Horowitz: The indefensible approval of Pfizer and Merck drugs compared to the snubbing of ivermectin



Later this week, the FDA plans to approve, as the first outpatient COVID drugs, therapeutics that are extremely dangerous and unproven, even as the agency goes to war against cheap, safe, and proven drugs with a track record of no serious adverse events. The approval is as shocking as it is revealing and should serve as a warning to those who don’t believe the FDA would approve vaccines that aren’t safe and effective.

We already know that every drug the FDA has approved so far for inpatient treatment has an FDA “black box warning” for serious adverse events. At present, the only approved drugs in-patient are remdesivir, baricitinib, and tofacitinib. None of them have demonstrated any efficacy over a year of their use, and remdesivir is known to cause liver toxicity and renal failure. Baricitinib (brand name Olumiant) has an FDA black box warning for blood clots, of all things! Tofacitinib (brand name Xeljanz) has a black box warning for “serious infections and malignancy.” Now, let me introduce you to the first candidates for outpatient treatment: Merck’s molnupiravir (brand name Lagevrio) and Pfizer’s Paxlovid.

I’ve already written extensively on molnupiravir. Even the FDA advisory committee admitted that the drug poses a risk of birth defects, is mutagenic, has a dangerous mechanism of action, and was never studied for carcinogenicity, and its second-phase trial showed greater “efficacy” in the placebo group than the trial group. Even the mainstream media has warned that the drug really is not up to snuff, yet shockingly, the FDA is set to give it approval, as if basic safety and efficacy facts no longer matter. This move in itself, in conjunction with what we know about the approved inpatient drugs, should tell you everything you need to know about the juxtaposition of the vaccine approval to the war on ivermectin and hydroxychloroquine and the refusal to approve or encourage the use of numerous other safe and effective drugs.

But what about Pfizer’s Paxlovid? Doesn’t that have a safer mechanism of action, similar to that of ivermectin? And wasn’t it proven 89% effective in reducing mortality and hospitalization?

Efficacy of Pfizer’s Paxlovid

Unlike Merck’s drug, which has a known dangerous mechanism of action as a nucleotide analogue, Paxlovid is more of a defensive drug as a 3CL protease inhibitor. Dr. Ryan Cole, a clinical and anatomic pathologist who has studied the replication process of SARS-CoV-2 and its treatments in more depth than almost anyone on the planet, explains the mechanism as follows:

When COVID replicates inside our cells, part of the process is formation of a long string of amino acids within our cell’s ribosome (hijacked by the virus to use as a protein manufacturing site), forming a chain of proteins called a polyprotein. In order for the proteins to form the parts of the virus, this chain must be clipped and broken down into the viral protein parts. An enzyme called a protease does this cutting and clipping. Paxlovid is a protease inhibitor, meaning it binds to this enzyme “scissors” and keeps the cutting from happening, so the virus cannot reassemble.

Sounds terrific, right?

Here’s the problem. Do you know what else is also the most effective protease inhibitor on the market? Ivermectin. And it also has at least 19 other mechanisms of action, which include anti-coagulant (inhibits CD147 receptor binding) and anti-inflammatory (decreases IL-6 and other inflammatory cytokines) modes of action. Paxlovid has none of these mechanisms. So why would we rely on an expensive drug with one of ivermectin’s 20 mechanisms of action – yes, 20 – that does not have an established safety profile when we can use an off-patent drug with the safest profile imaginable and mechanisms that work even in advanced stages? Also, Cole explains that because Paxlovid only has one mechanism of action, “viruses can eventually mutate around this mechanism.” Dr. John Campbell offers a superb presentation on the similarities and differences, showing why ivermectin is superior to Paxlovid.

Consider that earlier this year, a study in Nature of dozens of potential protease inhibitors against SARS-CoV-2 found ivermectin to be the only one to fully bind the 3LC enzyme. Out of 13 off-target drugs tested, “only ivermectin completely blocked (>80%) the 3CLpro activity at 50 µM concentration.”

So now that we are championing this mode of action, why wouldn’t we exalt the cheaper, more established medicine that is also an anti-coagulant and anti-inflammatory and that has shown the ability to turn around even some patients on ventilators? At best, Paxlovid would likely only work during the first three days of onset of symptoms, which is how the trial was conducted.

Moreover, as anyone who treats this virus will tell you, Delta has been a game changer. This virus is so aggressive and novel in the way it enters the cells and replicates, there is no drug alone without adjuncts that will achieve 89% success against mortality. It’s complete bull. Ivermectin likely achieved that level of success in the original strain, but with Delta, even the most ardent supporters will tell you it needs several adjuncts to keep more people out of the hospital. There is no way Paxlovid with one mechanism of action can achieve 89% success when the king of 3CL protease inhibition can’t do that with several other modes of action.

Now, we all hope that Omicron will completely vanquish Delta and thus will be easier to treat. But why not go with a drug (and more importantly, combo of several drugs) that is safer and has more mechanisms of action? As Cole warns, “A protease inhibitor is only useful when used early when the virus is replicating. We know the Delta and Omicron variants replicate very quickly, so protease inhibitors are only potentially helpful in the first few days of infection.”

Paxlovid contains a dangerous AIDS drug

We haven’t even discussed the safety problems. While the new drug itself in Paxlovid, although unproven, is probably not as dangerous as Merck’s drug, the media has failed to inform the public that it’s combined with AIDS drug, ritonavir.

Why is it combined with the AIDS drug? According to Cole, “In order to work, the protease inhibitor has to last long enough in the body. Another protease inhibitor, ritonavir, usually part of an HIV regimen, is used to prevent the rapid breakdown of Paxlovid.”

Incidentally, in the Nature study of various antiviral drug efficacy against 3CL protease binding, ritonavir had less than 20% success, while ivermectin achieved 85%.

Typically, whenever a pharmaceutical company produces a combo drug, it must conduct separate clinical trials on each component and demonstrate to the FDA why the combination is necessary. But in the pandemic, all rules have been thrown out the window when it comes to Pfizer. No such trial was conducted. Why is this a problem?

According to Cole, “Ritonavir is not without its side effects, which can include life-threatening liver inflammation, pancreatitis, and heart arrhythmias. It may also cause nausea, diarrhea, dizziness, confusion, high cholesterol, high blood sugar, stomach or intestinal bleeding, numb hands and feet, a skin rash, as well as countless other side effects.” The FDA has issued a black box warning for many serious contraindications with ritonavir.

Can you come up with a non-sinister explanation as to how our government will not only approve, but purchase this untested and dangerous product while declaring war on its broader, safer, cheaper, and more established counterpart? If you do, I have some remdesivir to sell you at $3,000 a pop, but unfortunately it won’t cover your kidney transplant.

Horowitz: Even doctors in red states are being punished for saving people from COVID



You are not allowed to treat COVID outpatient. It's not about any one drug. You will be punished if you dare treat patients with anything that works. What began as 15 days to flatten the hospital curve has grown into a ban on all treatment outside the hospital to ensure everyone sick with moderate disease lands in the ER. No, they will not prosecute a doctor, they will just threaten to pull his license, which is why doctors won't even prescribe azithromycin or prednisone, much less ivermectin and other proven antiinflammatories. What if you are part of the 1% of doctors who actually save lives — who run toward the fire rather than away from it? Instead of getting a medal of honor, these national heroes are now losing their licenses.

Idaho is not California. In fact, many Californians are fleeing to Idaho to escape the progressive persecution of the once Golden State. Yet now, with their investigation of Dr. Ryan Cole, the Idaho Medical Board wants to ensure that no doctor will ever treat you for this virus.

If you contract this virus, there is probably nobody in the world you'd want access to more than Dr. Cole. A Mayo Clinic-trained anatomic and clinical pathologist who is licensed in 12 states, Cole knows the mechanisms of pathogens and various medicines as well as you know the streets of your neighborhood. He has lived the COVID pandemic in his Idaho lab since last March, diagnosing over 100,000 cases, and has given up much of his regular work to treat patients on his own time and own dime for months. His record is remarkable, and I have many friends and listeners of my podcast who are alive today because of his brilliance and kindness.

So there will be a ceremony in the Oval Office next week to present Dr. Cole with a medal for treating people in a pandemic while others let their patients die, right? At least the Idaho governor, Brad Little, will offer him some state reward? Nope. Instead, they are threatening to yank his license.

Steven Kohtz, MD, president of the Idaho Medical Association's board of trustees, and Susie Keller, CEO of the association, wrote a letter to the state's board of medicine on Oct. 7, lamenting that "he has treated patients 'from Florida to California'" with ivermectin. The horror! He should have let them die and not treated them at all, like Kohtz and his colleagues have done since last March.

In the letter, they claim Cole's statements have killed people. "Many of those statements have advocated that people not be treated appropriately and undoubtedly have led to and will continue to lead to poor health outcomes as people are encouraged not to be vaccinated against COVID-19 or obtain appropriate treatment for it when such treatment could improve their health."

Well, how could treating pulmonary symptoms with steroids and antiinflammatories be worse than not treating them at all? This is the ultimate exercise in projection. They assuage their own guilt of letting patients die by preventing others from treating people in the critical early days of the virus.

"We understand that as a dermatopathologist Dr. Cole has a laboratory, but we do not believe he has a clinic in which he sees and treats patients."

That is quite rich for people who refuse to treat COVID. In fact, Cole has been performing hands-on clinical treatment of COVID from day one, and there are a lot of people who escaped the grave because of it. Perhaps Kohtz and Keller missed the memo from the FDA stating that physicians can always prescribe off-label FDA-approved drugs "when they judge that it is medically appropriate for their patient." In fact, the FDA has made it clear that there is a particularly strong rationale for prescribing off label if there is no "approved drug to treat your disease or medical condition." If Kohtz and Keller have another treatment option, they should tell us about it; otherwise they should close their mouths.

To suggest the vaccine alone is an alternative is absurd given that thousands of vaccinated people are coming to doctors like Cole for treatment because they are getting clinically ill based on the false promise peddled by people who wrongly suggest that the shots still work. I'm sure people like Colin Powell would have liked to get "unorthodox" treatment from a doctor who didn't tell him to wait at home for a week until his lips turn blue or suggest, "Relax, you can't get seriously ill because you got the shots."

If anything, there needs to be an investigation into the Idaho Board of Medicine for causing the death of countless citizens by discouraging, for the first time in medical history, all outpatient doctors from treating the virus. Perhaps if Dr. Cole had used remdesivir, which causes liver and renal failure, or Olumiant, which has an FDA black box warning for blood clotting, he would have been heralded as a hero.

It's time for the Idaho legislature to step up to the plate. Republicans have 4-1 majorities in the legislature. How can patriot doctors be subjected to this harassment in a state like Idaho? Legislators must immediately pass a bill barring the state medical board from taking actions against any doctor for prescribing FDA-approved drugs, speaking their conscience on all aspects of the virus and its treatment, and choosing not to wear a worthless Chinese face burka. In addition, all members of the board should be subject to termination by the legislature. It's bad enough that blue-state doctors are being forced to follow the political $cience. Do we really need to persecute those who actually follow the life science in red states?