interview to sell Silenor

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Anonymous said:
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.
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Oh its the voice of reason!!! Shut the fuck up you moron. We don t need your stupid explanation, we know this. My advice to you is to get back under the fucking rock your came from!!!!!!!!

Get the fuck out!!!!!!!!!!!!!!!!!1
 






Anonymous said:
Oh its the voice of reason!!! Shut the fuck up you moron. We don t need your stupid explanation, we know this. My advice to you is to get back under the fucking rock your came from!!!!!!!!

Get the fuck out!!!!!!!!!!!!!!!!!1
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Really a shame when someone speaks the truth and you get this type of reaction from some crazy person! I would like to thank the"voice of reason" for taking the time to properly inform us of what Silenor is all about.As for "crazy person"go back under the rock that YOU'VE BEEN UNDER!!
 






Anonymous said:
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.
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I hope you are not a rep for our company. If you are , I know where to look in the rankings, LAST!!!!!! A "small niche of patients""" is that the way you sell???????????? you are a fucking moron and a SHIT REP. You have already lost even before you showed up on the field. go sell for Lunesta in my territory so I can crush you. Loser

And yet we have people calling the critizem of this post' Crazy" no the crazy people are the reps who agree with this traitor. Get fired quickly loser
 






Anonymous said:
I hope you are not a rep for our company. If you are , I know where to look in the rankings, LAST!!!!!! A "small niche of patients""" is that the way you sell???????????? you are a fucking moron and a SHIT REP. You have already lost even before you showed up on the field. go sell for Lunesta in my territory so I can crush you. Loser

And yet we have people calling the critizem of this post' Crazy" no the crazy people are the reps who agree with this traitor. Get fired quickly loser
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No,you were the loser when you signed on to "try" to sell this loser sleep aid.Next time,do your homework.Loser!!!
 






Anonymous said:
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.
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Great post!!!!!
 


















Anonymous said:
Really a shame when someone speaks the truth and you get this type of reaction from some crazy person! I would like to thank the"voice of reason" for taking the time to properly inform us of what Silenor is all about.As for "crazy person"go back under the rock that YOU'VE BEEN UNDER!!
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To the post of the voice of reason: Fuck you asshole. Thanks for the stupid explaination
 


















Anonymous said:
REally???/ your agreeing with someone who says our drug is a niche drug to use when others fail. What a moron you are and a loser
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That's why you are a failure,because you don't know how to sell your drug.Reality check! One size does not fit all!Go sell shoes where you don't have to think how to sell.
 






Anonymous said:
To the post of the voice of reason: Fuck you asshole. Thanks for the stupid explaination
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Can't expect you to understand a post that really was insightful and intelligent,because you are neither of those.The person that posted obviously has sold in the sleep market and understands the market and you obviously don't and that is why you are a joke and a failure!
 






Anonymous said:
Can't expect you to understand a post that really was insightful and intelligent,because you are neither of those.The person that posted obviously has sold in the sleep market and understands the market and you obviously don't and that is why you are a joke and a failure!
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Person who made the stupid post is a moron and is willing to accept being a niche drug to be used when all else fails! that s why i am leading the pack an you are not!! look at the rankings and I am in the top .... so fuck you and the auther of stupid post.
 






Anonymous said:
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.
Click to expand...

I am a M and i want to clarify this for all you reps. First, i would fire any rep who had this attitude. you are not going to gain new business if you agree with this-this is why we PAY YOU, TO CHANGE THEIR OPINION!!! So that they DO NOT THINK LIKE THE AUTHOR OF THIS POST THINKS!!!!!!
I am very disapponted to see that many of our reps AGREE with the poster. Also , watch the foul language!!
 






Anonymous said:
I am a M and i want to clarify this for all you reps. First, i would fire any rep who had this attitude. you are not going to gain new business if you agree with this-this is why we PAY YOU, TO CHANGE THEIR OPINION!!! So that they DO NOT THINK LIKE THE AUTHOR OF THIS POST THINKS!!!!!!
I am very disapponted to see that many of our reps AGREE with the poster. Also , watch the foul language!!
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So credibility means nothing to you? It should mean everthing to you because that is the basis for whether a physician respects you,what you are saying,and whether you have a future in this industry.You don't think the physicians aren't smart enough to do their own research,especially on a new drug and new rep.You are a prime example of why physicians are shutting down their offices to DM's.I bet the author of this post is getting more actual scripts than the morons responding to him!
 






Anonymous said:
I am a M and i want to clarify this for all you reps. First, i would fire any rep who had this attitude. you are not going to gain new business if you agree with this-this is why we PAY YOU, TO CHANGE THEIR OPINION!!! So that they DO NOT THINK LIKE THE AUTHOR OF THIS POST THINKS!!!!!!
I am very disapponted to see that many of our reps AGREE with the poster. Also , watch the foul language!!
Click to expand...

So if you were the patient,you would want the doctor to bypass an effective low-cost generic(Ambien,etc) and Lunesta which has good MC coverage meaning lower co-pay,and go straight to a higher priced,low access,me-too of a generic,like Silenor.Anyone that would say yes to this is a fool,but Mr.DM I'm sure you would say yes to this scenario if you were the patient,right?Pompous Asshole!
 






Anonymous said:
So if you were the patient,you would want the doctor to bypass an effective low-cost generic(Ambien,etc) and Lunesta which has good MC coverage meaning lower co-pay,and go straight to a higher priced,low access,me-too of a generic,like Silenor.Anyone that would say yes to this is a fool,but Mr.DM I'm sure you would say yes to this scenario if you were the patient,right?Pompous Asshole!
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Fuck the patient. You are here to sell bozo. Go ahead, you keep working in that manner and I will earn your fucking money! loser!!!
 






Anonymous said:
I am a M and i want to clarify this for all you reps. First, i would fire any rep who had this attitude. you are not going to gain new business if you agree with this-this is why we PAY YOU, TO CHANGE THEIR OPINION!!! So that they DO NOT THINK LIKE THE AUTHOR OF THIS POST THINKS!!!!!!
I am very disapponted to see that many of our reps AGREE with the poster. Also , watch the foul language!!
Click to expand...

You are the problem with this industry. These are not benign agents and they are prescribed for PEOPLE!!!! It's not a one size fits all. And any doctor stupid enough to you believe a jerk like you is one that: I will never go to as a patient and they probably went to a second rate medical school in some third world country and are a loser just like YOU!!!!
 






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