People With Rare Conditions Deserve Medications

But are pharmaceutical companies abusing “Orphan Drug” rules?

John Kruse MD, PhD
Wise & Well
Published in
7 min readDec 11, 2023

--

Orphaned baby elephant image by 7523944 from Pixabay

At one of his follow-up psychiatric appointments, Joey wanted to try a new medication. He had read online that Sunosi (solriamfetol), a medication for daytime sleepiness from narcolepsy, appeared helpful in treating ADHD. I told him that this report was a preliminary study, and that Sunosi had not yet been approved for ADHD. I also reminded him that just last week he had raved about how well Vyvanse was working for his ADHD symptoms. “Well it is, doc, but maybe this will be even better…..”

I’m used to individuals with ADHD craving novelty, and wanting to switch things up. I also know some of the ways that the pharmaceutical industry works to make their products enticing, and to foster the fear that you might be missing out on something even better to treat your condition.

Not only are pharmaceutical companies adept at manipulating prospective patients, they’re also pretty good at stretching government regulations, including “orphan drug” laws. Orphan diseases are those that are so rare that it wouldn’t usually be worthwhile for a drug company to either develop, or bring to market, a medication to treat the condition. Until governments provided financial incentives for companies to create treatments, such rare…

--

--

John Kruse MD, PhD
Wise & Well

Psychiatrist, neuroscientist, father of twins, marathon runner, in Hawaii. 100+ ADHD & mental health videos https://www.youtube.com/@dr.johnkruse6708