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Healthy Skepticism Library item: 15371

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

Alam K, Shah AK, Ojha P, Palaian S, Shankar PR.
Evaluation of drug promotional materials in a hospital setting in Nepal
Southern Med Review 2009 Apr; 2:(1):2-6
http://www.fmhs.auckland.ac.nz/sop/smr/_docs/SMR_Vol2_Issue1.pdf


Abstract:

Objectives: Unethical drug promotion is a common problem worldwide. In, Nepal, there is limited vigilance on the quality of information supplied by the drug companies to the doctors. The
objectives of this study were to analyze the promotional materials provided by the drug
companies as per WHO ethical criteria for medicinal drug promotion.

Methods: Promotional materials present in the Drug Information Center (DIC) during the period from September to December 2007 were collected. The collected promotional materials of different pharmaceutical companies were compared with WHO’s Ethical Criteria for Medicinal Drug Promotion.

Results: The name of active constituent(s) was mentioned in 87.87% (n=29) of promotional items.
Therapeutic indication was mentioned in 87.88% (n=29) of promotional material but information
on side effects [33.33% (n=11)], drug interactions [9.09% (n=3)] and use in pregnancy and
lactation [12.12% (n=4)] were lacking in the majority of promotional materials.

Conclusion: In a country like Nepal with limited drug information resources, the promotional materials provided by the manufacturers can largely influence the prescription behavior of the clinicians. Our findings suggest the need for interventions to improve the content of the promotional materials provided by the drug companies.

Keywords:
Drug Promotion, Nepal, Promotional Material, Ethics, Information


Notes:

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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