As I was taking my customary pharmacy-dookie this morning, I was flipping through the latest Drug Topics when I saw a nice little advertisement for Luvox CR. Like Disco and bath-houses, someone is trying to bring back Luvox. Luvox is one of those red-headed stepchildren SSRI’s that never really caught on. Paxil, Prozac, Celexa, Zoloft all managed to get the ball rolling in the PR department. Luvox however sank in the shadows and never really caught on. It only got a little bit of press that one of the Columbine shooters was on Luvox.
Now, why someone would want to market Luvox CR is beyond me. Luvox is dead! Deal with it! Why don’t we just bring back Reserpine? Here you have a market of SSRI’s that cost pennies (Paxil, Prozac, Celexa) and you’re bringing a Continued Revenue formulation of a drug that did not catch on back in the day? The company making this must be hiring Vegas Hookers as their drug reps to go deep throat every doctor in town to get him to write this shit.
What gets me is the whole “THERE IS NO GENERIC ALTERNATIVE” warning on the advertisement. You’re right, but a quick phone call can give the patient a generic alternative that does the SAME thing and doesn’t have the trade name copays. You know, if it came in bottles of 30 and the insurance would cover it, I might of just dispensed it and moved on, but since you had to point out that there IS NO GENERIC ALTERNATIVE like I’m some 4th grader who pooped his pants; it will be my duty now to switch everyone OFF of Luvox CR to either plain generic Luvox or some other generic SSRI. Fuck you very much.
“But Angry Pharmacist, Luvox CR is DIFFERENT! ITS INDICATED FOR Social Anxiety Disease (SAD) and Dripping Anus Syndrome (DAS)”. I’ll let you all in on a little secret. An SSRI is an SSRI. Ford and Chevy both make cars, but both will take you to the exact same spot. Don’t give me the “This is indicated for this and our competitor is not” bullshit. Doctors don’t listen to what a drug is “indicated” for (Uh, Neurontin?) just what works. A $200 drug is not going to magically work better than a $20 generic. You remember when reps were pushing Celexa? Remember when Lexapro came out the dumbass reps did a 180 and said how BAD CELEXA was? Yeah, its all about the Benjamins, don’t let the reps fool ya.
So that Drug Topics advertisement? It was tempting, but I threw it in the trash vs using it to wipe my behind.