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Healthy Skepticism Library item: 16780

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: Electronic Source

Silverman E
So Maybe DTC Ads Aren’t Worth It, After All
Pharmalot 2009 Nov 10
http://www.pharmalot.com/2009/11/so-maybe-dtc-ads-arent-worth-it-after-all/


Notes:

(link to survey: http://www.verilogue.com/press_8.php)


Full text:

Judging by a recent survey, that may seem to be the case. Direct-to-consumer ads are mentioned mostly by docs to increase patient acceptance for a medicine that’s already been chosen. But unaided – or spontaneous – mention by patients or actual patient requests for a specific med is a rare phenomenon, according to the survey by Verilogue.
The firm tracked brand requests coupled with a reference to specific ad campaigns across 12,500 doctor-patient conversations from 2008 and covered 20 disease states and 46 different branded prescription drugs. Overall, DTC ‘pull-through’ in conversations in a doc’s office is low – just 3 percent – and specific patient requests for advertised med are even lower – .002 percent.
Significantly, the most frequently pulled-through brands from the firm’s database failed to align with brands where DTC spending is the largest. Not including Internet ads, these were – $186 million on Advair; $180.6 million on Plavix; $171.6 million on Cymbalta; $151 million on Lyrica; and $146.9 million on Ambien. The ‘most referenced’ DTC brands were Boniva, Enbrel, Humira and Reclast, with Detrol LA and Gardasil tied for fifth place.
Patients, meanwhile, most often brought up side effect concerns arising from fair balance statements in Advair TV spots. Such as? “I saw on TV that Advair can cause pneumonia in some patients.” And Ambien, another of the most heavily promoted drugs, prompted this reply: “Yeah, I saw the commercial. I think it’s, uh, Ambien that says you might go out and eat and not remember. I thought, ‘Great all I need.’ ” All that money and for what?

 

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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