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Hydroxychloroquine for Coronavirus - Critical Information That You Won't Get Elsewhere
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Richard H. Roberts, M.D., Ph.D., former pharmaceutical industry CEO, gives you critical information about hydroxychloroquine that you won't get elsewhere. Topics include the FDA process and anticipated inaction, quality of medical evidence, and the drug-drug interaction of azithromycin with hydroxychloroquine that is a risk for heart attacks.
Categories:Medical / Health Information
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Auto-generated transcript. Not time-synced to the video.
hi my name is rich Roberts I'm a medical
doctor doctor biophysics and the former
CEO for 24 years of a pharmaceutical
company I'm going to get I'm going to
give you information on treatments for
the corona virus that you simply are not
going to get anywhere else because
people may not have had the same areas
of exposure in in both medicine science
but also pharmaceuticals and regulatory
affairs that I've had lastly because I'm
an Orthodox Jew I'm going to also
address two videos that information that
have been put that have been put out by
two Orthodox Jewish physicians first I
want to speak to you about
hydroxychloroquine this is one of the
leading candidates in in the press not
necessarily scientifically but in the
press to treat a current of virus
infections and is a very hot topic of
conversation hydroxychloroquine is used
to treat rheumatoid arthritis and lupus
it's a very common drug although you
can't find it on shelves anywhere now
because the American public have
basically cleaned the shelves off of
this product this is my second YouTube
video on this subject and and if some
parts of it please don't necessarily fit
with your particular levels of
understanding or areas of understanding
and please bear with me cuz I will get
back to two to two areas that are common
to everybody I have a particular
expertise in in this area of drugs
because hydroxychloroquine is called a
one amino Quinta line and it is a
chemical modification of a drug called
chloroquine which is a chemical
modification of a drug called quinine
and my company was the first one in the
United States to get a FDA approval on
it what you need to know is these are
very old drugs they're the
hydroxychloroquine and chloroquine were
approved before 1982 if their drug has
been approved and then if they're
certain
of years it goes generic there's no more
money no more financial incentive and in
in in selling that product anymore that
will fund research and development on it
so the research and development on
hydroxychloroquine is has been very very
little since 1982 but its precursor
which is in the same chemical group as
oxy chloroquine which is called quinine
that was one that our company by an
interesting twist of fate got approval
for not too long ago I had to go back
and check the records but I think the
year was around 2007 something like that
certainly we researched this drug up to
modern standards and we made some
discoveries on it which are critically
important now to what you sing about
hydroxychloroquine number one why do we
have information about quinine that we
don't have about hydroxychloroquine or
chloroquine the reason is because y9 was
being sold in the united states
illegally for most of history up until
our initial drug approval on it in like
I said around 2007 the reason is because
FDA has allowed a lot of old drugs that
were never FDA approved and never fully
researched to remain on the market
because they were necessary medically
necessary FDA started in started an
initiative about 40 years ago to try to
bring all of these old drugs up to
modern standards so FDA had something
called the trip the FDA's draft guidance
on unapproved drugs and it said that if
a company will do research on one of
these old drugs and bring it up to
modern regulatory and scientific
standards then FDA will give a certain
amount of exclusivity certain at a time
of exclusivity so that company can make
profits on it now here's the critical
thing you need to know they're one of
the there are several studies now
showing that hydroxychloroquine might
not does might work to treat coronavirus
the most spoken about of those studies
is from France
and they use hydroxychloroquine along
with z-pak where the generic name is a
zipper Mason now virtually everybody
you're going to see on the Internet
medical including about including
medical doctors will say that the reason
why these probably work together is
because the azithromycin works to stop
pneumonia from bacteria whereas the
hutch wears the hydroxychloroquine works
by allowing zinc to go into cells I'm
here to tell you that there's a very
good chance that they're all wrong what
we found was that quinine which again is
chemically similar to hydroxychloroquine
the way it's broken down in the body was
best called metabolism the waste
metabolized is with an enzyme in the
liver called the cytochrome p450 system
and it's these specific enzyme is 384
now that breaks down quinine that also
breaks down hydroxychloroquine
interestingly that also breaks down as
the through Meissen and we have warnings
on our quinine label about taking as if
they're meisten and quinine together
because the blood levels can shoot up
dramatically of quinine
now you can expect the same thing to
happen front of hydroxychloroquine so
you might say oh okay so taking is it
through Meissen along with
hydroxychloroquine caused much higher
blood levels of hydroxychloroquine than
what doctors would have thought that the
patients had and that's what helped
that's what helped the
hydroxychloroquine to let a lot of zinc
into the cells to kill the virus that
may well be true but there's a downside
to that quinine causes let me go back
for a second every time your heart beats
every time your heart beats to pump out
blood there's an electrical signal that
goes over the heart and that's what
causes the muscles of the heart to
contract and if you know an
electrocardiogram you know it goes like
Boop doot-doot-doot boop boop do do doop
boop
that's electrocardiogram now the
distance between two of those beeps two
of those Peaks
it's called the QT interval if that gets
too long people get too much duration
between them people can get a disruption
of the electrical rhythm of the heart
called torsades t o RS t o art SI des
and it can cause heart attack and death
so when people are running around saying
oh there's a French study as if they're
Meissen and and hydroxychloroquine take
them together
well whoa whoa whoa wait one second wait
one second that all sounds nice we don't
know for sure that it works and we do
know that it can cause unpredictably
high levels of hydroxychloroquine again
because the azithromycin interferes with
your livers ability to break down
hydroxychloroquine and this can lead to
the QT interval that's electrical
activity to be prolonged and it can lead
to heart attacks and death so that's why
this should not be done lightly and this
should not be done without being
supervised or under the care of a
licensed medical doctor and everything
I'm saying here you should check with
your licensed medical doctor but it
could tell your medical doctor the
information I just told you tell him or
her to go look it up they probably don't
know this they probably don't know about
these different mice and interference
with hydroxychloroquine metabolism and
blood levels and tell them they should
check a koala qin qu a la hue UI n
that's the brand name of the drug that
we had in the company that i used to be
the CEO of it was sold and then I
retired there's you check that out and
understand that they need to make an
assessment on whether they should be
checking your your electrocardiogram
before enduring treatment now president
Trump has said that FDA is fast tracking
a study on hydroxychloroquine ditch
treat coronavirus now I'm going to tell
you how the government really works in
when it comes to agencies of the
government there's all kinds of
different agencies that do all kinds of
different things the number one priority
of agencies is to protect their own jobs
I'm sorry to say it now this is I don't
think this is true about the military
military people are willing to risk the
lives and limbs and be injured or
potentially died protecting our freedom
but when it comes to these agencies the
number one priority of agencies in
general workers and those agencies is to
protect their jobs so what you need to
know is in regulatory agencies in the
government there are two types of
employees one are called career
employees and the other are political
appointees almost all the people that
work in all of the agencies of the
government are career employees they
work there for example at FDA they work
as a chemist they work as a reviewer of
applications they work as an inspector
and they expect to work there for 20 30
40 years and they'll retire from there
presidents come and go presidential
administrations come and go Republican
Democrat come and go these people stay
and they can and they're they are very
very careful that they that not to lose
their jobs that's their their number-one
priority so they want to help the public
yeah sure but they don't want to lose
their jobs and they know that they will
not lose their jobs if they go by the
regulations and by the way this was all
over government for example a criminal
enforcement agencies like they like the
Department of Justice they know when
they open up an investigation that the
the investigators the lawyers that open
up an investigation in DOJ and spend a
half a million a million to three
million dollars out of do J's budget
they know very well that if they don't
get a conviction
and if they
get fines or high-profile people in
prison they know that's gonna look bad
on their records so I'll give you an
interesting story with our company and
FDA firts and and human health the
Department of Health and Human Services
after the World Trade Centers came down
there was an ant threat there were
anthrax attacks on the United States and
it turned out that the drug that worked
to treat anthrax infections is
doxycycline and our company was one of
the companies that made doxycycline and
we had plenty of it so the government
some days a group called the
Metropolitan rapid deployment force
which is which was was I know if it
still is an agency in the department in
the Department of Health and Human
Services HHS contacted us and said that
they want to stop by stockpile
doxycycline so that if there's an attack
a major attack and people didn't know
maybe somebody with an airplane with a
with an insecticide spray who's gonna
fly over a city and just spraying it
with anthrax they want to have a certain
number of millions or tens of millions
of doses available so that so that the
the rapid deployment force could rush
doxycycline into into that city like
like overnight
and start to treat people so at the time
we made on a bottle of 100 tablets 100
capsules of doxycycline this is a
pharmaceutical a manufactured
sophisticatedly manufacture product we
made like 20 cents per bottle of 100
capsules it was ridiculously low and we
really could have charged anything that
we wanted at that point because people
were all around the country like they
did with hydroxychloroquine we're just
wiping it off the shelves but I said you
know what we're not going to raise the
price and as a matter of fact for the
government the government wanted to buy
it at a price even below that where we
didn't make any money at all I mean the
20 cents a bottle is pathetic but we
make no money at all I said you know
what we're going to give here
of our production to the to the rapid
deployment force so we agreed to do it
great we did it now two stories come off
of this the next thing we know we get
contacted by the human relations
department of the government and they
and they said now that we are a
contractor for the government they have
to inspect our Fermin of action plan so
I went ballistic I said just look at
this we don't want the government
business work we have people clamoring
begging for it all the major warehousing
drug chains the number names you know
they were begging us for the product we
were pouring it out as quickly as we
could and I said we've handed it to the
government well we will make no profit
even though we made a little profit on
the other business and now we're getting
an inspection about this by the Labor
Department so for our Fuhrman of action
policy so I just want ballistic
now we haven't from we had an
affirmative action policy but we had an
affirmative action policy and the truth
is I felt good internally and I prided
myself on the fact that we were a
meritorious company merit based company
if employees performed they got they got
promoted and I was very happy that there
were many minority employees from racial
minorities that went up up the ladder in
management and there were also a number
of employees who graduated from the the
local Catholic girls high school never
had any college education and they moved
up into management why because they
performed because they were smart they
were capable dedicated hard-working they
were loyal they were they were reliable
so I had a lawyer one of our law firms
write a letter to the Labor Department
and say this is absolutely atrocious
this is absolutely ridiculous you know
that the one inspect us now nevertheless
they can't about contact the Labor
Department contact our attorney and said
look we have no choice the computer spit
out your name because your government
tractor now we understand the situation
just have your formative action policy
on a table while Kidman will look at it
we'll go and to the Labor Department's
credit and this is rare that you see
government do this the inspector came in
to the office looked at the policy for
five minutes and left and that was the
end of it there's another story though
which doesn't have as as happy of an
ending and this is what gets to FDA so
we said to FDA I mean then we wrote to
FDA we had a product another product and
the antibiotic that we made that is
extremely stable meaning it doesn't
break down with heat yet we might have
but we've had approval to you know maybe
a two or three year shelf life on it but
in fact we tested five years out it was
still perfectly good rock stable solid
with a great manufacturing process said
FDA normally you would make us to scale
if we said okay we can scale we can use
the same equipment but bigger sized
for that product then we'll be able to
to free up um I forget the number I
think is about a hundred or two hundred
million tablets of production for
doxycycline so we can get more of this
product out to H did to HHS of which FDA
was an agency as well as this
Metropolitan rapid deployment force you
get much more out and we said we will so
normally you have to make a batch in the
bigger equipment you have to put it on
three months of accelerated stability
which is higher temperatures higher
humidity than usual then test it and
then send indefinite FDA asked if you
can scale up the equipment you'll do
tests all kinds of other tests on it and
then six months or a year though they'll
likely give you approval as I said it's
a rock-solid product let us scale it up
into other equipment and and and then
we'll be able to make much more
doxycycline for HHS and FDA said no why
because they
live and die by the regulations the guy
in FDA or the guys at FDA said Isaac of
my Senate generically could be men or
women who make that decision if they go
by the regulations they won't lose their
jobs if they go contrary to the
regulations and something goes wrong
they can lose their jobs they didn't
care about the science they cared about
protecting their jobs and I'm here to
tell you that is how mature the majority
of government works
so when President Trump says that FDA
has fast-tracked
studies on hydroxy koala Quinn don't
hold don't hold your breath
that's not the way FDA works FDA people
know that if they don't do complete
studies and get all the proper data in
and go look at how the testing methods
to test what you know in different tests
for whether people in effect are not
affected how they were where they were
validated or not validated what was the
certification on the equipment that was
used how was the certification actually
certified who tricked you who checked
the certifiers
and on and on and on FDA their
inclination is if they don't get all
that information then they don't want to
lose their jobs by approving something
and proving something that could be
false so don't count on FDA to come
through anytime soon with hydroxy koala
Quinn study now that's the bad news
here's the good news we don't need FDA
approval if this was a new drug to the
market that would need FDA approval
before the company could ever send it
out but this drug is already approved
for rheumatoid arthritis and is used for
lupus also it's all over the place it's
already out there what this study would
do is it would cause a it would allow
FDA to then officially approve the drug
to also be used for coronavirus but that
isn't needed it never has been
approximately half
the usage of drugs in the practice of
medicine is for diseases that the drugs
are not FDA approved for this is
completely legal this is completely
regular and this is what's known as the
practice of medicine this is the history
this is a historical distort the
historical art of practicing medicine so
as more and more studies that are done
informally come in by the way I don't
know what they're gonna shall they make
sure that hydroxy koala Qin addressed
hydroxychloroquine works for treating
Kovach 19 coroner corn virus they might
show it doesn't work they'll make sure
its people are dropping dead of QT
prolongation heart attacks I don't know
if the studies going to show but the
study is going to start rolling in from
all over the place all kinds of
hospitals big ones small ones doctors
writing in their experience to the
journals and there will be a weight of
eminence now this is not perfect
evidence all things being ideal we would
wait until a full proper study can be
done and all the systems to be validated
and when that happens a year from now
they're built there gonna be a lot of
people who are dead who could have been
saved if this drug worked so you need to
know that this FDA FDA
fast-tracking it as President Trump said
that's all nice and good it's
unnecessary I don't think anybody's
going to wait for for it but we are
waiting for good data so now I'm going
to talk about some of the data one of
the Orthodox Jews Jewish doctors from a
Harvard Hospital I also was there at one
I was one year at a Harvard Hospital
this guy is way way behind be way way
beyond me in his medical training but he
said that we need to wait for a
double-blind
placebo-controlled clinical study date
blah blah blah
that is standard medical science but the
fact is people are dying now we need to
have some idea or indication of whether
the drug really works or not and and the
idea of waiting for FDA that's a
standard medical doctor physician who
doesn't know how things really work
that's their that's their position but
the fact is as data comes in positive or
negative I don't know which helping or
maybe hurting patients I don't know the
answer physicians if the data is good if
the safety looks good even though it's
not fully proven but they have patients
who are deathly ill you have a high rate
of you know it was an unacceptably high
rate of patients that are not surviving
this there are medical doctors that will
start to use the drug and let's start to
use it you know pretty widely so we
don't have to wait for FDA to get the
answer we can work with interim answers
now again I don't make the medical
decisions for you you're licensed
medical doctor makes decisions for you
but that's just what you need to know so
this doctor from Harvard is a very seems
like a very bright and respectable and
reliable guy he just doesn't know about
how the FDA works and the approval
process now there's a different medical
doctor Orthodox Jew from Muncie who is
who is saying things that I'm really
quite shocked to hear
first of all in one of his videos he
called zinc a vitamin
it's not a vitamin it's a mineral they
may say it's a small error is a small
error for the public a medical doctor
should know that difference he also put
out a letter thanking President Trump
for approving hydroxychloroquine for for
coronavirus
that's what he wrote he's wrong
President Trump doesn't approve drugs
the FDA approves drugs but and what dr.
Falchi explained publicly is the doctor
Falchi is is a hard science expert in
virology and he's the leader on this
he explained that President Trump is
trying to be a cheerleader and that's
good you want the president to give hope
to people you want him to rally people
but you don't take president Trump's
scientific analysis or regulatory
analysis explicitly you have to listen
to the scientific experts so for that
doctor from Muncie I would encourage
people to be very careful about
listening what he says he's wrong zinc
is not if I do minutes of mineral he's
wrong President Trump did not approve
hydroxychloroquine for a coronavirus the
FDA did not approve a drug see
chloroquine for coronavirus and he'd be
very careful this guy also put out a
regimen of zinc azithromycin a night
roxy chloroquine to treat coronavirus is
no mention of the fact that as if from
iceland that's in his regimen will can
interfere with the livers ability to
metabolize or breakdown
hydroxychloroquine potentially causing
dangerously high levels of
hydroxychloroquine and therefore
potentially causing heart attacks so be
very careful about that Muncie doctor
now back to the Harvard doctor very good
legitimate guy he said the only evidence
that we have fried chicken fried roxy
chloroquine is a study from france that
by the way used it with the zipper
Meissen and he pointed out major major
errors in that study major reasons why
we should bury beet why we should be
very cautious about the information that
studies correct about that but he's not
correct that that's the only place that
we've been getting information from
there is an excellent youtube site
called med cram
a needy CRA M and if you look at the
coronavirus update number 34
he goes through data of coronavirus use
of I'm sorry of hydroxychloroquine used
to treat karana virus from China and
from South Korea as so there's
additional information now I don't know
how well we can trust the studies from
China but we have additional information
there some of it looks pretty decent
I would not depend on it but I can tell
you now there are all kinds of informal
studies and formal studies going on all
around the country now when I talk to
you about some of this but the nature of
some of those studies something else you
may not know I've mentioned previously
about the art of medicine the practice
of medicine were not computers medical
doctors you're allowed to use any drug
for any reason if you have a rational
scientific reason to think that it might
work and you and you you as a medical
doctor you assess that the benefits at
risk outweigh the risks now if you
really mess up when that the lawyers
will probably destroy you but that's the
ability there's another aspect to the
art of medicine and that is medical
doctors taking unknown drugs themselves
Sigmund Freud was the was the originator
of modern psychiatry and he was the
founding father of psychoanalysis which
is really the basis for most of
psychology psychiatrists psychologists
that we have today he was wrong about
some things he was right about many but
he was a pioneer do you know that he was
the one to introduce cocaine into
medical practice and how did he
introduce it he did it used it himself
it was a new drug people didn't know
about it and he tried it himself
I'm not telling if you could take
cocaine heaven forbid what I'm trying to
tell you is that there's a long history
of medical doctors using themselves as
pigs to try new drugs that are not
proven yet just like there's a long
history of medical doctors putting
themselves in the win in harm's way to
treat sick people and many times medical
doctors died they sacrificed themselves
treating patients I said for those
there's really no more noble cause
they're like American soldiers putting
themselves in harm's way and there have
been doctors now that have died from
corona virus so you should know that
when you do clinical studies patients
have to sign all kinds of forms that
they understand their risks and and and
blah blah blah
well medical doctors and I would think
nurses also because because nurses know
quite a bit of medicine and they're also
very very dedicated I'm sure a general
kotoba everybody generally very
dedicated to their patients and also put
themselves in harm's way and there were
studies going on by medical doctors and
nurses who are being exposed to corona
virus where some of them are taking
hydroxychloroquine and some are taking a
sugar pill and they don't know which and
they're putting themselves on the line
so a lot of this data is going to start
coming in and when it does we're going
to be able to get a much a lot more
information so that medical doctors to
start to make much more informed
decisions about whether or not they want
to take a chance
when using a Troxy chloroquine or if
they want to take the risk of not using
it because if it does work for
coronavirus and visions don't get it and
they succumb or they're permanently
damaged that's also bad that's the art
of medicine that's the practice of
medicine and it's not being done by some
artists be done by people of extensive
who have extensive scientific training
and they have a world of communication
of that scientific information through
scientific journals so that's what's
coming you do not have to wait for FDA
to come up with the answer now some
other
they get when people talk about a
vaccine vaccines are not drugs the drug
is it looking for a drug is a drug you
want to go in to the body and kill a
bacteria or kill a virus a vaccine is is
an injection that will hopefully cause
your immune system to start to make I'd
only get to come pick antibodies start
to attack that virus and to get a
vaccine approved which is not on the
market yet not like hydroxychloroquine
it's already on the market or not like
some other antiviral drugs that are
already on the market for other uses
that are now being tested but the new
vaccine is not on the market yet that
will that will require FDA approval
before you can even get your hands on it
or doctors before doctors can get their
hands on it and that's gonna require
extensive testing and you might say oh
well you know people are dying just to
prove it what could what could be worse
a lot they could cause I mean illogic
reactions of course people to die they
could cause they coat of glue Murray
cause agglomerations that settle into
basement membranes of the glomerulus and
cause the kidneys to fail there's a lot
that could go wrong there is no way a
vaccine is going to be approved by the
FDA before it's fully and extensively
tested in all the traditional ways so
don't count when any vaccine being
approved at least until a year from now
and maybe much longer by that time this
catastrophe will have hit and be gone so
when a year great nose great news
vaccine you know give it a break don't
tell FDA about it also the companies say
we're screaming drugs are screening a
thousand chemicals well if these are
chemicals that are not already on the
market approved by FDA it will be at
least a year of not years until FDA
approves them because they will have to
go through full testing good there are
real
true risks to them and until you know
what those risks are the FDA is simply
not going to take those risks all right
I think I'm smoking long enough I'm
sorry this was boring to you but this is
a real catastrophe we're dealing with
and what I wanted to make sure that
people have the full information thank
you and if you liked it it was helpful
okay I want you to know I'm not
commercializing this I don't want
anybody's money but if you can send it
to other people who might also find it
helpful or useful please do so I'm in
this just to help others and I hope that
you will too thank you