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Healthy Skepticism Library item: 17724

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
Utah Sues Drugmakers Over Antipsychotic Marketing
Pharmalot 2010 May 5
http://www.pharmalot.com/2010/05/utah-sues-drugmakers-over-antipsychotic-marketing/


Full text:

The Utah Attorney General filed a lawsuit against Johnson & Johnson and AstraZeneca over allegations they failed to disclose side effects, notably diabetes, caused by their antipsychotics – Risperdal and Seroquel, respectively – and improperly marketed the pills, therefore, causing the state’s Medicaid program to overpay for the medications. However, the lawsuit only says “large sums” were spent without specifying how much the Medicaid program may have overpaid for the drugs.
In arguing its case, the state charges the drugs were promoted for unapproved uses, such as treating the elderly for dementia, anxiety, sleep disorders, depression and other behavioral disorders not caused by schizophrenia or bipolar I disorder; treating children and adolescents for general mood and behavior disorders, ADD, ADHD, depression, sleeplessness, and for the general treatment of autism; and treating the general patient population for other mood and sleep disorders and symptoms not caused by adult schizophrenia, bipolar I disorder and autism.
This litigation is not a new phenomenon. Over the past few years, numerous states have filed suit against drugmakers over antipsychotic marketing. Two years ago, for instance, Utah filed suit against Lilly, which sells Zyprexa (you can read the view of a Utah state official about the issue here). At the same time, several states formed a consortium to research prescribing targeted at children (see this).
More recently, Pfizer, Lilly and AstraZeneca all paid huge fines to settle federal government allegations of off-label marketing (see this). And Omnicare, the nation’s largest nursing home pharmacy, allegedly solicited and received kickbacks from J&J in exchange for agreeing to recommend that physicians prescribe Risperdal to nursing home patients (read this and this). Meanwhile, there has been a host of civil lawsuits filed against J&J and AstraZeneca (see here and here).

 

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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