HERBS OR DRUGS?

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Some of this advertising has paved the way for frank and helpful doctor-patient discussions. Consumers pay attention to these ads; in fact, according to a 1998 studysponsored by Prevention magazine with the U.S. Food and Drug Administration, an estimated 61 million patients talked with their doctors about a medical condition after seeing a drug advertisement. Unfortunately, ads and news report, rarely provide enough clear information and are sometimes downright deceptive. Investigators for the General Accounting Office recently reported that some drug companies lave repeatedly disseminated misleading ads for prescription drugs, even after being cited lot- violations. That leaves only physicians, already over-worked, to answer the questions created by advertising claims.

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Doctors themselves give this advertising mixed reviews. A recent FDA survey of 500 physicians reported that 40 percent of doctors surveyed said drug companies' advertising of medicines to consumers had a positive impact on their patients. But a nearly equal amount—33 percent—disagreed, and said the ads' effects were negative. Among the criticisms were that the ads sometimes prompt patients to ask for unnecessary prescriptions and that the ads confused the relative risks and benefits of medicines.

And the physicians themselves are not immune to pressures from the pharmaceutical industry. A study quoted in the Journal of the American Medical Association said that doctors' interactions with drug company representatives began during medical school and continued at a rate of about four times a month. The study concluded that these visits from phannaceutical representatives resulted in increased prescription rates of the sponsor's medications, and with "nonrational prescribing," meaning, the drug prescribed wasn't necessarily the best suited to treat the condition. The good news is, 81 percent of us who asked about conditions we learned of from ads actually did have the condition. The bad news is, the drugs we were offered weren't necessarily the best medicine—just the best-advertised medicine.

Buried in the landslide of advertising dollars is the crucial fact that our pantries are full of foods that can help maintain our health—sometimes we don't need drugs in the first place. When we do fall ill, many safe, relatively inexpensive, natural options exist to treat our conditions. Humans have always had to deal with catarrhs and fevers of unknown origin, ordinary aches and pains, the side effects of overindulgence and the cyclical maladies that accompany being male or female. Throughout hundreds of generations we have used what nature provided to foster our health and to treat our ailments.

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