vol1 - Page 217
Page 217
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determined to be a result of drug inter_ctions; and the cause of
death could not be determined in six other cases.469/
Siqnificantly, Keith Green, PhoD. omitted any mention
of the potentially lethal consequences of any of the currently
accepted IOP-reducing drugs in his direct testimony_ However, on
cross-examination r_arding timoloi, Green states:
The number of adverse effects [caused by
timoloi] were substantial, quite high, but
then they dropped off to 10% of normal o .
ii_ Even so, one is tempted to use [beta _
blockersJ rather guardedly to start off with
and then as one gains confidence that the
patient isn't going to suffer
a_09dverse
effects, then go ahead with it. _I
When questioned further about Timolol_s potential
lethality, Green states_ _I think there have been about 30, 32
deaths reported from the use of topical Timoptic (timoloi's brand
name)® _47i/ Significantly_ Green's comments on timolol_s
adverse effects, mirror those tendered by Dr. Merritt°
Green alleges, however, that the adverse effect
reports filed with FDA were only significant in the drugSs first
four years of marketing. _/-_/ Dr. Merritt disagrees, and notes
the number of reported patient deaths, attributed to timolol_ has
increased from 32 to 41 confirmed fatalities during the course of
r
469/ /A° at _ 18o
_70/ Cross_examination of Keith Green, PhoD., Tr. 10-85 & 10-86_
471/ Xd. at 9_78.
472/ ___. at 9_85.
144
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