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Healthy Skepticism Library item: 20465

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Meredith B
Informing patients about the drugs they take
BMJ 1996 Aug 10; 313:
http://www.bmj.com/content/313/7053/315


Abstract:

As increasing numbers of prescription only medicines are released for sale over the counter in pharmacies, consumers would be right to ask questions about the regulation of information about medicines. To date, consumer involvement in the regulatory process has been limited or non-existent, and there are problems across the board in analysing the costs and benefits of over the counter medicines “due to the paucity of data about effectiveness and expenditure in the pharmaceutical sector.”1

Hemminki and Herxheimer recently asked whether drug information should be treated as an integral part of health care.2 It is difficult to see how it could be otherwise, yet discussion of regulation and related issues throws up a catalogue of tensions and contradictions.3 Patients need information about medicines to inform their choices about health care. Yet the imperatives of commercial confidentiality and protection of academic, professional, and business interests reduce consumers’ ability to find out about the history and potential benefits or disbenefits of both prescription only and over the counter medicines.

We hear much about evidence …


Notes:

Drug companies want secrecy, but patients deserve all relevant information

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909