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Healthy Skepticism Library item: 8399

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

Maclay WP, Crowder D, Spiro S, Turner P.
Postmarketing surveillance: practical experience with ketotifen.
Br Med J (Clin Res Ed) 1984 Mar 24; 288:(6421):911-4
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=6423140


Abstract:

A report on the postmarketing surveillance of the efficacy and toxicity of ketotifen fumarate (Zaditen; I) in 8291 asthmatic patients in the United Kingdom who were followed up for one yr following initial prescribing was presented. Data were collected by the pharmaceutical firm and communicated to the appropriate regulatory authorities and participating physicians. By subjective assessment 70% of patients found the medication efficacious. There were no unexpected or unacceptable side effects and those found were similar to those reported in clinical trials of I. It was concluded that although this exercise showed that the pharmaceutical industry, regulatory authorities, and prescribing doctors were able to collaborate, the major outcome of the survey was already known and that it remains to be seen whether this type of survey is of value in the continuing search for control and safety in prescribing.

Keywords:
Adolescent Adult Aged Asthma/drug therapy* Child Communication Evaluation Studies* Female Humans Ketotifen/adverse effects* Ketotifen/therapeutic use Male Middle Aged Pregnancy Product Surveillance, Postmarketing* Prospective Studies

 

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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