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Healthy Skepticism Library item: 8870

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

Decristoforo R, Fortner CL.
Review of potential drug interactions between OTC (over-the-counter) and prescription drugs
Hosp Formul Manage 1974 Apr; 10:20-31, 41


Abstract:

Four known basic mechanisms of drug interactions, namely alteration of absorption, distribution, metabolism, or excretion of one drug by another, are discussed in terms of significance of the interaction and listed in tabular form. It is stated that potential interactions between prescription drugs and OTC drugs may be of real importance because many patients, as well as physicians, do not consider OTC drugs as having much significance when compared to prescription drugs. The importance of these potential interactions becomes clear when one considers the massive OTC drug advertising which promotes selfmedication among the lay public. It is suggested that an important step in preventing these drug interactions may be to limit the sales of OTC drugs to pharmacies, and, in addition, sales should probably be made only by a pharmacist.

 

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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