The phrase refers to user-generated content on the social media platform Reddit pertaining to queries and responses about the iPledge program. This program is a risk evaluation and mitigation strategy (REMS) mandated by the FDA for isotretinoin, a medication used to treat severe acne. Individuals seeking information or clarification regarding the requirements, procedures, and potential challenges associated with the program often turn to Reddit communities for shared experiences and unofficial advice. For example, a user might post a question about interpreting blood test results required by iPledge, and other users may respond with their interpretations based on their own experiences.
The significance of such online discussions stems from the complexity and stringent nature of the iPledge program, which aims to prevent pregnancy in patients taking isotretinoin due to the medication’s teratogenic effects. The program involves mandatory registration for prescribers, pharmacies, and patients, as well as regular pregnancy testing and adherence to contraception requirements for female patients of reproductive potential. The informal information sharing facilitates a better understanding of the program’s intricacies and offers peer support. Historically, access to such crowdsourced knowledge was unavailable, requiring patients to rely solely on official channels or medical professionals for clarification.