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Healthy Skepticism Library item: 5547

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

Keen PJ.
Pharmaceutical advertising controls - the future
Journal of the Royal Society of Medicine 1993; 86:237-239


Abstract:

Discussion on the control of advertising of medicines at the October meeting of the Library (Scientific Research) Section is reported. Dr Michael Baker, Head of Regulatory Affairs at the Proprietary Association of Great Britain, speculated on the possible effects of Medicines Control Agency proposals to regulate OTC preparations by statute. He reviewed briefly the history and requirements of the EC Directive 92/28/EEC, and the present British System for controlling OTC advertisements. The EC directive will have to be implemented by legislation. He outlined alternative possibilities of how modifications to the present system could be done, and their implications. He argued for retaining the present regulatory system, albeit modified to meet the requirements of the European directive. David Massom, Secretary of the Association of the British Pharmaceutical Industry, described the ABPI Code of Practice Committee operating a self-regulatory mechanism based on complaints. Compliance with the Code is a condition of membership of the APBI but non-members also base their promotional practices on it. Pharmaceutical companies also have to comply with various laws. There is also an International Federation of Pharmaceutical Manufacturers Associations code and a European code. The criticisms of the APBI Code of Practice, the EFPIA Code, the EC Directive and changes in the NHS will result in a revised and strengthened edition of the Code. Philip Cox, independent Chairman of the APBI Code of Practice Committee, pointed out that the first Code in 1958 covers almost everything that still needs to be controlled. Much criticism of the pharmaceutical industry seems to stem from lack of balance in advertising between the potential good and harm of its products. After outlining the complaints procedure, Cox concluded that the self-regulatory mechanism appears to have worked satisfactorily and it would be a shame if it were now replaced by a government agency backed by the sanctions of the criminal law. An editorial conclusion on this report seems to support this point of view.

Keywords:
*analysis/United Kingdom/Europe/

 

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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