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Healthy Skepticism Library item: 19971

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: news

Bangash SM
Wrong claims and medical patronage
The Network of Association for Rational Use of Medication in Pakistan 1997


Full text:

I am writing to you from a remote BHU where I work and see around 100 patients a day. I daily come across many examples of questionable drug promotion. They take many forms: hyperbolic claims about the indications of drugs e.g. Methylcobal (Vitamin B12) of Hilton, wrong dosage e.g. Artem (Artemether) a product of Hilton Pharma, misinformation about drugs e.g. SK&F is promoting its product Dyspamet as an antacid whereas it actually contains Cemetidine in syrup form which is a H2 receptor blocker. There are just a few examples. These drugs get promoted through our senior colleagues who personally get benefits from the manufacturers. I wish they would become a bit more serious and sincere in promoting these drugs. I have contacted the manufacturers through their magical representatives and by writing letters to them. Most of them just don’t respond, and when rarely they do, it is very unsatisfactory. I wish to see ethical drug promotion in Pakistan.

Response: Thank you for your detailed letter with enclosures about the drugs in question. We hope that the manufacturers of these products will respond by improving their promotional materials or by providing scientific rationale for their claims. It is sad that our professional colleagues patronize such products without first assessing the scientific information about these drugs. We all know the reasons for this! One way of dealing with this problem is by highlighting these practices at different fora. One such forum is this newsletter. But please be sure of what you are highlighting and provide necessary proof to backup your arguments. We always welcome such contributions.

 

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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