Retail pharmacy is giving itself a credibility problem. While pharmacists are highly trusted health professionals, there are increasing questions about the products sold in pharmacies. Many of the non-prescription products that you can find aren’t backed by good evidence. And the number of dubious products seems to be growing. Homeopathy is an extreme example. Homeopathic “remedies” look like conventional medicine, but unlike actual medicine, homeopathic products don’t contain any active ingredients. They are effectively and sometimes literally sugar pills: placebos that are marketed to treat health concerns. Not surprisingly, there is zero convincing evidence to show that homeopathy has any value in medicine. Homeopathy is fundamentally incompatible with the current scientific understanding of the medicine, biochemistry, and even the basic physics that form the foundation of a pharmacist’s knowledge base about medicines. There is no medicinal benefit to homeopathy. Yet despite the obvious ethical issues of selling sugar pills to patients who may be led to believe these products may be beneficial, the profession of pharmacy hasn’t acted, or even seriously asked itself if selling these products is appropriate. And homeopathy has moved quickly from a fringe product to one that you can find in most retail pharmacies. Here’s a picture from a local pharmacy near me. Imagine you’re in a rush, searching for a cough and cold product. How easily can you identify the homeopathy? (more…)
Some of these products contain no medicine at all.
Retail pharmacies have a sugar pill problem. Homeopathic “remedies” may look like conventional medicine when they’re stocked on pharmacy shelves, like the photo above. But unlike conventional medicine, homeopathic products don’t contain any “medicine” at all. They are effectively sugar pills – placebos. Not surprisingly, there is convincing evidence to show that homeopathy is useless as a medical treatment, and fundamentally incompatible with a scientific understanding of medicine, biochemistry and even physics. Questions have been raised about the ethics of selling homeopathy in pharmacies to consumers who may not realize what they’re buying. This growing practice is attracting sharp criticism from other health professions. So why do pharmacies sell them? And what will it take for pharmacies to change? (more…)
Imagine a retail pharmacy where some of the medicines on the shelves have been replaced with similar-looking packages that contain no active ingredients at all. There is no easy way to distinguish between the real and the fake.
Another section of the store offers a number of remedies with fantastic claims, such as “boosting” the immune system, “detoxifying” the body, or “cleansing” you of microscopic Candida. They look sciencey, unless you realize that they treat imaginary medical conditions.
A corner of the store offers unpurified drugs supplied as tinctures and teas. The active ingredients aren’t known, and the batch-to-batch consistency of the product is unclear. The store will suggest products for you based on your symptoms.
Walk past the enormous wall of vitamins and other supplements and you’ll find a nutritionist who will tell you what products you should be taking. You’ll also find a weight loss section. From a science-based perspective, this shouldn’t even exist, given no product has been shown to offer any meaningful benefit. But there are dozens of products for sale.
At the back of the store you’ll finally find the pharmacist. A sign on the counter offers blood- and saliva-based tests for food “intolerance” and adrenal “fatigue”, claiming to test for medical conditions that actually don’t exist or lack an evidence base. The pharmacy also offers a large compounding practice, advertising what it calls “personalized” approaches to hormone replacement with “bioidentical” hormones.
Welcome to the “integrative” pharmacy.
You may not see all these features in your local drug store, but they’re coming: claims of a new “integrative” way to provide health care that is changing the face of retail pharmacy. Unfortunately, it’s harkening back to the era of patent medicines and snake oil. It’s not good for the pharmacists and the profession of pharmacy, and it’s even worse for patients. (more…)