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Healthy Skepticism Library item: 19846

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

Rouse R
Call for GP use of drug samples to be reviewed
Medical Observer 2004 July 305


Full text:

Researchers have called for a reassessment of how GPs use free drug samples, after studies found a high level of wastage, expired stock and concerns about their influence on prescribing.
In an audit of 20 GPs, University of Queensland researchers found that the doctors had free pharmaceutical samples worth thousands of dollars. “In all cases we found large quantities of expired stock”, school of pharmacy lecturer Dr Lisa Nissen said.
Some GPs found it “more of a hassle than a help” to use the samples, because they did not know how to label them to meet legal requirements, Dr Nissen said.
She called for a reassessment of the way drug companies supplied samples to reduce wastage and better meet GP needs.
In a related study to be presented at the National Medicines Symposium in Brisbane this week, University of Queensland research student Kristine Hall found the profession divided on the issue of accepting samples.
Samples were valued in after-hours settings when patients did not have access to a pharmacy, responses from 222 urban and rural GPs to a mailed survey showed. GPs also liked using samples for starting patients on a new medication.
However, many GPs refused to accept samples, or accepted only drugs that were relevant to their practice, and nearly one-third conceded that samples influenced their prescribing.
Some doctors felt that samples were a part of drug company advertising, and not necessarily useful to them in their prescribing, Dr Nissen said.

 

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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