Lilly admits paying docs to peddle drugs – at what cost??

As part of a large government fine of $1.4 BILLION Eli Lilly, makers of Prozac, Cymbalta, Stratera, Cialis, etc. has begun to disclose payouts to doctors to peddle their wares/drugs. When you consider the long reaching damaging effects of that, you realize that the fine is nothing compared to the loss of lives that are the end result.
Let’s look at just a few facts:
1. The third leading cause of death in America is “properly prescribed (following FDA and AMA guidelines) prescription drugs. That does not count those taking these drugs “off label” or in higher amounts than recommended, etc., but only taking them as recommended by those who are suppose to know safest prescribing guidelines.
2.

Eli Lilly and Co. paid Jacksonville-area doctors thousands of dollars as consultants to market drugs

Maker of Prozac and Cialis was forced to publish doctor names and compensation.

  • Story updated at 11:29 PM on Friday, Sep. 4, 2009

Drug companies routinely pay physicians as experts in the course of marketing their products. While legal, the practice is widely criticized as a conflict of interest that drives up drug costs.

One pharmaceutical company paid more than $76,000 to Jacksonville-area doctors and other medical providers in the first three months of this year.

That’s according to the first publicly released information to document the long-hidden financial ties between drug companies and doctors.

Eli Lilly and Co., the maker of Prozac, Cymbalta and Cialis, was forced to begin publishing the names and compensation of its paid consultants as part of a $1.4 billion settlement with the federal government last January.

Among the names that became public were those of several physicians practicing in the Jacksonville area. For the full story, including names of the physicians, see Sunday’s Business section of the Times-Union.

Comments

Wendell's picture

Dr.’s are as bad as politicians!

Submitted by Wendell on Fri. 9/4/2009 at 5:09 pmDr.’s are as bad as politicians!

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  • Dr’s Got To Make A Living Too

    Submitted by fearlessfan on Fri. 9/4/2009 at 9:05 pmYou shouldn’t blame the doctors, it’s the high dollar Pharmaceutical companies who are pushing the dough.   Anybody in their right mind would take it especially if its legal; too heck with ethics.

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  • It is all about ethics

    Submitted by rs471911 on Sat. 9/5/2009 at 10:50 am Recently I was in my doctor’s waiting room, 45 minutes past my scheduled appointment. During my wait I watched as 4 pharmaceutical reps, one after another, walked right in to see the doctor and peddle their drugs. The nurse said the doctor sees each rep personally. When I finally saw the doctor I asked if he saw more pharmaceutical reps or patients a day. He gets perks for prescribing their drugs. The scariest part was I heard him asking one of the reps for medical advice. He is no longer my doctor.

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  • I had the same thing happen to me six years ago///

    Submitted by Xenon on Sat. 9/5/2009 at 1:53 pmI also was waiting for a appointment for over 45 minutes and was shocked at the people walking in and out without signing in. Finally when i was checking out, three representatives were in the hallway laughing and talking with the Doctor and talking about a upcoming quail hunt, Montana hunting trip and a deep sea fishing trip at their expense, one female representative turned to me and handled me a pen, with pharmaceutical advertisement on it as i was trying to sign my check and said to me, “Just keep it, a sovernier.” Smiled perkily and turned back to the group and the Doctor.

    I have not been back since. I just wish integrity, honor, honesty and accountability would come back along with true patriotism for our country and it’s citizens. My age is showing…

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    02/15/2001 – Doctors Say Drug Trial's Approval was Backdated

    Pfizer, makers of Zoloft and Viagra cannot seem to stay out of trouble
    lately. This is one of several messes they have found themselves caught in
    around the world lately. I thought all of you who barely survived your bouts
    with Zoloft would be interested.

    Not that Pfizer is the only drug company out there doing this type of thing.
    They just got caught. I have learned over the last decade of doing research
    on these issues that most drug companies would not blink an eye in deciding
    to do the same. They are so often caught in such underhanded dealings that I
    wonder why they are allowed to continue business.

    Ann Blake-Tracy, Executive Director,
    International Coalition For Drug Awareness
    www.drugawareness.org

    http://www.washingtonpost.com/wp-dyn/articles/A63515-2001Jan15.html

    Doctors Say Drug Trial’s Approval was Backdated

    THW WASHINGTON POST

    By Joe Stephens
    Washington Post Staff Writer
    Tuesday, January 16, 2001; Page A01

    The Nigerian doctor who supervised a 1996 Pfizer Inc. drug experiment on
    desperately ill children said in an interview that his office created a
    backdated ethics approval document that the American pharmaceutical company
    later used to satisfy U.S. regulators and to justify its conduct of the
    human testing.

    Abdulhamid Isa Dutse, the physician who oversaw the test of the antibiotic
    Trovan on children with meningitis, said the letter may have been written as
    long as a year after the test was completed when Pfizer officials asked him
    for proof the test was reviewed by a Nigerian ethics board. Nigerian
    officials are now examining the roles played by Dutse and others in
    conducting the American company’s drug trial, which was the subject of an
    investigation by The Washington Post.

    Pfizer spokesman Andy McCormick said last week that he was unaware of
    possible irregularities in the Nigerian ethics approval document. “We are
    currently investigating it. We are cooperating with the authorities in
    Nigeria,” he said.

    The New York-based company gave the letter to the U.S. Food and Drug
    Administration in 1997 during an audit of records supporting its application
    to use Trovan for treatment of children during a meningitis epidemic. U.S.
    regulations require that if a company intends to use foreign medical
    research to support a drug application, the experiments must be reviewed and
    formally approved in advance by an ethics committee.

    FDA officials last week declined to comment on the Pfizer case, but one
    official said it is a violation of federal law to knowingly submit false
    documents to a government regulatory agency.

    Typed on the letterhead of the Aminu Kano Teaching Hospital and dated March
    28, 1996 — six days before Pfizer’s experiment began — the letter said the
    hospital ethics committee had reviewed the plan to test Trovan on 100
    children with meningitis and found the protocol to be “adequate.” The letter
    gave permission for the test to proceed.

    But Sadiq S. Wali, the hospital’s medical director, recently told The
    Washington Post the document was “a lie.” He said the hospital had no ethics
    committee at the time Pfizer’s test was underway and did not organize it —
    or create the letterhead stationery bearing his name that was used in the
    approval letter — until months later.

    “The hospital is quite clear: We had no ethical committee,” he said in a
    telephone interview.

    Reached by telephone in Kano last week, Dutse said it was “possible” that
    the approval letter was drafted up to a year after the trial.

    Dutse, who was listed as Pfizer’s “principal investigator,” said he felt
    that the letter reflected the informal approval he had obtained from three
    doctors, who reviewed Pfizer’s test plans and told him they saw no ethical
    problems. No records were prepared at the time, he said.

    But one of the doctors Dutse cited, Idris Mohammed, last week disputed
    Dutse’s account. Reached in London, Mohammed said: “There was no ethical
    committee at the time of the trial, none met, and no approval was properly
    given for the trial.”

    In fact, Mohammed said that he challenged the legality of Pfizer’s
    experiment while it was underway and that he demanded unsuccessfully to see
    documents proving it had been properly authorized.

    “You shouldn’t try an experiment in an epidemic,” said Mohammed, a medical
    professor who now heads the Nigerian federal immunization program. “You
    needed to give these patients something that was proven.”

    Mohammed said that in 1996 he took his concerns to a senior official in the
    Nigerian government — then controlled by a military dictator, Gen. Sani
    Abacha — but was overruled.

    Since the experiment, Pfizer repeatedly has cited the Nigerian committee’s
    approval as proof its experiment was ethical. The testing was carried out on
    children and infants during a record-breaking meningitis epidemic that
    killed more than 15,000 Africans.

    The Post’s Dec. 17 article recounted how Pfizer physicians tested the
    company’s then-unapproved antibiotic in the impoverished northern Nigerian
    state of Kano. The drug was later associated with liver damage and deaths in
    the United States and its use was restricted.

    Pfizer described the Nigerian test as a humanitarian venture, but medical
    specialists and international aid workers attacked it as unethical and
    challenged the company’s claim that the children knew they were part of an
    experiment.

    Pfizer officials have said that the Nigerian ethics committee approved
    giving some Nigerian children an oral formulation of the antibiotic instead
    of a fast-acting intravenous version used in U.S. meningitis tests.

    A Pfizer spokeswoman also said the ethics committee decided there was no
    need to warn Nigerian parents that young lab animals given Trovan-class
    antibiotics had suffered joint damage. American parents were told of the lab
    animal results in a subsequent Trovan trial.

    After receiving a copy of the ethics approval letter from The Post, Wali
    said he confronted Dutse and the doctor “did admit to me he was wrong,”
    although he provided few specifics.

    Tim Menakaya, Nigeria’s health minister, said he had appointed a federal
    investigative panel charged with determining whether the trial was conducted
    legally and, if so, whether the experiment was “morally right.”

    “I am investigating all of it,” Menakaya said.

    The probe is headed by Abdulsalami Nasidi, a senior health official who said
    that he, like Mohammed, considered the experiment to have been unethical in
    1996 but failed in attempts to block it.

    “It is a very serious problem; procedures were not followed,” Nasidi said.
    “We are going to get to the root of the problem.”

    Nasidi said that his investigation, whose findings will be forwarded to
    Nigerian President Olusegun Obasanjo, failed in initial attempts to locate
    “detailed evidence” that Pfizer’s investigators had secured the needed
    authorization before launching the experiment. Dutse said he spent two days
    last week addressing a closed session of the panel.

    The Post’s investigation has generated a flurry of stories in the Nigerian
    press, which have reported that “widespread condemnation rages.” Editorials
    have called for international investigations, federal lawsuits and criminal
    prosecutions.

    Nigerian newspapers — always fiery and at times less than entirely
    factual — have quoted parents who contend their children had serious
    disabilities or died after treatment.

    “The government has a duty to tell us whether our children were used as
    guinea pigs and, if so, who committed such criminality and who is liable,”
    said the Vanguard newspaper.

    © 2001 The Washington Post Company

    ~~~~~~~~~~~~

    Pfizer accused of irregularities during clinical trial in Nigeria

    THE GUARDIAN
    Sarah Boseley, health editor
    Wednesday January 17, 2001

    http://www.guardianunlimited.co.uk/international/story/0,3604,423222,00.html

    An inquiry is under way in Nigeria into allegations that the multinational
    pharmaceuticals company Pfizer used an experimental drug on sick children
    during a major outbreak of meningitis, without official approval.
    Yesterday the Nigerian doctor employed by Pfizer to run the clinical trial
    in Kano said that the letter certifying approval by the ethics committee at
    the hospital where the children were treated was probably written a year
    after the experiment took place.
    Pfizer admitted last night that there did “appear to be possible documentary
    irregularities” and said they were co-operating fully with the inquiry.
    Pfizer sent a team in to Kano at very short notice in 1996, when it heard of
    the outbreak of spinal meningitis. The company wanted to test the efficacy
    of its new drug Trovan on children, and such outbreaks in the west are now
    relatively rare……

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    10/19/1999 – Paxil Lawsuit Filed

    This article just ran in the Salt Lake Tribune about a lawsuit filed
    against the makers of Paxil. Two years ago this young woman and her
    boyfriend found my members.aol.com/atracyphd web site. They called me
    for help as they came to the realization that what they thought was
    “helping” her was actually the problem – her medication. She was very
    sensitive to medications. While on the SSRI antidepressants, she became
    so suicidal that her boyfriend, a brain chemist, had to handcuff her to
    him in order to keep her from hurting herself! Their story will give
    you some insight as to what a nightmare these medications can cause for
    some people.

    Ann Blake-Tracy, Executive Director
    International Coalition for Drug Awareness
    ———

    Instead of making her well, woman says drug sent her …
    Spinning Out of Control

    Monday, October 18, 1999

    BY SHAWN FOSTER
    THE SALT LAKE TRIBUNE

    Natalia Victorovna Sevastianenko, a Utah college student from the
    former Soviet republic of Belarus, had severe stomach pains. But a
    doctor and nurse practitioner thought the discomfort might be a symptom
    of depression.

    After all, their patient was thousands of miles from home and alone in
    a foreign country.

    The medical staff recommended she take the anti-depressant Prozac.
    After a series of phobic episodes and fainting, the staff changed the
    prescription to a related drug, Paxil. That was when Sevastianenko said
    she began to think about suicide. She made five attempts on her life
    and was haunted by obsessive, irrational thoughts about hurting her
    boyfriend and others.

    Now, Sevastianenko is suing the pharmaceutical company that produces
    Paxil for failing to provide “proper, honest [and] candid warnings.”

    More at…..

    http://www.sltrib.com/1999/oct/10181999/utah/39162.htm

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