Guest guest Posted September 23, 2003 Report Share Posted September 23, 2003 Tue, 23 Sep 2003 01:59:28 -0500 HSI - Jenny Thompson The Color Purple The Color Purple Health Sciences Institute e-Alert September 23, 2003 ************************************************************** Dear Reader, Wouldn't it be great if we lived in a world where you could get paid a higher salary just because you liked vanilla more than chocolate? Or you could become a star just by fluffing your sofa cushions? I know, it sounds completely absurd. But for patent drugs, scenarios like these are surprisingly common. ----------------------------- A new beginning ----------------------------- First some history. As you know, the poor drug companies spend many years and many millions (or billions) of dollars creating a new drug. Then as soon as a patent is granted and the product is launched, all these upstart generic drug companies come along, and like circling sharks they wait for the patent to expire. As soon as it does, the generics hit the market and undercut the price until they start selling more of the product than the former patent holder does. At that point what do the drug giants have to show for all their efforts? Just a few billion dollars in profits and a drug they can no longer call their very own. But before you start to feel too sorry for them... There's a nice little loophole they can put to use that extends the life of a drug's patent for two and a half years. And when the drug is a popular, high-profile product, that can mean a very lucrative final run at huge profits before the final bell rings. ----------------------------- Playing dress up ----------------------------- The loophole is simple and effective: Claiming that their drug has a new use or a newly added chemical property, the drug company applies for a patent extension. Now that may sound reasonable, but consider this: the patent can even be extended if the only change is a new packaging of the drug. When the extension is granted the " reformulated " drug has 30 additional months of peak earning power before the generics close in for the kill and bring the price down to earth. Of course, patents can be extended only if the FDA approves the reformulated drug. But this would appear to be a mere rubber-stamping formality. Just look at the numbers. Between 1989 and 2000, a full two-thirds of all the prescription drugs approved by the FDA were nothing more than modified versions of existing drugs. And some of them weren't even modified - they were identical to drugs already on the market. Meanwhile, only a scant 15 percent of the drugs approved during that period could be considered genuinely " new. " ----------------------------- Naming names! ----------------------------- Among the popular reformulated drugs currently on the market there are some brand names I'm sure you'll recognize. The allergy drug Claritin, for instance, was reformulated to become Clarinex. Prilosec, an ulcer medication, became Nexium - the purple pill. And (this is my favorite) Sarafem, prescribed for relief of premenstrual irritability, is a pink and lavender capsule that is otherwise identical to one of the true celebrities of prescription drugs: Prozac. Prozac! So they made the pill prettier and got a new slogan, forcing users to pay patent prices for two and a half more years. (I wonder how these irritable women would react if they had any idea they were actually being given Prozac.) All of this information comes from a 2002 research report from the National Institute for Health Care Management Foundation, a non-profit organization that promotes improvements in health care access, management and quality. The report also found that the so-called " new " drugs with modified formulas were priced much higher than the drugs they replaced. In other words, the drug giants take their star performers, dress them up in their Sunday best, and then jack up the prices - all with the formal blessing of our friends at the FDA. ----------------------------- Keeping it real ----------------------------- There's currently a bill pending in Congress (Greater Access to Affordable Pharmaceuticals Act) that would close these patent loopholes and give our pocketbooks a little relief. But if history is any judge, don't expect the pharmaceutical companies to come out the losers. So if you must rely on a prescription drug, ask your doctor about the specific history of the drug. Otherwise you might get Prozac, renamed and dressed up in a colorful new and more expensive package. ************************************************************** To start receiving your own copy of the HSI e-Alert, visit: http://www.hsibaltimore.com/ealert/freecopy.html Or forward this e-mail to a friend so they can sign-up to receive their own copy of the HSI e-Alert. ************************************************************** ... and another thing What goes up probably will come down. Earlier this month in the weekly review of the HSI Forum (9/5/03), a member named JNM asked about policosanol; a compound derived from sugar cane that's gaining a reputation as a natural alternative to cholesterol-lowering statin drugs. JNM wrote: " My doctor wanted to double my dose of Lipitor, but I decided to keep the same dose and add Policosanol 23mg. That was 7 weeks ago. In my latest test Total increased by 3.3%, LDL by 5.7% and Triglycerides by 29%, while HDL dropped by 5%. Everything moved the wrong way! Does anyone know if the statins and policosanol adversely interact to make things worse? Has anyone used policosanol by itself for cholesterol? " One member wrote to assure JNM that his numbers would probably start heading in the right directions if he stayed with the policosanol. And that opinion was confirmed in an e- mail I received from HSI Panelist Allan Spreen, M.D., who wrote: " I agree with one of your readers... policosanol should be used without regard to cholesterol levels at first. The Atkins diet very frequently does the same thing: in up to the first 6 months cholesterol levels can rise (I had this happen in my practice several times), and then they can fall. I'm convinced that cholesterol is being mobilized into the bloodstream prior to being removed from the body. Rarely did I not see the numbers (including triglycerides) fall over time. " So even when it looks like everything is moving in the wrong direction, that doesn't necessarily mean you have to abandon your natural regimen. As with so many botanical remedies, positive effects are not always immediate. To Your Good Health, Jenny Thompson Health Sciences Institute ************************************************************** Sources: " Changing Patterns of Pharmaceutical Innovation " May, 2002 Research Report, National Institute for Health Care Management " Majority of New Medicines Approved in the 1990s Were Altered Versions of Older Drugs " Press Release, National Institute for Health Care Management " New Medicines Seldom Contain Anything New, Researchers Find " International Herald Tribune Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C. The e-Alert may not be posted on commercial sites without written permission. ************************************************************** Before you hit reply to send us a question or request, please click here http://www.hsibaltimore.com/ealert/questions.html ************************************************************** If you'd like to participate in the HSI Forum, search past e-Alerts and products or you're an HSI member and would like to search past articles, visit http://www.hsibaltimore.com ************************************************************** To learn more about HSI, call (203) 699-4416 or visit http://www.agora-inc.com/reports/HSI/WHSID618/home.cfm. ************************************************************** NEW WEB MESSAGE BOARDS - JOIN HERE. Alternative Medicine Message Boards.Info http://alternative-medicine-message-boards.info Quote Link to comment Share on other sites More sharing options...
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