Doctors rely too heavily on drug company data: CMA
Last Updated: Wednesday, December 19, 2007 | 12:42 PM ET
CBC News
Most of the information doctors receive about prescription drugs comes from the companies making the product, a doctor said Wednesday, pointing to a possible reason doctors continue to prescribe dangerous drugs to seniors.
Dr. John Haggie, a Canadian Medical Association board member who chairs its ad hoc working group on pharmaceutical issues, said government warnings often get lost in the stack of documents physicians routinely receive.
"The average physician is bombarded with written and faxed material in the course of a week.… [Government warnings] tend to get buried sometimes in the noise," Haggie said in an interview with CBC News from Gander, N.L., on Wednesday.
Two years ago, CBC first reported more than a million seniors were being prescribed dangerous drugs, including atypical antipsychotics, which are considered by many experts to be ineffective and even dangerous for elderly patients.
Health Canada then issued a warning about atypical antipsychotics and their greater risk of death for elderly patients. The warning cautioned physicians against relying heavily on the drugs to treat dementia.
Many atypical antipsychotics, which include drugs such as risperidone (Risperdal), quetiapine (Seroquel), olanzapine (Zyprexa) and clozapine (Clozaril), have never been tested on seniors.
They are intended to treat severe mood disorders, symptoms of schizophrenia and bipolar disorder in adults under 65.
But despite the warning, the number of such prescriptions for seniors has since shot up by as much as 40 per cent in some cases.
Haggie warned there is a lack of impartial information available to doctors.
"Most of the information the physician would receive in the general course of a week on medication by and large tends to come from material from drug companies," he said.
Drug companies have an active sales and marketing team, he said, and they follow Health Canada warnings by issuing their own.
Health Canada warnings are sent out to physicians by fax, e-mail and mail, but are often one among many documents received.
Haggie said the CMA is trying to work with the academic community to provide doctors with unbiased education material to replace documents received from drug companies.
The association is also trying to get tools on its website so doctors can quickly access the latest peer-reviewed information on what drugs are safe and which need to be used with caution.
Share Tools
Top News Headlines
- Tories move to curb 'bogus' refugees
- The Conservative government is poised to change the refugee system yet again in an attempt to deter what it considers "bogus" claimants, CBC News has learned. more »
- Children of immigrants challenged at school, home
- By 2016, foreign-born youth and Canadian-born youth from immigrant families will make up a quarter of the country's population, according to predictions by the Canadian Council on Social Development. As their numbers grow, more attention is being paid to their successes and failures. more »
- 2 NDP MPs back final Commons vote to kill gun registry
- Two NDP MPs broke party ranks to vote with the government in the final House of Commons vote on scrapping the long-gun registry. more »
- B.C. house party trial hears from tearful teens
- Two teenagers cried as they testified at the trial of a B.C. woman who was charged after a teen died while her son was hosting a party at her house in 2008. more »
Latest Health News Headlines
- Most off-reserve aboriginal kids in excellent health
- Most First Nations and Métis children living off reserve reported excellent or very good health but factors like poor housing conditions and access to medical care seem to make a difference, a report suggests. more »
- Immigrant babies often wrongly deemed underweight
- Some babies born to immigrant parents are incorrectly classified as underweight — which could lead to unnecessary tests — when they're actually within the normal range for their ethnic groups, Canadian doctors warn. more »
- Half of Canadians report being bullied as youth
- Half of Canadian adults polled say they were bullied as children or teenagers — and 62 per cent of those bullied say having an adult mentor would have helped them cope. more »
- Botox injected by unlicensed practitioners
- Some Vancouver-area medical spas are ignoring Health Canada regulations that Botox be prescribed and injected by a physician, a CBC News investigation has revealed. more »
FEATURED HEALTH
- Drummond report on Ontario calls for cutbacks
- Barefoot girl's icy trek not blamed on babysitter
- 2 NDP MPs back final Commons vote to kill gun registry
- Immigrants the proudest Canadians, poll suggests
- Honduras prison fire kills hundreds
- Bodyguard hired for bully victim in Fredericton
- Legalize pot, say former B.C. attorneys general
- Canadian housing market cools in January
- Russians' abusive plane tirade to cost them $19K

