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Healthy Skepticism Library item: 19814

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: Magazine

Chalmers I
In the Dark
New Scientist 2004 Mar 6
http://www.newscientist.com/article/mg18124373.100-in-the-dark.html


Abstract:

EFFECTIVE, safe and non-addictive: that is how the new generation of antidepressants was billed in the early days. Now these drugs are the focus of a fierce dispute. Some patients and doctors claim they are of questionable efficacy and can induce suicidal thoughts. Advocates, including the companies that make them, insist these medicines have helped millions of people, and that withholding them would do more harm than good.

It would be easier to judge which side was right if all the relevant information about the drugs were publicly available. But it isn’t. Believe it or not, the law does not oblige companies to disclose the findings of their research on licensed medicines, and scientists, doctors, patients and even public organisations have no legal right to inspect the evidence that led regulators to license drugs.

This problem is serious because under-reporting of clinical research is biased and can be lethal. For …

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963