this post was submitted on 21 Nov 2023
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[–] [email protected] 240 points 11 months ago (12 children)

How about no drug adverts? Is that really so hard? I don't know a single person who has ever asked their doctor about something they saw on TV.

[–] [email protected] 91 points 11 months ago (3 children)

They're only legal in two countries- the U.S. and New Zealand.

[–] [email protected] 48 points 11 months ago (1 children)

if you didn't say NZ I literally would never have guessed. That's an actual shock.

[–] [email protected] 20 points 11 months ago

Yeah, I was amazed when I found out too. Such a weird country to have that be legal.

[–] [email protected] 25 points 11 months ago (1 children)

Canada has drug ads, but with special rules. You can either mention the drug name or its indication, but not both.

So you'll get ads that say stuff like "Ozempic - ask your doctor if it's right for you" with people happily eating in a coffeeshop. But they won't tell you what Ozempic is supposed to do.

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[–] [email protected] 11 points 11 months ago (2 children)

Akshully according to the article it's only legal in 2 MAJOR countries. I'm curious to know which minor countries it's legal in.

[–] [email protected] 13 points 11 months ago

Kiwi's a bit perplexed they were called a major country...

[–] [email protected] 4 points 11 months ago (1 children)

I guess the author considers Canada a minor country.

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[–] [email protected] 42 points 11 months ago (1 children)

Had a friend with a parent that was a doctor. Apparently she could tell which commercials were getting pushed more based on what patients kept asking for.

[–] [email protected] 23 points 11 months ago

Doc, I think I have moderate-to-severe ulcerative colitis, menopause, and erectile dysfunction.

[–] [email protected] 28 points 11 months ago (2 children)

I don't know a single person who has ever asked their doctor about something they saw on TV.

How many people have you asked this question to? You understand reality is not comprised of your personal experiences? There are billions of people you will never meet?

It's obviously working. These companies aren't spending millions of $ on advertising just to have 0 ROI.

[–] [email protected] 19 points 11 months ago (1 children)

I know a few doctors, and they all hate drug commercials (as well as webMD) because patients come in with their self-diagnosis trying to order drugs like it’s a friggin restaurant. One of them told me that even when she clearly informs them that’s not how this works, they regularly get pissed off as she continues to tell them no and doesn’t budge. She also said she knows other less stubborn or principled doctors that give into the pressure, which is exactly how big pharmaceutical companies like it.

[–] [email protected] 5 points 11 months ago

Well I can relate both as a professional and a consumer.

[–] [email protected] 5 points 11 months ago

It's obviously working. These companies aren't spending millions of $ on advertising just to have 0 ROI.

I think you're probably right here, but just want to say that I've personally I've worked in multiple companies where they've spent millions on different things with no ROI. So it definitely happens. Sometimes leaders just like an idea and want to spend money on it.

[–] [email protected] 20 points 11 months ago (5 children)

While I agree in principle, there are people with fibromyalgia who wouldn’t know medications exist for it otherwise, because their doctors barely understand fibromyalgia.

[–] [email protected] 28 points 11 months ago (2 children)

"hmmm have you considered that chronic pain isn't real and you're lying? Don't worry, I'm still going to bill your insurance for the full price of an office visit."

[–] [email protected] 15 points 11 months ago

You could always do like I do: not be a woman. No fibromyalgia for me at all. My mother and sister keep ignoring that advice.

But on a more serious note, that really has to suck. Autoimmune diseases are much more likely to affect women and are more likely to be ignored. There was a cool Radiolab episode on them. A hypothesis is that women have an overall more sensitive immune system because their immune system is suppressed during pregnancy so having a more sensitive one means you are less likely to get sick during pregnancy. Use of hormones like estriol seem to be helpful. But if you suffer from fibromyalgia, you probably know a good amount/all of that info and more.

[–] [email protected] 10 points 11 months ago

That is exactly it. One of my family members suffered from it for years before finding out about it online, and eventually had to switch to a new doctor that didn’t try to convince them it was all in their head. It’s hard to accept that the weight of a thin bed sheet on your legs being painful is just in your head, yet that’s the line they were given repeatedly.

[–] [email protected] 9 points 11 months ago (1 children)

This is true for a lot of other cases too. People live with chronic conditions because they either don't know that it's an issue and there's treatment, or they sought treatment and there wasn't any help at the time, and since then there have been new drugs release

[–] [email protected] 7 points 11 months ago* (last edited 11 months ago) (8 children)

There’s so much new stuff coming out that most doctors don’t know anything about it until someone mentions it or they go look it up on the internet. Some will only refer to their huge out-of-date drug encyclopedia and if it’s not there you’re SOL.

I know a few people with fibromyalgia who didn’t know that’s what they had until they saw a commercial for it. Doctors never mentioned it as a possible diagnosis.

[–] [email protected] 10 points 11 months ago (3 children)

Almost as if doctors need CE training, huh?

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[–] [email protected] 12 points 11 months ago (1 children)

I wonder if they should only allow generalized, industry-wide ads that don’t focus on a specific drug, or even company.

You know, like we see ads for broad categories of food, like cheese, beef, and milk, for some reason.

“Did you know that new treatments are available for things like fibromyalgia, depression, and heart disease? Talk to your doctor today!”

[–] [email protected] 9 points 11 months ago (2 children)

we see ads for broad categories of food, like cheese, beef, and milk, for some reason.

What TV channels are you watching?

[–] [email protected] 6 points 11 months ago
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[–] [email protected] 11 points 11 months ago

Actually about 50% of the time your doctor will give it to you just by you asking. That's why they do this. You're not a person that advertising works on, but remember that the country is filled with monkeys.

[–] [email protected] 6 points 11 months ago (1 children)

Maybe not medications, but people generally write off benign symptoms quickly, and a series of benign symptoms can often be an indication of something more serious.

Then that person sees a commercial and it lists all the symptoms they've been having at once and it makes them go "Hey wait a minute, all those symptoms sound familiar, maybe I should make an appointment"

Iirc there was a study a few years ago that determined that medication commercials can increase the rate people see doctors.

[–] [email protected] 6 points 11 months ago (1 children)

Then you have to spend years trying to convince your doctor that it's not because you're overweight or just imagining it.

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[–] [email protected] 4 points 11 months ago

Awareness is probably what they're after, and it's probably worth billions to the pharmaceutical industry and the congressmen they own.

[–] [email protected] 4 points 11 months ago

I actually did with Ubrelvy for migraines, but it was something my doctor was about to give me samples of anyway.

[–] [email protected] 4 points 11 months ago

All of the medications that are little more than QoL things. Frequent urinarion. ED. Dry mouth.

Things you wouldn’t normally ask a doctor about being a condition.

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[–] [email protected] 157 points 11 months ago (2 children)

Can we just ban ads for treatments already?

[–] [email protected] 107 points 11 months ago* (last edited 11 months ago) (6 children)

💯

"Ask your doctor about..."

No! The doctor should be telling me about drugs. And only because they actually might fix what's wrong, not because they'll get a kick-back for shoving pills at me.

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[–] [email protected] 8 points 11 months ago (1 children)

I they make advertising so profitable. The media will never let it go

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[–] [email protected] 45 points 11 months ago

Why is direct marketing of drugs even allowed at all? Because our regulators are captured by corporate money.

[–] [email protected] 28 points 11 months ago* (last edited 11 months ago)

How about ads that actually tell you what the hell it does? "Ask your doctor if perflorfinmaxim is right for you". FOR WHAT?

Me: Hey doc, is perflorfinmaxim right for me?
Doc: That's for people who leak pus out of their left pupil, so no

[–] [email protected] 23 points 11 months ago

Why do I have a feeling that "conspicuous and neutral" was added there only because pharma companies would otherwise misinterpret "clear" as "see-through"?

[–] [email protected] 18 points 11 months ago

Are they keeping the loophole where you only have to discuss side effects if you also discuss the intended use?

I've seen an obnoxious trend in pharma ads where you get 25 seconds or so to guess what ailment the actors are concerned about from their demographics and general demeanor, followed by an instruction to "ask your physician if [brand name] is right for you too."

[–] [email protected] 12 points 11 months ago (2 children)

Do other countries advertise Rx on TV? Cuz I ain't ever seen it outside the US

[–] [email protected] 11 points 11 months ago (1 children)

From the article, only the US and New Zealand allow Rz drug advertisements.

[–] [email protected] 5 points 11 months ago

derp, it was right there on the bottom, thanks

[–] [email protected] 5 points 11 months ago* (last edited 11 months ago)

Most countries prohibit it.

In Canada, for example, there are strict limits on what can be said in advertising.

[–] [email protected] 8 points 11 months ago

Well, it only took them 40-odd years to deal with a hugely exploited loophole. Thanks for keeping us safe, FDA.

[–] [email protected] 6 points 11 months ago (1 children)

One of my big take aways from a recent trip the US was the drug adverts on TV. Crazy seeing side effects being read out as like "may cause death, will result in an increase of stroke risk, 90% of patients report anal leakage while using Randomdrugoxicam, erectile dysfunction may continue for up to 48 years after treatment has ceased" or whatever and the footage is these happy laughing people in parks throwing their kid up in the air, walking their dog, hugging family etc. Totally dystopian.

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[–] [email protected] 4 points 11 months ago

Will it be more or less clear if I'm at risk of taint rash?

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