MHC 750 JH 01 Direct To Consumer Drug Advertising

Direct-To-Consumer Advertising : Is It Creating Well-Informed or Mislead, Unduly Influenced Patients? Donna Doherty Jeanne Ulmer Leslie Pirtle MHC 750 JH01 March 2008

Introduction ,[object Object],[object Object]

http://neatorama.cachefly.net/images/2006-07/vintage-drug-ads.jpg

http://www.cato.org/pubs/regulation/regv29n1/v29n1-7.pdf 1985 FDA issues Guidelines FDA requests voluntary Moratorium 1982 1st D-T-C Rx drug ad in US 1981 13.5% D-T-C ads are on TV 1994 FDA relaxes rules governing TV ads 1997 2000 63.8% D-T-C ads are on TV

FDA Oversight ,[object Object],[object Object],[object Object],[object Object],[object Object],http://content.healthaffairs.org/cgi/content/full/hlthaff.w3.120v1/DC1

Spending on DTCA 1997-2005 Table 1: Prescription Drug Promotion and Research and Development, 1997-2005. (Source: U.S. Government Accountability Office, Prescription Drugs: Improvements Needed in FDA's Oversight of Direct-to-Consumer Advertising ', GAO report Number GAO-07-54, December 14, 2006.  103.3 162.4 86.0 296.4 Total % increase, ‘97-’05 9.3 14.9 9.0 19.6 Avg annual % increase $31.4 not available $7.2 $4.2 2005 $29.8 $15.9 $7.8 $4.0 2004 $27.1 $13.5 $7.4 $3.3 2003 $21.4 $8.5 $5.6 $2.5 2000 $15.5 $6.0 $3.9 $1.1 1997 R & D Retail value of samples Spending on promotion to physicians Spending on DTC advertising Year

Some Facts ,[object Object],[object Object],http://www.magazine.org/Research/7973.cfm

http://www.cato.org/pubs/regulation/regv29n1/v29n1-7.pdf, p.3

TV Drug Ads Legal In Only 2 Countries ,[object Object],[object Object]

Types of D-T-C Ads ,[object Object],[object Object],[object Object],http://www.fda.gov/fdac/features/2004/404_ads.html

http://www.fda.gov/cder/ddmac/P3Benzing/sld023.htm

2 Types of Data ,[object Object],[object Object]

http://democracyinaction.org/dia/organizations/commercialalert/campaign.jsp?campaign_KEY=1415&t=stop_drug_ads_home.dwt

Pro Direct-To-Consumer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pro Arguments-Consumers ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.magazine.org/Research/7973.cfm

Pro Arguments-Doctors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pro Arguments-Rx Industry ,[object Object],[object Object],[object Object],[object Object]

DTC communications about prescription medicines serve the public health by: ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Pharmaceutical Research and Manufacturers of America (PhRMA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Pharmaceutical Research and Manufacturers of America (PhRMA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cons… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cons… ,[object Object],[object Object],[object Object],[object Object]

Cons… ,[object Object],[object Object],[object Object]

Making Health Decisions Based On TV…

US$1.20 US$2.20 US$3.20 US$4.20 Its Quiz Time...

In the year 2000, how much did each dollar spent on direct-to-consumer advertising of prescription drugs in the United States yield in additional pharmaceutical sales? ,[object Object],[object Object],[object Object],[object Object],http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371%2Fjournal.pmed.0030239&step=question&qid=Q1&x=34&y=21

[object Object],Based on the 2003 European guidelines on cardiovascular disease prevention, what proportion of Norwegian adults would be labeled as having an “unfavorable” cardiovascular risk profile? ,[object Object],[object Object]

[object Object],[object Object],[object Object],How much did drug companies spend in 2004 in Europe on “disease awareness” campaigns (unbranded disease-specific consumer advertising)?

[object Object],The Pfizer Web site states that sildenafil (Viagra) “works” for what proportion of men? ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],On its Web site, Pfizer states, “VIAGRA can work for you. In fact, studies show that VIAGRA works for more than 80% of men with ED [erectile dysfunction] taking VIAGRA 100 mg versus 24% of men taking a sugar pill” ?

[object Object],[object Object],[object Object],Between 1998 and 2002, the group showing the largest increase in Viagra use was men between the ages of 18 and 45, and only one-third of these men had a possible etiologic reason for needing Viagra

[object Object],[object Object],[object Object],Which of the following best reflects the latest Appraisal Consultation Document from the United Kingdom National Institute for Health and Clinical Excellence (NICE) on prescribing cholinesterase inhibitors?

[object Object],[object Object],[object Object],[object Object],Which of the following is true about fluoxetine (Sarafem), a treatment for “premenstrual dysphoric disorder” (PMDD)?

[object Object],[object Object],[object Object],[object Object],According to a widely cited 1999 study in the Journal of the American Medical Association on the prevalence of female sexual dysfunction by Laumann and colleagues, what proportion of women aged 18–59 years suffers from female sexual dysfunction?

[object Object],[object Object],[object Object],Which one of the following statements is true about drug treatments for female sexual dysfunction?

Warning…..This lecture has been known to cause hair raising experiences in a small percentage of the population. If this side effect should occur seek the advice of a professional Beautician immediately or visit your doctor and ask for a DTC drug!

MHC 750 JH 01 Direct To Consumer Drug Advertising

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MHC 750 JH 01 Direct To Consumer Drug Advertising