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Healthy Skepticism Library item: 2496

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

Berkowitz BA, Sachs G.
Life Cycle of A Block Buster Drug: Discovery and Development of Omeprazole (PrilosecTM)
Mol Interv 2002 Feb; 2:(1):6-11
http://molinterv.aspetjournals.org/cgi/content/full/2/1/6, http://molinterv.aspetjournals.org/cgi/reprint/2/1/6,


Abstract:

Blockbuster drugs share a variety of common features, among which is the tendency to create entirely new markets. For example, an early “informed” estimate of the potential market size for the hypothetically “perfect” peptic ulcer drug was thirty-five million dollars. Based on current sales, however, we reckon this hypothesis to have underestimated the actual market demand for omeprazole (Prilosec™) by about 400-fold. Similarly, prior to the introduction of the “retired” blockbusters chlordiazepoxide and diazepam (Librium™ and Valium™), the market for “minor tranquilizers” in the treatment of anxiety and neurosis did not exist. Thus, once an emerging blockbuster seems to be therapeutically working, it is not unusual for diagnostic rates of the disease for which it is indicated and efficacious to actually increase. Top blockbuster drugs generally have or appear to have a high margin of safety.

Keywords:
*analysis United States industry perspective blockbusters omeprazole proton pump inhibitors chlordiazepoxide diazepam Astra AstraZeneca INFLUENCE OF PROMOTION: MEDICALIZATION OF PROBLEMS INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE PROMOTION IN SPECIFIC THERAPEUTIC AREAS: PSYCHIATRIC DISEASES

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909