Guest guest Posted May 22, 2004 Report Share Posted May 22, 2004 LDN Trials -Urgency- a " Multiple " approach I'd like to add my 2 cents to the discussion on whether or not we should, as a group, be pushing for a trial. I believe trials are essential because they effect public (and Doctor) opinion. We are not going to change that, or human conditioning (others must know better than we do thinking) any time soon. No need to rehash the reasons justifying a trial as Yash did that nicely several posts back. What I would like to add is also focusing on getting anyone and everyone (including the " Societies " ) to lobby hard for changes everywhere to the laws and rules governing the use of FDA approved drugs for off label afflictions (I just don't believe MS is one disease or even a disease as we typically know diseases to be). If the goal is to see as many folks as possible hearing about and having ready access to LDN, than lobbying for changing the way Off Label use happens will not only free up LDN, but countless other drugs. Most of the drugs seeing extensive off label use seem to be like LDN in that they are older (beyond patent protections) and relatively cheap (little incentive for Pharmas to Clinical Test). Not to also rehash or bash big pharma, but their focus will always be looking forward, not back, unless laws are changed. They want us using the newest latest greatest because that is where they make their money (patent protection and premium pricing). Changing Off Label use laws can look several ways. First is to grant new or extended patents for Drugs covering new uses. There are many issues related to this making it tough, but not impossible. This would provide incentives to Pharmas to do Clinical Trials on Drugs out of patent protection for " other " uses. Unless I am misinformed I don't think new or extended patents are possible in most places now. Another, and perhaps easier option would be to see laws or rules that specifically allow Off Label use, even if the user has to sign a release of some sort to remove the Liability obstacles (fear of being sued - Doctors, Pharmas and even Societies for " recommending " an Off Label Drug). It seems many Neuros (Pharma fear or control aside) are unwilling to prescribe Off Label Drugs for fear of being sued. My first Neuro was " afraid " with respect to RXing LDN, and so much as said so! Again this is a complicated issue and presented here only as the base concept. I am continuing to correspond with the MS Society (somewhat one way at present) focusing on not only Trials, but lobbying for changes to Off Label use rules and laws, not only for LDN but for all Off Label use Drugs (by definition these drugs are already " approved " and for something, as well as " safe " ). Perhaps the Societie's position on not directly doing Clinical Trials is in a grey area mandate wise (at least according to them), but lobbying certainly is not. Sorry this was so Long! Best Alan Quote Link to comment Share on other sites More sharing options...
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