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Healthy Skepticism AdWatch (USA)

AdWatch illuminates the logical, psychological and pharmacological techniques used in drug advertisements.

April 2010

Wyeth’s Pristiq® (desvenlafaxine) for major depressive disorder

This advertisement misleadingly promotes a serotonin and noradrenalin reuptake inhibitor (SNRI) antidepressant on the basis of not needing titration. The antidepressant is a metabolite of an established SNRI, which is approaching the end of its patent life in several countries. No evidence is provided of its effectiveness and safety relative to the established drug.

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October 2009

Amylin and Eli Lilly’s Byetta® (exenatide injection) for type 2 diabetes

This advertisement is promoting a drug for type 2 diabetes on the basis of a surrogate outcome assessed in unpublished trials, and as an off-label treatment for overweight and obesity.

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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