Ask a Pharmaceutical Researcher anything

58 Questions

Last Answer on October 29, 2020

Why do some doctors prescribe meds knowing it’s dangerous

Asked by Jim over 4 years ago

Every drug carries risks of side-effects which are sometimes dangerous. Doctors are responsible for determining whether the curative value of a prescription outweighs these risks. A competent physician does this with full knowledge of the drug profile and an intimate knowledge of the patient’s condition. A drug manufacturer applies to the FDA for permission to market a drug for a particular indication by submitting clinical evidence proving safety and efficacy. A drug may have more than one indication in its ‘label.’ Doctors are free, however, to prescribe drugs ‘off-label’ for a condition not specifically approved by the FDA. There may be published reports to support this or the doctor may have had good results with similar agents. They do this at their peril, though. They may be liable for injury. Doctors are human and may be subject to pressure from patients, drug companies, politicians, or criminals to prescribe in a way that is not in the best interest of their patient or worse, to support the dangerous and illegal trafficking of narcotics. So to answer your question, doctors may succumb to various pressures to use their power to prescribe in ways that may cause harm, thus violating their oath.

367 Votes

What do you think of the blood plasma for COVID-19?

Asked by Jane over 4 years ago

Administering convalescent plasma, or for that matter monoclonal anti-covid antibody, is referred to as passive immunity. It will no doubt be useful for patients in whom virus is circulating in the blood stream. This may well be life-saving in these patients, but it would not be expected to prevent infection which is initiated outside of the blood stream. There's more to immunity than antibodies. There's a cellular component which serves to combat invading pathogens by surveillance and direct destruction. It's not clear how important this is for disease protection or whether vaccines will generate this cellular immunity. It's possible that true immunity may only be gained by actual infection and, unfortunately, may not be permanent.

365 Votes

What type of medicine would you think is the most fraudulent?

Asked by Garett over 4 years ago

I don’t know what you mean by fraudulent. Is it the most counterfeited, the most unauthorized generic, or the one that I would say does not perform as claimed? Frankly, I don’t have an answer for any of these. My pet peeve is the endless promotion of herbals, and formulations that promise better memory, vision, prostate health, weight loss, etc. I don’t believe their ‘clinical’ evidence.

364 Votes

What do you think of this video?
https://www.bitchute.com/video/HeC0tHZDX7dk/

Asked by Kathleen over 4 years ago

I would say that if these physicians' claims of success in treating COVID-19 patients are accurate then their methods should, indeed, be adopted by others. Having said that, their belief that hydroxychloroquine and azithromycin are the keys to positive outcomes is dubious. There's more to patient care than drugs. Bona fide, well-controlled clinical studies have shown these two to be of no benefit. I'm a little on the fence, however, about zinc. Zinc has a number of roles in biology. The one I'm thinking of is its interaction with protein which can influence tertiary structure (shape) and in so doing interfere with virus binding. As you probably know, zinc is purported to be a remedy for the common cold. Who knows? Maybe there's something there.

363 Votes

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When will we realistically have a COVID-19 vaccines?

Asked by Michael over 4 years ago

First there's development, then testing, then approval, then manufacture, then distribution and then WE have it. For COVID-19 most are still in development and a handful are now in testing with a few in late stage testing. Normally these steps would take a couple of years, but acceleration has been inserted in a couple of places, i.e. government funding of development, political pressure on approval (maybe), and manufacture on spec. These things could shave off several months. Also, if a vaccine works very well, interim analysis may reveal significant efficacy and safety and thus early approval. There are still unresolved hurdles to distribution and recipient selection. I think most folks should not expect to get it until next year. Early I hope.

363 Votes

I recently heard of a drug called etorphine and realized it is the extreme version of trazadon and so I was wondering is there a way to dilute it enough so that it could be used to help people with insomnia?

Asked by Zach over 4 years ago

These two drugs are not chemically related. Both have sedation as a side effect of their modes of action. Trazadone is an antidepressant. Etorphine is a powerful synthetic opiate significantly more potent than fentanyl. It's considered too dangerous to be used in human medicine. In veterinary medicine its use often requires reversal with an antidote. Thus, it's not practical as a treatment for insomnia.

358 Votes

What type of COVID-19 test do you think is the most effective? There I know is the spit, blood, nose swab, questioners, and I assume probably a few others. What do you think?

Asked by Randall over 4 years ago

This is complicated and not really a pharma question. More important than which body part is sampled is what exactly is being measured with each type of test and the reason why you seek testing. If you think you've been exposed wait a couple of days and get the PCR test (nose swab). It is sensitive enough to pick up the virus even before you become infectious to others, sick or asymptomatic. Unfortunately, test results arrive several days later so quarantine until then and hope for a negative. Antigen test - this is the best test if you're actually feeling sick. It's less sensitive than PCR, but if you're truly sick with COVID it will tell you in less than an hour. A rapid, inexpensive, self test based on this technology would be a game changer. Imagine, for example, testing every kid every morning before school. Antibody test - this blood test detects anti-COVID antibodies. A positive indicates that you've had the disease (or in the future, the vaccine). It's not useful for determining if you're sick or infectious because it remains positive long after recovery. It's useful for identifying persons suitable for convalescent plasma donation and possibly indicates some measure of immunity to reinfection.

354 Votes