Healthy Skepticism Library item: 6746

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

Wagner N.
Advertisements for donepezil (Aricept) in the BMJ: Local committee has declined to approve NHS hospital prescription of donepezil.
BMJ 1997 May 24; 314:(7093):1555-6
http://bmj.com/cgi/content/full/314/7093/1555

Abstract:

The BMJ wrapper containing an advertisement for donazepil is the trigger for the author expressing frustration at being the only psychogeriatrician for a population of 30,000 over the age of 65. He describes soaring referral and re-referral rates, and increased waiting times as well as increasing enquiries about donazepil from patients, carers and health professionals. His local drugs and therapeutics committee has declined to approve the NHS hospital prescription of donepezil and the local fundholding general practitioners are not prepared to pay for it. He mentions about 80 patients in the area who might benefit from the drug.

Keywords:
*letter to the editor/United Kingdom/ Aged Alzheimer Disease/drug therapy* Cholinesterase Inhibitors/therapeutic use* Humans Indans/therapeutic use* Piperidines/therapeutic use* Prescriptions, Drug/economics

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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