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Healthy Skepticism Library item: 4378

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: book

Medawar C.
Power and dependence: Social Audit on the safety of medicines
: Social Audit 1992
http://www.socialaudit.org.uk/122order.htm#1.22%20How%20to%20order


Abstract:

The book discusses some of the promotional tactics used by companies with respect to benzodiazepines. When companies were selling two drugs in this class one would be promoted as a hypnotic and one as a tranquilizer in order not to cut into each other’s sales. Roche provided assistance to a former employee in writing a review which downplayed the significance of dependence on benzodiazepines. Roche’s marketing strategy in the United States, at one time, involved identifying physician “champions” to utilize as speakers in hospitals and/or medical meetings. Claims about drugs were made on the basis of poorly conducted clinical trials. A Social Audit report drew attention to systematic differences in warnings that companies issued in different countries. The industry tried to dismiss these differences as being due to different regulatory requirements and differing views of experts on risks and benefits.

Keywords:
*analysis/United Kingdom/United States/ drug company sponsored research/ Hoffman LaRoche/ benzodiazepines/ psychotropic drugs/ conference speakers/ commercial compendia/ reaction to critics/EVALUATION OF PROMOTION: GENERAL QUALITY OF INFORMATION/INFLUENCE OF PROMOTION: CONFERENCE SPEAKERS/PROMOTION DISGUISED: APPOINTMENTS AND RETAINERS/PROMOTION IN SPECIFIC THERAPEUTIC AREAS: PSYCHIATRIC DISEASES

 

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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