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FDA Approves Digital Pill That Tracks If Patients Have Ingested Their Medication (nytimes.com)

An anonymous reader quotes a report from The New York Times (Warning: source may be paywalled; alternative source): For the first time, the Food and Drug Administration has approved a digital pill -- a medication embedded with a sensor that can tell doctors whether, and when, patients take their medicine. The approval, announced late on Monday, marks a significant advance in the growing field of digital devices designed to monitor medicine-taking and to address the expensive, longstanding problem that millions of patients do not take drugs as prescribed. Experts estimate that so-called nonadherence or noncompliance to medication costs about $100 billion a year, much of it because patients get sicker and need additional treatment or hospitalization. Patients who agree to take the digital medication, a version of the antipsychotic Abilify, can sign consent forms allowing their doctors and up to four other people, including family members, to receive electronic data showing the date and time pills are ingested. A smartphone app will let them block recipients anytime they change their mind. Although voluntary, the technology is still likely to prompt questions about privacy and whether patients might feel pressure to take medication in a form their doctors can monitor.

72 comments

  1. Another way. by freeze128 · · Score: 1

    Doctors can tell if you've been taking your medication by checking... uh... your output.

  2. Digital by freeze128 · · Score: 4, Informative

    I think the "digital" logo on this story isn't quite what you think it's for.

    1. Re:Digital by Anonymous Coward · · Score: 3, Insightful

      All the current Slashdot editors were born after 1998. DEC was never part of their lives.

    2. Re:Digital by sconeu · · Score: 1

      Inconceivable!!!

      --
      General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    3. Re:Digital by eepok · · Score: 3, Informative
    4. Re:Digital by dissy · · Score: 1

      I think the "digital" logo on this story isn't quite what you think it's for.

      These pills are wired to a VAX by an RS232 cable hanging out of your butt.
      The article wanted to skim over that detail, for obvious reasons :P

    5. Re:Digital by Anonymous Coward · · Score: 0

      For the youngin's: https://en.wikipedia.org/wiki/...

      For the sales folk: https://www.youtube.com/watch?v=KuTSAeFhdZU

    6. Re:Digital by Aighearach · · Score: 1

      I was thinking this could really help a lot of slashdot old-timers, except they're too Luddite to use it.

      Now I see where I was wrong, and adoption is likely to be high!

      I remember when the local library first got a computerized card catalog system; it was a bunch of dumb terminals hooked up to VAX server! It was such a huge leap into the future! We jumped straight from having to search the list of titles for each possible section hoping for one with an informative enough title to let us know it is relevant, straight to full keyword search including dozens of words of description! Incredible. Yeah, stick a modem up my ass and my doctor can use a VAXstation to search for my meds! It makes perfect sense. The future is here. I'll be on the roof waiting for my flying taxi! Oh, wait, RS232 cable... anyways, I'll be on the porch.

    7. Re:Digital by Anonymous Coward · · Score: 0

      Well, I think, perhaps, that Viagra/Cialis doses, especially when taken by any politician, should be detected and broadcast as widely as possible.

    8. Re:Digital by tlhIngan · · Score: 1

      I think the "digital" logo on this story isn't quite what you think it's for.

      I remember seeing it on a few things a few years ago... especially musician effects boxes. I think they called themselves Digital too...

  3. Nurse Ratched... by Anonymous Coward · · Score: 1

    Nurse Ratched would have loved this...

    1. Re:Nurse Ratched... by Rosco+P.+Coltrane · · Score: 4, Insightful

      Nurse Google will love this: yet another set of really personal data to be mined and exploited for new and innovative ways of raping your privacy.

      Because you can bet your ass the exploitation of the pill tracking data will be outsourced to the private sector...

      --
      "A door is what a dog is perpetually on the wrong side of" - Ogden Nash
    2. Re:Nurse Ratched... by Anonymous Coward · · Score: 0

      Now let's just make sure you've ingested your government mandated pills. That's it, big smile. Everybody's happy.

    3. Re:Nurse Ratched... by Aighearach · · Score: 1

      raping your privacy.

      I'm thinking you probably said "yes" to those terms of service.

    4. Re:Nurse Ratched... by DNS-and-BIND · · Score: 1

      Fun fact: that movie was a major driver to shut down all the mental asylums. Before that movie, it was considered cruel to let crazy people flounder around in society. Afterwards, it was considered cruel to keep them locked up in prison asylums. As long as they could physically feed themselves, they should be let loose. The ACLU sued to get the mental asylums shut down, and they won. When Ronald Reagan closed down the now-empty facilities to save money, he was immediately blamed. Even more fun fact: the ACLU also sued to allow Nazis to march through a Jewish neighborhood in Chicago. There's a reference to it in the movie "The Blues Brothers" when one of the characters asks a cop why traffic is stopped. In an amusing trope inversion, he then attempts to run over the Illinois Nazis, Charlottesville-style.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
    5. Re:Nurse Ratched... by Anonymous Coward · · Score: 0

      Yeah Vladimeer, but now the fascists smash-face you Trotsky bitch-pups. Yeoman (re)publicans rule as we have created this straight white American paradise culture. Locked and loaded. Bleed out progressive slut we'll watch the dogs chew yo nibberizing bones !

    6. Re:Nurse Ratched... by Anonymous Coward · · Score: 0

      You mean the 21 pages of legalese with "accept" written about as big as the entire window in which to read the 21 pages?

    7. Re:Nurse Ratched... by cstacy · · Score: 1

      Nurse Google will love this: yet another set of really personal data to be mined and exploited for new and innovative ways of raping your privacy.

      Because you can bet your ass the exploitation of the pill tracking data will be outsourced to the private sector...

      Minor nit: They're packaging the device in a pill; the suppository implementation was deemed to unpalatable.

  4. Another excuse to price-gouge by Anonymous Coward · · Score: 0

    Yeah, I'm sure they'll charge $1000 a pill for this, and it'll cost $1 a pill to produce. Assholes.

  5. Good way to keep the loonies under control by Anonymous Coward · · Score: 1

    If that Texas dude had taken his medication, 26 people would still be alive. Guns don't kill people, unmedicated loonies do.

    1. Re: Good way to keep the loonies under control by Anonymous Coward · · Score: 0, Insightful

      Maybe we could make it a condition that Muslims have to be medicated before they can immigrate. Reduce deaths from terrorism, increase pharmaceutical company revenues, #maga.

    2. Re: Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      Now now... the socialist OP luvs himself some government mandated health monitoring.

      Have you taken your happy pills today citizen?

    3. Re: Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      Maybe we could make it a condition that all prospective parents go through a thorough genetic screening before becoming pregnant so that fucktarded mouth-breathers like you are never conceived in the first place -- and I furthermore recommend it being enforced retroactively in your case.

      #GATTACA

    4. Re: Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      ...as opposed to the benevolent health monitoring of your insurance company that excludes pre-existing conditions?

      How big has your rectum become since you've let corporate scum pound you every night/?

    5. Re:Good way to keep the loonies under control by Anonymous Coward · · Score: 1

      Who's idea was it to close down all the asylums back in the 80's?

    6. Re:Good way to keep the loonies under control by Joe_Dragon · · Score: 1

      and if we funded places for people and took care of war vets with PDST.

    7. Re: Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      Closing the asylums wasn't the issue. The issue is that the halfway houses and residential treatment facilities that were supposed to take over were never funded.

      The parents being released should have been, it's just that they should have been provided ongoing care.

      This is one way the GOP shifts tax burden onto the poor, taking things that were being paid for by the more progressive federal taxes and passing the responsibility to the states to fund.

    8. Re: Good way to keep the loonies under control by techno-vampire · · Score: 1

      Remember, half a gram is better than a damn!

      --
      Good, inexpensive web hosting
    9. Re:Good way to keep the loonies under control by TheRealMindChild · · Score: 1

      That's not how it works. Medication doesn't fix everything. Hell, sometime it barely fixes anything... or even make things worse.

      --

      "When life gives you lemons, don't make lemonade. Make life take the lemons back!" -- Cave Johnson
    10. Re:Good way to keep the loonies under control by slick7 · · Score: 1, Flamebait

      and if we funded places for people and took care of war vets with PDST.

      The problem is that the "loonies" are the ones in control. Secondly, the medical establishment, big pharma, and the FDA all believe in the hypocritical oath, "First, do no harm to my bank account. Patients do not matter except when there is no medical coverage.

      --
      The mind conceives, the body achieves, the spirit manifests.
    11. Re:Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      If that Texas dude had taken his medication, 26 people would still be alive. Guns don't kill people, unmedicated loonies do.

      Actually I believe that all these "loonies" that are committing mass murders are on medications, but are having severe mental side effects which make them worse and suicidal, but unable to take their own life, so they kill others in the hope that they will be killed themselves and the internal mental suffering they have will be over.

      Personally, a friend of mine killed themselves soon after starting Abilify. Since then, Abilify now has a "black box warning" to never give to anyone who has ever had suicidal thoughts. This was due to the finding that the risk of suicide was much greater than what Bristol-Myers initial trials had showed. Lesson is that big money for pharma is a bigger concern than the health or safety of people.

    12. Re:Good way to keep the loonies under control by Anonymous Coward · · Score: 0

      You meant "PTSD"...

      One big issue in war is that the environment safety laws do not apply to war zone areas. That might not sound like a big deal, but the result is many of our soldiers being poisoned again and again, but not by accident, but by a side effect of an actual plan. For example, herbicine agent orange has a mostly dioxin-free version, and a cheaper high heat version containing dioxin poison residue. In the Vietnam war, the version with dioxin was chosen because military leaders said it would be an additional benefit if it killed "Charlie" too. The thing is, that it was sprayed on US soldiers, and even worse was over-applied by 10x more than needed for killing the brush and forest. A few years ago, I personally met a Vet who "lived" at the VA hospital ever since that war, due to being paralyzed from the waist down, and limited\erratic control of his arms, due to excessive dioxin exposure. Another example is the US using "burn pits" in the recent war in Iraq. The US knew they were killing their own soldiers from the excessive black smoke entering the barracks from the burn pits, but they didn't care, and still don't because the US can't be sued by negligence, even when it's due to official policy decisions that are obviously wrong and will cause excessive harm to soldiers, when in a war zone.

    13. Re:Good way to keep the loonies under control by Talderas · · Score: 1

      There's probably a high correlation of PTSD incidence in veterans with homelessness. In that case the United States does operate a funding program through the VA which can help provide for those veterans.

      https://www.va.gov/homeless/gp...

      --
      "Lack of speed can be overcome. In the worst case by patience." --Znork
  6. More likely to be court ordered by Kernel+Kurtz · · Score: 1

    for people required to take anti-psychotics after being found Not Criminally Responsible for a crime for instance, or for sex offenders sentenced to chemical castration. Or anyone who is a threat to others if they don't take their meds.

    1. Re: More likely to be court ordered by Anonymous Coward · · Score: 0

      Or enforcing illegal drug bans.

    2. Re:More likely to be court ordered by Anonymous Coward · · Score: 0

      I am a threat to others if I do not take my meds (coffee) in the morning.

  7. Microwave Solution by Scarletdown · · Score: 3, Insightful

    I can just see people deciding to now empty their pills into a bowl and microwaving on high for a few minutes. That should fry whatever tattletale device they are tainted with.

    --
    This space unintentionally left blank.
    1. Re:Microwave Solution by Anonymous Coward · · Score: 0

      either that, or prepare a bowl of smashed potatoes with a good amount of vinaiger, heat it to 37 C, pour everything in a thermos bottle and stuff the damn pill in.

    2. Re:Microwave Solution by Anonymous Coward · · Score: 0

      Ever done the high-school experiment with fizzy drinks and calcium objects like teeth or bones. Dissolving a pill should be trivial.

    3. Re:Microwave Solution by drinkypoo · · Score: 2

      Unfortunately, it may also compromise the effectiveness of their medication, which is often heat-sensitive.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  8. Insurance companies by waspleg · · Score: 2

    I have a CPAP, I already have to submit an SD card to them routinely to continue getting the insurance to cover medical supplies. Guess what's next?

    1. Re:Insurance companies by BrookHarty · · Score: 2

      Mines wireless, just auto updates to my insurance, yet they still stiff me on paying it or supplies. ACA really messed up my insurance.

    2. Re:Insurance companies by DNS-and-BIND · · Score: 1

      You're untrustworthy. You have to prove you use the device. In the old America, we just trusted people by default. In the new America, you'd have to be a moron to trust people.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
    3. Re:Insurance companies by Anonymous Coward · · Score: 0

      I just put my CPAP machine on my dog at night.

    4. Re:Insurance companies by cloud.pt · · Score: 2

      Except if you're the president of the United States. You can trust anything that dude says...

    5. Re: Insurance companies by Anonymous Coward · · Score: 0

      Really? I'd never heard of that. There's no way I'd agree to it either though with mass immigration driving down wages and anti-worker and anti-people vs corporation laws in the US I'm sympathetic if you didn't have a choice.

  9. Have you taken your pills, Cleric? by Anonymous Coward · · Score: 0

    Well, have you?

  10. Wait. What? by Anonymous Coward · · Score: 2, Insightful

    So, this is a pill you take to monitor whether you've taken your other pills, yes? How long does it remain in position to monitor the other pills? do you clean off this pill and retake in once it leaves your system? (Gross. :-)

    If you're having trouble remembering to take your other pills why would you remember to take this one? The questions just go on. :-)

  11. Stop worrying by AndyKron · · Score: 0

    Resistance is futile. Bend over and get fucked.

    1. Re:Stop worrying by Anonymous Coward · · Score: 0

      Good news! It's a suppository!

  12. Hacking smartpills by Anonymous Coward · · Score: 1

    This is easily beaten. Saw a demo a few years ago of these smart pills dissolved in vinegar. That was acidic enough to function as stomach acids. The pill still sent the ingested BLE signal just as if it was taken in a stomach.

  13. THX1138 is now real! by TheNarrator · · Score: 1

    (Female voice - medicine cabinet) If you feel you are not properly sedated, call 348-844 immediately. Failure to do so may result in prosecution for criminal drug evasion.

    1. Re:THX1138 is now real! by Rick+Schumann · · Score: 1

      OH SHI-

  14. Re:Wait. What? by Anonymous Coward · · Score: 0

    Yep, it does seem like you are being a bit of a pill about this..

  15. Cue the black suited, early-morning visit by Anonymous Coward · · Score: 0

    Of the Grammaton Clerics

  16. Password for new digital pill... by Anonymous Coward · · Score: 0

    Admin, Admin

    Hacked in 123456...

  17. I don't get it.... by magarity · · Score: 1

    why people don't take it all on schedule. I get not liking pills, then don't go get them. But why not take them if you went to the trouble of going to the pharmacy?

    1. Re:I don't get it.... by Anonymous Coward · · Score: 2, Insightful

      Because sometimes doctors give you medications that are for a condition that they suspect you might or might not have. Then when you get that little cardboard box with the pills and safety manual listing possible side effects, you might have second thoughts. Example is Xarelto, a blood thinner, with various risks such as bleeding into the brain, swelling of limbs, reduced red blood cell count, fever etc...

    2. Re:I don't get it.... by eheldreth · · Score: 1

      My dad used to manage a homeless shelter. He dealt with a lot of people who had mental illness. They would get on a regimen, start feeling normal, get back to some semblance of a normal life, and then decide they didn't need the medicine any more. It happened over and over to the same people. Get better, Convince yourself your healed, Fall back in the hole. It's a symptom of their illness and It's these type of folks that this would likely be most useful for.

      --
      The perversity of the Universe tends towards a maximum. - O'Toole's Corollary
    3. Re:I don't get it.... by magarity · · Score: 1

      Because sometimes doctors give you medications that are for a condition that they suspect you might or might not have. Then when you get that little cardboard box with the pills and safety manual listing possible side effects, you might have second thoughts

      Then your doc is doing a lousy job not to have mentioned that when discussing possible prescriptions.

  18. Quite Frankly by Anonymous Coward · · Score: 0

    Not only are one's personal choices killing themselves, so is the medical industrial complex. We cannot continue to feed an industry that makes a trillion+ a year to treat the symptoms of disease. Note exactly what I just said there. Modern medicine is a profitable market that provides job and income security because it doesn't fix anything. It is also unsustainable and our very own government knows this.

    This story is just not about privacy. It is about a slippery slope of giving more and more power to an industrial complex that is pretty much a cancer itself.

    1. Re:Quite Frankly by wrnice · · Score: 1

      +1 yes, really, please note what he just said. This is where we are.

  19. Citizen 3435643.... by drewsup · · Score: 1

    This Medical control,
      it appears you did not take your "mellow" pill this morning, you have 5 minutes to comply....

  20. Suddenly by jenningsthecat · · Score: 1

    I felt a great disturbance in the Force, as if millions of voices failed to cry out in terror as they were slowly deprived of their freedom. I fear something terrible is happening.

    --
    'The Economy' is a giant Ponzi scheme whose most pitiable suckers are the youngest among us and the yet-unborn.
  21. Does it include Clippy? by AnalogDiehard · · Score: 1

    "It looks like you ingested another Viagra and your location is not at home. Would you like help to initiate divorce proceedings?"

    --
    Eternity: will that be smoking, or non-smoking? I Corinthians 6:9-10
  22. Best headline by Translation+Error · · Score: 2
    Personally, I think Ars Technica's headline & subhead on this was best:

    Experts raise eyebrows at digital pill to monitor patients with schizophrenia
    Pill reports when it's ingested in patients who may have delusions of being spied on.

    --
    When someone says, "Any fool can see ..." they're usually exactly right.
  23. this is shit by volodymyrbiryuk · · Score: 1

    Where is the digital pill that tracks if you've ingeted your daily dosage of fake news / propaganda.

    --
    sudo rm -r -f --no-preserve-root /
  24. so It's by desdinova+216 · · Score: 1

    pills all the way down?

  25. Re:Wait. What? by Anonymous Coward · · Score: 0

    No - its a tiny chip embedded in the pill. When it comes in contact with stomach acid, it is able to generate a Bluetooth Low Energy signal that can be detected by a patch you wear on your skin that in turn communicates with your iPhone.

  26. hacking the pill by Anonymous Coward · · Score: 0

    So they gave you the evil digital pill , you don't want to take it , but you want the doctor insurance company to think you did ?

    either :
    - sql inject some vomit in the poorly designed pill app,
    - or vomit in a thermos bottle, keep it at body temperature, and put your pills here when needed.

    Time has come when we will need biological material to trick machines for our freedom. Doom days.

  27. Patents by XNormal · · Score: 1

    https://www.google.com/patents...

    The rest of their patents are linked as references.

    --
    Stop worrying about the risks of nuclear power and start worrying about the risks of not using nuclear power.
  28. Spending million of dollars on freshmen CS project by Anonymous Coward · · Score: 0

    Its quite silly to use these pills for most people, as simple android app will suffice. Doctor would fill when one should take app then push button and patient would run app that just adds alarms by downloading list from for example bluetooth/scan qr codes.