Worst/Useless Meds

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Anonymous said:
I dont know anyone who was a doctor, pharmacist, engineer or drug rep in college either. We assumed our career FOLLOWING College which FOLLOWS High School, would you like a diagram?
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Could you include this in the diagram:

WOW. As a rep who is currently pursuing a pharmD, I have to pipe in. Here's the foodchain kid (not ranked by income but by general perception in the medical community)

Physician (MD, DO)
Physician Assistant or NP
Pharmacist
Nurse/EMT
Chiropractor/Physical therapist
MA
Technicians
Billing
Receptionist that shoves your catered lunch down her pie-hole
.
.Grocery Bagger
.
.Insurance Sales
.
.
.
.Used Car Dealer
.
.
.
.
.
.
.
.
.
Pharma rep

Don't forget the Scientists/Engineers who develop and manufacture the drugs, we outrank all of you put together

From this you made the wizard-like statement:
"this whole conversation has revolved around the high school hierarchy of popularity".

Really? Maybe YOU would benefit from a diagram.
 






Anonymous said:
Wow, you are so right and so cool. I am so jealous. I am so dumb, and such a nerd. If only I was just like you my life would be complete.

Please, make the world a better place, aerate your skull with some hollowpoints.
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I agree with the R&D guy because I am am Researcher in devices. You know what? All you reps are a bunch of total morons. I mean you are all so stupid I can't believe anyone would ever have lunch with you idiots. What is most bothersome to me is the blank, empty looks I see on all your faces when I explain even the most mundane detail about a new product at sales meetings. Read a book or something, or just kill yourselves so the average world IQ will increase.
 






Anonymous said:
I'm a DM at a bio-pharma company. I have a salary of 173k not including bonus (projected at 35-45k more this year.), I had my masters paid for by my company, have a company car, 401K (matched to 6%), a house bigger than the shithole you count pills in, own six townhouses (which I rent to clowns like you.) and will retire, in less than ten years. I'm fourty and will be sitting on my boat laughing at your sorry ass as Walmart puts your company out of business and you end up working for them six days a week and collecting shopping carts in the parking lot on your breaks. Now go back and count pills like a good little monkey and go fuck yourself while you're at it. I'm headed out for drinks tonight with the director of a local hospital and my MSL.


Suck it bitch!!!!!
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Interpreted into English to mean:

You are a 37 year old virgin jacking off to internet porn in your mommy's basement. You earn minimum wage delivering pizzas in a 1977 Chrysler Cordoba and the only drugs you know about are the ones you deal for extra cash out of the back of your car. You are nine months behind in your rent to your mom and stealing your neighbor's WIFI signal because your credit sucks and you can't get high speed for yourself and your mom won't pay the bill for DSL or cable. The closest thing to college you have is the sorority girl you have stalked for the last two years and now has a restraining order on you. The only houses you have ever owned are from a Monopoly set and your frieds are all drugged-out, alcoholic losers like you.
 






Micardis. Me-too ARB with no formulary coverage, no writers in my territory and no interest from anybody.

Another useless BI me-too product that should have stayed in Europe.
 






Anonymous said:
Micardis. Me-too ARB with no formulary coverage, no writers in my territory and no interest from anybody.

Another useless BI me-too product that should have stayed in Europe.
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One patient study: ME. Normal BP over past 4-5 years has been about 140/90.
Recent visit to doc and I was at 155/97. Micardis 80/12.5 and two weeks later was at 110/70. NO, I do not work for BI, nor do I sell a competitive ARB; BUT, I swear by Micardis now. Worst side effect has been orthostatic hypotension and only happens rarely now that I have been taking it for a while. MY only complaint is that the unit dose style packaging needs some improvement--have to cut some of the tablets out.
 


















Anonymous said:
I have been a hospital clinical pharmacist for 17 years, and the drug classes that we have on therapeutic interchange have included PPIs since the day Prevacid went on the market. When a third one came on, we substituted for that because a PPI is a PPI is a PPI to a physician, pharmacist or nurse. Same thing with ARBs, thiazide diuretics and many, many other drug classes with only certain exceptions.
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We all are aware of the pharmacist kool-aid about them all being the same. I have sold Protonix in the past. In general, if you take one every morning, you'll be OK. IF you have some heartburn action already starting - NOTHING works as fast or as well as Prevacid. I used to stock shelves with Protonix and while doind so, Prevacis would magically end up in my bag. I've taken them all, Prevacid is best and Protonix is 2nd best IMHO.
 






I second the Rozerem! It works on such a small population. Beg the docs to try it and hope they find one in ten that it work on.

Plus the company has DM's that don't have a clue - young and only live for their jobs. The goals are crazy and they are desparate to find a market!
 






Anonymous said:
We all are aware of the pharmacist kool-aid about them all being the same. I have sold Protonix in the past. In general, if you take one every morning, you'll be OK. IF you have some heartburn action already starting - NOTHING works as fast or as well as Prevacid. I used to stock shelves with Protonix and while doind so, Prevacis would magically end up in my bag. I've taken them all, Prevacid is best and Protonix is 2nd best IMHO.
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Your opinion is worthless. The oldest rule in clinical research is simple--the plural of "anecdote" is not "evidence". That isn't pharmacist kool-aid, it's pharmacological principles at their finest.

Hospitals have been doing therapeutic interchange for over fifty years and pharma companies have been bitching about it for the same time.

Tough crap. Until you can produce superiority studies and get them approved for the labeling through FDA, go back to delivering samples and lunch.
 


















Anonymous said:
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Hi everybody. I am a Pharmacist. Do you know what that means?

It means I wasted 6 years of my life in a Pharmacy program so that I can count pills. Sometimes I count by 5s, sometimes I count by 6s just so I can use my superior brain.

I am also very important, my mom told me so. I get to tell those "stupid" doctors that they are making a mistake in my opinion when they write the wrong drug. I hate when they remind me I am just a pill counter and tell me to shut the f up. Oh well I can always be mean to the reps when they come in. I wonder if we have a lunch today.
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hey you you fucking moron--you couldn't sell shit all if you tried you ugly fuck- more farm boy than pharmacist you turkey fucking piss
 






Anonymous said:
I'm a DM at a bio-pharma company. I have a salary of 173k not including bonus (projected at 35-45k more this year.), I had my masters paid for by my company, have a company car, 401K (matched to 6%), a house bigger than the shithole you count pills in, own six townhouses (which I rent to clowns like you.) and will retire, in less than ten years. I'm fourty and will be sitting on my boat laughing at your sorry ass as Walmart puts your company out of business and you end up working for them six days a week and collecting shopping carts in the parking lot on your breaks. Now go back and count pills like a good little monkey and go fuck yourself while you're at it. I'm headed out for drinks tonight with the director of a local hospital and my MSL.


Suck it bitch!!!!!
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this DM licks anus.
 


















I'm new to this site and thread... this is a little off topic, but related to the less-useful-drugs subject.
Why do doctors prescribe branded products, like Nexium, when there are generic drugs available that are very close if not identical in efficacy ? The difference in cost to the medical system is huge.

An example is the widespread prescribing of Lexapro. The cost to the medical insurer, and by derivation, ultimately, the patient, has to be a hundred times the cost of Prozac, Paxil, or Zoloft, which are therapeutically equivalent, at least in studies of groups of patients, and at generally equivalent risk / side effect / drug interaction levels. And that's not even mentioning the alternative of Celexa, which has got to be Pepsi to Lexapro's Coca-cola.

A lot of docs factor in the cost to the medical insurer / health system overall -- when issuing prescriptions. What's different in the docs who are frequent prescribers of Nexium, or Lexapro?
 






At least all those meds have proof that they work, studies, etc...and in general have some credibility. Try selling OTC cough and cold, talk about snake oil! I sell Mucinex and I am so bored...........40 year old drug (guaifenesin) with no data to show
 






Anonymous said:
I'm new to this site and thread... this is a little off topic, but related to the less-useful-drugs subject.
Why do doctors prescribe branded products, like Nexium, when there are generic drugs available that are very close if not identical in efficacy ? The difference in cost to the medical system is huge.

An example is the widespread prescribing of Lexapro. The cost to the medical insurer, and by derivation, ultimately, the patient, has to be a hundred times the cost of Prozac, Paxil, or Zoloft, which are therapeutically equivalent, at least in studies of groups of patients, and at generally equivalent risk / side effect / drug interaction levels. And that's not even mentioning the alternative of Celexa, which has got to be Pepsi to Lexapro's Coca-cola.

A lot of docs factor in the cost to the medical insurer / health system overall -- when issuing prescriptions. What's different in the docs who are frequent prescribers of Nexium, or Lexapro?
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Most of those older medications have nasty side-effect profiles which limit their clinical utility in a number of patient groups. The older tricyclic and MAOI antidepressants are highly effective, but they also carry serious adverse event profiles that make them less than ideal candidates for use in all patient groups. The older antihypertensives were also very effective, but you either had to take them multiple times per day (which patients won't do), carry signficant drug:drug or drug:food interactions (which patients don't like) or cause other problems (which physicians don't like).

All drugs carry some inherent risks, and it is up to the physician and patient to make those informed choices. Most patients don't want to take medications three or more times per day, nor do they want to deal with limitations on their diet, other drugs they have to take or show up for blood tests regularly.

Would you rather pay more for newer, branded medications or put those dollars towards inpatient care? It's a balancing act and the pharma industry is not a charity.
 












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