Individualized nature of the causation inquiries is not surprising, as class members took Rezulin at different times, for different periods, in different amounts, and while undergoing different levels of liver and other health monitoring. Moreover, although the fact that all class members presumably were diabetic appears to be a unifying circumstance, the issue whether Rezulin caused physical injury to a specific class member will depend on his or her unique characteristics such as family and medical background, preexisting medical conditions, age, gender, life style, drug or alcohol use, quantity of Rezulin ingested, duration of course of treatment, whether it was used as an initial therapy and whether Rezulin was used alone or in conjunction with other drugs.39 Also of central importance would be questions concerning whether an individual plaintiff's doctor received any warnings regarding Rezulin and whether he or she heeded those warnings by, for example, properly weighing the risk factors and ordering the liver function monitoring recommended in the Rezulin product, for example, neurontin shingles.
Dr. M.S.Vidyasagar Kasturba Medical College and Hospital Manipal.
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