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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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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.