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OxyContin's 12-hour problem

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Re: OxyContin's 12-hour problem

#351

Sensible doctors do not believe drug company marketing. I get large amounts of ad-junk from drug companies that ends up unread in the bin. I refuse to meet with drug company representatives. I smile politely at them if I bump into them in the corridor and suggest that they leave their ad-junk with my secretary. My staff then file their ad-junk in the trash bin. On Friday, I had a drug company representative attempt t…

Just a different perspective: maybe give other doctors more of the benefit of the doubt? I have a family friend who's I guess what you'd call "on the bell curve" and he described to me the process. Basically he says that the representatives are paying for the doctor's time/attention with fancy dinners and whatnot. Doctors are busy people and can't read about every drug and study that's being released. He, just like you, takes in the information skeptically and ask for what studies have been performed etc. etc. Like you say, the representatives aren't scientists so often they won't know the answer and they will take notes and have their company send the doctor a custom made document answering everything he wanted to know (as you know, the marketing budgets are insane).

It's sorta similar to the function congressional lobbying is supposed to fulfill. Ie. It'd be ideal if the congressmen/doctors did all the research themselves but that's not possible so you basically have a whole research team at your disposal (who's agenda is very obvious...)

Re: OxyContin's 12-hour problem

#352
post #228

Earlier quoted context omitted.

> addiction-prone (low-income Are low-income people more likely to become addicted? I'd like to see some statistics. A few thoughts: * There are many more low-income people than wealthy people, so low-income addicts may be greater in sheer numbers but not in rate. * I expect that addition tends to reduce income, so people who started wealthier may become low-income * Prescription opiods are by reputation the wealthy…

At the some time, income is inversely correlated with impulsiveness, which is correlated with being addiction prone. (The old one/two marshmallow experiment.)

The Marshmallow experiment fails to take into account the findings of previous experiments that the author of the original experiment conducted. Mainly, that a child's belief about whether or not the stated outcome would happen influenced how long they would wait before acting 'impulsively'.

http://www.rochester.edu/news/show.php?id=4622

Re: OxyContin's 12-hour problem

#353

Earlier quoted context omitted.

And I'm going to group you in with the militant sheep that follow orders without questioning them. IGNORANCE IS STRENGTH!

Ironic coming from someone who follows the anti-vax herd despite a raft of evidence to the contrary.

lol I just said my kids and I are fully vaccinated. Militant sheep is a good name for you. Anyone who dares to say anything about a single vaccination is a part of the anti-vax herd. You should be proud of yourself, Merck would love you.

Re: OxyContin's 12-hour problem

#354

Sensible doctors do not believe drug company marketing. I get large amounts of ad-junk from drug companies that ends up unread in the bin. I refuse to meet with drug company representatives. I smile politely at them if I bump into them in the corridor and suggest that they leave their ad-junk with my secretary. My staff then file their ad-junk in the trash bin. On Friday, I had a drug company representative attempt t…

My mother works for a doctor, she's gotten some drug company swag and passed it on. I have (had?) a pen somewhere with a floating viagra pill, and a notebook in the form of a Cialis box.

Hardcover, I assume

Re: OxyContin's 12-hour problem

#355

Sensible doctors do not believe drug company marketing. I get large amounts of ad-junk from drug companies that ends up unread in the bin. I refuse to meet with drug company representatives. I smile politely at them if I bump into them in the corridor and suggest that they leave their ad-junk with my secretary. My staff then file their ad-junk in the trash bin. On Friday, I had a drug company representative attempt t…

The problem is that there's absolutely no incentive for doctors to act ethically. You don't win any points for ignoring drug company marketing. Vendor marketing exists in all fields, technology included. The difference is that when I'm spending money on a vendor as a tech manager it's coming out of my budget. I have an incentive to make sure that the spending is intelligent and the solution is effective. Where is the…

That comparison doesn't work.

As a tech manager, you're not using your personal funds, either, you're using your employer's money.

Further, if a doctor's prescription doesn't work, or is too expensive, the patients can get a second opinion, and the doctor can lose the person as a patient. An employer may not even have that option with a tech manager.

Re: OxyContin's 12-hour problem

#356

Earlier quoted context omitted.

The problem is that there's absolutely no incentive for doctors to act ethically. You don't win any points for ignoring drug company marketing. Vendor marketing exists in all fields, technology included. The difference is that when I'm spending money on a vendor as a tech manager it's coming out of my budget. I have an incentive to make sure that the spending is intelligent and the solution is effective. Where is the…

That comparison doesn't work. As a tech manager, you're not using your personal funds, either, you're using your employer's money. Further, if a doctor's prescription doesn't work, or is too expensive, the patients can get a second opinion, and the doctor can lose the person as a patient. An employer may not even have that option with a tech manager.

> As a tech manager, you're not using your personal funds, either, you're using your employer's money.

Right, but I am spending the money of my company. They control my salary and advancement, and I also have a fixed pool to draw from.

Doctors are spending money for insurance companies.

Re: OxyContin's 12-hour problem

#357

Earlier quoted context omitted.

Sure, it's an opioid. That's not the point. The point is that it's made from an inexpensive generic opioid feedstock: oxycodone. The supposed value-add isn't the painkiller, it's the timed-release agent. Unless these reporters are simply lying, there's evidence of great variability in the effectiveness of that timed-release agent. But the company's market position depends on the 12-hour dose. If the drug's needed eve…

Isn't NA mandated by courts? Even for pot sometimes? A growing group could easily just mean a change in law enforcement or sentencing.

Not around here.

Re: OxyContin's 12-hour problem

#358

Sensible doctors do not believe drug company marketing. I get large amounts of ad-junk from drug companies that ends up unread in the bin. I refuse to meet with drug company representatives. I smile politely at them if I bump into them in the corridor and suggest that they leave their ad-junk with my secretary. My staff then file their ad-junk in the trash bin. On Friday, I had a drug company representative attempt t…

Want to see if you doctor has been taking money from pharma for meals/consulting/speaking/etc? Look them up in ProPublica's Dollars for Docs: https://projects.propublica.org/docdollars/

Re: OxyContin's 12-hour problem

#359
> The company invited doctors to dinner seminars and flew them to weekend junkets at resort hotels, where they were encouraged to prescribe OxyContin and promote it to colleagues back home.

This is just plain wrong. Pharmaceutical companies shouldn't be permitted to use this kind of 'bribery'.

Is this just a US thing? I may be wrong, but I'm pretty sure this kind of behaviour is not permitted across Europe.

Re: OxyContin's 12-hour problem

#360
OxyContin isn't the only drug that makes exaggerated claims of longevity.

DHC Continus (extended relase dihydrocodeine) claims to last 12 hours, but for me at least only lasts 7-8 hours.

I've also been on extended release Tramadol in the past, which only lasted around 6 hours.

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