I know there are life saving drugs out there, but I don't intend to take anything unless there's no other choice.
Since direct-to-consumer drug advertising debuted in the late 1990s, the number of people on prescription drugs for life has ballooned.
April 26, 2012 |
Photo Credit: Shutterstock/Adam Michal Ziaja
Why has Big Pharma failed to produce new antibiotics for deadly infections like MRSA (methicillin-resistant Staphylococcus aureus), VRE (vancomycin-resistant enterococci), C. Difficile and Acinetobacter baumannii even as they leap from hospital to community settings? Because there is no money in it.
Pharma executives "have shown less interest in medicines like antibiotics that actually cure disease than in those that only treat symptoms," writes Melody Petersen, author of Our Daily Meds. "Most blockbusters are pills for conditions such as anxiety, high cholesterol or constipation that must be taken daily, often for months or years. They are designed for rich Americans who can afford to buy them." Nor are medicines for tropical diseases like malaria, which kills a child every 30 seconds, a priority, notes Petersen. They also lack ka-ching.
Since direct-to-consumer drug advertising debuted in the late 1990s, the number of people on prescription drugs -- especially prescription drugs for life -- has ballooned. Between 2001 to 2007 the percentage of adults and children on one or more prescriptions for chronic conditions rose by more than 12 million, reports the Associated Press and 25 percent of US children now take a medication for a chronic condition. Seven percent of kids take two or more daily drugs. Who says advertising doesn't work?
Of the top-selling drugs in 2011, led by Lipitor, Nexium, Plavix, Advair Diskus, Abilify, Seroquel, Singulair and Crestor, none is taken occasionally, or "as needed" and the treatment goal is never to get off the drug, like an antibiotic. Why would Pharma deal itself out of the game?
There are two ways Pharma hooks the US public on prescriptions for life. First, prescriptions that used to be taken as needed for pain, anxiety, GERD (gastroesophageal reflux), asthma, mood problems, migraines and even erectile dysfunction, gout and retroviruses (in some cases) are now full-time medicines. Instead of having a bad day or heartburn, you have a disease like anxiety or GERD which calls for full pharmaceutical artillery. Instead of having body pain to be treated transiently, you are put on an antidepressant like Cymbalta or seizure drug like Lyrica or Neurontin indefinitely.
Secondly, many of the top-selling drugs today are to prevent chronic conditions like high cholesterol, high blood pressure and osteoporosis that people are said to be "at risk" for. Needless to say, in both cases, people never know if the drugs are working or whether they would have had symptoms without them. This creates a loyal customer who is afraid to quit a prescription because it might be working. And why should they quit anyway when a third party is probably paying?
Here are some drugs -- not all -- that are marketed for perpetuity.
Alternet for the rest.
Yes, there is colossal money in the designer illness market. Modern living conditions can be quite intense, and people's health easily screwed up. While medicine makes great strides in understanding the workings of the human machine, it is far from comprehensive knowledge.
Pills of the Gap?
I know the pharmaceutical industry is huge and always into new developments, but now that it has been mentioned here, I realize that all these pills for many many symptoms are lifelong taking pills; the pharrmacy industry and representants first sell them to the doctors who in turn hook the people for life on them. I am on quite a few. This is staggering.
Personally, I think direct to consumer advertisement of prescription drugs is an aberration. It is not allowed in many european countries. What happens is that here in the US people go to the physician and demand to be put on a pill because they saw a beautifully appealing commercial (I want someone to explain to me why you would put a man and a woman in two separate bathtubs, for an erectile dysfunction pill??). The physician almost always obliges because they can't risk the odd chance that something happens and the patient sues for not being put on the drug, the system is highly litigious. So people end up taking drugs for no reason.