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Healthy Skepticism Library item: 1448

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

Brodie MJ, Pellock JM.
Taming the brain storms: felbamate updated.
Lancet 1995 Oct 7; 346:(8980):918-9

Keywords:
*analysis felbamate Carter Wallace safety & risk information new drugs journal advertisements EVALUATION OF PROMOTION: DRUG SAFETY EVALUATION OF PROMOTION: JOURNAL ADVERTISEMENTS


Notes:

When felbamate became available for general prescription, the manufacturer, Carter Wallace, undertook a major promotional campaign emphasizing a favourable adverse experience profile. Statements such as “most adverse experiences are generally mild and transient” were widely touted in the same advertisements. Shortly after the launch, it became apparent that felbamate was not as well tolerated in clinical practice as it had been during the clinical trial program. Some checks should be incorporated in the registration system for new chemical entities, especially those with novel mechanisms of action such as felbamate.

 

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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