| 2004N-0559 - Joint Meeting of the Arthritis Advisory Committee and the Drug Safety and Risk Management Advisory Committee|
|FDA Comment Number :||EC58|
|Submitter :||Mr. William Rowe||Date & Time:||02/07/2005 06:02:26|
|Organization :||American Pain Foundation|
| Thank you to the Arthritis Advisory Committee and the Drug Safety and Risk Management Advisory Committee for soliciting public comments regarding the benefits and risks for various nonsteroidal anti-inflammatory drugs including COX-2 selective inhititors and related agents.
The American Pain Foundation is dedicated to eliminating the undertreatment of pain in America. There are over 50 million Americans who suffer chronic pain. Each day millions of people face a reality of pain that invades each conscious moment and inteferes with or prohibits common activities like self-care, domestic chores, work, and social activities. Pain steals from them all of the common and fruitful aspects of their lives. Try putting on your clothes when your joints, fingers, wrists, elbows burn with pain. Try listening to someone speak when pain forces itself centerstage of your consciousness. Try driving a car, try handling work chores, try picking up your child or grand-child, try walking from one place to the other, try being attentive to you loved ones when pain fills your awareness. This is the life that many people lead.
There are very few remedies that can bring back those simple capacities and simple joys. We at the American Pain Foundation know that all drugs come with risks. There are NO perfect pills. We know that certain drugs pose greater risks for different people. A person who cannot physically tolerate one nonsteroidal needs access to other remedies. We also know that for people in pain, the choice is often one between "having a life," or "having no life." The choice to "have a life" involves the choice to use remedies that come with other risks. MOST of the people who come to us for help, would unequivocally make the choice to "have a life." Living with chronic pain is like living in a prison. Most would choose to be set free, even knowing the risks of the outside world. Our primary activity at the American Pain Foundation is to provide information and support to people affected by pain. We believe very strongly in the power of information and the capacity of patients to understand, evaluate, and select the benefits and risks appropriate for them. We encourage the Committees to preserve access to all of the pain remedies under consideration. Without these remedies, many patients would be confined to the prison of their pain.