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Correspondence
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Volume 339:771 September 10, 1998 Number 11
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Regression of Multivalvular Regurgitation after the Cessation of Fenfluramine and Phentermine Treatment

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To the Editor: Treatment with the appetite-suppressant drugs fenfluramine and dexfenfluramine, alone or in combination with phentermine, has been associated with cardiac-valve abnormalities.1,2,3 Five echocardiologic surveys reviewed by the Food and Drug Administration suggested that the prevalence of cardiac-valve abnormalities is 30 to 38 percent among patients who have taken these drugs2 and led to the withdrawal of fenfluramine and dexfenfluramine from the U.S. market on September 15, 1997. Whether these lesions resolve, progress, or remain unchanged after discontinuation of the drugs is not yet known. We report the possibility of regression of multivalvular regurgitation associated with fenfluramine and phentermine . . . [Full Text of this Article]

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