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Healthy Skepticism Library item: 12835

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

'Suicide rating' on the cards for new drugs
PM Live 2008 Feb 14
http://www.pmlive.com/index.cfm?showArticle=1&ArticleID=6482


Full text:

New drugs licensed in the UK could be accompanied with a full ‘suicide rating’, informing how much of an effect the substance may have on the patient’s suicidal feelings, according to proposals being considered by the European Medicines Agency (EMEA).

European regulators will also be required to ensure that pharma companies include a comprehensive suicide assessment in trials of new drugs.

The EMEA has recently sent letters to all drug companies, requesting them to re-analyse their data in accordance with a system already developed and approved by the US Food and Drug Administration (FDA).

According to reports, the Medicines and Healthcare products Regulatory Authority (MHRA) has said that they would follow the EMEA’s actions if the US tests became more widely used.

Dr Kelly Posner, a research scientist based at Columbia University, has organised and held discussions between the EMEA major pharma companies.

She has also created a comprehensive questionnaire named the ‘Columbia suicide severity rating’, within which drugs will be given a score out of 23 for hazardousness. The questionnaire has already been translated into 80 different languages, for use across Europe.

“All the players, the FDA, EMEA, representatives from the drug companies, will be at the meeting to discuss how to move forward,” Posner told The Times newspaper.

“I’ve been getting requests from clinics and authorities in Europe asking how to implement the study. It’s really moved the field in that way. Hopefully this will be the first step to broadening the study across Europe,” Posner concluded.

An increasing body of evidence suggest serious suicidal thoughts may be associated with certain treatments for acne, swelling, heartburn, pain, obesity, high blood pressure, cholesterol, bacterial infections, smoking cessation and insomnia.

The reform suggestions follow recent health warnings over sanofi-aventis’ obesity drug Acomplia, Roche’s acne drug Roaccutane and Pfizer’s smoking cessation drug Champix.

 

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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