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Healthy Skepticism Library item: 15346

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.
US justice department sues company for off-label promotion of antidepressants for children.
BMJ 2009 Mar 25; 338:b1222:
http://www.bmj.com/cgi/content/extract/338/mar25_3/b1222?papetoc


Abstract:

The United States Department of Justice filed a civil complaint last month against Forest Laboratories in a district court in Massachusetts, alleging that the company violated the federal False Claims Act.

The department’s complaint says that the company marketed its antidepressants citalopram (marketed in the US as Celexa) and escitalopram oxalate (Lexapro) for use in children when the drugs were not approved for such use, that the company paid inducements to doctors to promote use of the drugs in children, that the company failed to disclose a study showing that Celexa was not effective in children, and that the government was defrauded of millions of dollars because federal health insurance programmes such as Medicaid paid for prescriptions for the drugs that were not covered by off-label paediatric use.

Under the statute, the justice department says, “the government can recover treble damages and $5500 [£3800; 4000] to $11 000 for each . . .

Keywords:
Antidepressive Agents/therapeutic use* Child Citalopram/therapeutic use* Drug Approval Drug Industry/legislation & jurisprudence* Humans Massachusetts

 

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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