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Healthy Skepticism Library item: 14709

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

Boehringer Ingelheim - Flomax: going with the flow?
PharmaGossip 2008 Nov 28
http://pharmagossip.blogspot.com/2008/11/boehringer-ingelheim-flomax-going-with.html


Full text:

The UK looks set to be the first country in the world to switch Boehringer Ingelheim’s Flomax to non-prescription status for treating benign prostatic hyperplasia (BPH).

The Medicines and Healthcare products Regulatory Agency (MHRA) has just started a public consultation on a proposal to switch Flomax (0.4mg tamsulosin hydrochloride) from prescription-only to pharmacy (POM-to-P) status.

According to consultation document ARM 56, the P medicine would be available to men over the age of 45 years under the brand name Flomax Relief. The daily dose would be one capsule, to be taken after the same meal each day.

The pharmacy model outlined here will involve a 14-day “starter” supply of Flomax Relief following completion of a “customer-symptoms questionnaire”. This will assess the duration and severity of the man’s symptoms and rule out any “red flag conditions”, such as pain on urination, blood in urine, cloudy urine, fever or excessive thirst.

Following a second consultation, pharmacists will be able to supply 28-day packs. After 10 weeks, however, Flomax Relief will only be supplied if a doctor has confirmed the diagnosis of BPH.

The pharmacy model allows Flomax Relief to be supplied for up to 12 months from the date of the initial doctor diagnosis or subsequent annual review.

 

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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