5 ms·
Brain-boosting drugs for healthy people
- deleted 18y ago[deleted]
- DenisM 18y agoThere could be nasty side-effects twenty years down the road, so I'd rather abstain. It would totally suck to be forced to take those drugs to remain cometitive, so I hope they will keep those drugs in limited circulation until their safety can be proven beyond doubt.
- jaxn 18y agoYou trust the FDA to tell you what is safe and what is not?
- DenisM 18y agoNo, where did you get that from??? I hope that FDA keeps those drugs unavailable for next 40 years, and during that time hundreds of organization and individual doctors around the world will be able to test the long-term safety.
- Shamiq 18y agoThat's an interesting notion. What incentive does a drug company have into spending millions of dollars researching and developing a product to maybe reap benefits 40 years in the future? In a similar situation, I would move onto something more lucrative in a reasonable time frame. It's conceivable to imagine an industry completely stifled by having extremely high barriers to market entry. Additionally, imagine being forced to use research that is at least 40 years behind the curve (undoubtedly it'll be more), when the new is available. I understand you may have been exaggerating -- but this is still a good point to bring up.
- DenisM 18y agoWell, not everything on earth should be done by the private businesses. This one can be financed by the public, knd of like the nuclear bomb and stuff. Legal mind-enhancing drugs are a great danger to society. They will put everyone in the position where they have to take those drugs, or risk perpetual unemployment. If side effects surface decades later they will cripple entire population of the country because no one will be able to abstain. The same level of danger is not present in any other drug - there is currently no pressure to take drugs on anyone but small group of competitive athletes.
- jamesbritt 18y ago"Legal mind-enhancing drugs are a great danger to society. They will put everyone in the position where they have to take those drugs, or risk perpetual unemployment." Replace "drugs" with "education", and ask what should be done. Ban learning?
- DenisM 18y agoBy contrast to drugs, "education" has thousands of years to prove it's long-term medical safety. Different drugs have proven to have all kinds of nasty side-effects to a point where it is normal to hold them all suspect by default.
- jimbokun 18y agoBasically, yes. Realistically, I am not going to read every single study on every single substance and make my own judgments. The government doing it for everyone, with force of law behind them, is better for all of us than just letting anyone sell anything and make any claims about it they want and expecting all of us to do all of our own research about everything. Can the FDA make mistakes? Of course. Realistically, are they more likely to make a mistake than me, based on my own research and interpretation about things on which I am not an expert? No.
- asdflkj 18y agoNo drug stays in development for 20 years (AFAIK), so the risk of nasty side-effects after 20 years is there with all newish drugs. And in practice, how often does that turn out to be a problem? In my understanding, almost never. If you're so risk-averse that this isn't good enough for you, you should feel free not to take them, but insisting that others don't take them crosses over into the territory of "meddlesome".
- DenisM 18y agoYou did not read my post, did you? Let me repeat it here for you: [quote] It would totally suck to be forced to take those drugs to remain cometitive, so I hope they will keep those drugs in limited circulation until their safety can be proven beyond doubt. [end of quote] If these drugs are allowed, everyone will have to chose between employment + drugs or drug-abstinence + unemployment. There will be no opt-out. At all.
- asdflkj 18y agoSure there will be opt-out. If drugs double your productivity, then a non-user's salary will be half of a user's salary, and no less than that. That's just basic economics. Which is as it should be. They create double the wealth; they get double the money. Of course this will suck for you, because from your point of view, it will be as if the number of programmers in the world has just vastly increased, creating competition for you and driving down your salary. Presumably just as candle-makers' salaries were driven down by the invention of the light bulb (which could make you blind after 20 years--nobody knew for sure).
- DenisM 18y agoI don't think it works that way. If you sell half as much stuff as others sales agents in the store you will get fired rather than get your salary cut in half. But ok, let's suppose it's true. Let's take this to extreme - suppose that there is a ticking bomb in these drugs and after 20 years of intake one becomes a medical ruin, similar to crystal meth addicts. So you can take the drugs and die in 20 years from now, or you can abstain and live for another 20 years (40 years total). Those who abstain will be priced out of their lives, but most will give up and start taking drugs - let's be real. Nobody knows about it now, so there will be no push-back until 20 years later, and when the time comes everyone will be medically ruined by then (except the youngest kids). And you are really stretching it wrt lighbulbs making people blind - it's not in the same ballpark of likelyhood as drugs ruining people's health.
- thomaspaine 18y agoFirst of all, the effects of these drugs have already been studied for many years. Modafinil was first experimentally used in the treatment of narcolepsy in 1986, so over 20 years ago. Second, what do you mean proven beyond doubt? Testing these drugs is a statistical process, so what kind of confidence interval are you willing to accept? Keep in mind, that becoming more confident in your statistics means more testing, which makes the drug more expensive to bring to market and takes longer as well. Even then, a few drugs are going to pass the FDA approval process and cause unintended side effects, and people are going to argue for an even longer approval period. You have to consider the opportunity cost of keeping these drugs in limited circulation. Most people don't take this into account, and there's plenty of research that shows that the FDA's requirements are actually probably too stringent, because government bureaucracies tend to be too risk averse. I think it takes an average of 12 years for a drug to pass FDA inspection and get to market, so imagine if it was 20 years. This means that during those extra 8 years, people weren't able to reap the benefits of a drug like Modafinil to stay awake. How many driving deaths could be prevented during those 8 years if people weren't driving while sleepy? Or what about the productivity gains from scientists or hackers that can get away with 4 hours of sleep a night instead of 8, without reducing their cognitive abilities? I'm not saying there couldn't be unforeseen nasty side-effects of using the drugs fourty years from now, but given the evidence it seems like it's probably a negligible risk for most people.
- DenisM 18y agoLong testing period is fine - what sets this particular class of drugs apart from all others is that it will in all likelihood be taken by every single man, woman and child (except the amish maybe) - they will have to take it under the economical pressure. Approving this drug is like putting all eggs in one basket, and so this better be one hell of a good basket. Now, I do not mind these drugs being distributed under presecritiption well before that, because it will be only a fraction of percent of the total population.
- randomwalker 18y agoI find it disturbing that this is even controversial. First, the notion that there is an optimal "healthy" state is make-believe. We all get old and die, so in a sense we are all terminally ill. We should have a right to improve our minds and bodies as long as there is room for improvement. More to the point, brain types fall on a spectrum. ADHD is just one extreme. Equating "median" with "healthy" is a fallacy. Consider this: is synesthesia a disease? It can make life very hard, but it can also make patient extremely creative. Imagine a world where synesthesia is the normal condition -- non-synesthetes would be considered retards! If there were a drug that could turn you into a synesthete, should the drug be illegal? Second, we all already take a brain-boosting drug: caffeine, which is both undeniably effective, and has a wide spectrum of side effects. Other drugs like modafinil have almost zero side-effects in comparison, but they are prescription-only because they don't have a history of social acceptability. "Used historically" = "safe" is an even bigger fallacy. Third, you can't prevent people from taking brain pills by not funding research (if the research doesn't happen in the U.S, it will happen in other countries.). All that this policy will achieve is encourage a black market and unsafe usage. The whole thing reminds me strongly of that Kurt Vonnegut piece posted here yesterday: http://news.ycombinator.com/item?id=388642 http://news.ycombinator.com/item?id=388642.
- mynameishere 18y agoA hallmark of conservativism is to recognize that 90 percent of our behavior is much the same as occurred 2000 years ago, but many, many innovations came and went in between (Heroin: Cure for morphine addiction). What happened to them? They were tried, and they were discarded by the credible professions. Maybe these drugs are good. "Maybe". Most drug tests occur over a matter of months, rather than a lifetime. Caffeine has been tried over centuries, and that fact has value, because within those centuries are lifetimes and generations. Every new drug is roulette, and you know it. modafinil have almost zero side-effects in comparison, See, bullshit http://en.wikipedia.org/wiki/Modafinil#Side-effects http://en.wikipedia.org/wiki/Modafinil#Side-effects
- kragen 18y agoIf I understand correctly, that page says that 34% of modafinil takers reported headaches, compared to 23% of non-modafinil takers, 11% reported nausea (vs. 3%), 7% reported nervousness (vs. 3%), and 5% reported insomnia (vs. 1%). What do you think the numbers for caffeine would be? Caffeine withdrawal is a major cause of headaches, and caffeine is a major cause of nervousness, insomnia, tachycardia, hypertension, dizziness, etc. I'm not saying caffeine is some kind of dangerous drug; I'm just saying that "almost zero side effects in comparison" is at least plausible given the Wikipedia page.
- mdasen 18y agoAt a point, this just goes to the competitive nature of our society. From a moral standpoint, if who we are is a product of our environment and our genetics, then we ourselves aren't anything that isn't predefined. Someone who is lazy is a product of their genes and environment in the same way that someone with a disease is the product of their environment and genes. So, what makes asthma (which I have) something that I'm applauded for overcoming with medicine while obesity is something people are generally frowned upon for overcoming with medicine? Well, the fact that we want to ascribe the later as a choice - the choice to eat. Einstein didn't believe in free will. However, he said that holding people responsible for their actions was a pragmatic approach for society to take (presumably because such action changes the environment that we are all in). There are huge struggles because people don't want to accept that they have less free will than they ascribe. As such, the goal is to hold people responsible for faults that you don't have and find excuses that let you off the hook for any faults that you have. There are organizations that create campaigns to get society to accept their fault as something that should be compensated for. Short attention span? That's ok because it's medical. Stupid? Lazy? Those are things that are the fault of the individual. It's really hard. If you can medicalize your faults, you get legal protection for them. If you can't medicalize them, you're personally responsible for keeping them in control. That creates a huge incentive for medicalization of everything in the human condition. And we're all worried about being left behind in this Red Queen's Race.
- wheels 18y agoAs for free will, Einstein was particularly offended by some of the consequences of quantum mechanics which seemed to remove determinism from the most elementary of particle interactions. If fundamental interactions are in fact deterministic at this point, we haven't learned how to predict their consequences, which has led to the many interpretations of quantum mechanics. Einstein was fond of "hidden variables" since it held out some hope of quantum mechanics at some point being deterministic once again: http://en.wikipedia.org/wiki/Hidden_variable_theory http://en.wikipedia.org/wiki/Hidden_variable_theory His interpretation is, however, not widely accepted. In other words, "free will" may be an emergent property of quantum interactions.
- auston 18y agoModafinil seems to be an interesting way to augment your mental ability - No short term effects, except for a slightly increased heart rate. [see link for experiences] http://www.erowid.org/experiences/subs/exp_Modafinil.shtml http://www.erowid.org/experiences/subs/exp_Modafinil.shtml The long term effects would be a concern of mine if I was going to take it though.
- jimbokun 18y ago"But she said she was concerned that wider use of stimulants could lead more people to become addicted to them. That's what happened decades ago when they were widely prescribed for a variety of disorders, she said. "Whether we like it or not, that property of stimulants is not going to go away," she said." So, substances with a known history of addictive behavior. This is what we call burying the lede (quote from page 3 of the article). As important as the other considerations are that were brought up, this seems to trump them. Do we know how addictive? Addictive like caffeine, or crack, or somewhere in between?
- chris11 18y agoI don't know how addictive stimulants can be if used properly, but stimulants like ritalin can be abused. http://www.erowid.org/experiences/subs/exp_Pharms_Methylphenidate.shtml http://www.erowid.org/experiences/subs/exp_Pharms_Methylphen...
- pmorici 18y agoIsn't this akin to advocating for the legalization of steroids only here were talking about a thinking muscle instead of a moving one?
- gaius 18y agoI think the mainstream attitude towards steroids is very hypocritical. If you're meant to play with what God gave you then surely athletes shouldn't even wear glasses! Tiger Woods had his vision surgically "corrected" to 20/15 (better than "normal") and no-one bats an eyelid (haha). Athletes regularly use the steroid cortisone to recover from injury, is that not cheating too? All anabolic steroids do is enable an athlete to train harder and recover quicker, they are not magic, you still need to put the work in, you can just choose to burn twice as bright for half as long.
- steveplace 18y agoThere are sooo many downsides to anabolic steroids. Especially if you take them when you're young. And cortisol is technically a steroid, but not the body-enhancing type that everyone refers to. And steroids do allow you to train harder and recover quicker, but you still have to cycle off after 6-8 weeks... and then you go back to your original strength.
- gaius 18y agoThere are downsides to the pro athletic lifestyle, full stop. Why do you think there are so many teenagers in Olympic gymnastics? This is what I mean when I say hypocrisy; no-one has any problem with a 14-year-old winning their country a medal, who even remembers them when they're 24? The puritanical attitude towards steroids is inconsistent.
- steveplace 18y agoSure, that may be bad, but steroids have much, much more downside relative to the other examples you have given. Hard training at a young age can lead to amenorrhea and slowed hormonal development, but anabolic steroids cause irreprable damage to your liver and kidneys. And will ruin your joints. There is no inconsistency here. It's not binary, it's on a gradient.
- ars 18y ago"Steps to keep the benefits from making socio-economic inequalities worse." Not impressed - they would rather everyone be equally "stupid" rather than some people be smarter than others? These drugs do not take away from anyone, they only add.
- bbhoss-synsol 18y agoI'd like to see an incident where caffeine has caused such severe cutaneous and dermatologic reactions as modafinil has. If such drugs were deregulated, we would certainly see the number of victims of these horrible reactions go up.
- blurry 18y agoCaffeine has caused much worse, including death: http://en.wikipedia.org/wiki/Caffeine#Overuse http://en.wikipedia.org/wiki/Caffeine#Overuse
- Shamiq 18y agoCan't really call them victims if they go into it with knowledge of the drug and it's effects. Now if deregulation also resulted in drug companies actively concealing negative side effects, and thus duping consumers, then they would have been victimized.
- cjenkins 18y agoAre use of drugs like these prevalent in the startup world? I can imagine it has to be pretty tempting. Plus there's the added incentive that you already (should?) have pretty productive people and stacking another multiplier on top of their productivity would be hard to turn down. Or is it the case that working in a startup is already motivating enough that there wouldn't really be much of an additional benefit?