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Healthy Skepticism Library item: 19151

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

Mali SN, Dudhgaonkar S, Bachewar NP
Evaluation of rationality of promotional drug literature using World Health Organization guidelines
Indian J Pharmacol 2010 Oct; 42:(5):267-72
http://www.ijp-online.com/article.asp?issn=0253-7613;year=2010;volume=42;issue=5;spage=267;epage=272;aulast=Mali


Abstract:

OBJECTIVES: The study was aimed to
evaluate collected drug promotional
brochures for accuracy, consistency,
and validity of the information
presented in it, using World Health
Organization (WHO) criteria for
ethical medicinal drug promotion.
Drug promotional brochures were
evaluated for the type of claims and
pictorial content presented in it
and for references cited in support
of these claims.

MATERIAL AND METHODS: This
observational, cross-sectional study
was conducted in the outpatient
department of Government Medical
College and Hospital, Nagpur, India.
In addition to the fulfillment of
WHO criteria, 1988,” we examined
513 promotional brochures for the
type of claims and pictorial content
presented in it and references
quoted in support of claims to check
their retrievability, type, and
authenticity.

RESULTS: None of the promotional
literature fulfilled all WHO
criteria. Majority (92%) brochures
claimed about the efficacy of
product, and a few about safety
(37.8%). Out of 1003 references
given in support of various claims,
84.4% were from journals and only
28.5% were validly presented
researches. Brochures presenting
irrelevant pictures were 41.3%,
whereas brief prescription
information (BPI) of the promoted
drug was given only by 8.8%
brochures.

CONCLUSION: Pharmaceutical
industries did not follow the WHO
guidelines while promoting their
products, thus aiming to satisfying
their commercial motive rather than
fulfill the educational aspect of
promotion.

 

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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