The Ethics of Pharmaceutical Industry Influence in Medicine

The Ethics of Pharmaceutical Industry Influence

in Medicine

The Ethics of Pharmaceutical Industry Influence in Medicine

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The Ethics of Pharmaceutical Industry Influence in Medicine

THE ETHICS OF PHARMACEUTICAL INDUSTRY

INFLUENCE IN MEDICINE

By

*Omar Sultan Haque, *Julian De Freitas, Harold J. Bursztajn, Lisa Cosgrove, Abilash A. Gopal, Robindra Paul, Itay Shuv-Ami

& Samuel Wolfman [*equal contributors]

THE UNESCO CHAIR IN BIOETHICS Chairholder: Prof. Amnon Carmi

The International Center for Health, Law and Ethics Faculty of Law, University of Haifa, Israel

The Ethics of Pharmaceutical Industry Influence in Medicine

1

May 2013

UNESCO Chair in Bioethics Office e-mail: acarmi@research.haifa.ac.il

ISBN 978-965-444-035-6

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior written and signed permission of UNESCO Chair in Bioethics. As a rule, permission will be given to the review, abstraction, reproduction and translation of this publication, in part or in whole, but not for sale nor for use in conjunction with commercial purposes, subject to acknowledgement of original publication by the UNESCO Chair in Bioethics, the University of Haifa, Israel.

The views expressed in this document are solely the responsibility of the authors and do not necessarily represent the view of organizations with which they are associated.

COPYRIGHT ? UNESCO Chair in Bioethics

Graphic design: Vered Bitan Studio Publication: Publications Division, Ministry of Education, Israel

All rights reserved ? 2013

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The Ethics of Pharmaceutical Industry Influence in Medicine

Contents

Chapter

About the Authors

Preamble

Introduction

1 Misleading practices by a pharmaceutical company (pharmaceutical marketing; conflicts of interest; off-label drug marketing)

2 Providing drug-risk information in pharmaceutical advertisements (pharmaceutical marketing; communication of drug risk information; misleading portrayal)

3 Downplaying drug risk information in televised pharmaceutical marketing (misleading pharmaceutical marketing; direct-to-consumer advertising; drug risk warnings)

4 Inclusion of drug interaction risks in a medication package insert (drug interactions; prescription practices; drug risks; conflicts of interest)

5 Influence of pharmaceutical marketing on a physician's prescribing behavior (pharmaceutical marketing; off-label prescriptions; incentivizing in drug marketing)

6 Early influences on physician prescribing habits (hierarchy in medical professions; drug conferences; conflicts of interest; public perceptions of the health care professions)

The Ethics of Pharmaceutical Industry Influence in Medicine

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