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Healthy Skepticism Library item: 6837

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

Sales representatives: a damning report by Prescrire reps monitoring network
Prescrire International 1999; 8:(41):86-89


Abstract:

Despite increasingly numerous regulatory constraints, as well as international reports and recommendations, medical representatives in France continue to mislead prescribers knowingly. Detailers continue to modify or broaden indications about 20% of the time; increase the dosage recommendations about 10% of the time; and minimize potential drug hazards 75% of the time. Although detailers are legally obliged to give out a copy of the most recent report from the Transparency Commission (a comparative document that includes a section that rates therapeutic utility) this happens only about 5% of the time. The Summary of Product Characteristics document is only given out 78% of the time when visits are for older preparations and safety information is never supplied. There is a clear trend towards presentation of new preparations well before they are released onto the market. The article also includes the 10 year history of the monitoring network as well as summary statistics for the period 1990-1991 to 1997-1998.

Keywords:
*analytic survey/France/sales representatives/quality of information/safety & risk information//la revue Prescrire/EVALUATION OF PROMOTION: DETAILING

 

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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