Tuesday, October 7, 2008

PharmFree NOW

Experts Conclude Pfizer Manipulated Studies By STEPHANIE SAUL; Published: October 8, 2008 - The drug maker Pfizer earlier this decade manipulated the publication of scientific studies to bolster the use of its epilepsy drug Neurontin for other disorders, while suppressing research that did not support those uses, according to experts who reviewed thousands of company documents for plaintiffs in a lawsuit against the company.  Pfizer's tactics included delaying the publication of studies that had found no evidence the drug worked for some other disorders, "spinning" negative data to place it in a more positive light, and bundling negative findings with positive studies to neutralize the results, according to written reports by the experts, who analyzed the documents at the request of the plaintiffs' lawyers.

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I feel terrible. I have been such a drug company whore over the years. I've eaten the dinners. I've been an "expert" speaker for a failed drug that caused heart problems, I've traveled to cities to "learn" on the drug company tab. I have so many drug company pens that I've not bought a pen in nearly 20 years. The fact is, I've bought into this notion that the companies and the drugs they represent were above and beyond being affected by the market and financial pressures to perform. I've lied to myself in order to get the perks.

Beyond the headlines, I've been "convicted" to act. I've officially joined PharmaFree, a program by the American Medical Student Association. The concept is really quite simple, and the results could help fee the vision that there may be a day "when pharmaceutical companies are able to dedicate their resources to creating drugs that physicians choose to use because they are effective in treating disease, not because they are effectively marketed."

I don't want patients wondering where my loyalties lie.  There are serious professional, ethical and practical complications from any relationship a clinician has with pharmaceutical company representatives. It's about integrity, honesty and real education based on solid, third party research and the elimination of biased information provided by unwitting "experts" paid to be delivering that education.

imageIt's PharmaFree Week coming up and I think this is a great cause for my future. I will certainly miss the drug company meals, and I may have to break down and buy a pen or two, but in the end it's just the right thing to do.

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