Back in 1999 as Dr. Drew Pinsky’s celebrity career was on the rise, he found a way to make over a cool quarter million dollars from drug giant GlaxoSmithKline (GSK). All he had to do was talk about the unwanted sexual side effects of many antidepressant medications.
You see, the popular antidepressants back then were Prozac, Paxil and Zoloft. And all three had this unfortunate but common side effect — many people who took them lost virtually all interest in sex.
As though it wasn’t bad enough that you were depressed… The treatment you took for the depression also took something away from you: your sexual desire. ((These side effects remain today and are one of the most common reasons for people discontinuing antidepressants.))
The problem isn’t that Dr. Drew talked about these concerns. The problem is that Dr. Drew talked about them on behalf of GSK without disclosing he got paid to do so.
Dr. Drew was hired by one of GSK’s marketing firms to talk on his popular radio show, Loveline, about the benefits of Wellbutrin (GSK is the maker of Wellbutrin). He told his radio listeners then that he prescribes it (and other medications) to depressed patients because it “may enhance or at least not suppress sexual arousal” as much as other antidepressants do:
Asked about the radio program and the payments, Dr. Pinsky said in an emailed statement Tuesday: “In the late ’90s I was hired to participate in a two-year initiative discussing intimacy and depression which was funded by an educational grant by Glaxo Wellcome,” one of the companies that later merged to form GlaxoSmithKline.
He added that the campaign “included town hall meetings, writings and multimedia activities in conjunction with [a] patient advocacy group.” He added, “My comments were consistent with my clinical experience.”
Again, nothing wrong with that. And nothing wrong with participating in this educational campaign, which included a now-defunct website. In fact, this is how many non-profit advocacy organizations made most of their of their money a decade ago — from “educational” grants from pharmaceutical companies. ((I’ll save how “unrestricted” these grants really were for another essay, suffice to say that if you didn’t write the materials in a way the pharmaceutical company wanted, you were certainly unlikely to get future grants.))
The problem arises in that Dr. Drew never told his listeners at the time — or the folks at the town hall meetings — that he was being paid to say those things by a pharmaceutical company that happens to make one of the drugs he was promoting.
He’s had 13 years to mention this lapse in professional judgment, to write an article about his role in helping promote the use of certain antidepressants over others. He didn’t until Tuesday.
What changed on Tuesday?
Well, nothing. But the day before, the government settled a case with GlaxoSmithKline that included a $3 billion settlement. And that settlement happened to disclose documents that showed Dr. Drew — among many other doctors — took GSK money left and right to help promote whatever the company needed promoting.
Another doctor, James Pradko, received over $2 million for talking up the benefits of Wellbutrin on behalf of GSK, and “frequently made “off-label claims” about Wellbutrin’s effectiveness against a number of conditions for which it isn’t FDA-approved, including weight loss, chronic fatigue syndrome, erectile dysfunction and chemical dependencies.”
But don’t worry. GSK reassures us all that this is the “old GSK.” The new GSk would never engage in such behavior:
“The complaint to which you refer concerns events in 1999, 13 years ago. It does not reflect what would be allowed in GSK today.” It added: “The government has made many allegations and legal conclusions concerning Wellbutrin that GSK disputes.
GSK admits, however, that during the period from January 1999 to December 2003, there were some occasions on which certain GSK sales representatives, speakers, and consultants promoted its antidepressant Wellbutrin to physicians for uses which were not FDA-approved in violation of federal law.”
Many people look up to and respect Dr. Drew for his efforts to help other celebrities now recover from drug and other addictions in “Celebrity Rehab,” and his work helping many ordinary folks with the other programs he’s involved in. A board-certified doctor of his caliber should’ve known better. ((I mean, c’mon… even I know better, and I’m a nobody next to Dr. Drew!))
It’s an unfortunate lapse of judgment, in my opinion, that he engaged in these promotions in the past and wasn’t transparent that he was being paid to do so.
Read the full story: Dr. Drew Received Glaxo Payments
(It’s also interesting to note that two days after this story broke by the WSJ, CNN, one of Dr. Drew’s employers, has failed to file a story on its own website — while virtually every other large media organization has.)
7 comments
If you need any evidence whether some pharmaceutical companies still continue to push the limits of what’s allowed, marketing-wise, look no further than Pfizer’s supplement division. Pushing disease-prevention claims for many of its supplements (claims that it did not have FDA approval to make), Pfizer agreed today to stop making some of those claims:
http://www.reuters.com/article/2012/07/05/us-pfizer-centrum-idUSBRE86414620120705
But it will continue to make other claims for health concerns based upon research support that has met no criteria other than the company’s own.
Are there ANY clinical studies supporting Dr. Pinskys claims about the libido enhancing component of Wellbutrin SR? (not just the “circular arguement” that because a person is less depressed it will help their libido and when their libido improves they will be less depressed)
Were the claims solely for the purpose of promoting it off label (without FDA approval) or is there any validity to the claim of enhancement?
These are obviously important issues.
But I wonder whether *this* is the best place to talk about them? Many people who come here have severe trust issues. Viewed through the eyes of paranoia, this blog undermines the whole profession.
Well, maybe exposing the ongoing poor judgment by what appears to be many will isolate and marginalize them so the profession can regroup and do what is right and responsible, not easy or convenient or downright unethical.
You can’t lead people from their paranoia by lying to them and hiding the truth. Would you send your child through the central park at midnight without explaining the dangers? You are right, there are people here with trust issues. These companies and their minions are the source of much of it. Blind eyes have never stopped wrong doing.
What is wrong is that many of his claims were inaccurate. He accepted with out (and he still does) question the findings of people with a selfish (in the sense that a corporation is a person)interest. Welbutrin has all the same sexual side affects. Why shouldn’t it. It works the same way as all the other. It doesn’t change the way you think, just what you think about. Depending on how your “ego ideal” has been developed, shapes how you feel about sex. If it is something that makes you uncomfortable or triggers anxious thoughts, then AD’s will cause you to avoid those thoughts all together. That is how they work to keep you “happy”. no getting away from that. I constantly cringe to here this dude cite the common marketing mantras as if they are proven laws of medicine and psychology. Many of which have holes in it so big you can drive a big ego through them.
I don’t want my doctors being paid by any industry. Having said that, everything he said about these classes of drugs is true. Hard to hate him for that. I was on Paxil, then later Lexapro. They worked, but my desire and orgasms died, and I gained about 40 pounds. I went off them, and become my old depressed angry self. Soon after, I fell into a deeper depression, so I took Wellbutrin instead. The difference was night and day. My sex drive felt like I’d lost ten years off my age, and I have have so far managed to shed 20 pounds off the gain from before. Overall, I did think the lexapro worked better. But if you can’t have sex and you gain weight, what is life? So, I’m not being paid, but if the pharm companies didn’t pay people to accurately describe their products, I’m not sure I would have asked my Doc about Wellbutrin. My Doc was getting free samples of Lexapro, and that’s why we’d started there.
My larger point is, if the doctor is telling the truth, fine. If he isn’t, then THAT is a problem. In any event, I agree that all should be disclosed.