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I've always considered drug company advertising/promotions a pain, but particularly dislike direct to consumer advertising.
All other things being equal, I tend to avoid prescribing the medications most heavily advertised by the drug companies. Patients have enough misconceptions. We don't need them coming in asking for specific drugs because of a commercial they've seen or a mailing they received. Plus, for obvious reasons, the advertised medications are the newest and most expensive. Sometimes the new drug is better, but often it isn't.
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