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Healthy Skepticism Library item: 7329

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

Pastakia S, Wertheimer AI.
Direct to consumer advertising of prescription vs. non-prescription drugs in the United States
Journal of Social and Administrative Pharmacy 2003; 20:(6):197-203


Abstract:

Objective: The purpose of this article is to analyze the differences in regulation, economic impact, and effect on patient care between non-prescription and prescription direct to consumer drug advertising. Method: International Pharmaceutical Abstracts and Medline were both researched to find the current medical literature describing the impact of direct to consumer advertising (DTCA). Due to a paucity of information regarding non-prescription drugs, various consumer groups were used to elucidate the impact of DTCA. Setting: This article looks at the various factors surrounding DTCA in the United States. Key Findings: In terms of regulation, it is clear the FDA requirements for prescription drug advertising are more stringent than the regulations enforced by the Federal Trade Commision (FTC) for non-prescription drugs. There are many deficiencies in the regulation of DTCA requiring improvement. The economic statistics describing prescription drug advertising illustrate the vast market share advertised drugs comprise. Studies analyzing patient care have shown patients have an increased interest in acquiring information on prescription drugs while inquiries regarding non-prescription drugs have increased at a much lower rate. Conclusion: All of these factors have left patients in a precarious position as they attempt to treat themselves with nonprescription drugs based on the limited information they receive from healthcare providers and non-prescription drug advertisements.

 

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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