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Healthy Skepticism Library item: 14942

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

Tanne JH.
FDA allows drug firms to distribute journal articles about unapproved uses.
BMJ. 2009 Jan 19; 338:b187:
http://www.bmj.com/cgi/content/extract/338/jan19_2/b187?papetoc


Abstract:

The US Food and Drug Administration has published guidance that allows drug and device companies to use reprints of journal articles about off-label, or unapproved, uses of their products in promotions to doctors.

By allowing distribution of peer reviewed but off-label studies, the FDA recognises that doctors use approved drugs and devices in unapproved situations. Once a drug or device has been approved doctors can use it as they choose.

A section of the Food and Drug Modernization Act that regulates distribution of articles about unapproved uses expired in September 2006, and the FDA came up with new, more liberal regulations this month, just before President George Bush left office. Although doctors were using drugs or devices off label (particularly to treat cancer), under the old rules companies were not allowed to promote these uses. The new guideline was published in the Federal Register on 13 January.

In its statement, . . .

 

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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