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Wednesday, July 31, 2019

Thalidomid

Gostaria de saber mais sobre a Hanseníase em nosso Estado, Leprosário, e também Talidomida.
Quando criança, na década de 30 passei parte de meus anos numa vila de colonização Alemã no interior (Agudo, então distrito de Cachoeira) onde havia casos da doença e, de vez enquando, alguém desaparecia, e diziam que havia sido levado para o Leprosário. Quando eu ia para a Escola, passava frente a uma casa que ficava um tanto retirada da estrada (passávamos de longe por que diziam ser de família de leprosos...) Até hoje não sei bem, se era doença ou se era um prostíbulo, do qual não deveríamos nos aproximar...
Com relação à Talidomida, foi da época da segunda gestação da Dra. Valderês, e era prescrição para controlar hiperemese gravídica...

50 years ago, a drug that crippled a generation found new life as a leprosy treatment


Excerpt from the July 19, 1969 issue of Science News

BY 
1:00PM, JULY 25, 2019
thalidomide
SECOND CHANCE  Thalidomide, a sedative prescribed to pregnant women in the 1950s and early 1960s, was banned for causing severe birth defects such as malformed limbs. The drug found new life, though, as a leprosy treatment, and is still used today.



Citations
Science News cover from July 19, 1969
Thalidomide helps severe cases —The drug that was banned because of its crippling effect on babies when taken as a tranquilizer and sleeping pill by pregnant women is being studied for its use in Hansen’s disease, or leprosy. Thalidomide has been tried on 22 leprosy patients … on an experimental basis with the permission of the U.S. Food and Drug Administration.… The primary action is to halt or prevent acute reactions such as fever and skin lesions. —  Science News, July 19, 1969

Update

The FDA approved thalidomide for leprous skin lesions in limited cases in 1975. Related drugs were approved after 2005 also to help control the immune system and calm inflammation. These drugs also treat psoriasis, arthritis and the blood cancer multiple myeloma. Birth defects remain a risk, so use of thalidomide and its analogs is controlled in the United States. But lax oversight elsewhere means thalidomide is still misused. In Brazil, nearly 200 children born from 2005 to 2010 may have been disabled by the drug, a 2015 study found. The World Health Organization discourages thalidomide use for leprosy. 
SN Staff. Leprosy: Thalidomide helps severe casesScience News. Vol. 96, July 19, 1969, p. 50.
F. Sales Luiz Vianna et al. Pharmacoepidemiology and thalidomide embryopathy surveillance in BrazilReproductive Toxicology. Published June 2015. doi: 10.1016/j.reprotox.2015.03.007.
Further Reading
N. Seppa. Thalidomide treats Crohn’s diseaseScience News. Vol. 185, January 11, 2014, p. 9.
SN Staff. Science Past from the issue of July, 1962Science News. Vol. 182, July 14, 2012, p. 4.
N. Seppa. Old and new drugs may fight multiple myelomaScience News. Vol. 158, December 16, 2000, p. 399.

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