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Healthy Skepticism Library item: 14871

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

Beard K.
Commentary: The balance between marketing and safety.
BMJ 2008 Dec 24; 337:a2996:
http://www.bmj.com/cgi/content/extract/337/dec24_1/a2996


Abstract:

Drug marketing can be sophisticated and very successful. This is understandably desirable for manufacturers given the pressures of finite patent life and the imminent arrival of competitors. Kao expresses concern that successful marketing of new medicines, especially in the regulatory environment that allows a shorter lead time from submission to market access, might compromise patient safety.1 2 His description of sitagliptin’s market penetration in the United States is an impressive story from an industry perspective. It also raises the issues of drug industry involvement with disease awareness campaigns and patient organisations, as well as direct to consumer advertising as methods of promoting product awareness. A recent European Commission consultation focused on the role of industry in providing information on medicines to patients, and although there was overall agreement that the present ban on direct to consumer advertising should remain, there was perhaps predictable variation in stakeholders’ responses.

 

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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