Eye droop at 3:1 - downside of upselling

Discussion in 'Ipsen' started by anonymous, Aug 31, 2015 at 6:54 AM.

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Best Dysport Ratio

Poll closed Sep 14, 2015.
  1. 2:1

    0 vote(s)
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  2. 2.5:1

    0 vote(s)
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  3. 3:1

    0 vote(s)
    0.0%
  4. 3.5:1

    0 vote(s)
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  1. anonymous

    anonymous Guest

    Got a call yesterday, always bad news to hear on a Sunday. I went with the standard upsell - go with the 3:1 ratio. You know our docs want a simple guide with Dysport - a clinical Pearl as Donnie would say. It's been two weeks of eye droop and they are pissed. What ratio are you having the best luck with ?
     

  2. anonymous

    anonymous Guest

    You CANNOT give advice on conversion ratios. That is off-label. In fact the label states conversion is not possible. If your manager tells you to do so, keep a copy of the email and blow the whistle if things go bad here for you and you can cash in your insurance policy. Do not give advice on conversion. It's a trap by which they can terminate you without a package later. You want the package.
     
  3. anonymous

    anonymous Guest

    Watch out for the spread, diffusion can be a problem

    Neurol Sci. 2013 Jul;34(7):1043-8. doi: 10.1007/s10072-013-1357-1. Epub 2013 Apr 11.
    Conversion ratio between Dysport and Botox in clinical practice: an overview of available evidence.
    Ravenni R1, De Grandis D, Mazza A.
    Author information

    Abstract
    The optimal conversion ratio between Dysport and Botox--the two botulinum neurotoxin type A products (BoNT-As) supported by the larger bulk of evidence-has been extensively debated, because of its broad medical and economic implications. The article discusses the available evidence on the conversion ratio between Dysport and Botox in adults affected by spasticity, cervical dystonia, blepharospasm and hemifacial spasm, with a focus on clinical trials that specifically addressed this issue. In addition, some suggestions on the conversion ratio between Dysport and Xeomin can be extrapolated, since Xeomin has the same efficacy and safety profile as Botox and is exchangeable with Botox with a 1:1 conversion ratio. Taken together, the findings retrieved from this literature research suggest that a conversion ratio of 3:1 (Dysport:Botox)--or even lower--can be considered appropriate for the treatment of the above-mentioned conditions. Higher conversion ratios may lead to an overdosing of Dysport, with a potential increased incidence of adverse events. Therefore, we recommend that physicians using both products consider using a lower conversion factor as a guide, adjusting it upwards as required based on the specific characteristics and response to treatment of each patient.
     
  4. anonymous

    anonymous Guest

    So what you gotta complain about ?
     
  5. anonymous

    anonymous Guest

    It's off label promotion. You need to pull that abstract before FDA sees it. This is a sales message board. What were you thinking?
     
  6. anonymous

    anonymous Guest

    Its only off label if you promote it. The information is public already. Anybody has the right to free speach right ?
     
  7. anonymous

    anonymous Guest

    Use the ratio discussed in our meeting and you will be fine.
     
  8. anonymous

    anonymous Guest

    why do you persist in making trouble WORM !! We are happy and content, selling and making bonus. You are so unhappy you should leave. Clearly you need counseling. Seek therapy immediately.
     
  9. anonymous

    anonymous Guest

    Jane, you ignorant bitch. Promoting off label is a cardinal sin. Giving reps off label information is out of compliance. You can be fired.
     
  10. anonymous

    anonymous Guest

    Absolutely not. You should require about 2.5 times the dose. For example 10 units of Botox is roughly equivalent to 25 units of Dysport. 20 Units of Botox compares with 50 units of Dysport. There may be some differences in length of time to onset, longevity of results, and diffusion patterns once injected.

    [​IMG]
    Otto Joseph Placik, MD

    Chicago Plastic Surgeon
    5.0 out of 5 stars 56 reviews
    www.bodysculptor.com
     
  11. anonymous

    anonymous Guest

    if you explain it using your fingers but without speaking then its ok