Lifestyle drug
Lifestyle drug (also lifestyle medicine) is an imprecise term commonly applied to medications which treat non-life threatening and non-painful conditions such as baldness, impotence, wrinkles, or acne, which the speaker perceives as either not medical problems at all or as minor medical conditions relative to others.
It is sometimes intended as a pejorative, bearing the implication that the scarce medical research resources allocated to develop such drugs were spent frivolously when they could have been better spent researching cures for more serious medical conditions. Proponents, however, point out that improving the patient's subjective quality of life has always been a primary concern of medicine, and argue that these drugs are doing just that.
It finds broad use in both media[1] and scholarly journals[2].
Bioethics and medical policy debate
Though no precise widely accepted definition or criteria are associated with the term[3], there is much debate within the fields of pharmacology and bioethics around the propriety of developing such drugs, particularly after the commercial debut of Viagra.[4]
The German government's health insurance scheme has denied insurance coverage for some Lebensstildroge ("lifestyle drugs") which they deem spurious.[5]
Critics of pharamaceutical firms claim that pharmaceutical firms actively medicalize; that is, they invent novel disorders and diseases which were not recognized as such before their "cures" could be profitably marketed, in effect pathologizing what were widely regarded as normal conditions of human existence. The consequences are said to include generally greater worries about health, misallocation of limited medical research resources to comparatively minor conditions while many serious diseases remain uncured, and needless health care expenditure. This medicalization of some element of human condition has significance, in principle, as a matter for political discourse or dialogue in civil society concerning values or morals.
Social critics also question the propriety of devoting huge research budgets towards creating these drugs when far more dangerous diseases like cancer and AIDS remain uncured. It is sometimes claimed that lifestyle drugs amount to little more than medically sanctioned recreational drug use.
External links
- Are Pharmas Addicted to Lifestyle Drugs? Business Week, June 15, 2007
References
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- Lifestyle drugs: pharmacology and the social agenda. Trends Pharmacol Sci. 2004 Apr;25(4):182-5.
- Lifestyle drugs: issues for debate. J. Lexchin, Canadian Medical Association Journal, 2001
- Lifestyle medicines. D Gilbert, T Walley, B New. British Medical Journal, 2000.
- Demand, appropriateness and prescribing of ‘lifestyle drugs’: a consultation survey in general practice. M Ashworth, S Clement, M Wright. Family Practice, 2002 - Oxford Univ Press.
- Lifestyle Drugs: Determining Their Value and Who Should Pay. D Mitrany - Pharmacoeconomics, 19(5) Parts 1 and 2:441-448, 2001.ja:生活改善薬