My advice is to get a confirmed answer as to why the position is vacant and where Silenor can be written in the territory you are being interviewed for! ** (Don't settle with the answer that the rep before was not working....Somaxon hired PSS field reps MONTHS before the account management team! Lots of territories were misinformed day 1 that it was covered 3rd tier with no PA on commercial plans.......especially in the south and midwest! Many of us conveyd an incorrect message from day 1, therefore, lost doctor credibility. Ask who your MC account manager is! Contact him/her before accepting anything and find out if you will be spinning your wheels instead of selling a drug not covered. There is a 10mg generic that is $3 compared to the 3 and 6mg you will be promoting for a cash price of $290. I would not wish the challanges I face everyday on my worst enemy......with ALLL sincerity, get answers!!!!!!
This post is right on the money! Silenor is not 290 where I work but it might as well be. This was set up for 95 percent of the reps to fail!
My,you sound so professional!Give me your address,and I will be very happy to come and kick your ass! It's always the big talkers like you that I like to stomp into the ground! You are so foul that I would take great joy in hearing how well you talk with no teeth in your mouth! So,put up time,what's your address big talker??Go crawl back under the rock that you came from,blowhard!!
Wow you both should settle down. I'll make this clear for those of you who apparently know nothing about the sleep market. Silenor works through antihistaminergic pathways so it doesn't have the same sedative effects as GABA agonists (ambien/CR, Lunesta, halcion, etc) and has such extremely limited abuse potential that it is non-scheduled. The drawback is that at the doses that were approved it is barely effective for its indication and as you increase the dose to gain better efficacy, side effects that even the GABA agonists don't have start to appear. Thus if you are a physician you have to decide if you want your patient to pay for a dose that might not work in return for a reduction of side effects that doxepin (Silenor generic molecule) has at even 10mg. All the data available suggests that the efficacy for doxepin in promoting sleep and sleep maintenance is weak at best at the doses that Silenor is sold at. Additionally, Silenor does have an elderly indication but it still causes sedative effects that could cause injury in patients so I wouldn't champion it on that fact.
The point is that most patients could do just fine through the middle of the night on a generic ambien or trazodone when dosed low enough without too much of a safety issue. Those that don't respond can try the 1mg or 2mg dose of Lunesta or a whole host of older meds that provide some sedation at low doses. Problems occur when physicians don't keep patients in check on their dose or develop tolerance to a low dose. Silenor offers a potential benefit for only a small niche of patients who have had dependance or tolerance issues and should never be a "first line" start for any patient given its cost issues.
Get back to the fact that Silenor is an ultra-niche product that few physicians will even consider and really offers little benefit to patients. Have your drama queen battles here on cafepharma all you want to while those of us who practice medicine actually try to look out for our patients from all vantage points.
That is class labeling pussy lips!! A lot of people dont sleep 8hrs on Ambien so know what you are talking about before you take that dick out of your mouth. That is why when Lunesta came out it took 25% of ambien market share. We actually took almost 40% before Ambien went generic and if Lunesta did not taste like metal we would have taken 80%. I hope you take an ambien and sleep walk over to my house so I can blow your f.....k...g head off!!!
This post is right on the money! Silenor is not 290 where I work but it might as well be. This was set up for 95 percent of the reps to fail!
Fuck you, i am not afraid of you. I kick your ass any day mother fucker
Wow,it took you that long to muster up the gonads to respond!I guess you had to think about it for a while to make sure I couldn't track you down and prove that you are all talk and no action.Any time you want to stop talking and show that you are man enough,let me know BIG TALKER! You are a joke!!
you will never track me down!!!! I am not a big talker. You are the big talker. I am not afraid of you!!! Go find me!!
Oh yeah!!!!! Look for me at the next meeting I am 6 ft tall and I am in the north east. Now lets see how tough you are !!! I will wear a shirt with lines in it
Let's just cut to the chase here.Just give me your initials,and I will promose to find you and introduce myself properly!
Ask your wife who I am...she'll never forget me and my large hardness.
You people are unbelievably stupid.
Backing off huh? Just what I thought ,you are just a blowhard!!!Why can't you just "man-up" now since you opened your big mouth.Oh yeh,that's right you're just a little wimp!Thanks for proving it!!!!!Go back under the rock you came from.
You have a lot of nerve calling me a wimp!!! I am not afraid of you , bozo!!
FUCK YOU ASSHOLE, WHO ASKED FOR YOUR OPINION??????GO BACK UNDER THE ROCK YOU CAME FROM MOTHER FUCKER
