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Healthy Skepticism Library item: 867

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: news

Tell Truth About Antidepressants: On drug labels and in medical journals
Newsday.com 2004 Sep 16


Full text:

The recent controversy over antidepressants, children and suicide is really about trust. Sick people have to trust their doctor’s judgment about the drugs they take. Doctors have to trust the information they get from drug companies. The public has to trust government regulators to ensure that drugs on the market are safe and effective. Unfortunately, for depressed children, that critical trust has been squandered. Washington has to find a way to get it back.

The Food and Drug Administration acknowledged for the first time this week that widely prescribed antidepressants could cause some children and teenagers to become suicidal. An advisory panel recommended putting that caution in a “black box” on container labels, and adding a notice that most antidepressants don’t lift depression in children. The FDA should adopt the recommendation. Mandating the black box, the FDA’s most prominent warning, will fill the notification void for antidepressants. But that’s not enough.

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963