“I’m not a real doctor – but I play one on drug ads”

You may recall seeing Dr. Robert Jarvik‘s pleasant face on your TV screen a few years ago flogging Lipitor, the biggest-selling drug on the planet at that time, earning well over $12 billion a year for Pfizer – the biggest drug company on the planet.

This partnership emerged just as the company was seeking to protect Lipitor from emerging competition by cheaper generics, and just before a U.S. Congressional investigation started looking into Jarvik’s credentials and his controversial role as paid pitchman for the cholesterol-lowering statin drug. Continue reading

Top 10 biggest-selling prescription drugs

The editors of Consumer Reports Health took a very close look at the recently released list of the Top 10 biggest-selling prescription drugs last year. No surprise that most of the drugs to make this list (based on total dollars spent) are expensive and heavily advertised brand name drugs prescribed for common ailments such as heartburn and high cholesterol.

But oddly enough, many would not be the first picks as recommended by the independent medical experts at Consumer Reports Health.  Here’s the list, along with some of their Best Buy Drugs list alternatives:  Continue reading

Can statin drugs really save your life?

When I was hospitalized after my heart attack, cardiologists immediately prescribed Lipitor, a statin drug which happens to be the biggest-selling drug on earth, made by Pfizer, which happens to be the biggest drug company on earth. My LDL (bad) cholesterol numbers went from 4.1 while still in the Coronary Care Unit down to 1.9 a few short weeks later.

(These are Canadian readings, by the way: to convert from Canadian to American readings, just multiply by 40). That’s quite a spectacular result for lowering one’s LDL cholesterol levels – but the question remains: do I really need to take this powerful cholesterol drug every day for the rest of my life?

Dr. Mark Ebell, a professor at the University of Georgia and deputy editor of the journal American Family Physician, says:

“High-risk groups have a lot to gain. But patients at low risk benefit very little if at all. We end up over-treating a lot of patients.”

Continue reading

Lipitor – and nine other blockbuster drugs that are falling off the ‘patent cliff’

Pfizer, the world’s biggest drug company, sells the world’s biggest brand name drug, Lipitor. According to those busy insiders at Fierce Pharma, this mega-blockbuster cholesterol drug won’t really face marketplace competition until 2011, even though one of the drug’s patents expires this year. And although Pfizer earned $11.4 billion in Lipitor sales last year, that total was a big drop compared to 2008′s $12.4 billion.

After a number of years in the marketplace (usually between 7-12 years in the U.S. and up to 20 years in Canada), a brand name drug’s exclusive patent protection expires, thus opening the market to competition from cheaper generic forms of the same drug.  And when generic drugs become available, the market competition often leads to much lower prices for both the original brand name drug and the generics.  Continue reading