Is it just me or does this headline not parse?
> Dr. McQuade said, “We don’t have any data currently to say it will improve adherence,” but will likely study that after sales begin.
Improving adherence is the whole point of a digital drug but they don't have any data?
I mean, ingestible RFID is a conspiracy theory trope.
For me, physicians are just service providers. Expert consultants. Contractors. It's my decision to take their advice, or not.
It is literally medical jargon for "is the patient following the doctor's advice or not." https://www.wikiwand.com/en/Adherence_(medicine) You said that's "horrifying". Are you honestly saying a doctor shouldn't care if a patient finishes a course of antibiotics, or keeps up with physical therapy that will allow them to walk without pain after an accident, or--in this case--sticks to the pills that stave off paranoid delusions and psychosis?
> For me, physicians are just service providers. Expert consultants. Contractors. It's my decision to take their advice, or not.
No one has said otherwise.
I'm not saying that the doctor shouldn't care. I'm arguing that it's the patient's decision whether or not to take the drugs. Some antipsychotics have serious side effects. Many patients are misdiagnosed. Ideally, patients would tell their doctors that the drugs aren't working for them. But biomedical monitoring is a dystopian SF trope, and it's disconcerting to see it implemented.
When it comes to many antipsychotic medications patients suffer from the side effects of taking their medications.
So I'm a little curious why an article on monitoring compliance digitally only talks to patients who are very very unlikely to be noncompliant.
Then there's this misstatement:
"Many patients with these conditions do not take medication regularly, often with severe consequences."
These people take this medication daily. They may miss a day or two and not notice. Longer periods, they would notice the slow return of phobias or irrational thoughts and realize they had been missing their medication and start taking it again.
For those admitted to the hospital or having a history of severe mental illnesses:
People wonder why anyone would stop taking the medications and relapse. I have no proof but think the treatment can be worse than the disease.
Schizophrenia: a serious mental illness that interferes with a person's ability to think clearly, manage emotions, make decisions and relate to others.
Now look at the list of side effects of Abilify: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0009101/?repor...
These patients are on a cocktail of medications each having a list of potential side effects.
For all areas of health care 20-30% of prescriptions are never filled and half of all medications are not taken as prescribed.
Factors involved in the high rate of noncompliance in psychiatric patients:
Noncompliance is a huge problem with schizophrenia. I'm not sure why you'd think otherwise. Something around 50% of medicated schizophrenics go off their meds. Google <schizophrenia noncompliance>.
Keeping crazies drugged so they don't bother their caregivers is pretty far down the slope, in my opinion.
Harming others isn't OK, of course. But drugging people isn't an acceptable solution. It's prone to overuse and abuse.
Oh. You're trolling.
Sorry for wasting my time.
I stand firmly for the non-aggression principle. There's no violence against others in self-harm and suicide. And unrequested intervention is aggression.
But if it's totally voluntary, there's no issue.
What's problematic is coercion. Court-ordered medication. Insurance-mandated medication.
And who watches the watcher?