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The Pharmaceutical Journal
Vol 271 No 7268 p394
27 September 2003

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MHRA: Guidance notes on the Medicines (Advertising) (more)
Drug and Therapeutics Bulletin (more)


Regulatory agency comes under fire from Consumers' Association

The Consumers' Association has criticised the Medicines and Healthcare products Regulatory Agency saying it should be more vigilant in policing the pharmaceutical industry. The criticism comes after an advertisement for Cerazette (desogestrel), a new progestogen-only oral contraceptive pill, was withdrawn by its manufacturer Organon Laboratories.

The September issue of the Drug and Therapeutics Bulletin, which is published by the Consumers’ Association, last week called for the withdrawal of the Cerazette advertisement. The advertisement claimed the pill had the “efficacy of a combined pill with the reassurance of an oestrogen free pill”. The DTB said this claim had no rigorous scientific basis. “Given the absence of published trials directly comparing Cerazette with a combined oral contraceptive, we believe the company’s claim ... is unsubstantiated and should be withdrawn.”

Dr Robert Kaper, medical director of Organon, told The Journal that the advertisement had been withdrawn in mid-August at the request of the MHRA and not in response to the DTB article. However, a spokesman for the Consumers’ Association pointed out that draft copies of the DTB article had been sent to the MHRA and Organon in July.

In a statement issued earlier this week, the Consumers’ Association says that the advertisement is the third in a year to be withdrawn following DTB investigations. Wendy Garlick, principal policy adviser at the Consumers’ Association, said: “The CA has long warned of the dangers of allowing the pharmaceutical industry to be a direct source of information to the public. The fact that yet another advert has had to be withdrawn not only calls into question the ability of the MHRA to do its job, but highlights the fact that drug companies are incapable of communicating honestly with health care professionals, let alone the public.

“It should not fall to the likes of the Consumers’ Association to catch drug companies trying to circumvent the rules. The MHRA must be more robust and vigilant in taking charge of policing the industry.”

In response to the criticism, a spokesman for the MHRA said: “By the time the article in the Drugs and Therapeutics Bulletin on Cerazette was published, the MHRA had already taken action ... following a complaint from a health care professional. As a result of the Agency’s action, not only was the material withdrawn by the company, a corrective statement is being issued to address the concerns raised.”

MHRA remit on policing advertising The control of medicines advertising in the United Kingdom is based on a system of self-regulation underpinned by statutory powers administered by the MHRA. Given the volume of medicines advertising material, the MHRA in part relies on concerns being drawn to its attention in order that regulatory action can be taken. In addition, the MHRA pre-vets advertising in cases where a particular risk has been identified.

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