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Ethical Scientific and Educational Concerns With Unproven Medications

机译:药物未经证实的伦理科学和教育问题

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摘要

Quackery (promotion of products that do not work or have not been proven to work) was once a commonly used term within the pharmacy and medical communities. However, an increasingly anti-scientific national climate culminated in passage of the 1994 Dietary Supplement Health and Education Act, which granted unprecedented legitimacy to “dietary supplements” that had not been scientifically proven to be effective and/or safe. In part, this was facilitated when professional pharmacy magazines and journals published advertisements and articles promoting these unproven medications. Gradually, pharmacy codes of ethics eliminated references to quackery, and some pharmacy organizations seemed to accept the unproven medications they once exhorted the pharmacist not to sell. The profession's shift in attitude toward unproven medications occurred as the medical community at large began to realize the value of evidence-based medicine. Academicians must resist pressure to present unproven therapies as realistic alternatives for medications with scientific proof of safety and efficacy. They must stress the value of evidence-based medicine and urge students and pharmacists to recommend only those medications with evidence-based proof of safety and efficacy.
机译:Quackery(促销无效或未经证明有效的产品)曾经是药房和医学界的常用术语。然而,随着1994年《膳食补充剂健康与教育法案》的通过,越来越多的反科学国家气候达到了顶峰,该法案授予了未经科学证明有效和/或安全的“膳食补充剂”前所未有的合法性。在某种程度上,当专业药学杂志和期刊发表广告和宣传这些未经证实的药物的文章时,这得到了促进。逐渐地,药房道德守则消除了对夸克的提法,一些药房组织似乎接受了曾经劝告药剂师不要出​​售的未经证实的药物。随着整个医学界开始意识到循证医学的价值,该行业对未经证实的药物的态度发生了转变。院士们必须抵制压力,以提供未经证实的疗法作为具有科学安全性和有效性的药物的现实替代方案。他们必须强调循证医学的价值,并敦促学生和药剂师仅推荐那些具有循证安全性和有效性的药物。

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