Press "Enter" to skip to content

What do we know about drugs we buy in local pharmacy? | Mark Veselov | TEDxMIPT


will try

to figure it out

issue

I started hungry

I suggest you play

in a small game

let’s check your

30 this photo I

I will do in one of

Moscow pharmacies

here actually

drugs against

virus infections and

what do you think at all

how many of these

drugs

online proven

efficiency

make a wish for yourself

there 10 20 50 percent

can be so

drum roll those

which are marked

red this medicine

which in general is not

was sufficient

evidence base

to judge their

effectiveness and

hence the

such a question really

everything is so bad can

this is some kind of private

case in one of the

some in one

just a pharmacy and can

these drugs are not

so much for that

that the viewer on this

question let’s

look at

sales statistics

preparations for

Russian pharma market

for 2016 this is 120

drugs by volume

sales

here in general you are

can see all of us

familiar to the known

medicine

but of these 20 somewhere 9

they are not

have sufficient

evidence base

in order to judge

the air

effectiveness and

the amount of sales

of these drugs

is approximately 30

billions of rubles

there is one drug

actually

account for 3

billion rubles if

take for example the amount

if you take the price 1

packaging of such

drug and share

in total sales

at this price, then in general

somewhere

from each of these

is sold

10 million forgings in

year, that is, in general

of these figures, you can

suggest that

everyone sitting in this

the audience

at least once in my life I

I think I ran into

what he bought

spell and did not know on

really effective

he or not well why

actually we

buy such

drugs seem to me

one of the reasons why

so this is what happens

what do we assume

by default when

go to the pharmacy what

a drug that we

advised the doctor or

slugger

it is effective

works and we do not

put it at all under

doubt but on the other

parties when we go

watch the movie we

go to the cinema search

watch reviews

critics for example

evaluation of who

was shot in the film and

so on, that is, we

trying to figure out what

we are dealing with a for

there are not even

resources for

fact where everyone

a person can stop by

see find out in

Kevin preparations are not present

now i’m working

researcher

laboratory

medical chemistry in

informatics insulin and

doing

computer

modeling in

area of ​​development

new drugs but

In addition, we

we are engaged one by one

project under the working

title

admonter with my

colleagues from

laboratory

actually we

develop such

application in which

any person can

come and see

how effective

this or that drug

but for starters, let’s

in general, then you are with him that

such medicine but

if anyone does not know

what do you have in general

association with the word

medication occurs in

head but also think

what pills yes

probably you think

or syringe and powders

possible at the very

Well, of course it’s

relates to

new medicines

medications still

these molecules are large

or small

which when hit

our body they

act on proteins

or to others by

its reduction due to

this has

certain effect

here’s an example for him

on a banal example

can see there is

two consonants

drug teraflu and

tamiflu

but this two

completely different

medicines

because in teraflu

main active

the substance is simple

mol of time Flew

this is the node to me where that

there are two different

molecules and act

they are different

prostomol without

cyclooxygenase

in the human body

and due to this

reduces symptoms

flu interview

actually acts

on

the term even at the very

influenza and protect it

acts on the source

the disease itself

what do you generally

know more of the drug

against influenza well

call somewhere

as

but still well Frol rex

koldrex

in fact also become

leaders are still

any louder

well, in general, yes, you were

all approximately

correctly called

so I took with me

some of them

drugs

so one of the most

perhaps popular

Here for example arbidol

active substance

he has to go upstairs

the molecule was

developed in the 1970s

the mechanism

actions

Interestingly

find out its only

recently published an article

in 2017 that he

can communicate with

proteins on

the surface of the virus

flu is what’s most

interesting here

usually do

on the contrary first

remove the actions a

then release

drug on the market and

clinical

research itself

those who

now the data from

clinical

studies of their

not enough to

merge

objectivity of this

preparation

Here means went too

called when whole

copolymer with

current

with the gossypol substance

the whole table yes

natural polyphenols

which by the way

enough

it was toxic

show in

some

studies that

may cause

decline

reproductive

functions in men

manufacturer

states that in

general in the bound

is safe and

again the data

clinical

research

rather scanty

and it is difficult to judge by

logic for all of this

drug that’s

perhaps the last of

the most

popular it

ingavirin

also a mechanism

action

substance valis

masses is doubtful and

until 2008 this

carrier drug

substance for

the name de carbonyl

and was sold in

as a means

which stimulate

hematopoiesis

but in 2008 directly

before the epidemic

This swine flu

drug fast

released on the market with

minimum say

so necessary

documents here

none of the

of the named drugs

he is not

registered in either

USA and in Europe and not

recognized there in

quality

effective

medicinal

facilities

but I do not know

the last two

probably worth

mention and on

coronation

Well, these are still

drugs that

people like to buy in

in general, it is not even

medicine is

drugs that

belong to the class

homeopathy and in them

even molecules

actually

there are no

so no

greater effect

except for placebo and

they should not be expected

well, in general, how

know how

the drug is effective

to the most important

the question of which

criteria

appreciate this

there is so

called

so -called level

evidence-based

medicine is the lowest

level is an opinion

individual experts

or doctors about

is effective

drug or not

evidence-based

medicine are

clinical

tests and than

large quantity

people who

tested the drug and

the better the design

research

the higher the level

evidence

reference

necessary medicine

are double

blind

placebo-controlled

research in

who moved

compared with placebo

and not the patient is not a doctor

do not know which guy

such

take the patient

placebo

or examined

drug at the expense of

this we can

get objective

data on that works

drug or not, but

even this is not the most

high level

evidence-based

general medicine

highest level

it is systematically

analyzes and

systematic

reviews and meta-analysis and

who blame

data from several

clinical

research and

the basis of this data

make and reception

content is such an opinion

let’s say so in ken

drug or not for

We reduce this account

actual errors

which can be

committed in separate

clinical

tests and where

look

actual output

these thematic

reviews and mid- analyzes

exist

organizations that

they are conducted

and their sites can be

see the findings and

conclusions

regarding those or

other drugs

own and from

[music]

together with colleagues

from my lab

We analyzed

as a molecule on

Russian market their

order

1600 and of them for only

for the thousand we found

information

here such base bases

of data

and for the remaining 600

molecules unfortunately

until such information

no

and in general for

common man

which is not

is confronted with science

do not deal with

science it is quite

difficult to find at all

necessary information

then how much

is effective and

a drug is safe

actually for this

we are doing our

Project dredge enter

developed by

application in which

we have all this information

from the database

we collected say so

sorry for this

short and you

you can then

application type

name

of interest to you

drug and

view by

results

systematic

reviews are not

analyzes for which

can generally be

which can be

sure that while

Unfortunately application

it is being developed

Not yet came out but I

I think in two

months already

the first version and so

I think my report

generally wore such

pessimistic

character as

seem seem

everything is bad and everything

horrible preparations

Ineffective and us

cheat there

conspiracies are rare in

her and so on but I

generally call you

somewhat different

point of view namely

to the fact that each of the

he carries us

responsibility for

and then what drugs

accept such

drugs are bought in

pharmacy and what

the drugs he gives

to their children and relatives

and

that is, there is no

it seems everyone needs

think about

that it takes and

raise one’s level

awareness in this

question no more

responsibly to this

suit

and our task is

provide for

this is all necessary

resources and sources

information

Thank you

”

Be First to Comment

Leave a Reply

Your email address will not be published. Required fields are marked *