Posted by pharmrep on October 11, 2002, at 20:03:20
In reply to Re: im not sure? Alan » pharmrep, posted by Alan on October 11, 2002, at 12:08:03
> >********** im not sure what you want from me....i am not a master authority of the pharmaceutical industry, nor do i control what classes of drugs get preference. i do have some insight on the ad market...particularly ssri's (the current 1st line therapy used) and i often post about celexa and lexapro since i work for forest. i will cite my sources when i can, and sometimes speak in generalities if referring to information i've gained from my doctors and their patients. i like to share this info, and gain info from here too...but that is all i do here....
>
> ==============================================
> I am not asking you to comment on the entire phar. industry - only about your AD's and anxiety disorders.
>
> To a great extent you represent a lobby (as a pharmecutical rep from Forest Labs) for what drugs DO get preference by meeting with them in the form of "face time" as do your colleagues.
>
>
> Why then is all of the long-known evidence that the most effective and safe anxiolytic known to medicine - the bzd with efficacy rates in the 80 or more percentile - brushed aside by the promoting of new AD's in their place when the AD company's own stats show little improvement over placebo (30 - 50%) specifically in the treatment of anxiety disorders?
>
> It seems that someone with your knowledge of psychotropics in the treatment of anxiety disorders would be able to comment on such comparisons in your capacity as a drugrep - whose function it is to show why lexapro or celexa is adventageous over other anxiety treatments when using your "face time" with the doctors that you relate with.
>
> For that matter using "face time" in a consumer forum such as this is also a chance to use those same "comparators" to anwer the same questions that i ask viv-a-vis AD's vs. Bzd efficay rates but in an "everyman's parlance" kind of way if you wish.
>
> Alan** well alan...i got you some face time today...i got the chance to ask 4 doctors how they felt about benz, and why benz. are not used as much as ssri's....i got similar and varied answers, but here are the commonalities.
---feelings on why benz. are not used as much__
1) habit forming
2) short acting
2) the anxiety may be treated, but it may leave the depression even worse...there are some (not all) ssri's that can treat both depression and anxiety.PS If an SSRI like Celexa or Lexapro can reduce a persons score on...lets say the madres scale from 26 (major depression)...by 50% to 13..(mild depression), and also the inner tension items (anxiety subscale), I wouldnt call that "little improvement".
poster:pharmrep
thread:109458
URL: http://www.dr-bob.org/babble/20021006/msgs/123289.html