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Healthy Skepticism Library item: 18868

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

Garattini S, Bertele V,
Rosiglitazone and the need for a new drug safety agency
BMJ 2010 Oct 6; 341:
http://www.bmj.com/content/341/bmj.c5506


Abstract:

The recent news about the suspension of rosiglitazone, a blockbuster antidiabetes drug, is not reassuring.1 Once again a widely prescribed drug shows a degree of toxicity that should not have allowed it to remain on the market for so long. This is not an isolated case, because it follows in a short time similar concerns over cerivastatin, rofecoxib, rimonabant, and sibutramine, not forgetting the selective serotonin reuptake inhibitors. In addition, a further case is now on the table, concerning the relation between the use of bisphosphonates and cancer.2

At least in the case of sibutramine and rosiglitazone, awareness of the risk of adverse events had been shown in the European Medicines Agency’s request for large randomised trials to investigate possible cardiotoxicity. A trial of sibutramine was committed to in 2002 and the trial begun in January 2003, completed in November 2009, and published in September 2010,3 well after the drug had been …

 

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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