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Healthy Skepticism Library item: 8679

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

Finkelstein Y, Rezvani M, Garcia-Bournissen F, Nurmohamed L, Koren G.
Inactive pharmaceutical ingredients : implications for pregnancy.
Can J Clin Pharmacol 2007 Win; 14:(1):e17-28
http://www.cjcp.ca/pdf/CJCP2007_e17_e28.pdf


Abstract:

Administration of pharmaceutical agents to pregnant women is a concern, because of safety issues to both mother and fetus. However, all medication formulations contain any other inactive ingredients in addition to the active drug.

In contrast to the extensive research on the safety of active pharmaceutical ingredients in pregnant patients, the fetal safety of the inactive ingredients has been largely ignored. This is
likely due to the fact that the inactive ingredients are considered to be in “small amounts” and are believed to be “inert”. However, this is often not the case. Most pharmaceutical preparations will typically contain 5 to 10 times more inactive ingredients in terms of weight versus the actual active ingredients. Therefore, most tablets, for example, are mainly made up of inactive
ingredients…

Keywords:
Publication Types: Review MeSH Terms: Abnormalities, Drug-Induced/etiology* Abnormalities, Drug-Induced/prevention & control Adjuvants, Pharmaceutic/adverse effects* Adjuvants, Pharmaceutic/classification* Canada Drug Compounding* Drug Labeling Drug Toxicity Female Humans Lactic Acid/adverse effects Pharmaceutical Preparations/adverse effects Phenol/adverse effects Pregnancy Pregnancy Complications/drug therapy* Propylene Glycols/adverse effects Risk Assessment Saccharin/adverse effects Substances: Adjuvants, Pharmaceutic Pharmaceutical Preparations Propylene Glycols Phenol Lactic Acid Saccharin


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