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Healthy Skepticism Library item: 19893

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

Harrington R
Drug advertisements
BMJ 1993 Mar 13; 306:721


Abstract:

Editor, – Is it not time for the BMJ to set the same standards for the drug advertisements it carries as it does for scientific papers?
I have been increasingly irritated by the recent series of double page advertisements for Proscar (finasteride). The strident claims of the manufacturer – MSD – are supported by two references: of these one is quoted no less than four times, but on reading the small print this reference turns out to be “data on file Merck, Sharp and Dohme Ltd” – hardly the most impartial of sources.
It is left to Minerva to give a more balanced view; reporting on a large trial of the same drug she notes “men hoping for a drug treatment for benign prostatic hypertrophy will have to wait a while longer…small improvements in a urinary flow rate and a small reduction in the size of the gland have to be balanced against negative effect on both libido and potency”.
Given Minerva’s comments I hope this is the last we will see of this particular advertisement, but in future may I suggest advertisements are refereed and that manufacturers should be permitted to quote only published material and not their own files as references?

 

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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