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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 103 to 127 of 135. Go back in thread:
Posted by laima on January 7, 2007, at 18:43:44
In reply to Re: zyprexa pens, posted by med_empowered on January 7, 2007, at 18:11:53
Not sure about the vacations- I too remember reading that the practice would be stopped, but don't know if that's in effect yet or not. Doctors also get to discuss the meds over lunch with the company, social outings with the company to golf courses--all kinds of stuff. "Business lunch". I wonder where they will draw the line? Didn't the govt or some officials somewhere come up with a proposed monetary cap for the perks just recently? 25$ sounds familiar- I can't remember for sure. Did this pass during the Bush era, or did I dream it up?
But the marketers are sly- I went to a gastroenterologist after lamictal messed with my rather sensitive stomache, and she had a prevacid prescription pad. All she had to do was write my name on it and sign it (with a Prevacid pen). So easy! There was a poster from Prevacid showing the throat and stomache and their ailments on the wall. She sent me out the door with a couple Prevacid goody-bags, and I never filled the prescription. Besides the Prevacid pills, there were Prevacid lozenges in it, along with an advert letting me know I had a choice of flavours: orange or strawberry. My stomache is fine now. But ah- what about Protonix, Nexium, the rest? I always wondered if she ever got a patient who was not a good candidate for Prevacid.
> can docs still get vacations for rx-ing enough of something? I was hoping that practice had stopped.
>
> Samples are pretty crazy...docs have samples for **everything**. I remember once I said no to some Symbyax samples; my doc gave me a puzzled look and walked off for a second, and then came back with a bag full of Tofranil-PM samples. Tofranil-PM?!?
>
> Another time, my shrink wanted me to try depakote ER--so she gave me a stock bottle, just like they'd have in the back of the pharmacy.
Posted by notfred on January 7, 2007, at 19:04:10
In reply to Re: zyprexa pens, posted by laima on January 7, 2007, at 17:52:51
"We're talking about people injesting powerful substances which affect their health- and in the case of pharmaceuticals, putting a lot of trust into their doctors to choose precisely and unbiasedly what would be most appropriate- not what's hottest or has the best rewards for the doctor him or herself."
Kinda hard, too, when the majority of drug research is funded via big pharma. OTH my HMO makes sure I can't take almost anything new, so I find this argument pointless. If a doc wrote more scripts just to get a perk, then the problem is with the doc.I think the real issue is research. How can it become unbiased ? Arguing about perks seems like one is missing the big issue and concentrating
on after effects. All these issues mentioned here come way after the drug is researched and developed. In a biased manner.
Posted by Phillipa on January 7, 2007, at 19:20:09
In reply to Re: zyprexa pens, posted by laima on January 7, 2007, at 18:30:09
Let's see I have two boxes of 6mg EMSAM packets, lexapro samples, a bag of boxes of seroquel, multiple sinus meds although I have no sinus problems,zoloft, lamictal 2 starter packs and many more. Now if I ever need a med I have most of them free. Just at the endos office and there is one day a week that all the drug reps are there to see the docs. I was talking to a couple and they were willing at that moment to give me samples on their own of osteoporosis meds as I said I had it. Love Phillipa
Posted by Phillipa on January 7, 2007, at 19:24:28
In reply to Re: zyprexa pens, posted by notfred on January 7, 2007, at 19:04:10
Let me add that my pdoc also offered me any med I wanted as the expiration dates of the samples were about up and then they have to throw them away or however they dispose of them. And if they had to give them back to the rep wouldn't look like they were doing their job. Love Phillipa
Posted by Phillipa on January 7, 2007, at 19:25:40
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas, posted by notfred on January 7, 2007, at 17:27:38
Oh I forgot the coupons for lunesta samples of it and coupons for trileptal. Love Phillipa
Posted by notfred on January 7, 2007, at 19:31:49
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas, posted by Phillipa on January 7, 2007, at 19:25:40
"Oh I forgot the coupons for lunesta samples of it and coupons for trileptal. Love Phillipa"
It seems a good thing that you can get free samples.
Posted by Phillipa on January 7, 2007, at 20:39:16
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas, posted by notfred on January 7, 2007, at 19:31:49
If they worked meanwhile I sit with a box of many meds what I were to feel sucidal or couldn't take it anymore no one would even know I had taken meds. See what I mean? If they don't work the doc should want them back to get rid of the extra samples. I did also get synthroid well that was a good thing. Love Phillipa
Posted by notfred on January 7, 2007, at 20:43:10
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas » notfred, posted by Phillipa on January 7, 2007, at 20:39:16
> If they worked meanwhile I sit with a box of many meds what I were to feel sucidal or couldn't take it anymore no one would even know I had taken meds. See what I mean?
No I do not. What keeps you from throwing them away ? So you are going to blame any sucide attempts on samples ? How about household cleaners ?
Posted by Phillipa on January 7, 2007, at 20:50:27
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas, posted by notfred on January 7, 2007, at 20:43:10
Oh Notfred it was just an example. And I hate cleaning so no worries there and I've never tried to committ suicide too big a chicken Love Phillipa ps plus I want to get better
Posted by laima on January 7, 2007, at 22:35:47
In reply to Re: zyprexa pens, posted by notfred on January 7, 2007, at 19:04:10
Yes- a whole mess of problems with pharmaceuticals: their development and distribution.> Kinda hard, too, when the majority of drug research is funded via big pharma. OTH my HMO makes sure I can't take almost anything new, so I find this argument pointless. If a doc wrote more scripts just to get a perk, then the problem is with the doc.
>
> I think the real issue is research. How can it become unbiased ? Arguing about perks seems like one is missing the big issue and concentrating
> on after effects. All these issues mentioned here come way after the drug is researched and developed. In a biased manner.
Posted by laima on January 7, 2007, at 22:38:23
In reply to Re: zyprexa pens, posted by Phillipa on January 7, 2007, at 19:24:28
>And if they had to give them back to the rep wouldn't look like they were doing their job.
That's amazing! Is that what they told you? So your doctor essentially admitted to being obligated to hand out a certain number of samples??
Posted by laima on January 7, 2007, at 22:42:49
In reply to Re: Big Pharma Bribes/Freebies/Propoganda/Brainwas » notfred, posted by Phillipa on January 7, 2007, at 20:39:16
So, you're not saying your doctor gave you a smorgasbord of psychiatric medications to go experiment around with, are you? My doctor only gives me samples if he finds drug in question in his office stash AFTER he decides it in particular may be helpful.
He'll give me extras, too, if it's an expensive drug that I've been prescribed.> If they worked meanwhile I sit with a box of many meds what I were to feel sucidal or couldn't take it anymore no one would even know I had taken meds. See what I mean? If they don't work the doc should want them back to get rid of the extra samples. I did also get synthroid well that was a good thing. Love Phillipa
Posted by yxibow on January 8, 2007, at 3:17:58
In reply to Re: Patient paid to accept neuroleptic depot injec » yxibow, posted by ed_uk on January 7, 2007, at 8:00:19
> Hi Jay
>
> Niacin frequently causes flushing. Niacinamide (nicotinamide) is the variety of vitamin B3 which doesn't cause flushing.
>
> Regards
>
> EdI know the variations. I believe this was inositol hexaniacinate or the like, which is the same as you say. Didn't work. Could have been unknown CYP interactions judging from the number of medications I take, but isn't worth the uncomfortability during gymwork and another trial at the moment.
Posted by laima on January 8, 2007, at 10:48:18
In reply to Re: Patient paid to accept neuroleptic depot injec » ed_uk, posted by yxibow on January 8, 2007, at 3:17:58
Curiosity- has anyone ever seen a sample of a generic drug, a benzo, or a schedule 2 drug? Samples must cost drug companies a small fortune, I am sure they wouldn't do it if they didn't make up with increased sales. I am entertaining a speculation that there aren't samples of benzos or schedule 2 because they can "sell themselves", but can't figure out why there are no generic samples. Surely the generic manufactures would like to increase their own sales, too? Would be awfully handy to be able to compare side by side a generic with a brand name version of a drug.Is the US the only country with drug samples?
Posted by linkadge on January 8, 2007, at 11:07:25
In reply to Re: Patient paid to accept neuroleptic depot injec » ed_uk, posted by yxibow on January 8, 2007, at 3:17:58
I remember one study showed that combining vitamin C with low dose neuroleptics led to a better outcome than high dose neurloleptics alone.
Certain drug abusers know that if they have a bad trip that vitamin c can act as an antipsychotic like antidote.
Linkadge
Posted by Quintal on January 8, 2007, at 11:11:08
In reply to Re: Patient paid to accept neuroleptic depot injec, posted by linkadge on January 8, 2007, at 11:07:25
>Certain drug abusers know that if they have a bad trip that vitamin c can act as an antipsychotic like antidote
Niacin is alledgedly even more powerful. I never found out why though.
Q
Posted by notfred on January 8, 2007, at 11:16:27
In reply to Re: samples, posted by laima on January 8, 2007, at 10:48:18
>
> Curiosity- has anyone ever seen a sample of a generic drug, a benzo, or a schedule 2 drug?Generics, no
benzos are schedule IV (http://www.dea.gov/pubs/scheduling.html)
I have received Schedule III, IV and V brand samplesschedule II would be most stims, when I took those
I was seeing a doc who never gave samples. I do know that docs can get samples for brand amphetamines and Ritalin.
Posted by Phillipa on January 8, 2007, at 17:53:54
In reply to Re: samples, posted by laima on January 8, 2007, at 10:48:18
Well she did give me lunesta samples and had ambien too. And they are controlled? And yes she did rummage through her box. So I have coupons for trileptal I may never need as I haven't seen that trileptal helps anxiety has anyone else? love Phillipa
Posted by laima on January 8, 2007, at 17:57:54
In reply to Re: samples, posted by notfred on January 8, 2007, at 11:16:27
Wow- that just kills me. I feel like a near criminal every month at the pharmacy, handing over my driver's liscence to get my prescription which is full of all kinds of restrictions- and they get to hand out samples! Some controlled substances. Maybe they do an inventory of their samples.
> I was seeing a doc who never gave samples. I do know that docs can get samples for brand amphetamines and Ritalin.
Posted by notfred on January 8, 2007, at 18:04:30
In reply to Re: samples » notfred, posted by laima on January 8, 2007, at 17:57:54
" and they get to hand out samples! Some controlled substances. Maybe they do an inventory of their samples. "
Present doc had me sign for lunestra samples.
Posted by laima on January 8, 2007, at 18:10:16
In reply to Re: samples » laima, posted by Phillipa on January 8, 2007, at 17:53:54
No, don't they are considered controlled.> Well she did give me lunesta samples and had ambien too. And they are controlled? And yes she did rummage through her box. So I have coupons for trileptal I may never need as I haven't seen that trileptal helps anxiety has anyone else? love Phillipa
Posted by laima on January 8, 2007, at 18:11:16
In reply to Re: samples, posted by notfred on January 8, 2007, at 18:04:30
Oh! No kidding. Makes sense, I've wondered about how many samples walk away from the office and all.
> " and they get to hand out samples! Some controlled substances. Maybe they do an inventory of their samples. "
>
>
> Present doc had me sign for lunestra samples.
Posted by notfred on January 8, 2007, at 18:16:45
In reply to Re: samples » Phillipa, posted by laima on January 8, 2007, at 18:10:16
>
> No, don't they are considered controlled.
>
> > Well she did give me lunesta samples and had ambien too.
Yes they both are, schedule IV.
Posted by laima on January 8, 2007, at 18:29:56
In reply to Re: samples, posted by notfred on January 8, 2007, at 18:16:45
Oh- I guess I always picture schedule 2, like stimulants with their complicated scripts, when I think "controlled". I never think about the rest. So if they are controlled, how come some doctors hand out samples of sleep meds like party favors? Maybe it varies by state?> >
> > No, don't they are considered controlled.
> >
> > > Well she did give me lunesta samples and had ambien too.
>
>
> Yes they both are, schedule IV.
Posted by Phillipa on January 8, 2007, at 19:21:04
In reply to Re: samples, posted by laima on January 8, 2007, at 18:29:56
Nope didn't sign for them the lunesta. Love Phillipa ps they are controlled here in NC as my pharmacist told me so.
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