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Healthy Skepticism Library item: 4052

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

Double standard labelling of pharmaceuticals sold in Thailand
Drug Study Group 1990; 3


Abstract:

Twenty-six pharmaceutical product leaflets from 13 United States companies were collected during October 1989 and then analyzed by comparing these leaflets to the information in the 1989 version of the Physicians’ Desk Reference. Double standards were found in all 26 leaflets. There were double standards in “indications” 77% of the time, followed by warnings/precautions, administration and dosage and contraindications 54, 50 and 46% of the time, respectively. Double standards present in three ways: overlabeling in areas such as indications, underlabeling in areas such as warnings/precautions, contraindications, adverse reactions and side effects, and differences in areas such as administration and dosage and chemical structure.

Keywords:
*analytic survey/Thailand/United States/developing countries/labeling/safety & risk information/quality of information/EVALUATION OF PROMOTION: COMPARISON BETWEEN DEVELOPING AND DEVELOPED COUNTRIES/EVALUATION OF PROMOTION: LABELLING AND PACKAGE INSERTS/PROMOTION AND HEALTH NEEDS: PROMOTION IN DEVELOPING COUNTRIES

 

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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