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Petitive manner with progressive reduction of maximal contraction with increasing concentrations Figure 4A ; . In separate experiments, the maintained tone developed by 60 mmol L K was reduced by raloxifene pD2: 6.44 0.09, n 6; Figure 4B ; . The pEC50 and Emax values for CaCl2induced contraction are summarized in Figure 4C. For comparison, the effects of L-type Ca2 channel blocker nifedipine were tested on rings contracted by 30 mol L phenylephrine, 100 nmol L U46619, 30 nmol L endothelin-1, or 60 mmol L K n each case; Figure 5A through 5D ; . Nifedipine at 1 mol L abolished CaCl2-induced contraction and markedly suppressed receptor-dependent contractions Figure 5E compared with the effect of raloxifene shown in Figure 5F.
Group Control Vehicle Ralloxifene 0.5 g kg per min ; Raloxifenw 5 g kg per min ; Raloxofene 5 g kg per min ; L-NAME Rakoxifene 5 g kg per min ; CTX Ralocifene 5 g kg per min ; L-NAME CTX L-NAME CTX.
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About one or two per 1, 000 corresponding to an annual excess of about 0.2 per 1, 000 ; . Although this trend may well be real, the absolute excess was not large.31 CONCLUSION Breast cancer survivors, women with an absolute contraindication to use of estrogen, and those fearful of taking ERT are candidates for alternatives to systemic estrogen therapy. The statin drugs appear as effective as estrogen for the primary and secondary prevention of heart disease, and the antiresorptive agents bisphosphonates, calcitonin, raloxifene, tamoxifen ; are useful to treat or prevent osteoporosis. Hot flashes respond to vitamin E, clonidine, megestrol acetate, and SSRI drugs but not as effectively as to estrogen. Urogenital atrophy responds to vaginal lubricants and moisturizers but also not as effectively as to estradiol. Low-dose vaginal estradiol may allow vaginal maturation with only minimal systemic estrogen absorption. Affective disorder symptoms can respond to the SSRI drugs. Each patient needs to be evaluated for individual symptoms and treated with appropriate alternatives to use of systemic estrogen.
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Filed U S 5 before The Patents Amendment ; Act, 2005: NO 57 ; Abstract: The solid drugs are generally required in the micronized form, in order to enhance drug dissolution rate and bio-activity, provide prolonged action of drug, and eliminate repetitive excessive dosage. Conventionally these nano ultra-fineparticles are produced by thermal recrystallization, spray drying recrystallizaiton using solvent evaporation or liquid antisolvent or by supercritical carbon dioxide SC CO2 ; processes. These methods suffer from poor particle size control, wide PSD and morphology, requirement of high pressures and specially designed nozzles for spraying. Therefore a new process is developed here for the preparation of nanoparticles with narrow PSD by using CO2 at sub-critical pressure, low temperature and by eliminating the use of nozzle no spraying of solution ; with very fast and easy removal of solvent in order to prevent the subsequent growth and agglomeration of particles. Drawing: NIL Total Pages: 21.
Periodic evaluation of bone density by DEXA at intervals of 1.5 to two years represents the best way to monitor the clinical response to medical intervention.47 Once the clinical condition is stabilized, there is no need to repeat DEXA assessments throughout life. When monitoring skeletal status with serial DEXA, it is important to understand the magnitude of biological change expected at the site measured, as well as the instrument precision at that site. The spine will change most rapidly after menopause, and with nitrogen-containing bisphosphonate therapy, the magnitude of change could be three to five percent after the first year of treatment precision 3% ; .56 However, hip changes are slower 2% at one year ; and machine precision is less 4% ; , 47 mandating a longer interval between tests. Total hip measurements are more precise than other hip regions for following patients serially. The purpose of monitoring patients on medications that are not expected to produce detectable positive effects on BMD calcitonin, raloxifene ; is to identify any patients who may be losing bone mass on therapy and sustiva.
1 in 1, 000 risks remain to be detected after drugs are marketed.
According to nci's current statement, initial results of star show that the drug raloxifene is as effective as tamoxifen in reducing the breast cancer risk of the women on the trial and vaseretic.
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Burbaugh testified that Ms. Townsend said to her that she was taking medicine for her skin problems. Ida May White testified that the claimant was her daughter. Ms. White testified that she knew that her daughter developed a problem with her hand swelling up in the year 2004. Ms. White.
On appeal, Hurwitz claimed that the Court erroneously denied his motion to suppress the evidence recovered from the search of his office based on the fact that the warrant was invalid. This Appeals Court found that the warrant was in fact, valid. However, more importantly, Hurwitz challenged the jury instruction with regard to the charges he faced under 21 U.S.C.A. 841. Section 841 provides that "[e]xcept as authorized by this subchapter, it shall be unlawful for any person knowingly or intentionally .to.distribute, or dispense, or possess with intent to .distribute, or dispense, a controlled substance." In addition, 21 C.F.R. 1306.04 a ; provides that a controlled substance prescription is effective only it is "issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice." In addition, the person must be "knowingly.issuing" such prescriptions. Therefore the Court held that in order to convict a doctor of violating 841, the government must prove 1 ; "that the defendant distributed or dispensed a controlled substance"; 2 ; that the defendant "acted knowingly and intentionally"; and 3 ; " that the defendant's actions were not for legitimate medical purposes in the usual course of his professional medical practice or were beyond the bounds of medical practice." Hurwitz had requested a "good faith" jury instruction as to the drug trafficking charges, but the district court refused--citing his good faith was legally irrelevant to those charges. He argued that his good faith in issuing the challenged prescriptions was relevant to his intent when treating his patients and thus relevant to the jury's determination of whether he acted outside the bounds of accepted medical practice or without a legitimate medical purpose. The Court defined "good faith" to be "good intentions in the honest exercise of best professional judgment as to a patient's needs. It means the doctor acted according to what he believed to be proper medical practice." Not only did the district court refuse to give a "good faith" instruction to the jury as to the drug trafficking charges--it also informed the jury that it could not consider good faith when deciding whether to convict Hurwitz of drug trafficking under 841. The Fourth Circuit determined that "good faith was at the heart of Hurwitz's defense." The Court held that the record contained a sufficient evidentiary basis for a good-faith instruction. The Court concluded that good faith is relevant to 841 charges against a registered physician, and that the Court erred by incorrectly instructing the jury that "good faith" was not relevant to the drug trafficking charges. By doing so, "the district court effectively deprived the jury of the opportunity to consider Hurwitz's defense." The proposed "good faith" jury instruction offered by Hurwitz set forth a subjective standard allowing Hurwitz to decide for himself what constitutes proper medical treatment. ; The opinion noted that both the Supreme Court as well as other Circuit courts have approved good faith instructions that were clearly of an "objective" standard. Because this error by the district court could not be considered "harmless", the Court ordered that a new trial be held. On remand, the Curt ordered that a "good faith" instruction be included to the jury, but that the instruction must reflect an objective rather than subjective standard for measuring Hurwitz's good faith and myambutol.
HORMONES Androgens Fluoxymesterone Testolactone Testosterone Gel Antiandrogens Dutasteride Finasteride Estrogens Esterified Estrogens Methyltestosterone Estradiol acetate, vaginal ring Estradiol, Cream Estradiol, Oral Estradiol, Transdermal Estradiol, Transdermal Estradiol, Transdermal Estradiol Norithindrone Estrogen, Conjugated Estrogen, Conjugated Medroxyprogesterone Estrogens, Conjugated Estrogens, Conjugated Synthetic Estrogens, Conjugated Synthetic B Estropipate Anti-Estrogens Tamoxifen Progestins Medroxyprogesterone Acetate Norethindrone Acetate Progesterone, Capsule Progesterone, Gel Other Endocrine Agents Alendronate Megestrol Acetate Phenoxybenzamine Raloxifene Risedronate Ovulation Stimulants Clomiphene Citrate Growth Hormones Growth Factors Copayment amounts for self-injectables may vary depending on the benefit selected by your employer. mescasermin Somatropin Somatropin Somatropin CONTRACEPTIVES Contraceptives may be covered according to your plan's benefit. Refer to your Certificate booklet for benefit information. Progestin-Only Norethindrone Mono-Phasic Yes No No No Increlex Genotropin Nutropin Nutropin AQ Yes No Yes No No No Fosamax Yes Yes No No Prometrium Crinone Yes Yes No No Yes No Yes No No No Yes Vivelle DOT Activella Premarin Vaginal Cream Prempro, Premphase Premarin Cenestin Enjuvia Estraderm Femring Estrace Vaginal Cream No Yes Avodart Yes No No Teslac Androgel.
ACKNOWLEDGMENTS We thank Eli Lilly Inc. for a research sample of raloxifene. We thank Angella Friedman and Dr. N. Elizabeth Arovas for technical assistance and Jane Khoury for statistical analysis. Current addresses: W. D. Zoma, Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston TX 77555-0587; and J. L. Mershon, Eli Lilly & Co., Indianapolis, IN 46285. GRANTS This work was supported in part by Eli Lilly Co. Inc. and National Heart, Lung, and Blood Institute Grants HL-49, 901 and HL-62, 490. DISCLOSURES J. L. Mershon is currently a stockowner of Eli Lilly and Company. REFERENCES 1. Anderson GL, Limacher M, Assaf AR, Bassford T, Beresford SA, Black H, Bonds D, Brunner R, Brzyski R, Caan B, Chlebowski R, Curb D, Gass M, Hays J, Heiss G, Hendrix S, Howard BV, Hsia J, Hubbell A, Jackson R, Johnson KC, Judd H, Kotchen JM, Kuller L, LaCroix AZ, Lane D, Langer RD, Lasser N, Lewis CE, Manson J, Margolis K, Ockene J, O'Sullivan MJ, Phillips L, Prentice RL, Ritenbaugh C, Robbins J, Rossouw JE, Sarto G, Stefanick ML, Van Horn L, Wactawski-Wende J, Wallace R, and Wassertheil-Smoller S. Women's Health Initiative Steering Committee. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA 291: 17011712, 2004. ajpheart and etoposide.
Dr. Grann is Clinical Professor of Medicine and Epidemiology and Health Policy & Management, College of Physicians & Surgeons and Mailman School of Public Health, Columbia University. A medical oncologist for more than 30 years, in 1977 he received both his M.P.H. degree in Health Policy and Management Health Outcomes ; at Columbia University and a Clinical Research Training Grant from the American Cancer Society CRTG-98-260-02 ; . His work has focused on quality of life, studies of preferences of breast cancer patients, cost-effectiveness, and decision analysis of heath outcomes related to genetic mutations in breast ovarian cancer. He also is interested in disparities of care especially in clinical trials. He works in the Women's Cancer Chemotherapy Clinic at Columbia, where breast cancer patients are evaluated and treated, and is Principal Investigator of the NSABP Study of tamoxifen and raloxifene STAR ; trial for the Cancer Center. Presently he is Director of the Recruitment Core at the Herbert Irving Comprehensive Cancer Center. Title: "Decision Analysis of Population Screening for BRAC1 and BRAC2 Genes" 3 years, $209, 000 which we SPINODYSSEY ; will fully fund.
Tell your doctor right away if you notice any of the following side effects : more common chest pain less common or rare decreased sensitivity to touch; dizziness, sweating, or sudden, severe headache; headache severe and throbbing fast breathing; fast heartbeat; muscle stiffness; sharp pain in either or both sides of the chest; shortness of breath, troubled breathing, tightness in chest, or wheezing; skin rash or itching other side effects may occur that usually do not need medical attention and vepesid.
PI3K is activated by the interaction of p85 with regulatory molecules, such as IRS-1 2. We performed immunoprecipitations on HUVEC lysates using an anti-ER antibody, and we then subjected the IPs to an in vitro PI3K activity assay. Raloxifene increased PI3K activity in ER immunoprecipitates in a concentration-dependent manner Figure 6A ; . Pretreatment of HUVECs with ICI 182, 780 10 mol L ; or wortmannin 30 nmol L ; but not with PD 98059 5 mol L ; prevented raloxifene-induced PI3K activation Figure 6A ; . Moreover, PI3K activity in ER immunoprecipitates was increased by raloxif4ne in a temporal pattern consistent with the activation of eNOS Figure 6B.
Jordan's team analyzed information from several studies of raloxifene's effects on osteoporosis and famciclovir.
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Toxicology of cocaine and its ethanol-derived metabolite, cocaine ethyl-ester cocaethylene ; . Life Sci 1992; 50: 135161. ; Paly D, et al. Plasma cocaine concentrations during cocaine paste smoking. Life Sci 1982; 30: 7318. ; Smith RM. Arylhydroxy metabolites of cocaine in the urine of cocaine users. J Anal Toxicol 1984; 8: 357. ; Spiehler V. Cocaine and metabolites. Clin Chem News 1986; 12 7 ; : 24. 16 ; Spiehler V, Reed D. Brain concentrations of cocaine and benzoylecgonine in fatal cases. J Foren Sci 1985; 30: 100311. ; Svensson JO. Determination of benzoylecgonine in urine from drug abusers using ion pair high performance liquid chromatography. J Anal Toxicol 1986; 10: 1224. ; Valanju NN, et al. Detection of biotransformed cocaine in urine from drug abusers. J Chromatogr 1973; 81: 1703. ; Van Dyke C, et al. Cocaine: plasma concentrations after intranasal application in man. Science 1976; 191: 85961. ; Van Dyke C, et al. Urinary excretion of immunologically reactive metabolite s ; after intranasal administration of cocaine, as followed by enzyme immunoassay. Clin Chem 1977; 23: 2414. ; National Committee for Clinical Laboratory Standards, Urine drug testing in the clinical laboratory; proposed guideline. NCCLS Document T DM8P, 1993.
Hot flashes early in menopause were more common in women taking raloxifrne 60 mg day than in those taking placebo, but this did not increase the discontinuation rate 61 and femara and raloxifene.
RESULTS Effect of ralkxifene on proliferation of TSU-PR1 cells. RT-PCR and Western blot analysis were initially carried out to determine the status of ER expression in the androgen-independent human prostate cancer cell line PC3M and human bladder cancer cell line TSU-PR1. Authenticity of the PCR products was confirmed by Southern blot analysis. The results demonstrated that only PC3M cells expressed ERa while both cell lines were positive for ER Fig. 1A and B ; . To determine the effect of raloxifene in these cell lines, cell numbers were determined after treatment with increasing doses of raloxifene in the presence of either 1% cFBS or 10% cFBS for 4 days. Raloxifene inhibited the proliferation of both PC3M and TSU-PR1 cell lines in a dose-dependent manner under both serum concentrations Fig. 1C and D ; . At 1% cFBS, the minimum concentration of raloxifene needed to detect a significant decrease in cell number was 10-9M. The.
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Approved by the FDA to treat non-small cell lung cancer that has metastasized spread ; and that has not gotten better with chemotherapy. Also approved to be used together with a drug called gemcitabine to treat pancreatic cancer that cannot be removed by surgery or has metastasized spread ; . Approved by the FDA to treat skin problems caused by cutaneous Tcell lymphoma that have not gotten better with other treatment and metronidazole.
Fig. 5. Differential effects of WT, DM56 61, and truncated BAD on TSU-PR1 cells. A ; . TUNEL assay in TSU-PR1 cells stably expressing WT BAD, DM56 61 BAD, and t-BAD68. The cells were treated with 10-7M raloxifene for 48 hr. B ; . TUNEL-positive apoptotic cells were counted, and the percentage of apoptotic cells was plotted. Similar results were achieved in three separate experiments with comparable outcomes. C ; Effect of raloxifene on levels of the 15-kDa cleaved form of BAD in cells stably expressing WT BAD or DM56 61 BAD treated with 107.
Post-menopausal women in the study were given the option of taking tamoxifen or enrolling in the star trial, a randomized study comparing five years of tamoxifen and raloxifene, another drug in the same class as tamoxifen.
He tells webmd that the study of tamoxifen and raloxifene star ; showed both drugs worked equally well, reducing breast cancers to about half of what would have been expected.
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In the prospective studies pd patients were matched with suitable controls, and depression, as defined by dsm-iii criteria, was assessed by a structured interview or a validated depression rating scale, for instance, raloxifene bone.
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Sutter Gould Medical Foundation, Modesto Please contact the number below for a list of current class schedules. Please ask the receptionist about the cost for these classes!! Classes offered include: Diabetes and You! Update for Type 1 Diabetes Blood Glucose Clinic Heart Smart Senior Fitness- Young at Heart Classes will be held at 1700 McHenry Avenue, Suite 60B, Modesto in the Health and Education Conference Center. To register, please call 209-550-4747 and efavirenz.
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What has caught the media's eye is the finding that the women who took raloxifene were at lower risk of developing blood clots or uterine cancer than the women taking tamoxifen.
Global efficacy on fracture that we see with the bisphosphonates, but they have some added value. Raloxifene does have an extra skeletal benefit in terms of a decrease in the risk of breast cancer in an osteoporotic population, as shown by 4-year data. We heard recently at the American Society of Clinical Oncology ASCO ; meeting in June that this protection against the risk of breast cancer actually continues over 8 years. I think it is good for clinicians to have choices among different treatments that offer different profiles.31.
An important part of star will be to assess the long-term safety of raloxifene vs tamoxifen in women at increased risk of breast cancer.
| Raloxifene raloxifene hclOrdering mammography during the week of no hormone use or after cessation of therapy may help recognize false-positive or false-negative mammograms ; side adverse effects note: the risk of any serious adverse effect is minimal for healthy women using low doses of estrogen and progestins.
In the earliest years of the twenty-first century, the drug treatment of epilepsy has never been so promising or so potentially complex, because raloxifene study.
Meanwhile, other studies are under way to determine if a different group of drugs, called the aromatase inhibitors, might be more effective at preventing breast cancer than either tamoxifen or raloxifene.
| Body of Evidence Epidem. Studies: Frequency + Causality Pharmacol. Studies: Mechanism + Causality.
Important in making the bone wider in men O1, O8 ; . Anti-resorptive agents prevent many of the abnormalities that lead to osteoporosis and bone fragility The high rate of remodelling can be reduced using all of the anti-resorptive agents such as alendronate, risedronate, raloxifene, and estrogen. This slows bone loss. Risedronate reduces the depth of bone resorption and may increase bone formation in each BMU, perhaps by prolonging the life span of bone forming cells so BMU balance becomes less negative Boyce et al, J Bone Miner Res. 1995; 10: 21121 ; . This will slow bone loss further and evidence was presented that thinning and loss of connectivity of trabeculae is reduced using risedronate P69 ; . Alendronate is likely to have similar effects and has been reported to reduce the porosity of the cortical shell, an effect that will maintain bone strength Roschger et al Bone 2001; 29: 18591 ; . There is evidence, based on posthoc analyses, that raloxifene may reduce the risk of non-vertebral fractures in women with most severe osteoporosis and prevalent fractures O43, late breaking news session ; . Women with grade 3 had the highest fracture incidence. In these women, raloxifene 60 mg day ; decreased the risk of new VF [RR 0.73] and NVF [RR 0.53] at three years. This outcome is different to the original results of the MORE trial, which found no reduction in non-vertebral fracture risk in the whole sample. Nasal inhalation of 17Bestradiol E2 ; combined with micronised progesterone 200mg day ; P538 ; results in increased BMD and.
Non-medication therapies for migraine: therapy that does not involve medications can provide symptomatic and preventative therapy.
Fatality, drug fever, drug induced headache, ECG abnormality, eye toxicity, gastrointestinal symptom, hearing impairment, heart arrhythmia, heart block, heart proarrhythmia, hypotension, mental instability, nausea and vomiting, neurologic disease, neurotoxicity, QT prolongation, seizure, shock, sinus tachycardia, syndrome, tinnitus, visual disorder, visual field defect, 938 quinidine sulfate, heart atrium fibrillation, sotalol, absence of side effects, 934 quinine, malaria, abscess, anus pruritus, fever, hematochezia, pain, paresthesia, 988 - quinidine, abdominal pain, blindness, cardiotoxicity, cardiovascular disease, central nervous system disease, cinchonism, coma, consciousness disorder, diarrhea, drug fatality, drug fever, drug induced headache, ECG abnormality, eye toxicity, gastrointestinal symptom, hearing impairment, heart arrhythmia, heart block, heart proarrhythmia, hypotension, mental instability, nausea and vomiting, neurologic disease, neurotoxicity, QT prolongation, seizure, shock, sinus tachycardia, syndrome, tinnitus, visual disorder, visual field defect, 938 quinoline, macrolide, anticoagulant agent, ataxia, benzodiazepine, bleeding, cyclosporin, graft rejection, heart arrhythmia, histamine H1 receptor antagonist, myopathy, nystagmus, pyrrole, rhabdomyolysis, statin, theophylline, 725 radiation injury, lung injury, lung non small cell cancer, thalidomide, angiogenesis inhibitor, bradycardia, brain embolism, cardiotoxicity, constipation, esophagus disease, gastritis, hypothyroidism, lung embolism, lung toxicity, neurotoxicity, rash, skin toxicity, stroke, thrombosis, visual disorder, 1157 radioactive iodine, adrenal tumor, iodinated poppyseed oil, iodine 131, 3 iodobenzyl ; guanidine i 123, liver cell carcinoma, neuroendocrine tumor, sodium iodide, thyroid carcinoma, abdominal pain, ageusia, anemia, antineoplastic agent, bleeding, bone marrow depression, bone marrow suppression, carcinoembryonic antibody, cytopenia, edema, fever, inflammation, iodinated poppyseed oil i 131, leukemia, leukopenia, lung fibrosis, monoclonal antibody, nausea, pain, respiratory failure, respiratory tract disease, rituximab, sialoadenitis, spermatozoon abnormality, taste disorder, thrombocytopenia, thyroid crisis, thyroiditis, tositumomab i 131, unspecified side effect, vomiting, weakness, 1282 raloxifene, breast carcinoma, cancer hormone therapy, invasive carcinoma, tamoxifen, angina pectoris, cataract, drug fatality, endometrium cancer, fracture, heart infarction, heart muscle ischemia, hyperplasia, malignant neoplastic disease, stroke, thromboembolism, uterus disease, 1247 rapamycin, cardiac graft rejection, mycophenolic acid 2 morpholinoethyl ester, surgical wound, abdominal pain, cyclosporin, headache, hyperplasia, immunosuppressive agent, mouth ulcer, pericardial effusion, peripheral edema, pleura effusion, seizure, vascular disease, 1293 - chronic allograft nephropathy, graft dysfunction, proteinuria, anemia, disease exacerbation, drug eruption, edema, mouth ulcer, 1329 reactive arthritis, BCG vaccine, ankle edema, knee disease, 1323 receptor blocking agent, anticoagulant agent, anticoagulation, coronary artery disease, bleeding, coumarin anticoagulant, dalteparin, danaparoid, enoxaparin, fondaparinux, heparin, low molecular weight heparin, proteinase activated receptor 1 antagonist, thrombin inhibitor, thrombin receptor antagonist, thrombocytopenia, tinzaparin, 1038 recombinant alpha2a interferon, retina macula cystoid edema, uveitis, fatigue, flu like syndrome, hair loss, retinopathy, 1308 recombinant alpha2b interferon, heart function, hemolytic anemia, hepatitis C, ribavirin, 1003 recombinant blood clotting factor 7a, cerebrovascular disease, esophagus varices bleeding, hemiparesis, hypesthesia, 1065 recombinant granulocyte colony stimulating factor, autologous Section 38 vol 42.2.
Chemoprevention Cummings, 199934 USA MORE Trial ; Grade II To determine whether women taking raloxifene have a lower risk of invasive breast cancer. 7705 postmenopausal women with osteoporosis; younger than 81 years mean 66.5 no history of breast cancer, invasive endometrial cancer, or stroke or venous thromboembolic disease in past 10 years; not taking oestrogen, as defined by the investigators. Raloxifene 60 or 120mg day or placebo for 3 years. The primary outcome was the risk of fracture. The incidence of invasive breast cancer was a secondary outcome. Endometrial effects. Adverse effects, including the incidence of pulmonary embolism and DVT were also assessed. The risk of invasive breast cancer was decreased by 76% with raloxifene RR 0.24, 95% CI 0.13 to 0.44; P 0.001 ; . Raloxifene decreased the risk of ER positive invasive breast cancer by 90% RR 0.10, 95% CI 0.04 to 0.24 ; but not ER negative invasive breast cancer RR 0.88, 95% CI 0.26 to 3.0 ; . Raloxifene did not increase the risk of endometrial cancer RR 0.8, 95% CI 0.2 to 2.7 ; . Raloxifene increased the risk of venous thromboembolic events DVT or pulmonary embolism ; RR 3.1, 95% CI 1.5 to 6.2. There was no significant difference between 60 and 120mg day raloxifene. A double-blind multicentre RCT, allocation concealment not reported. Loss to follow-up at 3years: Raloxifene 22%; Placebo 25.
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