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Healthy Skepticism Library item: 11719

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

Hitchen L.
Collaboration between regulators and industry on design of drugs could reduce errors
BMJ 2007 Oct 13; 335:(7623):743
http://www.bmj.com/cgi/content/short/335/7623/743-g?etoc


Abstract:

Drug regulators could work more closely with manufacturers and patient safety organisations to reduce treatment errors, experts on patient safety told a conference last week.

The design of drugs and their packaging, nomenclature of different products, and labelling all contributed to some of the 6000 drug treatment errors reported every month to the UK National Patient Safety Agency’s national reporting and learning system from June 2006 to May 2007, Bruce Warner, senior pharmacist for the agency, told the conference in London on reducing treatment errors, which was organised by Healthcare Events.

One example was the similarity in trade names between the proton pump inhibitor omeprazole, which is sold as Losec, and the diuretic furosemide, marketed as Lasix, said David Williams, the clinical pharmacology lead for patient safety research at the University of Aberdeen.

In the United States a decision had been made to change the name of Losec to Prilosec . . .

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963