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Healthy Skepticism Library item: 17775

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

European Medicines Agency-more transparency needed
The Lancet 2010 May 22; 375:(9728):1753
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60785-4/fulltext


Abstract:

On May 10, 2010, the European Medicines Agency (EMA, formerly EMEA) published a draft recommendation from the European Ombudsman Nikiforos Diamandouros who called on EMA to reconsider its refusal to give access to documents relating to isotretinoin, which is used to treat severe acne. EMA protects and promotes Europe’s public health through assessment and supervision of medicines, which is mainly the collation and dissemination of information about adverse reactions to medicines throughout the European Union (EU). EMA receives information on suspected adverse reactions to drugs from competent authorities in EU member states, as well as from drug companies themselves.
A complaint had been submitted by Liam Grant from Dublin, Ireland, whose son had committed suicide in 1997. On April 22, 2008, Grant asked EMA for reports on suspected serious adverse reactions to the drug-those which might cause death or life-threatening illness, require admission to hospital or prolongation of hospital stay, or result in persistent or substantial disability or incapacity, congenital anomalies, or birth defects. These requests were refused by EMA, which argued that EU transparency rules did not apply to serious adverse reaction reports. EMA emphasised that their release would not benefit EU citizens because it could result in circulation of data that might prove to be misleading or unreliable.


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