New York City ? Editors of a top medical journal call Meridia “another flawed diet pill” and question whether it should stay on the market as a study shows it raises the risk of heart attack and stroke in people with heart problems.

The strongly worded editorial comes two weeks before government advisers review the prescription drug, which has already been pulled in Europe. In January, U.S. drug regulators strengthened existing warnings that the appetite suppressant should not be used by those with a history of heart trouble.

In today’s issue, the editors of the New England Journal of Medicine noted that the latest study showed weight loss with Meridia was minimal, it didn’t improve cardiovascular health, and those with heart disease fared worse.