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Re:Why Are So Few Blockbuster Drugs Invented Today? by pessimizer on Thursday November 13, 2014 @05:30PM (#8604584)
Because medicine has only recently become a science. 150 years ago, medicine was far more likely to hasten your death or kill you than improve your situation, and the only medical intervention that actually sometimes delivered results was surgery.

At some point, the claims that it made started to be tested rather than simply taken on authority, basic knowledge was accumulated, and the low hanging fruit was plucked. The rest of the fruit is harder to get to, or may even be largely exhausted IMO, because the field is still operating as if all sicknesses have the possibility to be cured by a magic potion (taken orally or injected.) Now, most announced discoveries are simply false, and the largest selling drugs either useless or intoxicants (statins, SSRIs, Xanax, Adderall, etc.)

I'm pleased about research on parasites and gut flora, though. It's being reduced to poop pills in its media coverage, but it's not the standard magic potion bit.

Re:Why Are So Few Blockbuster Drugs Invented Today? by jeffreyrogers on Thursday November 13, 2014 @08:43PM (#8605383)
I'm not fully sure why you've been downvoted, but I think your comment on SSRIs is a bit misguided. I don't know enough about the others you've mentioned (statins, Xanax, Adderall, etc.) but the evidence for the efficacy of SSRIs is very strong and they certainly aren't intoxicating.
Re:Why Are So Few Blockbuster Drugs Invented Today? by smaccoun on Thursday November 13, 2014 @10:18PM (#8605654)
Got a link for that? Several publications have been making the news lately showing antidepressants are really no better than placebo in general

http://www.scientificamerican.com/article/antidepressants-do...

Re:Why Are So Few Blockbuster Drugs Invented Today? by glenra on Friday November 14, 2014 @02:08AM (#8606139)
Try this:

http://slatestarcodex.com/2014/07/07/ssris-much-more-than-yo...

...which also sort of goes along with this overview of depression treatment in general:

http://slatestarcodex.com/2014/06/16/things-that-sometimes-h...

The relevant upshot of that first link includes:

(1) Everybody agrees SSRIs are at least somewhat better than placebo

(2) Placebos really are unreasonably effective compared to non-treatment, so even merely being as effective as placebo is a huge benefit, not to mention being somewhat better than that.

(3) What constitutes a "clinically significant" improvement (even relative to placebo) turns out to be kind of arbitrary. As in, a drug that misses that arbitrary goal might still be hugely beneficial to people. (especially if you compare it to non-treatment)

(4) Glomming all SSRIs together into one big lump to reach conclusions about the group combines some that work pretty well with some that are known to not work well at all, which can bring down the average effectiveness of the group to below that arbitrary "clinically significant relative to placebo" mark even though individual SSRIs might on their own be more likely to make the cut.