Saturday, September 29, 2007  Hey Pfizer! This one's for you...
There rarely exists a pharmaceutical need that doesn't go filled
by Big Pharma. Too hard to swallow that pill? Here, we'll make a
dissolvable tablet...or a patch...or an inhaled form.  But
they've missed a hole, a marketing void. And I'm about to give
it to them.  Primary care doctors need a combination
antifungal/low-potency steroid cream.  Lots of topical
fungal/yeast infections, when in the angry and red stage, would
really benefit from this. Sure, we've got Mycolog and Lotrisone,
but the steroid components of those are stronger than I like to
use excessively, especially on a baby bottom. The problem is
that they work so well that once patients get a taste, plain
nystatin ain't gonna cut it anymore. I have been begged in the
past.  Why can't I just write two prescriptions, a steroid and
an antifungal? Of course I can. But then there are two copays,
and two creams to confuse.  Really, I think this is a good idea.
I'll settle for a 10% cut.  If