title: Overpromotion of drugs in international product package inserts.
abstract: A study of the drug-labelling information contained in international product package inserts (PPIs) available in Nigeria in comparison with similar information in the United States Physicians' Desk Reference (PDR) was undertaken, against a background of recently-improved drug control regulations in Nigeria. The findings indicate that most multinational pharmaceutical firms, especially through their affiliates and subsidiaries, overpromote their drugs for extra indications and with mention of fewer hazards in the PPIs, than in the PDR. For some drugs with known, medically-stringent indications or low therapeutic indices, a few drug companies appeared to exert discretional restraint on overpromotion by providing the same content of information in the PPIs as in the PDR. The present study suggests that merely intending a better drug control with more sophisticated regulations which are not enforced may not cure the exploitative attitude of multinational drug companies and their subsidiaries or affiliates, in overpromoting pharmaceutical products through PPIs destined for countries with a literally free drug market.
mesh_terms: D003906:Developing Countries; D004345:Drug Industry / Q000191:economics*; D004348:Drug Labeling; D009549:Nigeria