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Healthy Skepticism Library item: 1001

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: news

Drugs companies accused over adverts
BBC News 2003 Jan 6


Full text:

Drugs companies have been accused of using misleading information to sell their products. A study published in The Lancet suggests some companies make false claims in advertisements targeted at doctors. Researchers urged doctors to be cautious when it comes to prescribing drugs on the basis of advertising. “ There is a code of practice that the industry operates throughout Europe “
Brian Ager, EFPIA
Dr Salvador Peiro from the Valencia School for Health Studies examined all ads for antihypertensive and lipid lowering drugs published in six Spanish medical journals in 1997. These drugs are used to treat patients with high blood pressure and high cholesterol respectively. Each of the ads had at least one reference to a study, suggesting that the claims were backed up by research. Little evidence However, Dr Peiro found that claims made in 44% of the 102 ads examined were not backed up by evidence. He suggested that the findings should encourage doctors to think twice before prescribing drugs on the basis of an advertisement. “Doctors should be cautious in assessment of advertisements that claim a drug has greater efficacy, safety or convenience even though these claims are accompanied by bibliographical references to randomised clinical trials published in reputable medical journals and seem to be evidence-based,” he said. That view was backed up by experts in the United States. In an accompanying editorial, Robert Fletcher from Harvard Medical School in Boston urged doctors to take personal responsibility for their prescribing decisions. “Readers should not take claims in journal adverts, with or without credible-appearing references on face value,” he said. “Regulation of advertising claims is not strong or consistent enough to protect readers from misinformation. But then, neither should readers accept the conclusions of original research uncritically.” He added: “Readers must still take personal responsibility for judging the validity of assertions especially those made in adverts.” Code of practise Brian Ager, director general of the European Federation of Pharmaceutical Industries and Associations said companies were required to comply with a code of practise when it comes to advertising drugs. “There is a code of practise that the industry operates throughout Europe. This sets out a code of practise for companies. The idea is to ensure that there aren’t abuses.” Speaking to BBC News Online, he added: “If parties believe there has been an abuse then they can make a complaint on a national level. “We monitor these complaints and draw up an annual overview so that we know what is happening.” Heather Simmonds, director of the UK’s Prescription Medicines Code of Practice Authority, told BBC News Online problems with advertisements were rare. “Companies are ruled in breach of the code of practise. But this is quite small in comparison with the total volume of advertising that is published in the UK. “Companies also spend quite a lot of time and energy ensuring their advertisements are accurate.” Related to this story:
MEPs vote against drug ‘advertising’ (23 Oct 02 | Health) Drugs firms’ pressure ‘risks lives’ (09 Sep 01 | Health) Moves to outlaw ‘unethical’ drug trials (24 Jun 00 | Health)

 

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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