Homeopathy
Civilized Medicine, Part III. My Proposal
Originally, I was going to make my proposals for healthcare reform as the last item. But now there is so much debating, amending, backtracking, and all around lying, I can’t figure out what’s being proposed. Well, I do know there are no death panels, even if Sarah Palin makes stuff up. Since I’ve installed myself as health care czar (in my own mind), let me make my proposals. Read More...
Zicam, Part II
I discussed Zicam yesterday, but my comments were probably just gloating over the FDA dealing with a unproven supplement in the same manner as it does with regular prescription and over-the-counter drugs. I want to go into some answers to questions I had in my own mind about this product.
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Homeopathic product recall
Today, the US FDA warned consumers to immediately stop using the product Zicam, a homeopathic remedy, because it may cause anosmia, the loss of sense of smell. The FDA has received over 130 adverse reports from consumers who believe that they suffered anosmia after using Zicam.
Zicam is marketed a Big Herba company, Matrixx Initiatives, Inc., and is sold as a remedy for relief of symptoms of colds, flu, and allergies (all with different causes). There is little or no evidence from respected peer reviewed journals that zinc gluconate, the active ingredient in Zicam, has any effect on the course, duration, or severity of common upper respiratory tract infections. The Cochrane Reviews state that, the “evidence of the effects of zinc lozenges for treating the common cold is inconclusive.” Infectious disease researchers from Stanford University have concluded that most positive studies of zinc gluconate are flawed in design and that the “therapeutic effectiveness of zinc lozenges has yet to be established.” A well designed double-blind study published in Clinical Infectious Diseases concludes that the “data do not support a role for intranasal zinc gluconate for prevention or treatment of the common cold.” Read More...
Zicam is marketed a Big Herba company, Matrixx Initiatives, Inc., and is sold as a remedy for relief of symptoms of colds, flu, and allergies (all with different causes). There is little or no evidence from respected peer reviewed journals that zinc gluconate, the active ingredient in Zicam, has any effect on the course, duration, or severity of common upper respiratory tract infections. The Cochrane Reviews state that, the “evidence of the effects of zinc lozenges for treating the common cold is inconclusive.” Infectious disease researchers from Stanford University have concluded that most positive studies of zinc gluconate are flawed in design and that the “therapeutic effectiveness of zinc lozenges has yet to be established.” A well designed double-blind study published in Clinical Infectious Diseases concludes that the “data do not support a role for intranasal zinc gluconate for prevention or treatment of the common cold.” Read More...
Wikipedia–more bad medicine
Apr/21/09 16:24 Filed in: Wikipedia | Pharmaceuticals
The usefulness of the medical articles in Wikipedia is coming under a lot of scrutiny lately. I’ve made my opinion of Wikipedia known in the past. In this article published in the Annals of Pharmacotherapy in December 2008, the authors conclude:
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Wikipedia has a more narrow scope, is less complete, and has more errors of omission than the comparator database. Wikipedia may be a useful point of engagement for consumers, but is not authoritative and should only be a supplemental source of drug information.
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Denialism and pseudoscience
Apr/21/09 14:18 Filed in: Pseudoscience | Healthcare Policy
Today, I commented to a blog entry at Beyond the Short Coat, which is one of my daily stops on the medical blogosphere. The author, like a lot of bloggers in the medical arena, has been taking on the world of medical woo, that is, those ideas in medicine that completely lack verifiability and scientific credibility. I have a similar disdain for woo, for essentially the same reasons as the physicians who write in those various blogs. Mostly, they are troubled that patients turn to these useless therapies because they may not be getting adequate medical care, or even that those fake therapies may have terrible consequences for the patient. I take it a step further in that I believe that this woo has a substantial economic consequence with increased costs for patients, providers, and third-party payors. Read More...
Who's a skeptic?
Apr/18/09 18:42 Filed in: Pseudoscience
I don’t know what happened, but several people I know have accused me of being a skeptic. What is a skeptic? Is that like a psychic? Maybe I got the label because I would roll my eyes and laugh when someone would say, “take these zinc/vitamin C/echinacea tablets to cure your cold.” That statement is usually followed up by, “my mother’s friend’s sister-in-law’s cousin never gets colds after taking these pills.” Read More...