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Drug marketing spoof reminds us of real issues

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In today's newsletter, we included a link to a sly pharmaceutical marketing parody for a fictional drug. The drug, dubbed "Panexa," is said to be good for patients experiencing virtually any condition, including "metabolism, binocular vision, digestion (solid and liquid), circulation, menstruation, cognition, osculation [and] extremes of emotion."

Oh, and if you prescribe this wonder drug, treat it with all due courtesy: "PANEXA should not be used to soak up spills or remove stains. This is disrespectful to PANEXA."

But patients, mind you, need have no such concerns, as it says: "PLEASE READ THIS SUMMARY CAREFULLY, THEN ASK YOUR DOCTOR ABOUT PANEXA AND HOW TO PROVIDE YOU WITH LARGE QUANTITIES."

Now, if you're anything like me, you won't be able to read the rest of this stuff without engaging in a few good belly laughs. But the writers still make some important points:

  • Real direct-to-consumer pharmaceutical advertising certainly has a similar "get the drug at all costs and under any circumstances" undertone, despite the professionally-scripted warnings contained in the copy.
  • Drug companies are happy to assume the role of adviser to patients, which arguably undermines doctor-patient relationships. ("THIS ADVERTISEMENT DOES NOT TAKE THE PLACE OF ADVICE FROM YOUR DOCTOR; RATHER, IT PROVIDES YOU WITH NEW INFORMATION ABOUT NEW DRUGS YOU COULD BE USING," it notes.)
  • Drug companies may not let consumers know about any side effects that pop up once a drug hits the market. (As our parodist puts it: "PANEXA can produce some notable side effects, all of which are probably really, really terrific and nothing that anyone should be concerned about, let alone notify any medical regulatory commission about." Bingo.)

Sometimes, humor offers the best way to hammer home concerns like these. Is anyone on Capitol Hill listening? -Anne

Comments

I read your comments in the Editor’s Corner in the April 25th issue of Fierce Healthcare. I disagree with the underlying premise of your comments. In response to your bullet points:
• Drug companies do not advertise a “get the drug at all costs and under any circumstances” message. Even if marketers had this ethic, there are too many internal legal, regulatory and medical hurdles to make this happen.
• Drug companies should play a role in advising patients. They should make easy to understand materials for patients receiving medications to ensure their safe and effective use. This advice is in addition to (not in place of) the advice patients get from their physician.
• Once and for all, drug companies do not try to hide side effects from their patients. It makes no business sense to hurt the very people who are going to use your product. In addition, recent lawsuits (phen/fen, Vioxx, etc.) make hiding information suicidal. It’s true that certain adverse events show up after a drug reaches the market, but it is not always apparent that the drug is actually causing the event. Professionals in pharmacovigilance within the companies investigate all reports of new or unusual events to determine causality. These events are also reported to the FDA and followed up on. The information is then communicated to physicians and patients. It’s important to understand adverse events and weigh them against the benefit the drug is providing in order to properly evaluate the ongoing use of a drug.
Finally, are you suggesting that Capitol Hill intrude even further into the pharmaceutical business as a way to fix these perceived problems? That, I find humor in.

Dear Adam,
I hope you feel the same about the pharmaceutical industry the next time you or your family becomes ill and requires one of their lifesaving medications. For the record, they make the floss and hemorrhoid cream you will need when the "government crawls so far up they can floss their teeth. Research and inform yourself before responding and you will find that they do a lot of good and create a world in which the life, and the quality of life, of many is improved. Additionally, you may notice that we live in a society where salary, bonus and competition drive innovation, furthering healthcare causes. I'm sure you will respond with more "talking points" and couldn't possibly fathom opening your mind to the comments posted on April 25. Way to go Anonymous!

"...are you suggesting that Capitol Hill intrude even further into the pharmaceutical business as a way to fix these perceived problems?"

Intrude even further? Capitol Hill intrudes on pharma companies in more or less the same way that
the publishers of TV Guide intrude on the television networks. Oh, sure, occasionally one program or another gets the short end of the Cheers/Jeers stick, but it's a fundamentally symbiotic relationship.

Now, I can't speak for the editor, but I certainly believe that further (any) intrusion is called for. In fact, I won't be happy until the government crawls so far up the pharma companies' asses it can floss their teeth. I'd much rather have government over-regulating Big Pharma (or any other industry) than Big Pharma "regulating" itself.

Frankly, at the moment, it seems that neither is happening see /www.fiercepharma.com/story/pharma-drags-feet-on-promised-studies/2008-04-24 in yesterday's FiercePharma)

Of course, any politician who even toys with genuinely regulating the industry is unlikely to get that all-important Big Pharma money come next election year. So don't worry, "Anonymous," your pharma company salary / bonus / fee-for-propagating-their-b.s. isn't in jeopardy.

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