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Healthy Skepticism Library item: 8678

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

Koren G, MacLeod S, Davis D.
Drugs in pregnancy: acknowledging challenges--finding solutions.
Can J Clin Pharmacol 2007 Win; 14:(1):e2-4
http://www.cjcp.ca/pdf/CJCP2007_e2_e4.pdf


Abstract:

Due to obvious ethical issues of experimenting drugs during fetal development, women and their unborn babies are commonly excluded from drug trials. As a result, these two groups of patients are commonly orphaned from the revolution in drug therapy witnessed in the last generation.

The removal of Bendectin from the American market despite being safe in pregnancy sent a chilling signal to drug companies, essentially discouraging them from developing or studying drugs for pregnant patients. Even in areas which are exclusively typical of pregnancy (e.g.., morning sickness or tocolysis) no new drug trials are performed. Consequently, the advance in therapeutics in pregnancy lags substantially behind the same conditions or drugs in nonpregnant women, or men…

Keywords:
MeSH Terms: Abnormalities, Drug-Induced/prevention & control* Antidepressive Agents/adverse effects Antidepressive Agents/therapeutic use Canada Clinical Trials* Drug Industry/standards Drug Industry/trends Drug Toxicity Female Fetal Development/drug effects Glyburide/adverse effects Glyburide/therapeutic use Humans Patient Selection Pharmaceutical Preparations/adverse effects* Pregnancy Pregnancy Complications/drug therapy* Pregnancy Complications/prevention & control Pregnancy Trimesters Substances: Antidepressive Agents Pharmaceutical Preparations Glyburide


Notes:

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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