Dear Dr. ________: I am a psychologist in private practice. I am concerned about recent events surrounding the release and then recall of the drug Lotronex. I am concerned about the people involved who were given a brief respite from the emotional and physical pain of their illness, only to have relief snatched away again. I am also concerned about a number of scientific and social questions this raises and the impact on the public's view of science. In March of 2000, GlaxoWellcome, Inc. restored the lives of hundreds of thousands of men and women who suffered with Irritable Bowel Syndrome, a little-understood and currently incurable gastrointestinal disease which affects about twenty percent of the population. GlaxoWellcome's introduction of Lotronex (alosetron hydrochloride) gave freedom from fecal incontinence, physical and emotional pain, repeated embarassment, and lives turned upside-down. As you may know, Lotronex gets at the underlying cause of diarrhea-predominant IBS by blocking seratonin receptors in the gut. At present, no other such medication is available. Then in November of 2000, because of the inability of GlaxoWellcome and the FDA to come to an agreement, GlaxoWellcome withdrew Lotronex from the marketplace, depriving these men and women of a successful treatment and leaving their lives again in shambles. I am a member of the Lotronex Action Group, which has formed on the internet. It is entirely independent and has no connection with any drug manufacturer or any other commercial interest. The Lotronex Action Watch Group seeks the scientific community's cooperative effort in uncovering the issues surrounding the withdrawal of Lotronex and in promoting corrective action. As a fellow scientist, please join me in endorsing this brief statement and also pass it along to colleagues and co-workers for their endorsement. The Lotronex Action Group has looked into available information regarding the unfortunate withdrawal of Lotronex from the market and has urged the parties involved to sit down and resolve their differences so that it can remain available in the best interest of patients. The LAG especially urges that the medication be made available to those people currently taking it until the differences are resolved, and is seeking support for a Congressional Inquiry into the situation. As a [YOUR PROFESSION], I endorse this statement ____________. Further information about the Lotronex Action Group, the lack of agreement between GlaxoWellcome and the FDA, and the impact and treatment of Irritable Bowel Syndrome is available through the group (lotronex@egroups.com), and on our website at http://www.geocities.com/lotronexactiongroup/index.html. Please feel free to contact us with your comments and suggestions. Sincerely, Thomas Bell, Psy.D. Licensed Clinical Psychologist 2518 Wellington Pl. Murfreesboro, TN 37128 Responses can be postal mailed or faxed to: LOTRONEX ACTION GROUP 13512 Sunshine Valley Rd Grass Valley, CA 95945 Fax: (530)272-1629