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Healthy Skepticism Library item: 13588

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

Silverman E.
New Jersey’s Attorney General And Antipsychotics
Pharmalot 2008 Apr 23
http://www.pharmalot.com/2008/04/new-jerseys-attorney-general-and-antipsychotics/


Full text:

Earlier this year, we noted that New Jersey’s Medicaid program spent more than $73 million on several antipsychotic meds for children less than 18 years old between 2000 and 2007, according to state records, even though the drugs weren’t approved by the FDA for treating kids. And a state official acknowledges the drugs may have been prescribed for conditions other than schizophrenia and bipolar disorder, the approved uses.

And so a state legislator wrote New Jersey Attorney General Anne Milgram calling for an investigation. In his letter, Pat Diegnan, an assemblyman who has previously been outspoken about the use of these meds, asked Milgram to pursue an investigation of the “alleged misrepresentations concerning the safety and effectiveness of antipscychotic drugs,” which he first requested more than a year ago of her predecessor.

In an April 1 reply, Milgram writes back that New Jersey is part of a multi-state working group investigating the marketing of Lilly’s Zyprexa. To be specific, about 30 states are looking into the controversy over off-label promotion and the extent to which side effects, such as diabetes and weight gain, were hidden. But Milgram doesn’t mention any other drugmaker or their antipsychotics in her response. Does this mean the AG isn’t looking at the issue? Or simply doesn’t want to tip her hand? A spokesman declined to comment.

“Please be assured that this office remains committed to taking action appropriate when we learn of allegations of misrepresentations related to the safety and effectiveness of pharmaceuticals,” Milgram wrote. To date, Milgram has created a task force to examine the interplay between drugmakers and docs, and has subpoeaned Merck, Schering-Plough and Amgen over marketing various meds.

 

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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