Comments on: Is Januvia next? http://www.kevinmd.com/blog/2007/06/is-januvia-next.html medical blog Sun, 22 Nov 2009 22:50:49 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/06/is-januvia-next.html/comment-page-1#comment-75940 Anonymous Fri, 08 Jun 2007 02:52:00 +0000 http://clients.emmense.com/kevinmd/2007/06/is-januvia-next.html#comment-75940 Ordinarilly in the practice of medicine (and I exclude guideline monkeys and consensus hounds), doctors discuss risk and benefits and patients accept or decline their recommendations. With new drugs the "unknown" category of risk is somewhat larger. Some patients, in accord with their own circumstances, faith in science, and risk tolerance will take the drug early. The less pressed or more skeptical will wait. The former acts as a long-term test group for the latter.<br/><br/>Freedom works! Ordinarilly in the practice of medicine (and I exclude guideline monkeys and consensus hounds), doctors discuss risk and benefits and patients accept or decline their recommendations. With new drugs the “unknown” category of risk is somewhat larger. Some patients, in accord with their own circumstances, faith in science, and risk tolerance will take the drug early. The less pressed or more skeptical will wait. The former acts as a long-term test group for the latter.

Freedom works!

]]> By: Anonymous http://www.kevinmd.com/blog/2007/06/is-januvia-next.html/comment-page-1#comment-75937 Anonymous Fri, 08 Jun 2007 01:34:00 +0000 http://clients.emmense.com/kevinmd/2007/06/is-januvia-next.html#comment-75937 Americans are blessed and too special for these drugs, i.e. those for diabetes, hypertension, heart failure, AIDS, etc. - conditions that can come about with wrong day-to-day choices, yet not part of a fabulous, carefree lifestyle.<br/><br/>Trials for these medicines could be done in the 3rd world countries...where they have no recourse to courts and life's "fair" deals.<br/><br/>But for drugs enhancing a fabulous, carefree/careless lifestyle...Americans say, bring them on, yesterday!!! Americans are blessed and too special for these drugs, i.e. those for diabetes, hypertension, heart failure, AIDS, etc. – conditions that can come about with wrong day-to-day choices, yet not part of a fabulous, carefree lifestyle.

Trials for these medicines could be done in the 3rd world countries…where they have no recourse to courts and life’s “fair” deals.

But for drugs enhancing a fabulous, carefree/careless lifestyle…Americans say, bring them on, yesterday!!!

]]> By: Mike http://www.kevinmd.com/blog/2007/06/is-januvia-next.html/comment-page-1#comment-75928 Mike Thu, 07 Jun 2007 16:04:00 +0000 http://clients.emmense.com/kevinmd/2007/06/is-januvia-next.html#comment-75928 I'm sure when Zimulti comes out, though, overweight people will be CLAMORING FOR IT!!! <br/><br/>Guess it justs depends on what disease you're treating. Weight loss/baldness/bigger erection - check! <br/><br/>Diabetes, hypertension, heart failure - no thanks. I’m sure when Zimulti comes out, though, overweight people will be CLAMORING FOR IT!!!

Guess it justs depends on what disease you’re treating. Weight loss/baldness/bigger erection – check!

Diabetes, hypertension, heart failure – no thanks.

]]> By: Lisa http://www.kevinmd.com/blog/2007/06/is-januvia-next.html/comment-page-1#comment-75924 Lisa Thu, 07 Jun 2007 15:44:00 +0000 http://clients.emmense.com/kevinmd/2007/06/is-januvia-next.html#comment-75924 Dr. Rack,<br/>Thank goodness someone gets that! I have never understood how people think there's no illogic in basically saying "No one should take drug X because we don't know its long term effects, and we'll never know its long term effects because no one should try it." The scary thing is when even doctors think this! The only thing I can figure out is that most people think that trying new drugs is something that should be done by other people, so they can then benefit from the information. A sort of "I'm too special to risk trying experimental drugs, but other people should." Of course, they still want the very best in cutting edge medicine. They just want it tested on someone else. Dr. Rack,
Thank goodness someone gets that! I have never understood how people think there’s no illogic in basically saying “No one should take drug X because we don’t know its long term effects, and we’ll never know its long term effects because no one should try it.” The scary thing is when even doctors think this! The only thing I can figure out is that most people think that trying new drugs is something that should be done by other people, so they can then benefit from the information. A sort of “I’m too special to risk trying experimental drugs, but other people should.” Of course, they still want the very best in cutting edge medicine. They just want it tested on someone else.

]]> By: Michael Rack, MD http://www.kevinmd.com/blog/2007/06/is-januvia-next.html/comment-page-1#comment-75921 Michael Rack, MD Thu, 07 Jun 2007 13:44:00 +0000 http://clients.emmense.com/kevinmd/2007/06/is-januvia-next.html#comment-75921 If no one uses Januvia for the next 7 years, then we still won't know its safety after the 7 year period. If no one uses Januvia for the next 7 years, then we still won’t know its safety after the 7 year period.

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