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Healthy Skepticism Library item: 1676

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

Drug companies are increasingly targeting patients
Associated Press 2002 Feb 14


Full text:

TV viewers are right if they are feeling barraged by commercials for the likes of Vioxx, Prilosec, Claritin and Viagra: Drug company advertising aimed at ordinary people instead of doctors tripled in the United States between 1996 and 2000 to nearly $2.5 billion a year.

Advertisements targeting consumers account for 15% of U.S. spending to promote medications, up from almost 9% in 1996, a study found.

Spending that targets doctors – including visits from sales representatives, free samples and medical journal ads – slipped from 91% to 84% during the same period, according to researchers at Harvard University and the Massachusetts Institute of Technology.

They analyzed data on media advertising and sales of individual drugs, examining trends since 1996, the year before the Food and Drug Administration issued rules for television ads on prescription drugs.

The study appears in Thursday’s New England Journal of Medicine.

Critics such as Dr. Sidney Wolfe of Public Citizen Health Research Group argue that drug ads aimed at ordinary people encourage use of expensive, sometimes unnecessary medicines, appeal to patients’ emotions, undermine the doctor-patient relationship and rarely tell patients about the drugs’ success rate, alternative treatments and other key information.

The pharmaceutical industry argues the ads inform and empower consumers, prompt many to see their doctor about an untreated health problem and nudge others to take their prescription drugs more faithfully.

The researchers found the biggest jump has been in TV commercials, with a seven-fold increase in spending – from $220 million to $1.6 billion – between 1996 and 2000.

Sixty% of the print and broadcast ads were for just 20 medications, including the arthritis drugs Vioxx and Celebrex, the ulcer drug Prilosec, Viagra for impotence and the allergy drugs Claritin, Allegra and Zyrtec.

Total spending on prescription drug promotion grew about 70%, from about $9.2 billion in 1996 to $15.7 billion in 2000, the same rate of growth as drug sales had during that period.

The 20 medications focused on, their purpose, and 2000 ad spending:

1. Vioxx, arthritis, $161 million
2. Prilosec, stomach ulcers, $108 million
3. Claritin, antihistamine, $100 million
4. Paxil, antidepressant, $92 million
5. Zocor, high cholesterol, $91 million
6. Viagra, impotence, $90 million
7. Celebrex, arthritis, $79 million
8. Flonase, nasal spray for allergies, $78 million
9. Allegra, antihistamine, $67 million
10. Meridia, weight loss, $65 million
11. Flovent, asthma, $63 million
12. Pravachol, high cholesterol, $62 million
13. Zyrtec, antihistamine, $60 million
14. Singulair, asthma, $59 million
15. Lipitor, high cholesterol, $59 million
16. Nasonex, nasal allergies, $53 million
17. Ortho Tri-Cyclen, oral contraceptive, $47 million
18. Valtrex, genital herpes, $40 million
19. Lamisil, toenail fungus, $39 million
20. Prempro, hormone for osteoporosis, menopause symptoms, $38 million

Source: Competitive Media Reporting

 

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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