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Healthy Skepticism Library item: 20375

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

Pizzol FD, Silva T, and Schenkel EP
Análise da adequação das propagandas de medicamentos dirigidas à categoria médica distribuídas no Sul do Brasil: Adequacy of drug advertisements distributed to prescribers in Southern Brazil
Cad. Saúde Pública 1998 Jan; 14:(1):85-91
http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-311X1998000100016&lng=en&nrm=iso&tlng=en


Abstract:

A análise da qualidade da publicidade dirigida à categoria médica foi feita com base na coleta de materiais publicitários distribuídos em consultórios médicos e hospitais no Sul do Brasil. Foram coletadas 127 peças publicitárias, nas quais se observou o cumprimento ou não das leis que regulamentam a propaganda de medicamentos no Brasil e os argumentos mais prevalentes de cada propaganda. A Denominação Comum Brasileira aparece em 121 propagandas (95%), sempre em segundo plano, com tamanho de letras menor. Nenhuma das peças publicitárias analisadas cumpre na íntegra as exigências da legislação. Considerando os Critérios Éticos para Promoção de Medicamentos da OMS, apenas 59% apresentam a composição do produto, e 43% apresentam precauções; em 73%, o tamanho das letras e o espaçamento entre frases é pequeno, dificultando sua leitura. Apenas 73% das propagandas apresentam a posologia. Os argumentos mais utilizados nesta amostra são: eficácia, segurança, comodidade posológica, rapidez de ação, alta tolerabilidade. A inobservância da legislação em vigor, a ausência de precauções e excesso de argumentos, levam à conclusão de que há a necessidade de instrumentos efetivos de controle visando a uma melhor qualidade nas informações distribuídas aos prescritores.

Drug advertisements for prescription drugs gathered from private clinics and hospitals in southern Brazil were analyzed. None of the 127 advertisement inserts that were analyzed complied with all the criteria specified by Brazilian legislation. The official Brazilian generic drug name was present in 95% of the advertisements, but always in finer and/or fainter print. With regard to the “WHO ethical criteria for medicinal drug promotion” the study showed that only 59% of the advertisement inserts declared the product composition and only 43% provided information on precautions, and in most of these cases (73%), the precautions were in fine print and difficult to read. Most of the advertisements declared the product dosage in more properly-sized print. The main advertising claims were efficacy, safety, faster action, and high tolerability. In conclusion, the analysis demonstrated that most advertisements fail to comply with either the Brazilian legislation on medicinal products and/or the WHO ethical criteria for medicinal drug promotion. To improve this situation it thus seems necessary to develop more effective instruments to monitor quality of information provided to prescribers by the drug advertisers.

Keywords:
Propaganda de Medicamentos; Indústria Farmacêutica; Uso Racional de Medicamentos. Drug Advertising; Pharmaceutical Industry; Rational Drug Use.

 

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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