Hacker News new | ask | show | jobs
by giantg2 842 days ago
"This is a relatively uncommon anti-seizure drug"

Sure, if you compare anything to hormonal birth control it will be relatively uncommon - they hand that stuff out readily and even consider making it OTC. This antiseizure drug is still commonly prescribed in many countries.

"extremely high risks"

A 700% on a 1.6% base rate, right? How does that compare with cumulative risk increases for cancers or vascular issue with hormonal birthcontrol? For example, they see a 60% increase in cervical cancer risk alone. That's pretty significant too if it's not being disclosed for patients to make an informed decision.

Keep in mind, my argument was never that the risk of hormonal birth control were more than this drug or any other drug. My argument is that patients are still not informed of substantial risks that may not be as readily apparent as the minor issues that are more common.

2 comments

While I agree that medical communication can and should be better, it’s worth pointing out that hormonal birth control also lowers the risk of endometrial, ovarian, and colorectal cancer by a similar amount according to cancer.gov (see: https://www.cancer.gov/about-cancer/causes-prevention/risk/h...).
I resent that you omitted base rate for cervical cancer (0.7%).
I did not have base rate available, thank you.