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Is your pharmacist ethical?

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Are you getting informed advice from your pharmacist on homeopathic remedies? Vicki Hyde, chair of
NZ Skeptics, puts a few pharmacists to the test.

Like many Kiwis, I presume that I will get informed, credible advice from my local pharmacy when I ask them about a possible purchase. I expect the "health professional [I] see most often", to know what they are selling, whether it is appropriate for the condition I’m trying to treat, and how effective it is. But that can be a dangerous assumption.

When it comes to homeopathic products, pharmacists need to be up-front that they are flogging off water for $10 a teaspoon. After all, homeopathy involves diluting a material until there isn't anything left of it—the NZ Council of Homeopaths recently admitted that in public, even if the product information sheets are very careful not to spell this out.

But 94 percent of homeopathic customers aren't aware of this massive dilution. They think their expensive bottle actually contains the ingredients on the label—not water which once upon a time had some of that in it, the same way it once had chlorine and beer and urine …

So people are buying "remedies" from pharmacists that consist of water, or plain sugar pills. They don’t know and aren’t told that the industry is relying on the well-known placebo effect to ensure return custom. Anyone in the health business knows that around 70 percent of what ails us will get better within a week, regardless of whether we take evidence-based medicine, alternative therapies or do nothing at all. Homeopathy exploits this fact and takes unwarranted credit for the body’s ability to self-heal.

Many people mistakenly equate homeopathic products with herbal products. 'Nux Vomica 12C' sounds like it has 12 times something of the vaguely scientific-sounding substance in it, right? Presumably, the manufacturer wants to avoid any possible customer alarm by using 'nux vomica' instead of the better-recognised term 'strychnine'. You don’t want to frighten the punters. But of course, you don’t have to worry about actually ingesting any strychnine because 12C is a dilution factor of 1,000,000,000,000,000,000,000,000, or the same as you’d get from putting a pinch of it into the Atlantic Ocean.

It's bad enough to have misleading product labelling—it's far worse when they misuse a real medicinal term, as one Auckland pharmacy did in marketing homeopathic "meningococcal vaccine".  Fortunately a public outcry saw that product pulled, but I know of a case where a mother chose to treat her sick baby with homeopathic ear-drops, strongly resisting offers of orthodox treatment or hospitalisation. Sadly her infant died of meningitis after considerable suffering. You can pay a hefty price for this diluted water, but you can pay a much bigger price if you use it in place of stuff that actually works.

When I bought a batch of homeopathic products from a major pharmacy chain, all I was asked was "do you want vitamins with that?" Another said that they didn’t know much about the product but "people bought it, so it must be good". When another was asked about the ethics of selling water as a health remedy, he replied that he "didn’t care if it was the placebo effect".

That doesn’t sound very well informed or very ethical—is that the kind of health professional you want to see most often?

Further Information

Comments

Annabel McAleer
 
Tue April 27, 2010 @ 03:59 PM
Interesting blog by a doctor here: http://sciblogs.co.nz/macdoctor/2010/02/11/lactose-intolerant/

"The claim “we have no idea how this works, but it does work” is not an
unreasonable one (we can call it awaiting a scientific theory), if one can prove a reproducible effect. This is the essential problem with homeopathy."
Carol
 
Thu April 29, 2010 @ 05:30 PM

While I have never had much luck with homoeopathics, I know tons of people who have and I don't believe it is all due simply to the placebo effect. Yes, they are highly diluted ( a process called 'succussing' I believe ) to the extent where there is nothing left of the original component, but it is not the original component that does the healing. It is your own body. The remedy just stimulates that process.

I remember reading an article in New Scientist magazine a few years back on homoeopathics and do they work etc. After some extensive scientific testing, it was discovered that indeed, the original substance left an 'imprint' at the atomic level on the diluent. So to say that it is simply water is not entirely the case.

Many people have also had luck treating animals with homoeopathics, so its not the placebo effect in action there, is it?

Gina
 
Fri June 18, 2010 @ 09:09 PM
http://www.scientificamerican.com/article.cfm?id=herbal-supplement-dangers 

This is the latest from the Scientific American magazine

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