Posted by Dragon Black on September 6, 2007, at 23:05:22
In reply to Re: Tianeptine appears to work - Dragon Black, posted by brooke484 on September 4, 2007, at 20:57:45
Honestly, I don't know. I've read a bunch of stuff but most appeared to be just speculation. Issues with patent expiration, etc., such that the enormous profit potential just wasn't there to incent one of the Pharms to pursue it in the states. I've also heard that it was shelved here to make way for fluoxetine (so way back), but I don't know anything about this. I've also heard sort of a general conspiracy theory that since tianeptine works opposite the SSRIs, the front line treatment for depression in the states for the last several decades, that there is enormous inter-institutional pressure and opposition to make sure it never shows up on these shores. This line of thinking holds that not only would it cut into the profits generated by other ADs, but that it would undermine the legitimacy of Psychiatry such that all ADs, maybe even all pharmaceuticals, would take a hit, the upshot being to the consumer, "wow, they really don't know what the hell causes these disorders or symptoms and they will just sell us anything." When one considers the recent scholarship on the parallel efficacy of placebo to ADs, not to mention the unbelievably enormous amounts of money at stake, one doesn't have a hard time believing that such a threat would be vigorously opposed behind the scenes.
> Why won't it be approved here? Just curious...
poster:Dragon Black
thread:779832
URL: http://www.dr-bob.org/babble/20070831/msgs/781297.html