BMJ  2005;331:1203 (19 November), doi:10.1136/bmj.331.7526.1203-b

Letter

Stockpiling oseltamivir

Roche clarifies data for improved mortality with oseltamivir

The first 150 words of the full text of this article appear below.

EDITOR—Experts question the wisdom of stockpiling oseltamivir (Tamiflu).1 A question was asked about data supporting an improvement in mortality with the drug.

Two datasets were presented at the second European Influenza Conference in Malta (www.eswi.org) in September. A large retrospective cohort study of patients with influenza-like illness (n = 176 001) taken from a US health database showed that oseltamivir (75 mg twice daily, n = 39 202) significantly reduced the risks of pneumonia by 32% (P < 0.001) and of death by 91% (P < 0.05) (Nordstrom et al). In Canadian patients with laboratory-confirmed influenza (A or B) requiring hospital admission (< 15- > 64 years; n = 359), oseltamivir reduced the risk of death by 68% (McGeer et al). Treatment with oseltamivir therefore statistically and meaningfully reduces the risk of death in patients of all ages and from all walks of life, infected with . . . [Full text of this article]

James R Smith, international medical leader

F Hoffman-La Roche, CH-4070 Basel, Switzerland james.smith.js1@roche.com

Regina Dutkowski, clinical science leader

Hoffmann-La Roche, Nutley, NJ 07110, USA


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