I don’t really know anything about patents and drug exclusivity in the UK. I presume it’s somewhat similar to the US [on the left][if that’s wrong, someone let me know]. The upper graph is number of prescriptions and the bottom graph is overall cost. I thought it was pretty interesting and it mirrored my own experience. That big mound of profitability is somewhat paralleled in the upper graph in terms of usage. As the patent era ended, two drugs emerged as keepers – Citalopram [Celexa®] and Fluoxetine [Prozac®]. I don’t mean this as an endorsement, but Citalopram is the drug I prescribe in patients for a trial of SSRIs. It’s because if an SSRI is going to help, it seems to be the one – and the side effects occur, but seem less common or pronounced. It looks like that’s the consensus across the pond as well. Doctors tend to factor in their own experience with usage. In my case, that happens almost automatically.
- zoloft: the approval I…
- zoloft: the approval II…
- zoloft: the approval III…
- zoloft: beyond the approval I…
- zoloft: beyond the approval II…
- zoloft: the epilogue…
I thought the UK had been more successful in avoiding this drug than we had. And I can’t find any reason for the increase. Nor can I find anything new on the Plumlee suit, so I wrote Baum Hedlund who have the case. We’ll see. It doesn’t fit my natural selection theory [that doctors outside the influence of the pharmaceutical industry end up picking the best drugs all by themselves through experience]. I only wrote one prescription for Zoloft® myself on recommendation from a friend. The patient was someone I was around frequently and I watched her turn into a tree. I stopped it in shame. Once was enough for me.
Cymbalta is Eli Lilly’s top selling drug. It brought in just shy of $5 billion in 2012 with $4 billion of that in the U.S., but patent protection terminates January 1, 2014. Lilly received a six month extension beyond June 30, 2013 after testing for the treatment of depression in adolescents, which may produce $1.5 billion in added sales…
“The patient was someone I was around frequently, and I watched her turn into a tree.” Now I think you owe us that story! (assuming you can tell it without blowing her anonymity)
Seriously … I have heard many stories of people becoming agitated or manic on Zoloft, or having Zoloft do nothing for them, but never people becoming withdrawn, stiff or “tree-like.” What happened?
Oh, yes, many people become inanimate objects under the influence of antidepressants.