FDA Drug Withdrawals
Vioxx: A Cautionary Tale
One prominent example is Vioxx (generic name ), which Merck introduced in 1999 as a COX‑2 inhibitor for arthritis and pain relief. Transitioning from promise to peril, a long-term clinical trial called later revealed that long-term use raised serious cardiovascular risks. NATAP+2U.S. Food and Drug Administration+2
By 2004, the FDA issued a public health advisory about Vioxx after the drug’s data safety monitoring board recommended halting the trial because of higher rates of heart attacks and strokes among users. NATAP Merck voluntarily pulled the drug from the global market. U.S. Food and Drug Administration
Safety monitoring (pharmacovigilance) after approval is critical. PubMed Central In Vioxx’s case, the post‑marketing surveillance revealed cardiovascular harm not sufficiently apparent during the earlier trials.
The Vioxx withdrawal prompted public outcry and legal action. According to advocacy groups, this episode underscores the need for stronger regulatory oversight, longer post‑approval studies, and transparent safety data. Public Citizen Merck’s decision to withdraw was based on risk‑benefit reassessment, but critics argue the company knew about the risks earlier. IU Robert H. McKinney School of Law
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FDA Drug Withdrawals
Importance of Post-Market Safety Monitoring
Safety monitoring (pharmacovigilance) after approval is critical. PubMed Central In Vioxx’s case, the post‑marketing surveillance revealed cardiovascular harm not sufficiently apparent during the earlier trials.
The Vioxx withdrawal prompted public outcry and legal action. According to advocacy groups, this episode underscores the need for stronger regulatory oversight, longer post‑approval studies, and transparent safety data. Public Citizen Merck’s decision to withdraw was based on risk‑benefit reassessment, but critics argue the company knew about the risks earlier. IU Robert H. McKinney School of Law
In conclusion, Vioxx stands as a stark reminder that FDA approval does not guarantee lifelong safety. Rigorous post‑market surveillance and strong regulatory processes are essential to protect patients from severe adverse events.



