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Healthy Skepticism Library item: 4274

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

Feisullin S, Sause RB.
Update on direct-to-consumer advertising of prescription drugs.
Am Pharm 1991 Jul; NS31:(7):47-52


Abstract:

DTCA has increased, and community pharmacists can expect many questions from patients. Ads with no specific reference to a product have become more common. Traditional methods of influencing physicians are less effective, and pharmaceutical companies are changing how they market and to whom. Research suggests that consumers are willing to accept DTCA. Congress may perceive DTCA as a problem, but there are currently no plans to legislate against it, partly because of fear of violation of the First Amendment. An American Medical Association resolution disapproved of DTCA, viewing it as unnecessary expenditure. Industry, however, indicate that DTCA is well received by physicians. Reasons for DTCA are: rise in generic substitution, increased competition, need to develop brand loyalty, patients’ taking a more active role in their care, better informed patients, consumers and physicians can be reached directly, existing communication channels possibly inadequate. Reasons against DTCA are: inappropriate prescribing, increase in brand-name drug prices, increased use of brand-name products, decreased use of generic products, patient confusion, stimulated drug use in an over-medicated society. Pharmacists are obliged to discuss drugs with patients, but must keep in mind patients’ specific needs and their trust in physicians. Providing information that stimulates positive patient-physician dialog seems appropriate. DTCA will affect pharmacist, patient and physician relationships. It is hoped that patients will become more aware of pharmacists’ knowledge.

Keywords:
*analysis/United States/ Advertising/trends* Attitude to Health Drug Industry/standards Forecasting Pharmacists Prescriptions, Drug* United States United States Food and Drug Administration

 

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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