What happens when drug substitution isn't done as part of treatment?
When drug substitution isn't done as part of a comprehensive treatment plan, it might prove to be dangerous or even fatal. While the addict might believe that the substitution will free them from addiction, this action will do nothing to change the underlying behaviors and thoughts that led to and supports their substance use disorder.
What are some things to avoid when advertising as a therapist?
DON'T stray from your realm of competence. For example, don't advertise yourself as a trauma-informed therapist if you don't have training or experience counseling survivors of trauma. DO be open about your education, publications, and so on. It is not "bragging" to explain your qualifications to potential clients. DON'T misrepresent your business.
Should drug companies be allowed to advertise directly to patients?
Most countries don't allow drug companies to advertise directly to patients. In the U.S., however, the rules were relaxed in 1997 and drug companies no longer had to include warnings about symptoms and side effects, which are required in ads to doctors.
Why can’t you advertise ‘off-label’ drugs?
The situation could also get worse for another reason: Two drug companies recently sued the FDA over their rule that they're not allowed to advertise "off-label uses," claiming that it violates their First Amendment right to free speech.
Why medicine should not be advertised?
Pharmaceutical advertising does not promote public health. It increases the cost of drugs and the number of unnecessary prescriptions, which is expensive to taxpayers, and can be harmful or deadly to patients…
Why are drug companies allowed to advertise?
The pharmaceutical companies argue that these advertisements create more educated consumers who are aware of the choices available. They help consumers become empowered to take control of their chronic conditions rather than become a victim.
How does advertising affect the drug industry?
We estimate that a 10% increase in advertising exposure increased the number of prescriptions purchased by about 5%. About 70% of this effect is driven by increased new initiation, and the other 30% is due to increased drug adherence among existing patients.
Why would advertisers market directly to consumers instead to to medical professionals?
DTC ads help patients have better discussions with their physicians and provide greater awareness of treatments. The study demonstrated that when a patient asked about a specific drug, 88 percent of the time they had the condition that the drug treated.
Why don't drug ads say what the drug is for?
Direct-to-consumer ads for prescription drugs are generally prohibited under Canada's Food and Drugs Regulation. A loophole in its interpretation allows reminder ads that name a product but not its use. For example, TV ads for the erectile dysfunction drug Viagra don't name its purpose.
Why don't drug commercials say what the drug is for?
The United States and New Zealand are the only two countries where direct-to-consumer advertising (DTCA) is completely legal. In Canada, the legality of prescription drug advertisement is more complicated. While DTCA is prohibited, alternative methods of prescription drug advertisement are legal.
Do pharmaceutical commercials actually work?
But in 1997 the FDA eased restrictions to allow pharmaceutical companies to advertise directly to consumers. With restraints lifted, spending on prescription drug ads soared to nearly $10 billion a year, and is rising. Do the ads work well for drug companies? Yes, indeed!
Could drug ads have positive side effects?
Advertising can serve a positive informational role, giving potential consumers a new awareness of medical conditions and available treatments. It can inform people with a previously undiagnosed or untreated condition and lead them to seek help.
How have pharmaceutical advertisements changed the patient doctor relationship?
Most also agreed that DTC advertising has an impact on the physician-patient relationship by influencing patients to request specific medications and altering patient expectations of physicians' prescribing practices.
Why is direct-to-consumer pharmaceutical advertising bad?
DTC ads have been shown to misinform patients by over-emphasizing treatment benefits, under-emphasizing treatment risks, and promoting drugs over healthy lifestyle choices. DTC advertising may also lead to overutilization and inappropriate prescribing.
Should pharmaceuticals be allowed to advertise directly to consumers?
Most health care professionals seem to agree that DTCPA is beneficial because it promotes dialogue with patients. In the 2004 FDA survey, 53% of physicians said DTCPA led to better discussion with patients and 73% believed that consumer drug advertising helped patients ask more thoughtful questions.
Do prescription drug advertisements undermine the doctor patient relationship?
March 30, 2020 - Direct-to-consumer drug advertisements may have an impact on patient-provider relationships, albeit a modest one, and that can help providers understand how to navigate treatment decision-making with patients, according to a study published in the Journal of the American Board for Family Medicine.
Can pharmaceutical companies advertise?
In most cases, the FDA does not ban companies from advertising any prescription drugs, even ones that have serious risks. (However, some states do bar controlled substances from being advertised.)
When did it become legal for pharmaceutical companies to advertise on TV?
On May 19, 1983, Boots aired the first broadcast television commercial in the United States for a prescription drug, the pain reliever Rufen. STAT has obtained a version of the ad and is posting part of it online for the first time.
Why are there so many drug ads?
Pharma advertising has largely two main goals. First is for undiagnosed patients. Increasing general awareness about a disease is going to make you more likely to see a doctor in the first place, which increases the chance of you getting the drug prescribed.
Is it legal to advertise prescription drugs?
Federal law does not bar drug companies from advertising any kind of prescription drugs, even ones that can cause severe injury, addiction, or withdrawal effects. However, companies cannot use reminder ads for drugs with certain serious risks (drugs with "boxed warnings").
What is generic substitution?
To understand the concepts relating to generic substitution, common terminology must first be defined. Two drug products are deemed to be pharmaceutical equivalents if they have the same active ingredient (s), strength or concentration, dosage form, and route of administration. They may differ in shape, scoring design, release mechanisms, packaging, excipients, expiration time, and to some extent, labeling. 4 Pharmaceutical alternatives are defined as drug products that have the same therapeutic moiety, but are different salts, esters, or complexes of that moiety, or are different dosage forms (eg, immediate release vs extended release) or strengths. 4
Why is the ANDA abbreviated?
The application is abbreviated partly because generic drug manufacturers are not required to conduct preclinical and clinical studies to establish safety and effectiveness.
Does the FDA dictate which drug products can be substituted for one another?
Notably, the FDA does not dictate which drug products may be substituted and/or dispensed for one another. Rather, the FDA’s rating of therapeutic equivalence is meant to provide advice to the public, practitioners, and the states concerning drug product selection.
Is generic substitution governed by state laws?
Generic substitution is governed by state laws; however, most states refer to the FDA’s therapeutic equivalence ratings to guide product selection. Although controversies have been raised concerning the substitution of certain products, in general, the therapeutic equivalence system appears to function well.
Is generic medication on the rise?
With generic prescriptions on the rise, every pharmacist needs a through understanding of therapeutic equivalence and the generic approval process. With the rising cost of health care, it is not surprising that sales of generic prescription medications have markedly increased. In fact, in 2009 the total number of generic prescriptions dispensed ...
Can a manufacturer get FDA approval for a generic product?
Once patent and exclusivity rights of a branded product expire, manufacturers may seek FDA approval for a generic product. Due to the complexity of issues related to patent and exclusivity laws, a thorough discussion is beyond the scope of this article.
Prescription drug ads are a multibillion-dollar industry that promotes treatments you may or may not need. Here's how to use that information to your advantage
Ads for prescription drugs are everywhere. You can't watch a sporting event without seeing an ad touting a treatment for erectile dysfunction, high cholesterol, high blood pressure, or joint pain.
How drug ads work
The United States and New Zealand are the only countries where drug makers are allowed to market prescription drugs directly to consumers. The U.S. consumer drug advertising boom on television began in 1997, when the FDA relaxed its guidelines relating to broadcast media.
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A good or bad thing?
The most important issue that consumers need to realize with drug ads is that they are just that—advertisements. Their primary goal is not to help the consumer, but to sell the product. "The information is designed to tell you what it is for and why you need it—but not if you need it," says Dr. Sarpatwari.
Disclaimer
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
Why do addicts sign up for drug substitution?
When an addict signs up for drug substitution, it may be easier for them to receive the treatment they require. This has the added benefit of improving their overall health over the long haul. This type of slow but gradual change may lead to additional benefits down the line.
What is drug substitution therapy?
Drug substitution - otherwise referred to as drug replacement or drug maintenance therapy - has a long history in providing patients struggling with addiction and problematic drug and alcohol use with legal access to those drug they would otherwise obtain illegally.
Why is it important to use clinically oriented pharmaceutical personnel?
The use of clinically-oriented pharmaceutical personnel to implement drug substitution among other rehabilitation interventions is crucial to the changing of drug use and abuse behavior. However, many countries frequently overlook this important option. Trained clinical pharmacists working at both short-term and long-term drug ...
What is the term for a drug that is used to protect a patient from heroin addiction?
When drug substitution is used to protect patients from their heroin addiction, it is referred to as HAT (or heroin-assisted treatment). This type of therapy works best for drug users who have been unsuccessful with methadone.
What happens when a drug rehab program fails?
In most cases, when a program fails to provide lasting recovery from drug and alcohol abuse and addiction, the doctors often resort to the last-ditch effort by reducing the harm done when the patient is addicted to opiates.
How many people in the US have substance abuse?
Currently, more than 8 million people in the US alone meet the medical and diagnostic criteria for drug and alcohol dependence and addiction. Another 6 or more million meet the criteria for substance abuse. As a result, substance use disorders are now considered to comprise a major public health concern.
Can substitute drugs be addictive?
However, even as you look for answers to drug substitution, you should understand that most of these substitute medications are also addictive and come with a potential for abuse. Although they prevent withdrawal symptoms, their effects might also prove to be problematic down the line.
When did drug companies stop putting warnings on their ads?
In the U.S., however, the rules were relaxed in 1997 and drug companies no longer had to include warnings about symptoms and side effects, which are required in ads to doctors. Since then, direct-to-consumer television, radio and magazine advertising has increased faster than the industry's other marketing activities -- the bulk ...
What diseases are under-treated?
One is you can see for the majority of the products which are advertised that they deal with conditions which, according to medical experts and the data available, are under-treated -- diseases such as depression, such as diabetes, such as hypertension, such as high cholesterol.
What is targeted advertising?
There's this huge targeted advertising campaign, which creates a market demand without a clinical context. It creates a demand for a particular brand name drug, without any consideration of the fact that there may be other drugs to treat the same condition, that are just as effective or more effective, for less cost.
What happens if you cut your sales force?
So, you not only lost price, you lost market share. If you cut your sales force, the market reality is it's a pathway to putting yourself out of business.
Do doctors give free samples?
The doctors hand out the free samples to patients. It makes the doctor look good. The patient has free samples. But both the doctor and the patient, from that point on, are hooked on that particular drug. And believe me, it's not going to be a generic, and it's not going to be a drug that's just going off patent.
Is it faster to write a prescription?
It's faster to write out a prescription than it is to try to talk with patient and convince the patient that he or she may have been manipulated by these ads. And in addition, the doctors themselves are manipulated by the same ads, and also by what amounts to bribery from the drug companies. The drug companies turn up.
Is non compliance a serious issue?
Non-compliance is a very, very serious issue. If you look at statins, for example, the products for high cholesterol, after two years of treatment, more than half the patients do not comply with the treatment. They are not taking their medications as prescribed.
Why are drug companies not allowed to advertise off label?
The situation could also get worse for another reason: Two drug companies recently sued the FDA over their rule that they're not allowed to advertise "off-label uses," claiming that it violates their First Amendment right to free speech.
What is the name of the drug that is advertised in the TV commercials?
Prescription drug ads on television can be grimly amusing. Just consider the commercial for the prescription sleep aid Lunesta: a soothing voice tells you the drug might deliver you to "the land of restful sleep"... or, alternatively, that you might end up driving your car in a foggy sleep, feel suicidal, or experience an allergic reaction that leads to fatal throat swelling.
Do companies have to mention every side effect of a drug?
Among the recommendations, companies would be required to deliver information about their products in plain language, and they wouldn't need to mention every side effect of a drug , only the "most serious and the most common" ones.
Do drug companies have to tell patients how well their drugs work?
Drug companies are not required to tell patients how well their drugs actually work or really give any context all. Companies don't have to say how many people will actually benefit from the drug, or how many might be harmed.
Do companies need to warn people of the risks of their drugs?
In the United States, companies need to warn people of all the potential risks of their drug, and advertise only the indication for which the drug has been approved by the Food and Drug Administration. (Some drugs have multiple potential uses, but only one or two have been specifically sanctioned by the FDA.
Did Kim Kardashian advertise morning sickness?
Now, of course, the marketing isn’ t all bad.
How to avoid claims of competitive superiority?
Avoid claims of competitive superiority, cures or promises of outcomes. Advertise the doctor. In medical procedures that involve a pharmaceutical product or medical device, such as dental implants or even a hip replacement, advertise the provider or the service, not the device. Not everyone is a specialist.
When was professional advertising illegal?
35 years ago , professional advertising was illegal. Healthcare providers and hospitals essentially did not advertise prior to 1977. It was the legal profession itself that championed the issue of advertising by professionals. The effort led to a landmark US Supreme Court decision (Bates v.
When did Arizona ban attorney advertising?
State Bar of Arizona. 1977) which said that state bar associations could no longer universally prohibit attorney advertising. And that opened the door to relaxing the rules about advertising in the medical professions. It was also 1977 when the American Hospital Association sponsored its first symposium on marketing.
Can healthcare advertising ruin your life?
A legal mistake in healthcare advertising can ruin your life. In the most extreme circumstances healthcare providers in every profession risk their reputation, their license and their livelihood if their marketing efforts run afoul of the maze of local, state or federal laws and regulations. And at the very least, a misstep can be ...
Why don't companies advertise?
Consumers buy from these corporations because of the experiences they offer and because of the quality of their products . Less successful companies think they need advertising ...
Why do people buy from corporations?
Consumers buy from these corporations because of the experiences they offer and because of the quality of their products. Less successful companies think they need advertising to get customers, but the best brands use their products, reputations and stories to attract customers. That's called public relations.
Do news stories go viral?
Ads don’t go viral. When you publish a news story online and in print, other outlets will pick it up, summarizing, reprinting or linking to your initial story. In today’s social media-driven world, a news story can gain considerable interest with the simple click of a button.
Why do people use unethical sales techniques?
Unfortunately, the drive to sell or pressure from management to increase sales volume often leads salespeople to use unethical sales techniques to bolster short-term numbers. Ethical sales techniques produce enduring and profitable relationships with customers, while unethical sales techniques damage those relationships and long-term profits.
How to avoid crossing the line in marketing?
While it’s important to put your best foot forward in marketing, avoid crossing the line by making dishonest or exaggerated claims. Exploitation. Manipulating people by exploiting their fears is unethical.
What is misrepresentation in sales?
Misrepresentation takes many forms. Salespeople may misrepresent the capabilities of a product to secure the sale. The salesperson might misrepresent the actual costs of a product or offer a promotional price as though it were the recurring cost.
Why is advertising important?
In modern times, advertising has been playing a significant role in our socio-economic life. It is considered an effective and cost efficient tool for communication. Though advertising is used for non economic purposes, it is highly used to attain business objectives.
What are the ethical issues in supply chain?
UNETHICAL ISSUES IN SUPPLY CHAIN. Slavery, forced labour and human trafficking are three of the main risks to supply chain ethics. Slavery refers to the treatment of another human being as if they were ‘property’ to be “bought, sold, traded or even destroyed”, according to the Walk Free Foundation.
What is ethical marketing?
Ethical marketing involves making honest claims and helping to satisfy the needs of customers. Besides being the right thing to do, ethical marketing can have significant benefits for your business. For example, if customers believe you’ll live up to your word, brand loyalty will develop, customer retention will increase and your customers will tell others of their good experiences, according to the book “Marketing,” by James L. Burrow. Unethical marketing activities, in contrast, can destroy your business’s reputation and possibly lead to legal troubles.
Is false advertising illegal?
Misleading Advertising. Outright false advertising is illegal . For example, reporting that your product is safe for people to use when it isn’t can land you in serious trouble. Misleading advertising might not rise to the level of false advertising, but it’s unethical and can hurt your reputation with the public.
Understanding Drug Substitution Therapy
Why Substitute Drugs?
- The use of clinically-oriented pharmaceutical personnel to implement drug substitution among other rehabilitation interventions is crucial to the changing of drug use and abuse behavior. However, many countries frequently overlook this important option. Trained clinical pharmacists working at both short-term and long-term drug and alcohol rehabilit...
Common Drug Substitutions
- To better understand what drug substitution is, you should consider the different types of addictions and substance use disorders as well as the variety of medications used in their treatment. Read on to learn more:
Does Drug Substitution Work?
- Drug replacement therapy is quite divisive in the substance use and addiction rehabilitation community. To better understand its effectiveness - or lack thereof - it is vital that you go through a discussion of the two sides of the argument. The ideal behind drug substitution is that it is designed to provide long term treatment and maintenance. The most common example is amon…