mike ross said:
just read the actual article and boy is the fda full of shit....i would remove half the drugs in our pharmacy on the following principals
1. bullshit marketing hype and 7 other drugs due the exact same thing and are cheaper/safer
2. the drug is an isomer of a previous drug and doesnt work any better than the previous drug...aka, nexium, celexa, cymbalta
3. extended release drugs are for lazy people who are troubled to take a pill 2 times per day...like you dont have 5 seconds in a day.
4. some are just plain garbage
but its not only the fda and drug companies fault, doctors are to blame to because most use drugs for things they arent approved for. neurontin is a classic example...off-labeled use of some drugs is out of control
I totally agree with you. But our American consumerism is what's driving those 4 things you talk about. Drug companies can't make money on a drug that they can only sell to 5000 people. So, they do the me-too strategy.
Some extended release products are necessary due to side effects from the immediate release. However, a majority of drug companies new about the better quality of the extended release or "pure isomer"
As far as off-label usage, it's good in some instances when it's tried logically. But Neurontin is crazy how the drug reps basically tricked providers into using off-labeled usages as if they were really studied.
However, in hospitals we can't use drugs off-label even though logic and science dictates they would definitely work in the situation just because of a little FDA approval (which costs a lot of money).
So, I think our system is out of control because really the FDA has little control in all realty. When they try to exert it they often get sued. If they push a drug too fast, they get sued or get bad press. If they hold off on a cancer or HIV drug, they're also considered inept or racist or somthing completely different.
And also, yhe drug companies are always on a mad money chase, that our American attitude for the newest and more expensive thing is always better. I once heard a drug rep telling a medical resident: "Don't you think that you could sleep better giving your patient a Cadillac versus an old used Chevy with x drug?"
... No wonder we don't let drug reps in our hospital (but they come in anyway without invitation -- some of them so many times that we have to have them arrested for trespassing). But this attitude goes along with the people too.
You have to demand for you or your family members that they get the best medical care. Always ask if they're prescribing the $300 per month pill (versus the $9 per month pill) why they're doing it. If they say "this is the newest thing, it'll be best for you," then think about whether it is truly best for you or did they get to have a fancy five star dinner and a few golf games or vacations out of it. Or else, if they say, "I don't believe in generics", then you should get the hell out of there right away. They're definitley not serving your interests.