The Cellar

The Cellar (http://cellar.org/index.php)
-   Current Events (http://cellar.org/forumdisplay.php?f=4)
-   -   The Pharmaceutical Industry (http://cellar.org/showthread.php?t=20457)

TheMercenary 06-12-2009 07:31 AM

The Pharmaceutical Industry
 
I hope they hammer these people. This crap has to stop.

Lilly Sold Drug for Dementia Knowing It Didn’t Help, Files Show

Quote:

June 12 (Bloomberg) -- Eli Lilly & Co. urged doctors to prescribe Zyprexa for elderly patients with dementia, an unapproved use for the antipsychotic, even though the drugmaker had evidence the medicine didn’t work for such patients, according to unsealed internal company documents.

In 1999, four years after Lilly sent study results to the U.S. Food and Drug Administration showing Zyprexa didn’t alleviate dementia symptoms in older patients, it began marketing the drug to those very people, according to documents unsealed in insurer suits against the company for overpayment.
http://www.bloomberg.com/apps/news?p...d=aTLcF3zT1Pdo

glatt 06-12-2009 07:49 AM

Was that when Bush was on the board of directors at Lilly?

(where's that shit stirring smiley?)

classicman 06-12-2009 07:55 AM

hmm - not sure of the validity of this glatt, but ...

TheMercenary 06-12-2009 08:05 AM

Quote:

Originally Posted by glatt (Post 573303)
Was that when Bush was on the board of directors at Lilly?

(where's that shit stirring smiley?)

Was he really? According the article it all started in 1998. So I don't know.

glatt 06-12-2009 08:31 AM

Bush I was on the board of directors in the 70s, and Bush II appointed the CEO who ran the company during this time period to a position on the Homeland Security Advisory Council.

Shawnee123 06-12-2009 08:46 AM

Oh crud, I was hoping there were some decongestants in this thread.

Clodfobble 06-12-2009 09:12 AM

Well at least those old people weren't using untested home remedies. God knows those don't work.

classicman 06-12-2009 09:32 AM

very good Clod, very good.

Happy Monkey 06-12-2009 09:46 AM

Quote:

Originally Posted by Clodfobble (Post 573347)
Well at least those old people weren't using untested home remedies. God knows those don't work.

Indeed. (non-blog-link)

Clodfobble 06-12-2009 10:24 AM

Quote:

The lone exception [in herbal remedies]: ginger capsules may help chemotherapy nausea.

As for therapies, acupuncture has been shown to help certain conditions, and yoga, massage, meditation and other relaxation methods may relieve symptoms like pain, anxiety and fatigue.
Yep. Looks like a small percentage of the remedies actually work. Just like pharmaceuticals. I applaud the government for bothering to check.

Flint 06-12-2009 10:30 AM

Wait, I'm confused...the title says "NONE OF THESE REMEDIES WORK" but the article says that some of them do.

Which do I believe? The title can't be wrong, can it?

jinx 06-12-2009 10:53 AM

Quote:

In 1999, four years after Lilly sent study results to the U.S. Food and Drug Administration showing Zyprexa didn’t alleviate dementia symptoms in older patients, it began marketing the drug to those very people
The slackers didn't even bother to fabricate their research results? They've got a lot to learn from Merck and Pfizer...

DeepOne 06-12-2009 10:59 AM

The thing about Lily is when they first invented their new wonder pill Zyprexa they wanted to get it out there and into the consumer as quickly as possible.
The use of this drug spread like Aspirin and the doctors were getting free samples and all the pens, notepads and clocks they could eat.
For a person with insurance the prescription was mere pennies (o.k. a couple bucks) but the actual cost of a month's worth of this garbage was well over a hundred dollars. See where this is going?
Later studies found that this pill was causing diabetes because of all the sugar cravings and sudden weight gain, and a severe dependency on the drug, even if you didn't really need it.
By that I mean, if you told a doctor in 99' that you were depressed, they'd prescribe this crap. Yes, I've seen it happen. It's disgusting.
So years pass for these patients taking this pill, they don't feel better (in fact they don't "feel" anything at all) and they want to be relieved of Zyprexa's monster grip.
Nope, you have to be weened off of it slowly or it can cause panic attacks, heart problems, mania, you know, like heroin addiction.
If you ask my opinion it should either be pulled or doctors should use a little more discretion with who they're prescribing this shit to.
That's my 2 cents.

jinx 06-12-2009 11:15 AM

The Emperor's New Drugs.

"Yes there is a placebo effect, but is there a powerful antidepressant drug effect?"

Quote:

The authors expected a substantial placebo effect, but were surprised by the small medication effect that they found. It is suggested that their analysis of FDA data is likely to prove controversial, and although the difference in response between antidepressant medication and inert placebo was statistically significant, in clinical terms it was very small, leading Kirsch et al to ask whether these medications are "the emperor's new drugs."

Happy Monkey 06-12-2009 11:48 AM

Quote:

Originally Posted by Clodfobble (Post 573386)
Yep. Looks like a small percentage of the remedies actually work. Just like pharmaceuticals. I applaud the government for bothering to check.

And now that they've checked, what will happen to the "alternative medicines" that failed the test? I'm guessing that ginger for chemo is not a significant percentage of their business.

When Lily advertises a drug for something that studies have found it has no effect on, it is a scandal, and rightly so. It should be an even bigger scandal for the "alternative medicine" industry, for whom that is the business model. Lily could have put Zyprexa in the herbal remedy aisle with a few testimonials and they wouldn't have needed to do any testing in the first place.

Undertoad 06-12-2009 12:09 PM

I tried everything for chronic panic and anxiety attacks. Exercise, breath control, herbal remedies, meditation, eating differently. All of this had no effect, placebo or otherwise. Only 15mg of Paxil solved the problem, and has now solved it for 13 years, allowing me to live a normal life.

Flint 06-12-2009 12:20 PM

Quote:

Originally Posted by Undertoad (Post 573481)
...allowing me to live a normal life.

Dude, I don't think it's working!

DeepOne 06-12-2009 12:27 PM

Quote:

Originally Posted by Undertoad (Post 573481)
I tried everything for chronic panic and anxiety attacks. Exercise, breath control, herbal remedies, meditation, eating differently. All of this had no effect, placebo or otherwise. Only 15mg of Paxil solved the problem, and has now solved it for 13 years, allowing me to live a normal life.


Sometimes the drugs do what they're intended to do.
It's when they're prescribed for things that they're not intended for that we run into problems.

ex- preparation H is not best used for a headache ;)

glatt 06-12-2009 12:30 PM

sometimes off-label uses are just fine though. A good example is using extra doses of birth control pills as a "morning after" pill back before the morning after pill was available.

Shawnee123 06-12-2009 12:46 PM

"Do not drink alcohol with this medication."

My dad said "that's just a SUGGESTION."

:lol:

And, uh, seriously glatt? That hardly seems safe?

DeepOne 06-12-2009 01:06 PM

Quote:

Originally Posted by glatt (Post 573508)
sometimes off-label uses are just fine though. A good example is using extra doses of birth control pills as a "morning after" pill back before the morning after pill was available.

This sounds like an incredibly dumb idea.

DeepOne 06-12-2009 01:07 PM

Similar to my friend having "lady problems" and instead of going to the doctor she just takes whatever amount of Belladonna cause you know, "it was in a gelcap it's safe"

then her pancreas failed.

OOPS!

TheMercenary 06-12-2009 01:09 PM

Quote:

Originally Posted by DeepOne (Post 573537)
This sounds like an incredibly dumb idea.

Actually it is an accepted use of BCP.

DeepOne 06-12-2009 01:14 PM

By whom and do you have a link?

glatt 06-12-2009 01:17 PM

Quote:

Originally Posted by TheMercenary (Post 573544)
Actually it is an accepted use of BCP.

Back when I read about it ten or fifteen years ago, it was an accepted use by doctors, but was still off label.

There's a specific formula and dosage to follow, and your doctor can tell you what it is, but it's safe.

Shawnee123 06-12-2009 01:25 PM

A close friend's mom read in a ladies magazine back in the day (way back) that you could do the same thing chemically. She tragically died.

TheMercenary 06-12-2009 01:25 PM

Quote:

Originally Posted by glatt (Post 573547)
Back when I read about it ten or fifteen years ago, it was an accepted use by doctors, but was still off label.

There's a specific formula and dosage to follow, and your doctor can tell you what it is, but it's safe.

It is still used today.

TheMercenary 06-12-2009 01:28 PM

It is known as Plan B and is still in wide use today.

Quote:

The morning-after pill — a form of emergency birth control — is used to prevent a woman from becoming pregnant after she has had unprotected sex. Morning-after pills are generally considered safe, but many women are unaware that they exist.

Here's how the morning-after pill works. Human conception rarely occurs immediately after intercourse. Instead, it occurs as long as several days later, after ovulation. During the time between intercourse and conception, sperm continue to travel through the fallopian tube until the egg appears. So taking emergency birth control the "morning after" isn't too late to prevent pregnancy.

The active ingredients in morning-after pills are similar to those in birth control pills, except in higher doses. Some morning-after pills contain only one hormone, levonorgestrel (Plan B), and others contain two, progestin and estrogen. Progestin prevents the sperm from reaching the egg and keeps a fertilized egg from attaching to the wall of the uterus (implantation). Estrogen stops the ovaries from releasing eggs (ovulation) that can be fertilized by sperm.

The morning-after pill is designed to be taken within 72 hours of intercourse with a second dose taken 12 hours later. Side effects may include nausea, vomiting, abdominal pain, fatigue, dizziness, menstrual changes and headache. According to the manufacturer, the morning-after pill is more than 80 percent effective in preventing pregnancy after a single act of unprotected sex.

Morning-after pills aren't the same as mifepristone (Mifeprex), the so-called abortion pill. Emergency contraceptive pills such as Plan B prevent pregnancy. The abortion pill terminates an established pregnancy — one in which the fertilized egg has attached to the uterine wall and has already begun to develop.

Plan B is available to women and girls age 17 and older without a prescription at most pharmacies. You must show proof of age to purchase Plan B. For girls age 16 and younger, Plan B is available only with a doctor's prescription.
http://www.mayoclinic.com/health/mor...r-pill/AN00592

glatt 06-12-2009 01:29 PM

Huh, occording to wikipedia, this off label use of regular birth control pills is approved by the FDA. So it's off label, but it's more than just understood by doctors to be OK, it's actually gov't approved.

"The combined or Yuzpe regimen uses large doses of both estrogen and progestin, taken as two doses at a 12-hour interval. This method is now believed to be less effective and less well-tolerated than the progestin-only method.[4] It is possible to obtain the same dosage of hormones, and therefore the same effect, by taking several regular combined oral contraceptive pills. For example, 4 Ovral pills are the same as 4 Preven pills.[5][6] The United States Food and Drug Administration (FDA) approved this off-label use of certain brands of regular combined oral contraceptive pills in 1997.[2][5][7]"

If I recall correctly, any birth control pills will work, you just have to know which pills of the month to take, so you get the ones with the proper hormone levels.

Shawnee123 06-12-2009 01:38 PM

Sounds risky, but what do I know?

TheMercenary 06-12-2009 01:39 PM

Quote:

Originally Posted by glatt (Post 573557)
If I recall correctly, any birth control pills will work, you just have to know which pills of the month to take, so you get the ones with the proper hormone levels.

No and yes. No not any will work because of the different levels of hormones contained in various BCP, they run the gamet. Yes you have to have the right ones.

TheMercenary 06-12-2009 01:39 PM

Quote:

Originally Posted by Shawnee123 (Post 573561)
Sounds risky, but what do I know?

Not really. You just have one big assed heavy period for a few days. Then you are done.

Shawnee123 06-12-2009 01:44 PM

And that's different than every month for 33 years, how? :lol:

I'm sorry, was that TMI? Feel like I'm talkin' to my girlfriends. :)

glatt 06-12-2009 01:45 PM

Quote:

Originally Posted by Shawnee123 (Post 573561)
Sounds risky, but what do I know?

When I read about it, the instructions were always to call your doctor to get the instructions and to have the prescription for BCP written in case you didn't have any on hand.

The point being that off label uses of prescriptions can sometimes be safe and effective under the guidance of a knowledgeable doctor.

TheMercenary 06-12-2009 03:05 PM

Quote:

Originally Posted by Shawnee123 (Post 573564)
And that's different than every month for 33 years, how? :lol:

I'm sorry, was that TMI? Feel like I'm talkin' to my girlfriends. :)

One word fix:

Hysterectomy.

ZenGum 06-12-2009 08:51 PM

Speaking of off-label uses, if you put viagra in your shoe, it will make you limp.

jinx 06-12-2009 09:22 PM

Quote:

Originally Posted by Happy Monkey (Post 573459)
When Lily advertises a drug for something that studies have found it has no effect on, it is a scandal, and rightly so. It should be an even bigger scandal for the "alternative medicine" industry, for whom that is the business model.

I don't understand why you think the alternative medicine industry is the bigger scandal. If I buy a box of medicinal tea or some quack colon cleanser it's a few of my dollars and may or may not benefit me... shouldn't really matter to anyone else. If I go to the doctor and get prescribed some daily dosage, habit forming drug that costs my insurance co $500 a month for the rest of my life, raising everyone's premiums, is only a bit more effective than a sugar pill but could have some serious side effects.... well you can guess which scenario I think would be bigger scandal...

jinx 06-12-2009 09:25 PM

Quote:

Originally Posted by Undertoad (Post 573481)
I tried everything for chronic panic and anxiety attacks. Exercise, breath control, herbal remedies, meditation, eating differently. All of this had no effect, placebo or otherwise. Only 15mg of Paxil solved the problem, and has now solved it for 13 years, allowing me to live a normal life.

When I put calendula on a burn, it stops hurting.

ZenGum 06-12-2009 09:28 PM

1 Attachment(s)
Meanwhile, at XKCD ...
Attachment 23787

Undertoad 06-12-2009 10:18 PM

Quote:

Originally Posted by jinx (Post 573695)
When I put calendula on a burn, it stops hurting.

Whaddya got for hypertension and high triglycerides?

jinx 06-12-2009 10:20 PM

Diet and exercise.

lumberjim 06-12-2009 10:22 PM

http://www.webmd.com/cholesterol-man...rides-overview

yeah. what she said. get to the gym.

DeepOne 06-12-2009 10:45 PM

So back to the BCP thing real quick.
One of the plan B pills is just levonorgestril but in a higher dose. There is a BCP called Levlen that's all one level of hormone (levonorgestril) for the three weeks, then one week of placebos.
If you're on Levlen, you could double up or something (supposedly safely) to use as a plan B type deal if necessary. Theoretically.
If you use another type of BCP you'd have to have your doctor tell you which ones because each week is a different hormone level and blah blah blah.
Then after you do this, you come up short at the end of the month on your pills and it screws up your whole cycle.
So why not just go to the pharmacy and buy plan B which you don't need a prescription for, not mess up the rest of your year's worth of pills OR, better yet, use a condom?

TheMercenary 06-12-2009 11:03 PM

Quote:

Originally Posted by DeepOne (Post 573715)
So why not just go to the pharmacy and buy plan B which you don't need a prescription for, not mess up the rest of your year's worth of pills OR, better yet, use a condom?

I suspect Plan B is used more frequently by those who are not already on the pill and because people make mistakes. If accidental pregnancy was as simple as "why not use a condom" there would be no problem.

DeepOne 06-12-2009 11:26 PM

Wait, so if they're not on the pill how would they be able to double up on their pills to use as a morning after and BOOM! my head exploded.

darn.

glatt 06-13-2009 06:43 AM

Quote:

Originally Posted by DeepOne (Post 573715)
So why not just go to the pharmacy and buy plan B which you don't need a prescription for, not mess up the rest of your year's worth of pills OR, better yet, use a condom?

Two reasons: The first is that during the 80, the plan B pills were first being rolled out in various countries, and they were not as available as they are now. So BCPs were the only game in town then for many people. The second reason is that BCPs are cheaper than the plan B pills, and many people already had them on hand.

I agree with your implied point that today it's more convenient to go for the plan B pills. I think you don't even need a prescription when you go to the pharmacy window.

Happy Monkey 06-13-2009 08:46 AM

Quote:

Originally Posted by jinx (Post 573694)
I don't understand why you think the alternative medicine industry is the bigger scandal.

Because the worst practices of the medical industry, the unfortunate examples that make up the bulk of these anti-pharmaceutical news articles, are the standard practice of the alternatives. Advertising and profit are corrupting forces on the industry. But that's all there is in the alternative industry - they are the pharmaceutical industry without the clinical trials.

The fact that some clinical trials are botched is not a good reason to skip them altogether.

jinx 06-13-2009 12:26 PM

Quote:

Originally Posted by Happy Monkey (Post 573818)
Advertising and profit are corrupting forces on the industry. But that's all there is in the alternative industry

Well that and thousands of years of use... of trial and error. And you don't see much advertising... or profit really, when you compare to mainstream big pharma medicine.

Quote:

The fact that some clinical trials are botched is not a good reason to skip them altogether.
Hey that's fine, make your choices. And mind your own business when it comes to mine ok? Because I might want to try an herbal tea before I get an expensive prescription... or I might try a dab of clove oil before I take a bunch of narcotics etc etc... Placebo effect? Ok fine, I'll take the cheapest/easiest one thanks.

edit: FYI: Botched and fabricated mean two different things.

Trilby 06-13-2009 01:39 PM

Quote:

Originally Posted by jinx (Post 573845)
...or I might try a dab of clove oil before I take a bunch of narcotics...

We can never be friends.


:bawling:

jinx 06-13-2009 03:40 PM

Might, I said, might... I want to keep my options open.

Happy Monkey 06-13-2009 06:00 PM

Quote:

Originally Posted by jinx (Post 573845)
Well that and thousands of years of use... of trial and error.

Which can't seem to be duplicated in a double blind study.
Quote:

And you don't see much advertising... or profit really, when you compare to mainstream big pharma medicine.
It's pure profit. They have no R&D costs, and minimal manufacturing costs. And some of them get plenty of advertising. Head-On, Airborne, and Enzyte come to mind.

jinx 06-13-2009 06:13 PM

Quote:

Which can't seem to be duplicated in a double blind study.
What, specifically, are you talking about?

Quote:

Head-On, Airborne, and Enzyte come to mind
Yeah I don't know anything about these products (although I've had a medical professional who frequents this board recommend Zicam based on experience, I haven't actually tried it).
I had more herbal/traditional remedies in mind when talking about "alternative"... you know, the stuff "modern medicine" comes from... although ineffective and advertised would also describe main-stream over the counter cough medicine.

Trilby 06-13-2009 10:16 PM

Quote:

Originally Posted by jinx (Post 573896)
Might, I said, might... I want to keep my options open.

*wipes eyes*

well, okay then. I mean, you could get the narcotics and just...oh, I don't know, have them around in case someone you knew needed them or something like that.

no biggie. Just, you know, narcotics.

Happy Monkey 06-14-2009 11:49 AM

Quote:

Originally Posted by jinx (Post 573919)
What, specifically, are you talking about?

Anything except the few exceptions noted in the article.
Quote:

I had more herbal/traditional remedies in mind when talking about "alternative"... you know, the stuff "modern medicine" comes from...
When an herbal remedy is tested and works, it becomes part of modern medicine. If it isn't tested, or is tested and doesn't work, it remains "alternative". If the ginger capsules hold up to further testing, they'll become as much part of modern medicine as aspirin. But all of the remedies that failed testing will remain on the herbal remedy aisle at Whole Foods.

jinx 06-14-2009 05:29 PM

Quote:

When an herbal remedy is tested and works, it becomes part of modern medicine.
Orly?

I disagree with you HM. I'm sure you're devastated.

Clodfobble 06-14-2009 05:59 PM

Quote:

Originally Posted by Happy Monkey
When an herbal remedy is tested and works, it becomes part of modern medicine.

If it doesn't require a prescription, what does that mean? People use it? Doctors informally recommend it?

Happy Monkey 06-14-2009 06:21 PM

Quote:

Originally Posted by Clodfobble (Post 574090)
If it doesn't require a prescription, what does that mean? People use it? Doctors informally recommend it?

Yes. Aspirin is an obvious example.

Clodfobble 06-14-2009 06:25 PM

Okay. I use lactobacillus acidophilus as a probiotic. My doctor has recommended it. It has been tested in a variety of studies as a digestive aid. So you're on board with that, then?

Happy Monkey 06-15-2009 11:53 AM

According to a quick Google:
Quote:

Originally Posted by Mayo Clinic
Multiple human trials report benefits of Lactobacillus acidophilus for bacterial vaginosis. Other medicinal uses of Lactobacillus acidophilus are not sufficiently studied to form clear conclusions.

Wikipedia and medicinenet also mention using it to repopulate the gut after antibiotics. NIH seems to be the source of the Mayo Clinic quote, and has a lot more data about the studies with respect to that and other uses.

I'm on board with the NIH.

Clodfobble 06-15-2009 01:30 PM

And from your initial link, I would assume that you're now on board with the use of ginger to alleviate nausea, right? And of course, any proctologist in the country will tell you to use magnesium citrate to clean out your colon before an examination, and by extension it will treat constipation as well... I could continue to name them, but my point is you already use and "believe in" a huge number of "natural remedies." The only problem is you hear the phrase "natural remedies" and you assume that must mean it hasn't been tested.

What's more, untested does not equal disproven. It is all well and good to hold ourselves to a scientific ideal of broad-scale, blind testing for the effectiveness of every single remedy everyone has ever thought of. But the reality is neither the medical or the pharmaceutical companies can meet that ideal, the vast majority of the time. Economic realities taint everything.


All times are GMT -5. The time now is 02:45 AM.

Powered by: vBulletin Version 3.8.1
Copyright ©2000 - 2025, Jelsoft Enterprises Ltd.