Is Australia's national medicines policy failing? The case of COX-2 inhibitors

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dc.contributor.authorVitry, A.
dc.contributor.authorLexchin, J.
dc.contributor.authorMansfield, P.
dc.date.issued2007
dc.descriptionCopyright © 2008 MetaPress
dc.description.abstractAustralia has a National Medicines Policy with aims that include quality use of medicines, but policy stakeholders failed to protect Australia from the COX-2 (cyclo-oxygenase-2) inhibitor disaster. Drug regulators did not warn prescribers appropriately about potential cardiovascular risks. The Pharmaceutical Benefits Scheme did not limit unjustified drug expenditures on COX-2 inhibitors. Drug companies ran intense and misleading promotional campaigns on COX-2 inhibitors without adequate controls. Independent drug information was insufficient to counter the effects of the millions of dollars spent on advertising. Core elements of the National Medicines Policy—in particular the drug approval process, the post-marketing sur-veillance system, the control of drug promotion, and the quality of independent drug information—require major reappraisal if we want to avoid similar disasters in the future.
dc.description.statementofresponsibilityAgnes Vitry , Joel Lexchin , Peter R. Mansfield
dc.identifier.citationInternational Journal of Health Services, 2007; 37(4):735-744
dc.identifier.doi10.2190/HS.37.4.i
dc.identifier.issn0020-7314
dc.identifier.issn1541-4469
dc.identifier.orcidMansfield, P. [0009-0006-6697-8687]
dc.identifier.urihttp://hdl.handle.net/2440/44003
dc.language.isoen
dc.publisherBaywood Publ Co Inc
dc.source.urihttps://doi.org/10.2190/hs.37.4.i
dc.subjectHumans
dc.subjectPharmaceutical Preparations
dc.subjectDrug and Narcotic Control
dc.subjectHealth Policy
dc.subjectDrug Costs
dc.subjectNational Health Programs
dc.subjectAustralia
dc.subjectCyclooxygenase 2 Inhibitors
dc.subjectDrug-Related Side Effects and Adverse Reactions
dc.titleIs Australia's national medicines policy failing? The case of COX-2 inhibitors
dc.typeJournal article
pubs.publication-statusPublished

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