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	<title>Comments on: Are Acid-Reflux Meds Overprescribed For Infants?</title>
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	<pubDate>Sat, 20 Mar 2010 10:35:37 +0000</pubDate>
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		<title>By: Hank</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24704</link>
		<dc:creator>Hank</dc:creator>
		<pubDate>Tue, 06 Nov 2007 23:05:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24704</guid>
		<description>re: "medically appropriate," yes, I was distinguishing between a decision made about a particular child - based on every relevant dimension that is knowable (and inevitably many that are not) - and what is going on culturally.  

Of course, these are not independent of each other, just different levels of looking at the situation.  I raised it because arguments like "Well, this is what my child needed" don't address the wider seachange we've seen re: kids and drugs in general.</description>
		<content:encoded><![CDATA[<p>re: &#8220;medically appropriate,&#8221; yes, I was distinguishing between a decision made about a particular child - based on every relevant dimension that is knowable (and inevitably many that are not) - and what is going on culturally.  </p>
<p>Of course, these are not independent of each other, just different levels of looking at the situation.  I raised it because arguments like &#8220;Well, this is what my child needed&#8221; don&#8217;t address the wider seachange we&#8217;ve seen re: kids and drugs in general.</p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24698</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Tue, 06 Nov 2007 22:14:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24698</guid>
		<description>Hey James,

Here you have a so called, "Respected National Organization" saying Parents arent to blame,and you go silent...What a Wuss..Learned that term from my kids!!!</description>
		<content:encoded><![CDATA[<p>Hey James,</p>
<p>Here you have a so called, &#8220;Respected National Organization&#8221; saying Parents arent to blame,and you go silent&#8230;What a Wuss..Learned that term from my kids!!!</p>
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		<title>By: Laurie</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24685</link>
		<dc:creator>Laurie</dc:creator>
		<pubDate>Tue, 06 Nov 2007 20:55:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24685</guid>
		<description>"However, part of the problem is that even with being informed, there is so much misinformation out there from myriad (unchecked) sources that the lay public doesnâ€™t have the background necessary to assess everything critically."

Couldn't agree more. But that same misinformation can play a big part in a physicians decisions. As a medical professional I see that misinformation every day. As a parent I made decisions based on misinformation. 

As I've said before, I don't have the answer, but what we are doing now isn't it.</description>
		<content:encoded><![CDATA[<p>&#8220;However, part of the problem is that even with being informed, there is so much misinformation out there from myriad (unchecked) sources that the lay public doesnâ€™t have the background necessary to assess everything critically.&#8221;</p>
<p>Couldn&#8217;t agree more. But that same misinformation can play a big part in a physicians decisions. As a medical professional I see that misinformation every day. As a parent I made decisions based on misinformation. </p>
<p>As I&#8217;ve said before, I don&#8217;t have the answer, but what we are doing now isn&#8217;t it.</p>
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		<title>By: Laurie</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24682</link>
		<dc:creator>Laurie</dc:creator>
		<pubDate>Tue, 06 Nov 2007 20:40:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24682</guid>
		<description>"What is medically appropriate?"
That is the key to this. It's not one person or company that has made this possible. It's, as you say, a culture of drugging. Where is the ethical line? Medicine says that giving a child with a cold a drug is not ok, but other doctors are prescribing antipsychotics to "bipolar" two year olds. 
You have one side of the coin saying you are a bad parent if you allow your child to take a medication, and the other side saying your a bad parent if you don't give them the medication. 
I don't have the answer, but it's no wonder that parents are confused.</description>
		<content:encoded><![CDATA[<p>&#8220;What is medically appropriate?&#8221;<br />
That is the key to this. It&#8217;s not one person or company that has made this possible. It&#8217;s, as you say, a culture of drugging. Where is the ethical line? Medicine says that giving a child with a cold a drug is not ok, but other doctors are prescribing antipsychotics to &#8220;bipolar&#8221; two year olds.<br />
You have one side of the coin saying you are a bad parent if you allow your child to take a medication, and the other side saying your a bad parent if you don&#8217;t give them the medication.<br />
I don&#8217;t have the answer, but it&#8217;s no wonder that parents are confused.</p>
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		<title>By: Reality</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24681</link>
		<dc:creator>Reality</dc:creator>
		<pubDate>Tue, 06 Nov 2007 20:34:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24681</guid>
		<description>Laurie,

I was the one who said that your average (key word: average) person probably cannot fully and adequately understand a journal article and I stand by that. I also don't think your average person can fully understand a legal brief, stock prospectus, architectural plan, computer code, string theory, Gravity's Rainbow, or any other highly specialized document. 

But I've never said they shouldn't be informed or that they should just go along with what their doctors say. Rather, they should work with their doctors (along with whatever information they've found) to decide on a course of treatment.

However, part of the problem is that even with being informed, there is so much misinformation out there from myriad (unchecked) sources that the lay public doesn't have the background necessary to assess everything critically.</description>
		<content:encoded><![CDATA[<p>Laurie,</p>
<p>I was the one who said that your average (key word: average) person probably cannot fully and adequately understand a journal article and I stand by that. I also don&#8217;t think your average person can fully understand a legal brief, stock prospectus, architectural plan, computer code, string theory, Gravity&#8217;s Rainbow, or any other highly specialized document. </p>
<p>But I&#8217;ve never said they shouldn&#8217;t be informed or that they should just go along with what their doctors say. Rather, they should work with their doctors (along with whatever information they&#8217;ve found) to decide on a course of treatment.</p>
<p>However, part of the problem is that even with being informed, there is so much misinformation out there from myriad (unchecked) sources that the lay public doesn&#8217;t have the background necessary to assess everything critically.</p>
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		<title>By: Hank</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24678</link>
		<dc:creator>Hank</dc:creator>
		<pubDate>Tue, 06 Nov 2007 20:11:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24678</guid>
		<description>Many of today's stories circle on the same theme - the enormous increase in the use of both OTC and rx meds in kids, including infants, whether PPIs, psychotropics, decongestants, etc.

Let me reframe the issue of who is ultimately responsibile.  Logically, it's the parent who puts the pill in the child's mouth.  Logically, it's the doc who writes the script (except for OTC).  And logically, it is obvious that the industry has found a market for millions of scripts and OTC meds on an entirely different scale than just a few years ago.  

I don't think it serves us to try to separate one part of this contellation from the rest.  A hell of a lot more kids are being given a hell of a lot more drugs.  Beyond what that may mean in any particular instance re: what is medically appropriate, we clearly have a cultural and public health phenomenon here.  

The question becomes:  Will we have the will, the ethics, and the science to view it with as much objectivity as can be mustered.</description>
		<content:encoded><![CDATA[<p>Many of today&#8217;s stories circle on the same theme - the enormous increase in the use of both OTC and rx meds in kids, including infants, whether PPIs, psychotropics, decongestants, etc.</p>
<p>Let me reframe the issue of who is ultimately responsibile.  Logically, it&#8217;s the parent who puts the pill in the child&#8217;s mouth.  Logically, it&#8217;s the doc who writes the script (except for OTC).  And logically, it is obvious that the industry has found a market for millions of scripts and OTC meds on an entirely different scale than just a few years ago.  </p>
<p>I don&#8217;t think it serves us to try to separate one part of this contellation from the rest.  A hell of a lot more kids are being given a hell of a lot more drugs.  Beyond what that may mean in any particular instance re: what is medically appropriate, we clearly have a cultural and public health phenomenon here.  </p>
<p>The question becomes:  Will we have the will, the ethics, and the science to view it with as much objectivity as can be mustered.</p>
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		<title>By: James</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24672</link>
		<dc:creator>James</dc:creator>
		<pubDate>Tue, 06 Nov 2007 18:28:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24672</guid>
		<description>Lisa, I don't care what NAMI NJ has to say in re: parents' responsibilities, and have never so much as referenced them, so I'm not going to discuss your link.  Nice attempt at a straw man, though.

Nathan, looks like I struck a nerve.  If your baby is one of the rare ones who has an actual issue with acid reflux, then you certainly should medicate that child, since that is what it is designed for.  If, however, you are doing it for your "sanity" so you don't have to hear your baby cry, then maybe you should have thought about what being a parent really entailed before doing so.  After all, I've yet to see on the indications panel of Prilosec "use when parent is tired of hearing their baby cry."

The argument you make makes me think of the parents who exercise no discipline over their children at the grocery store or in a restaurant, who buy minivans with televisions in the headrests so they don't have to talk to their children in the car, overmedicate their children with drugs both OTC and prescription, and then sue companies when their child has an adverse reaction or attempts suicide due to the anti-depressants they administered to their children.

I hope you aren't going to become one of those parents, Nathan.</description>
		<content:encoded><![CDATA[<p>Lisa, I don&#8217;t care what NAMI NJ has to say in re: parents&#8217; responsibilities, and have never so much as referenced them, so I&#8217;m not going to discuss your link.  Nice attempt at a straw man, though.</p>
<p>Nathan, looks like I struck a nerve.  If your baby is one of the rare ones who has an actual issue with acid reflux, then you certainly should medicate that child, since that is what it is designed for.  If, however, you are doing it for your &#8220;sanity&#8221; so you don&#8217;t have to hear your baby cry, then maybe you should have thought about what being a parent really entailed before doing so.  After all, I&#8217;ve yet to see on the indications panel of Prilosec &#8220;use when parent is tired of hearing their baby cry.&#8221;</p>
<p>The argument you make makes me think of the parents who exercise no discipline over their children at the grocery store or in a restaurant, who buy minivans with televisions in the headrests so they don&#8217;t have to talk to their children in the car, overmedicate their children with drugs both OTC and prescription, and then sue companies when their child has an adverse reaction or attempts suicide due to the anti-depressants they administered to their children.</p>
<p>I hope you aren&#8217;t going to become one of those parents, Nathan.</p>
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		<title>By: Nathan</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24658</link>
		<dc:creator>Nathan</dc:creator>
		<pubDate>Tue, 06 Nov 2007 16:36:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24658</guid>
		<description>James, 
Given your forceful statements above, I assume you don't take ibuprofen when you have a headache and Sudafed when you have a stuffy nose.  However, most Americans do take OTC medications to relieve simple aches and pains of life.  When I give medication to my children, (including reflux medication to my infant), it is for their comfort as well as my sanity.  Every time I take Tylenol to relieve my headache, I'm very thankful that I live in the 21st century and not in the 18th century when such luxuries were not available.  If you would like to continue living in the 18th century, that's your business.  But get off your soapbox and stop judging the character and motives of those of us who enjoy living in a modern world.  If you want your baby to continue to spend his/her nights screaming in pain from reflux, thatâ€™s your prerogative.  I choose to do whatever is in my power to alleviate her suffering.</description>
		<content:encoded><![CDATA[<p>James,<br />
Given your forceful statements above, I assume you don&#8217;t take ibuprofen when you have a headache and Sudafed when you have a stuffy nose.  However, most Americans do take OTC medications to relieve simple aches and pains of life.  When I give medication to my children, (including reflux medication to my infant), it is for their comfort as well as my sanity.  Every time I take Tylenol to relieve my headache, I&#8217;m very thankful that I live in the 21st century and not in the 18th century when such luxuries were not available.  If you would like to continue living in the 18th century, that&#8217;s your business.  But get off your soapbox and stop judging the character and motives of those of us who enjoy living in a modern world.  If you want your baby to continue to spend his/her nights screaming in pain from reflux, thatâ€™s your prerogative.  I choose to do whatever is in my power to alleviate her suffering.</p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24656</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Tue, 06 Nov 2007 16:21:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24656</guid>
		<description>Sorry about that..Third try is a charm.

http://www.naminj.org/programs/educating_the_educators/educating_the_educators.htm</description>
		<content:encoded><![CDATA[<p>Sorry about that..Third try is a charm.</p>
<p><a href="http://www.naminj.org/programs/educating_the_educators/educating_the_educators.htm" rel="nofollow">http://www.naminj.org/programs/educating_the_educators/educating_the_educators.htm</a></p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24655</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Tue, 06 Nov 2007 16:17:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/are-acid-reflux-meds-overprescribed-for-infants/#comment-24655</guid>
		<description>http:naminj.org/programs/educating_the_educators/educating_the_educators.htm</description>
		<content:encoded><![CDATA[<p>http:naminj.org/programs/educating_the_educators/educating_the_educators.htm</p>
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