From: Sent: Thursday, December 07, 2000 7:48 PM To: JHenney@oc.fda.gov Cc: Woodcockj@cder.fda.gov; fdadockets@oc.fda.gov Subject: LOTRONEX Dear JHenney: Four years ago I was diagnosed with colon cancer and had a colon resection. Since that time I have be plagued with such severe irritable bowl syndrome that for days at a time I am house bound in severe pain resulting from constant diarrhea and severe colon spasm. The only solution until last spring was high doses of valium and vicodan. With those medications, the pain would subside yet all I was able to do was sleep. My life had been saved, but I had lost my life. Prior to my diagnosis, I was an active private pilot, taught seventh grade and ran a business, and was able to participate in several plays and commercial voice overs per year. From December 1996 until June 2000, I felt lucky when I could just get through a full day at school. Then, in May 2000 my pharmacist told me about LOTRONEX. For one month my colon surgeon and I researched the medication (at one time, I had been a doctoral student in pharmacology), and realizing I fit the criteria for the use of LOTRONEX--constant diarrhea with strong spasm--began treatment. I found that only one 1 mg dose per day controlled my symptoms. I could resume flying, my business was growing, and I could enjoy the active social life that I had forfeited these past four years. Now, one week without LOTRONEX, I am house bound in pain, spasm, and continual diarrhea. I am not always able to complete a full day at work. LOTRONEX is a life saver for those for whom it was designed. Please, I beg you, to consider putting LOTRONEX back on the market with provisions that it be used only for those of us who meet the criteria for it's use. Please give me my life back. Sincerely,