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The Uselessness of Phenylephrine (2022)

science.org

81–90 of 350 posts

Re: The Uselessness of Phenylephrine (2022)

#81

Probably will get downvoted for this, but a bunch of my family members are pharmacists. Their quiet opinion is that most pharmaceuticals don’t work. Even the ones that are thought effective. The data is anecdotal, but is over 15 years of watching people come in for prescriptions. The other aspect, is they say it’s mind boggling to see what kind of drugs people are on.

Of course you are going to get downvoted and you should. I know my blood pressure medicine works for instance because every time I talk to my doctor about reducing it or getting off it, I monitor my blood pressure and it spikes. I know psuedophredrine works. And your data is just that, “anecdotal”, it’s no better than the people doing “research” by watching YouTube on the toilet.

Ehh. Your experience is similarly anecdotal. You ignore that there is a placebo effect, blood pressure is a surrogate marker for cardiac events, and drugs can have adverse effects.

It’s best to look at all cause mortality in your example. Many studies have looked at that endpoint if you are curious.

Re: The Uselessness of Phenylephrine (2022)

#82

Earlier quoted context omitted.

You can't fight a war against inanimate objects. You can fight a war against drug addicts. You cannot possibly win a war against drug addicts without addressing the fundamental problem.

Most of us cannot make these drugs ourselves. To restrict them effectively would certainly curtail their abuse?

The presumption here is that an addict, unable to get their "favorite" drug, will now just stop doing drugs entirely. This is not the case.

Drugs can also be stolen, from homes, and from pharmacies, and from ambulances.

There are way more vectors than people care to ponder. If you've ever had an addict in your life, you're forced to.

Re: The Uselessness of Phenylephrine (2022)

#83
post #33

I laughed out loud when I read about the lobbyists who are trying to keep phenylephrine from being taken off store shelves. In one article about the FDA panel vote, a lobbyist said that most consumers hate the alternatives -- nasal sprays because of the discomfort and pseudoephedrine because it's stored behind the pharmacy counter -- and so depriving them of a hassle-free option is anti-consumer. The fact that the ha…

I always assumed that was the whole point. A placater. This probably isn’t even news to them.

Re: The Uselessness of Phenylephrine (2022)

#85
post #62

Earlier quoted context omitted.

At least if I followed that path, I would not be required to have my purchase recorded in an insecure government database.

Why are you worried about the government recording your usage of Sudafed? What is anybody going to do with that information? Serious question! I understand the principle involved; I just want to know if there's some practical concern.

For me, it’s a matter of it’s none of their business. No one’s accused me of making meth, but here’s all my PII in a database “just in case”.

It’s literally harder for me to buy cold medicine than a gun. I hate everything about that situation.

Re: The Uselessness of Phenylephrine (2022)

#86
post #80

Earlier quoted context omitted.

That's legitimate. The FDA's issue with oral phenylephrine is that it's metabolized in the gut before it gets to the sites where you want it to work.

I wonder if it will work as a suppository.

It’s worth a try. I’d recommend buying a separate spray for your nose though.

Re: The Uselessness of Phenylephrine (2022)

#87
post #70
post #55

Earlier quoted context omitted.

Unfortunately, this is the actual logic which will be used to justify it staying on shelves. > The decongestant is in at least 250 products that were worth nearly $1.8 billion in sales last year, according to an agency presentation. Look those yachts aren't gonna buy themselves.

"Ok fine, you can still sell it over the counter... except a X by Y sign stating 'This product is completely ineffective if taken in pill form' needs displayed on the shelf where the product is sold"

I could actually go along with that so long as other ineffective things like homeopathic water get labeled the same way.

Re: The Uselessness of Phenylephrine (2022)

#88

If you like the author Derek Lowe's writing like I do you might like his "Things I won't Work with". Here's one of my favorites: https://www.science.org/content/blog-post/things-i-won-t-wor...

> If the paper weren't laid out in complete grammatical sentences and published in JACS, you'd swear it was the work of a violent lunatic. I ran out of vulgar expletives after the second page.

I love his work.

Re: The Uselessness of Phenylephrine (2022)

#89
post #81

Earlier quoted context omitted.

Of course you are going to get downvoted and you should. I know my blood pressure medicine works for instance because every time I talk to my doctor about reducing it or getting off it, I monitor my blood pressure and it spikes. I know psuedophredrine works. And your data is just that, “anecdotal”, it’s no better than the people doing “research” by watching YouTube on the toilet.

Ehh. Your experience is similarly anecdotal. You ignore that there is a placebo effect, blood pressure is a surrogate marker for cardiac events, and drugs can have adverse effects. It’s best to look at all cause mortality in your example. Many studies have looked at that endpoint if you are curious.

It’s “anecdotal” that I can measure with a machine that gives a number and that I track over a period time?

It’s not like I said “I feel better” when taking it. So my blood pressure just magically comes down after I’m taking it?

Re: The Uselessness of Phenylephrine (2022)

#90

Earlier quoted context omitted.

You can't fight a war against inanimate objects. You can fight a war against drug addicts. You cannot possibly win a war against drug addicts without addressing the fundamental problem.

Most of us cannot make these drugs ourselves. To restrict them effectively would certainly curtail their abuse?

Shake-n-bake meth was relatively easy to do for the average methhead.

Also, do not underestimate the capabilities of a meth user when they get fixated on something.

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