學名藥,商標藥(Trade or Brand-name)與公羊藥(generic -Name)?

[李誠民]

Acetaminophen Linked to Fatal Skin Reactions
August 17, 2013 | 28,227 views--Dr. Mercola
• The US Food and Drug Administration (FDA) is warning that acetaminophen (Tylenol) products may cause three serious skin reactions, two of which typically require hospitalization and can be fatal
• The most serious skin reactions linked to acetaminophen are Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TENS), both of which often start with flu-like symptoms and can cause the top layer of your skin to slough off, exposing you to a serious risk of fatal infections
• The skin reactions can occur at any time after taking acetaminophen, even if you’ve taken the drugs with no issue in the past
• Other drugs, including NSAIDs, penicillins and anticonvulsants are also linked to potentially fatal skin reactions
• Acetaminophen-containing products are also the number one cause of liver failure in the US

Major Drug Company in Hot Seat Again
October 18, 2010 | 39,008 views—Dr.Mercola.com

CNNMoney.com::"I know that we let the public down. We did not maintain our high quality standards. Children do not have access to our important medicines. I accept full accountability for the problems and I will take full accountability for fixing them.

Always Question This Advice - Facts Which Will Make Your Blood Boil
May 12, 2011 | 73,113 views--Dr.Mercola .com
.....Prescribing Drugs is what Doctors Do
Just what is it that doctors do, anyway? During your last appointment with a physician of any sort, specialist or primary care, what happened?
• Did you have a chat about diet, exercise, nutrition, eating plans, or stress management?
• Were you cautioned not to consume too much refined sugar or flour?
• Were yougiven advice on natural supplements or lifestyle changes that can help you achieve optimal health?
......Why Don't Doctors Spend More Time on Preventive Care?
A 1984 survey of primary care physicians in New York found that 87 percent agreed that they should add preventive medicine in the form of health promotion and disease prevention to their patient care.
There were three reasons they didn't:
• Lack of time
• Inadequate reimbursement by insurance
• An unclear idea of how to define preventive medicine, or what kinds of preventive recommendations they should make.
....Where Do Doctors Get Their Information From?
So in the absence of time, money and preventive care recommendations, what doctors still do best is prescribe drugs – to the tune of an expected $880 billion in sales, worldwide in 2011. And where do you suppose they get the information to do all that prescribing?
Mostly, from the drug companies themselves.
n one study of 111 final applications for approval:
• 42 percent lacked adequately randomized trials
• 40 percent had flawed testing of dosages
• 39 percent lacked evidence of clinical efficacy
• 49 percent raised concerns about serious adverse events
Recent information about Avandia and Avastin highlight how biased and poor trials like this make it to market, according to Science Daily. But they are not isolated incidents. Many drugs that tend to offer less benefit and more harm to patients than the old stand-bys are making their way to your doctors' prescription pads. One of the reasons for this is because sales reps' salaries are tied to how many high-cost, new drugs they can sell, thus making their Big Pharma bosses happy.

[iht]

所以你貼這篇的意思
是說願意付錢給醫師衛教嗎?

還是你覺得醫師都是一張嘴天花亂墜
只想開藥騙你的錢所以也不想付錢聽醫師說話?

臺灣不管民眾觀感與健保制度
都不重視醫療專業的諮詢費用
民眾普遍的心態也是沒拿藥不算有看醫師

我也沒強迫你一定要吃
不相信西藥就自己去研究
得到結論還是不信就別吃
只是我也沒別的方法治你的病
好不了你要自己想別的辦法

不要把被害意識那麼旺盛
把自己該負起的責任都推到別人頭上

[李誠民]

"用電腦看診時
應注意，能注意，而沒注意如何發生
就算發生
醫生也算是盡了注意義務"...???

醫病關係是建立在人與人的信任上,也就怪不得藥師可以當醫師(?!)了!!!

要比吹噓(抱歉!!絕無不敬之意!!)能力,醫師可能比嗎?!...感冒服冒碇,診所進價,根本沒利潤,藥房(非處方藥)有利潤,但是Acetaminnophin的Generic (公羊藥,無專利權的 Brand藥?) Name 健保局還想砍成1-2毛錢,還藥臨床試驗報告?!....只有滕女士---公衛專家說的出口,....藥價黑洞是谁考出來的?!--正義之聲(?!)....

一分錢一分貨,"專業道德"在台灣就變成不公不義了!!!

醫生衛教當然要錢(專業的成本,為甚麼要處方藥?!公衛專家沒有處方藥的問題),只是台灣健保實施之初,許多醫院 醫師應支出的成本,全聯會都沒有維護,所以有藥價黑洞的國人錯誤 醫師應支出的成本,全聯會都沒有維護,所以有藥價黑洞的國人錯誤觀念?!!!--醫療糾紛的保險就是好例子!!!--住院醫師(Trainee)為甚麼要負擔這風險?!....所以每年多12萬是在誤導國人對健保制度的認知!!!.....

對於您的提問 【台灣的透析(RRT--末期腎病替代治療)的政策是什麼?難道不是"基本人權"嗎?】回復如下：


"李先生您好:　台端102年5月30日電子信件收悉，感謝台端對健保政策的關心，本保險為強制性之社會保險，本局為增進全體國民健康，除依全民健康保險法提供保險對象在保險有效期間，發生疾病、傷害、生育事故時，給與保險給付外，並積極為保障民眾之就醫權益與品質持續把關。　　　　感謝您的來信，祝您健康、快樂！　　　　　　　　　　　中央健康保險局敬復

感謝您的來信，祝您健康、快樂!
行政院衛生署敬復".....--限在單次血液透析點值不到0.8(打折八折,還有品質??!)

[tibet]

看不懂您的重點 ...

[李誠民]

沒關係!!!