had
a reaction to Intergel. Gynecare (a division of Johnson &
Johnson - the marketers of the product) have kindly provided
us with the following announcement:
"If you have had Intergel used during a surgical procedure
and have any questions about it or believe you have had a
reaction to it, you may contact Gynecare directly by dialing
877-384-4266, option 1. This number will connect you with
a Registered Nurse who is trained to respond to your call."
You may also contact your own doctor who will make a report
to the company, since this information will be useful to them
in determining the cause. (If you do contact the company,
let your doctor know this so that s/he can inform the company).
You can let us
know too if you wish.
For more information you can read the following press
releases (PDF), as well as a copy of the
letter sent to doctors (PDF) and the FDA
Safety Alert.
E-mail david.wiseman@adhesions.org
for further details.
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