# \[e-drug\] Save the Drug Therapeutics Bulletin!

**URL:** <https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533>\
**Category:** e-drug\
**Created:** [May 31, 2006, 3:25pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533 "2006-05-31T15:25:39Z")\
**Posts on this page:** 6\
**Page:** 1

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**Author:** ![merav](https://avatars.discourse-cdn.com/v4/letter/m/76d3ee/32.png) [@merav](https://talk.edrugplus.org/u/merav)\
**Post date:** [May 31, 2006, 3:25pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/1 "2006-05-31T15:25:39Z")

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E-DRUG: Save the Drug Therapeutics Bulletin!  
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[This message is first of all for UK E-druggers, but I am sure others may participate to show that the journal is important alos outside the UK. If you need a generic letter, please respond to Merav directly as E-drug cannot post attachments. KM, moderator]

The Drugs and Therapeutics Bulletin (DTB) has been providing NHS doctors in  
England with independent information about new medications for over 20  
years. Up until now, the bulletin has been funded by the Department of  
Health and Which?. However on 31 March 2006, the Department of Health failed  
to renew the contract.

Over the years, DTB has initiated successful campaigns for the removal or  
restriction of medicines that it could not recommend; prompted withdrawal of  
inappropriate promotional claims, e.g. the withdrawal of UK advertising for  
Yasmin, a combined oral contraception pill, and more recently, Viteyes, a  
nutritional supplement for macular degeneration; and exposed fundamental  
weaknesses in certain treatment policy and prescribing practice, e.g. in  
articles on 'Are rofecoxib and celecoxib safer NSAIDS?'; 'mild depression in  
general practice: time for rethink?'; and 'Simvastatin over the counter'.

The contract for national provision of DTB had been capped at £1.4 million  
per year over a 6 year period. This is in the context of an NHS drug budget  
of around £8 billion per year and a pharmaceutical industry annual spend on  
promotion of £1.65 billion. DTB testimonials from a broad range of  
healthcare professionals confirm that the central provision of DTB is of  
enormous value to the NHS. In particular, clinicians see that DTB is crucial  
to the NHS in providing a balance to the promotional activities of the  
pharmaceutical industry. The fact that this view was echoed strongly by the  
Government and Department of Health at the recent Health Select Committee  
inquiry into the influence of the Pharmaceutical Industry shows the  
hollowness of the Department of Healths argument in terminating DTBs  
contract.

We are asking that you help to reverse this decision by the Department of  
Health. To do this, we are joining DTB in a letter campaign. Write a letter  
and send it to:

Rt Hon Patricia Hewitt MP  
Secretary of State for Health  
Department of Health  
Richmond House  
79 Whitehall  
London SW1A 2NS

Alternatively, you can send an email to HYPERLINK  
dhmail@doh.gsi.gov.uk.

In addition, please send the other letter to your local MP. You can find  
his/her address and email at HYPERLINK  
[http://www.locata.co.uk/commons/](http://www.locata.co.uk/commons/).

We feel that a letter would be more effective as it is less easily ignored  
however if you are short of time, an email would also be effective.

We have attached 2 generic letters which are ready to be sent out if you do  
not have the time to write a personalised one.

Please take the time to help us to ensure the future of this important  
resource.

Merav Kliner  
PharmAware National Committee UK  
HYPERLINK leeds@pharmaware.co.uk  
HYPERLINK www.pharmaware.co.uk

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**Author:** ![Dr\_Leo\_Offerhaus](https://avatars.discourse-cdn.com/v4/letter/d/57b2e6/32.png) [@Dr\_Leo\_Offerhaus](https://talk.edrugplus.org/u/Dr_Leo_Offerhaus)\
**Post date:** [May 31, 2006, 6:19pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/2 "2006-05-31T18:19:05Z")

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E-DRUG: Save the Drug Therapeutics Bulletin! (2)  
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Dear E-druggers,

I do sympathize with the DTB staff and with Ms  
Hewitt, but one should just look at those  
bulletins which survived without outside support,  
simply on the basis of their high quality: First  
of all Revue Prescrire, but also the Medical  
Letter on Drugs and Therapeutics, Pharma-Kritik,  
Arznei-Telegramm.... Make the outlook and the  
contents attractive and challenging, and you will  
find subscribers. Subsidies cannot save mediocre  
bulletins - just look at the Dutch remnant. Even  
a good (free) Internet journal could be an alternative.

Good luck,

Leo Offerhaus  
he Netherlands  
offerhausl@euronet.nl

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**Author:** ![Dr\_J.W.F\_van\_Mil](https://avatars.discourse-cdn.com/v4/letter/d/85e7bf/32.png) [@Dr\_J.W.F\_van\_Mil](https://talk.edrugplus.org/u/Dr_J.W.F_van_Mil)\
**Post date:** [May 31, 2006, 7:38pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/3 "2006-05-31T19:38:12Z")

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E-DRUG: Save the Drug Therapeutics Bulletin! (3)  
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Dear E-drug friends,

In this case I do not agree with Leo Offerhaus (althoughI usually do....). A 'free' high quality Drug Bulletin is an asset to the (medical) society.

Practitioners who take a subscription to an independent drug-bulletin are  
usually already quite critical of medicines and medicine use. A freely  
distributed drug-bulletin may also influence the practitioners who usually  
would not pay much attention to their prescribing behaviour or to what they  
prescribe!

The excellent and high quality bulletin 'La Revue Prescrire', also is a good example for this. Only 14.000 of the 28.000 subscribers are medical  
specialists or generalists, and France counts around 200.000 practicing  
doctors. So, the journal is only send to 7% of the prescribers (and those are the 'believers') in France and therefore its impact can only be limited.  
I personally would prefere a high quality bulletin to be distributed to all  
prescribers, and maybe pharmacists as well.

And btw, Prescrire has also had external support in the past!  
[Yes until the French government stopped funding it, similar to what happens to DTB now. KM, moderator]

Foppe van Mil  
Pharmacy Practice Consultant  
Chairman of Pharma Selecta Foundation

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**Author:** ![Dr\_Leo\_Offerhaus](https://avatars.discourse-cdn.com/v4/letter/d/57b2e6/32.png) [@Dr\_Leo\_Offerhaus](https://talk.edrugplus.org/u/Dr_Leo_Offerhaus)\
**Post date:** [June 1, 2006, 5:47am UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/4 "2006-06-01T05:47:32Z")

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E-DRUG: Save the Drug Therapeutics Bulletin! (4)  
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The thousand dollar question remains: Does a "non-believer" who  
receives free copies of a drug bulletin improve his/her prescribing  
habits or does it not make any difference? I remember a newly  
appointed professor of medicine who left all his unread copies of the  
Lancet in his car boot for everyone to see - because he pretended  
that he had no time to read all that stuff, and even not to open the  
covers.... It all comes back to the main issue: The average medical  
practitioner does not read and pretends to have no time. At times I  
am quite pessimistic.

Best wishes,

Leo Offerhaus.  
The Netherlands  
offerhausl@euronet.nl

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**Author:** ![edp](https://avatars.discourse-cdn.com/v4/letter/e/ea5d25/32.png) [@edp](https://talk.edrugplus.org/u/edp)\
**Post date:** [June 1, 2006, 12:26pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/5 "2006-06-01T12:26:17Z")

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E-DRUG: Save the Drug Therapeutics Bulletin! (5)  
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Dear E-druggers,

An electronic (internet-based) journal sounds very interesting: could this  
be a collaborative project for ISDB members?

[ISDB is the International Society of Drug Bulletins]

Philippa.

Philippa Saunders  
Essential Drugs Project  
77 Lee Road  
Blackheath  
London SE3 9EN  
UK

tel/fax 44 (0)20 8318 1419  
email edp@gn.apc.org  
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**Author:** ![Bhava\_Narayana](https://avatars.discourse-cdn.com/v4/letter/b/7ba0ec/32.png) [@Bhava\_Narayana](https://talk.edrugplus.org/u/Bhava_Narayana)\
**Post date:** [June 1, 2006, 6:00pm UTC](https://talk.edrugplus.org/t/e-drug-save-the-drug-therapeutics-bulletin/25533/6 "2006-06-01T18:00:23Z")

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E-DRUG: Save the Drug Therapeutics Bulletin! (6)  
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Respected Members

I fully agree with Leo. In india medical journals are read only by medical  
students and doctors working in teaching institutions.  
Perhaps the time has come for medical journal publishers and editors to  
start thinking -why doctors dont read medical journals and what they want to  
read.  
In 1993 i made survey of 300 GPs on this aspect. I found  
60% of doctors in GP practice forget 50% of what they are taught in medical  
school. They always prefered to read what they forgot rather than the latest  
devlopment which they can not put in to practice. Of course this situation  
in india continues same way.

regards

V.Bhava Narayana  
Editor  
Pharmed Trade News  
3-3-62/A,New Gokhale Nagar,  
Ramanthapur,Hyderabad-500 013.  
Phone :91-40-27030681,32995727  
Mob 919849551183,919323131524  
Mobile:91-98495-51183  
www.pharmedtradenews.com
