Greg Critser
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 Many in the company believed an indication for childhood depression was right around the corner; general practitioners, after all, were already prescribing the drug to children. By the end of 2000, Paxil had sales exceeding $2.1 billion, and there was no end in sight for new indications.
Despite that success, analysts were not strong on SmithKline Beecham stock. Leschly may have done a good job by mining one or two drugs for their enormous potential, but he had been a failure at developing a pipeline of promising new drugs that would take Paxil's place when it came off patent. |
Roberta Bivins
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 In particular, they created no centres of training; individuals like Elliotson might mention acupuncture in lectures, or demonstrate it on teaching rounds should a suitable case be present. As long as acupuncture remained novel (and as long as its prominent practitioners remained orthodox!) such mentions could gain wide audiences: both lectures and notes on ward rounds were often serialized by the medical periodicals. But as acupuncture became familiar, its use—limited as it was to relatively minor and unexciting ailments—was no longer worthy of mention. |
Greg Critser
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| There were small voices that cried alarm, citing the thinness of the data and the fear that such de facto off-label promotion might lead to overprescribing by general practitioners who had no clue how to treat the disease. But by now the climate had changed; the Supreme Court had said that drug companies had the right to distribute such data. To complain that they shouldn't was simply patronizing, and we couldn't have any of that. |
John E. Sarno, M.D.
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 About two thirds had been referred by what were then called general practitioners and medical specialists. The other third came from surgical specialists looking for help in diagnosis. How times have changed! The primary care physicians and internists of today would refer such patients to neurologists, orthopedists, neurosurgeons, or pain specialists. Some would be referred to chiropractors or acupuncturists. And there would be a broader age range. Today, we occasionally get teenagers, and older people in their sixties, seventies, and even eighties are not uncommon. |
Mike Adams, the Health Ranger
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 Too often in modern medicine, general practitioners, oncologists and surgeons look at patients as just another paying customer... another person to run through the system. And that's how a lot of hospitals and drug companies look at it, too. It's certainly how Medicare and Medicaid programs view patients. The humanity gets lost in the equation.
I agree that, as a health practitioner, it can be challenging to offer more individualized, compassionate services to patients, because if you get too close, it's easy to unintentionally take on some of the patients' stresses and sicknesses. |
Greg Critser
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| But should a drug company also be allowed, as has been the case with antidepressants, to dispatch tens of thousands of young, barely trained sales reps, most just out of college, to hand out to general practitioners, with no experience in psychiatry, studies that "suggest" that adult antidepressants "might" help kids with depressions? The murk blossoms anew. The FDA's traditional response was to come down hard on the latter cases, and it intended to protect its powers to do so by appealing the court decision.
But again the FDA lost. |
Dr. Timothy Scott
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 Type A personalities
(9) were more likely to see gynecologists (who are more likely to prescribe hormones than are internists and general practitioners) and
(10) were more likely to be wealthier and better educated.21
This last fact by itself could explain all the perceived benefits the women on estrogen appeared to receive as could the fact which preceded it. And even now that list is not comprehensive. Consider one more difference that, again, taken all by itself could explain why it seemed women on estrogen enjoyed better health when in fact it was putting their health at risk. |
David Hoffman, FNIMH, AHG
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 November 15, 1998, edition of the American Medical Association (AMA) journal Family Practice News, which is sent regularly to general practitioners. In the journal's Clinical Rounds section, this table was presented under the headline "Herbal Products Being Evaluated Under an IND Investigation." (IND stands for Investigational New Drug Application, a request for authorization from the Food and Drug Administration to administer an investigational drug or biological product to humans. |
Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA
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| While it's true that a small number of people with serious psychological problems can benefit from the short-term use of these drugs, in the vast majority of instances they are used to treat mild depression or personality quirks. general practitioners and ob/gyn physicians untrained in psychiatry are passing out prescriptions for these drugs without a second thought. Taking SSRIs for these reasons is the ultimate symptom of thinking we all should behave alike and be happy all the time. The idea that popping a pill will give us more agreeable personality traits is a destructive mindset. |
Mark Blumenthal
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 Evidence from the German Association of General Practitioners' multicenter placebo-controlled double-blind study. Arzneimittelforschung 1990;40( 10): 1111-6. Makheja AN, Vanderhoek JY, Bryant RW, Bailey JM. Altered arichidonic acid metabolism in platelets inhibited by onion or garlic extracts. Adv Prostaglandin
Thromboxane Res 1980;6:309-12. Makheja AN, Low CE, Bailey JM. Biological nature of platelet inhibitors from Allium cepa, Allium sativum, and Auriculariapolytricha. Thromb Haemostasis 1981 ;46:148. Matsuura H. Saponins in garlic as modifiers of the risk of cardiovascular disease. |
Mike Adams, the Health Ranger
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 REPPED: The Royal College of general practitioners in the U.K. has accused drug companies of inventing fictitious diseases or exaggerating the severity of symptoms in order to boost drug sales. It's being called 'disease mongering' and the college explains that pharmaceutical companies are taking the National Health Service to the brink of collapse by hyping both these diseases and the assortment of prescription drugs used to treat their symptoms.
The diseases named by the college as being over-hyped include hypertension, osteoporosis, high cholesterol, anxiety and clinical depression. |
Dr. Michael Heinrich, Joanne Barnes, Simon Gibbons and Elizabeth M. Williamson
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 In addition, some individuals undertake training to become a flower-remedy practitioner; this includes some healthcare professionals, such as some general practitioners, who use flower remedies alongside their day-to-day conventional medical practice.
Flower remedies
Bach developed 38 flower remedies, 37 of which are based on single wild flowers and tree blossoms, and one (rock water) which is made from natural spring water. He intended each remedy to be used for a specific emotional or mental state. Some examples are:
• Gentian (Gentiana amarella) for despondency. |
| Anthroposophic medicine is particularly well-developed in Germany, Switzerland and The Netherlands, where there are hospitals specializing in anthroposophic medicine, as well as many general practitioners who practise an anthro-posophical approach. Anthroposophical medicine is less popular in the UK, although there are medically qualified practitioners who practise anthroposophic medicine.
Conditions treated
Several hospitals in Germany specializing in anthroposophic medicine provide a range of treatments provided by general hospitals. |
| As part of the primary healthcare team, pharmacists, as well as nurses and general practitioners, need to be competent in advising consumers on the safe, effective and appropriate use of all medicines, including herbal medicines. Healthcare professionals also need to be aware of the products and healthcare choices that patients are making, often without their knowledge.
There are many reasons for the increased use of herbal medicines. |
Patrick Holford
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 However, few if any general practitioners are applying what is already known to prevent and reverse heart disease.
The following guidelines apply to us all as a means of eliminating risk and __adding at least ten healthy years to our life span_
• Avoid fried food and limit your intake of meat and foods high in saturated fat. Oily fish such as mackerel, herring, salmon, and tuna are better.
• Eat plenty of fresh fruit and vegetables, which are high in calcium, magnesium, and potassium, especially green, leafy vegetables and beans, which are high in folate. |
Healing Children's Attention & Behavior DisordersDr. Abram Hoffer, M.D., FRCP(C)
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| It occurred to us that we could get at this information much more accurately and quickly by developing a set of questions to which patients could reply with a simple yes or no. general practitioners who have diagnosed schizophrenia very early on using the HOD test as an aid to diagnosis have been astonished with the rapid responses they have seen in their patients. Before these patients had been tested they were very difficult, with a lot of anxiety and depression and other vague complaints. They had not responded to the usual anti-anxiety or antidepressant medication. |
Death by MedicineGary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, Dorothy Smith PhD.
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| A survey of 1072 French general practitioners (GPs) tested their basic pharmacological knowledge and practice in prescribing NSAIDs. Non-steroidal anti-inflammatory drugs (NSAIDs) rank first among commonly prescribed drugs for serious adverse reactions. The results of the study suggested that GPs don't have adequate knowledge of these drugs and are unable to effectively manage adverse reactions. |
Mike Adams, the Health Ranger
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| The Royal College of general practitioners is suffering from argumentative disease and we have a drug for that.'
From my view, the whole thing is quite ridiculous. The drug companies are inventing so many fictitious diseases that they should hire their own intellectual property attorneys and seek patents on those diseases. Imagine if you owned the patent for diabetes... you could charge royalties for any person in the country who was diagnosed with the disease. Or, if you owned the patent for cancer, you could reap a fortune by charging patients $5 or $10 a month just to have cancer. |
Katharine Greider
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 T]he industry has focused on building these mega-brands, mainly marketed to general practitioners. The goal has been to build these products to as large as they can," Arnold H. Snider, who manages a $1.5 billion health-care stocks fund, recently told Barron's. Adding "We're saturating the doc. And after you finish promoting to the doc, you promote to the consumer. One of the problems they're having is that you build up such a critical mass in a few brands, when they go off-patent it's very difficult to replace them. |
C. P. Khare
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 General practitioners still use powdered rootbark for strengthening gums and teeth, and the juice of leaves in night blindness. Unani physicians use the seeds and flowers as a spermatic tonic. Flowers are given as a sex drug for achieving retention and to retard premature ejaculation. Seeds are given with milk for promoting the quality of semen. The powder of seeds is also prescribed in impotency. All these traditional uses are to be treated as a part of folk medicine with few classical references. |
Healing Children's Attention & Behavior DisordersDr. Abram Hoffer, M.D., FRCP(C)
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| And in turn subclinical pellagrologists will be replaced by general practitioners who will know how to use vitamin B-3 in optimum doses and not be afraid of it. In a recent editorial in The Lancet, it is suggested that psychiatry may have to branch into two main areas: a neuroscientific group which would be familiar with molecular, technological, and physical treatments; and a psychosocial school, including psychotherapy, which would deal only with psychosocial problems.
These two biomedical ways (KP and NAD tests) of diagnosing children with learning and behavioral disorders are related. |
Richard P. Brown, M.D., and Patricia L. Gerbarg, M.D.
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 This state of affairs is reflected in doctor visits: A 2003 survey of general practitioners revealed that one in seven working people who scheduled office appointments did so because of fatigue.1
As a group, women seem to be the hardest hit. This makes sense when you consider that over the past few decades, they have taken on more roles than ever before. Currently, 73 percent of all women with school-age children work outside the home.
This is not to imply that men aren't feeling exhausted in record numbers. |
volker schulz and Rudolf Hansel
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 Sixty-one general practitioners treated 373 depressed patients for periods of 24 weeks. Statistical analysis indicated a 47% rate of remissions on placebo compared with 61% on sertraline and 54 % on mianserin (Malt et al., 1999). of presumed pharmacodynamic effects in such cases is caused by side effects that are so typical of a particular drug that they give an experienced researcher early clues to the group identity in a statistically significant number of cases. |
| Sixty-one general practitioners treated 372 depressed patients for periods of 24 weeks. The success rates are shown in Fig. 2.14 Statistical analysis indicated a 47 % remission rate on placebo compared with 61 % on sertraline and 54 % on mianserin (Malt et al., 1999).
The uncritical reliance on statistical data from such studies fails to recognize, however, that the study results with synthetic antidepressants (unlike those with St. John's wort extract) are often compromised by "unblinding" of the test groups. The overrating
NORDEP Randomized Double-Blind Study
% Responders
Weeks
Fig. 2. |
The Life Extension Editorial Staff
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 Selenium Prevents PC in Select Patients
Measures to prevent PC must be a routine part of the counsel that general practitioners and internists give their patients. Selenium intake of at least 200 meg a day should be a consideration in the prevention of PC throughout the world. Low plasma selenium is associated with a four- to fivefold increased risk of PC.53 In addition, levels of plasma selenium also decrease with age, resulting in middle-aged to older men being at a higher risk for low selenium levels. |
volker schulz and Rudolf Hansel
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| In Germany, general practitioners and internists in private practice write approximately two-thirds of all prescriptions, issuing most of them to patients over 60 years of age. But medical therapies in most older patients do not require the use of drugs that produce strong, acute effects with a rapid onset.
Today the therapeutic benefit of drugs is assessed mainly by outcome measures that were established in the artificial realm of clinical double-blind studies. |
| H2| Carminatives
Flatulent states with fullness and nausea are typical complaints of functional dyspepsia and are among the most common presenting complaints that are seen by general practitioners. Their causes are diverse and range from inflammatory gastrointestinal disorders and biliary/pancreatic secretory dysfunction to atherosclerotic lesions of the mesenteric blood vessels. Most cases are thought to be based less an excessive gas formation than on deficient gas absorption. Although bloating and flatulence generally are not painful, they can be very troublesome for the patient. |
Gary Null, Ph.D.
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 In fact, some reports indicate that as many as 90 percent of common complaints heard by general practitioners are related to food allergies, although they are often not understood as such by mainstream doctors. Seemingly unrelated allergy symptoms can include depression, headaches, joint pains, muscle pains, and abdominal complaints.
_Chemical Sensitivity_
Reactions can be brought on by substances in the environment, such as photocopy machines at work, dust and mold in the home, and pesticide residues on foods. Today, people are routinely exposed to thousands of such toxins. |
Simon Mills and Kerry Bone
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 In a survey conducted in the early 1980s, 95% of 2477 general practitioners described good tolerance and therapeutic efficacy obtained from a chamomile cream (containing 2% standardized chamomile extract) in the treatment of eczema.49 The treatment decreased inflammation50 and allowed for a reduction in the level of topical corticosteroids used.49 Chamomile cream was compared to steroidal and non-steroidal dermal preparations in the maintenance therapy of eczema in an open bilateral comparative trial of 161 patients suffering from inflammatory dermatoses on hands, forearms and lower legs. |
| In a case observation study involving more than 800 German general practitioners, more than 5000 patients with chronic venous insufficiency were treated with standardized horsechestnut extract and followed up at regular intervals. All the symptoms investigated (pain, tiredness, tension, swelling in the leg, itching, tendency towards oedema) improved markedly or completely disappeared. Horsechestnut extract was considered an economical, practice-relevant therapeutic tool which, in comparison with compression therapy, has the additional advantage of better compliance. |
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