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Healthy Skepticism Library item: 1963

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Ripamonti C, Bianchi M.
The use of methadone for cancer pain.
Hematol Oncol Clin North Am 2002 Jun; 16:(3):543-55


Abstract:

Methadone is not a new analgesic drug [69]. Several studies have demonstrated that methadone is a valid alternative to morphine, hydromorphone, and fentanyl for the treatment of cancer-related pain, and extensive reviews on the subject have been published in recent years [10,23,25,64,70,71]. Most people involved in pain therapy, however, are not well informed about the properties of methadone. The authors believe that the low cost of methadone paradoxically contributes to the limited knowledge of its characteristics and to the restricted therapeutic use of this drug. The low cost of methadone means there is little financial incentive for pharmaceutical companies to invest in research or to disseminate scientific information. Unfortunately, the lack of scientific information from pharmaceutical companies frequently results in a lack of knowledge on the part of physicians. Unless the existing approach changes, both culturally and politically, ignorance about methadone will persist among medical experts. The low cost of methadone, rather than being an advantage, will result in the limited exploitation of an effective drug.

Keywords:
Analgesics, Opioid/chemistry Analgesics, Opioid/economics Analgesics, Opioid/pharmacology Analgesics, Opioid/therapeutic use* Attitude of Health Personnel Biological Availability Child Clinical Protocols Dose-Response Relationship, Drug Drug Administration Schedule Drug Costs Drug Industry/economics Drug Information Services Drug Interactions Health Knowledge, Attitudes, Practice Humans Information Dissemination Metabolic Clearance Rate Methadone/chemistry Methadone/economics Methadone/pharmacology Methadone/therapeutic use* Morphine/pharmacology Morphine/therapeutic use Neoplasms/complications* Pain/diagnosis Pain/drug therapy* Pain/etiology* Palliative Care/methods Patient Selection Treatment Outcome

 

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As an advertising man, I can assure you that advertising which does not work does not continue to run. If experience did not show beyond doubt that the great majority of doctors are splendidly responsive to current [prescription drug] advertising, new techniques would be devised in short order. And if, indeed, candor, accuracy, scientific completeness, and a permanent ban on cartoons came to be essential for the successful promotion of [prescription] drugs, advertising would have no choice but to comply.
- Pierre R. Garai (advertising executive) 1963