This data that lowering lipids too far may be bad isn't all that surprising. After all, in trial like TNT and IDEAL (comparing 10 to 80 of Lipitor and simva vs high dose lipitor) there was no mortality benefit for the higher dose. At the time we all wondered quietly what that meant- fear that the drugs might prevent heart attacks and kill people in other ways.
The new lower goals have made the newer more potent statins- Lipitor, Crestor, and Vytorin (which is only half a statin) necessary. Part of the fall out from this news will sure be a return to weaker and cheaper statins. Like the generics Pravachol and simva. I doubt Zetia will get any benefit. It wasn't included in the trial- so we don't have any reason to believe it causes these outcomes. But we also have no reason to believe the drug prevents heart attacks or does anything beneficial at all- since there are no outcome trials at all with this product.
In the interest of full disclosure- I shorted PFE and SGP this evening- already short MRK (and feeling a little stupid about it after today move).
By the way, the article on CNBCs site is at http://www.cnbc.com/id/19916998
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