PHAR 100 Lecture Notes - Lecture 3: Phocomelia, Thalidomide, Teratology

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Spent 575 billion on marketing in 2004 (2. 8 bil canada) Spent 31. 5 billion on research and development on new meds (canada 1. 2bil) Marketing is flooded with me too drugs which maximize profits while offering little or no improvement to health care. For every spent on prescription meds, sh. 25 goes to promotion of which nearly all is used to entice mds. Evidence suggests that prescribing practices are influenced by enticements. Pfizer pays 2. 1 billion dollar fine for promoting drugs to physicians for which they did not have approval, which they did by wining and dining physicians to encourage prescribing of 4 drugs. A notice of compliance is issued in canada which states what a drug can be used for. However, a physician has the right to use a drug for any condition they deem appropriate. The purpose of advertising is to persuade the public to buy. Advertising drugs to the public, while legal, is not appropriate.

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