Introduction
There has always been an overdose problem here within the United States of America. Starting in the late 1960s into the 1970s there was a drug epidemic because of a infamous counterculture group known as hippies. After the counterculture ended drugs still made their way around children and young adults that has overdosed. Over 30 years later the FDA has had to put a Black Box Warning on antidepressants that does not show any help and hinders psychiatrist.
Summary
In the article “Listening to the Black Box,” Arthur Allen discusses his concerns about how FDA warnings have prevented doctors to prescribe medication due to the young adult overdose rate. Allen talks about how the FDA began its action against antidepressants
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Allen also talks about how the Black Box Warning affected psychiatrist on prescribing medication.
Allen describes psychiatrist has had a bad time with prescribing drugs to patients due to the black box warning. He states, “In the real world of U.S. health care, visits to psychiatrist are highly rationed, so primary physicians do much of the prescribing of psychiatric medication.” (Allen, 2009) However, Mr. Rosack also states the American Psychological Association is “working to help mitigate such an impact by collaborating with nonpsychiatric physicians—including pediatricians and general practitioners—to help them better understand their patients' needs and properly diagnose, treat, and monitor patients.” (Rosack, 2004) In this statement Jim Rosack proves Allen right that the psychiatrist are going to have a harder time with the black box warning while the nonpsychiatrist is going to get proper training. Furthermore, has the Black Box-Warning actually been
Prescription and pharmaceutical drug abuse is beginning to expand as a social issue within the United States because of the variety of drugs, their growing availability, and the social acceptance and peer pressure to uses them. Many in the workforce are suffering and failing at getting better due to the desperation driving their addiction.
A physician has an unenviable position; he is closest to man approaching a god-like stature. And despite the demise of 'doctor knows best', we still need to trust his diagnosis-something that is increasingly difficult in a world where information is widely available, and Google substitutes for a doctor. In the case of psychiatry the issue of trust is amplified since diagnosis is based on a patient's expressed thoughts and overt behaviours rather than solely on biological phenomena. And these thoughts and behaviours are influenced by the patient's environment-a mix of his social, cultural and technological experiences.
The disorder which is being treated is actually strengthened to the point of a serious mental illness. Similarly, in today’s society, medical and psychological advice may have the same effect. Medical technology and practice have progressed considerably since the time of the “Yellow Wallpaper.” This is not to say that today’s physicians are infallible. Perhaps some of today’s treatments are the “Yellow Wallpaper” of the future.
In today’s society, a lot of emphasis is placed on administering drugs and medicating people with psychological issues; however, most of these ailments and issues have the ability be treated through the use of talk therapy rather than medication. Americans are particularly guilty of over medicating when it comes to our more common mental health diagnosis such as, ADHD, depression, and anxiety. We as a society expect things to be done at the snap of a finger; in our advancement of science, we have been able to discover ways of offering the results we want quickly, inexpensively, and with little effort. Unfortunately, although the use of medications, also known as psychoactive drugs, occasionally remove the symptoms, but they do little to remove the causes of these mental health issues. In addition, to the lack of solution that the use of psychoactive drugs offer, they can also have unwanted and dangerous side effects. These can include simple physical irritants such as dry mouth and head aches, and can range up to dependency and substance abuse, and in some cases even death. Moreover, there are cases of inappropriate prescribing, where doctors are authorizing the use of medications that don’t work or are not pertinent to the issue the patient is experiencing. Furthermore, some of these doctors are issuing these medications without subjecting the patient to a proper mental health evaluation by a psychological professional.
In 1906, the Pure Food and Drug Act, that was years in the making was finally passed under President Roosevelt. This law reflected a sea change in medicine-- an unprecedented wave of regulations. No longer could drug companies have a secret formula and hide potentially toxic substances such as heroin under their patent. The law required drug companies to specify the ingredients of medications on the label. It also regulated the purity and dosage of substances. Not by mere coincidence was the law passed only about five years after Bayer, a German based drug company began selling the morphine derivative, heroin. Thought to be a safe, non-habit forming alternative to morphine, heroin quickly became the “cure-all drug” that was used to treat anything from coughs to restlessness. Yet, just as quickly as it became a household staple, many began to question the innocence of the substance. While the 1906 law had inherent weaknesses, it signaled the beginning of the end for “cure-all” drugs, such as opiate-filled “soothing syrups” that were used for infants. By tracing and evaluating various reports by doctors and investigative journalists on the medical use of heroin, it is clear that the desire for this legislative measure developed from an offshoot in the medical community-- a transformation that took doctors out from behind the curtain, and brought the public into a new era of awareness.
Antidepressants are in no way uncommon to today's society. These drugs are used by millions of people everyday, young and old. Studies show that about one in every ten
In summary, the article talked about the effects that antidepressant pills have on children. Immense publicity about antidepressants causing suicidal behavior in children is prompting more parents to hesitate to take their kids to psychiatrists. More doctors are hesitating to put their patients on antidepressant prescriptions. Last October, the Food and Drug Administration ordered black box labels, the most severe warning, on all anti-depressants. Some doctors think that these medicines are "speed bumps" and might end in more suicides. Other doctors think, "For children who really need treatment, a wait and see' approach could be dangerous." The percentage rate of children's antidepressant prescriptions has dropped within the last couple months. Psychiatrist Bruce Black says, "Kids are unhappy for a lot of reasons, and antidepressants often aren't the solution."
Something is wrong with the focus on the "drug war" when 200,000 people die each year from prescription drugs, yet only 20,000 die from illegal drug use. Adverse reactions of prescription drugs are the third leading cause of death in America. In fact, people have a seven times greater chance of dying walking into their doctor's office than they do getting behind the wheel of their car! Every year approximately 200,000 souls die from prescription drug reactions with another 80,000 dying from medical malpractice (The International). Where is the FDA? Why do they continue to allow doctors to prescribe these drugs? How could they let it get to this point? What once was believed to be a panacia for depression has turned into Pandora's box (Tracy).
Cropper, Carol Marie. “A Cloud Over Antidepressants” Businessweek 3880 (2004): 112-113 Business Source Premeir. Web. 28 Jan. 2014
Typical ADHD drug overdoses lead to an estimated 3,000 Emergency Room visits each year (Vinerd. 2006). In 2010 alone, there were 17, 000 human exposures to ADHD medications. This number is just what was reported to the Poison Control Center. Eighty percent of these overdoses occurred in kids younger than 19 years old. The other twenty percent of the overdoses occurred in adults (Stiller, 2013).This leads to the number one question: Who is to blame for these overdoes? Do we blame the doctors prescribing the medications or do we blame society?
Fatal complications occur from regular use, for example, liver damage, seizures, elevated blood pressure causing stroke, heart failure, or heart attack. Another growing fad in the United States is the abuse of prescription drugs. The abuse is being done by not only adults, but by teens. The most current trend today is the misuse of cough syrups and prescription medications to produce a “high.” Other medications abused today are stimulants (Ritalin), and benzodiazepines (Xanax).
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
This is obviously a necessity for psychiatrists to read. This is the way that psychiatrist communicates among them the most cutting edge
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
The case under analysis, Eli Lilly & Company, will be covering the positives and negatives with regards to the business situation and strategy of Eli Lilly. One of the major pharmaceutical and health care companies in its industry, Lilly focused its efforts on the areas of "drug research, development, and marketed to the following areas: neuroscience, endocrinology, oncology, cardiovascular disease, and women's health." Having made a strong comeback in the 1990's due to its remarkably successful antidepressant Prozac, was now facing a potential loss in profits with its patent soon to expire. The problem was not only the soon to expire patent on Prozac, but the fact that Prozac accounted for as much as 30% of total revenue was the reality Eli Lilly now faced. (Pearce & Robinson, 34-1)