Peter C. Gøtzsche is a Danish
physician, medical researcher, and leader of the Nordic Cochrane
Centre at Rigshospitalet in Copenhagen, Denmark. So when he says the
prescription drugs are the third leading cause of death after heart
disease and cancer, I know he is talking about Denmark. What this
translates to in the USA, I am not positive. The closest this
translates to anything in the US is a report by a UK firm that says,
medical errors have been ranked as the third highest cause of death in the US.
He states, “Based on the best
research I could find, I have estimated that psychiatric drugs alone
are also the third major killer, mainly because antidepressants kill
many elderly people through falls. This tells us that the system we
have for researching, approving, marketing and using drugs is totally
broken.”
Yes, I can agree that this is horrible
when the vast majority of the deaths can easily be prevented.
Non-steroidal, anti-inflammatory drugs (NSAIDs) carry a huge death
toll, primarily by causing bleeding stomach ulcers and myocardial
infarction, and most of those who die could have done well without
drugs or by taking paracetamol. The idea that NSAIDs have an
anti-inflammatory effect has been disproven by placebo-controlled
studies.
He says, “Antidepressant drugs are
another major killer that people could do well without. Their effect
on depression is questionable. The standard outcomes are highly
subjective, e.g. a score on a depression scale, and it is therefore
important that the trials are adequately blinded, but they aren’t.
Most patients and doctors can guess whether the drug is active or
placebo because of the drugs’ conspicuous and common side effects,
and if atropine is added to the placebo to blind the trials better,
the effect disappears. Many other drugs that likely have no true
effect, e.g. anticholinergic drugs for urinary incontinence and
anti-dementia drugs, also have cerebral side effects and can kill
patients.”
“Most of the deaths are invisible.
People get myocardial infractions and hip fractures even without
drugs, and general practitioners have no idea that they on average
kill one of their patients every year.”
Peter C. Gøtzsche ends by saying,
“There are simple solutions to our deadly drug epidemic. Make
fewer diagnoses, prescribe fewer drugs and tell the patients to read
the package insert on the Internet. Then they might never take the
drug. Many years ago I did research on naproxen and when I read the
package insert and realized in how many different ways this drug
could kill me, I decided never to take an NSAID.”
“A life without drugs is possible for
most of us most of the time.”
This is a problem for many of us with
diabetes and polypharmacy is more the rule, even if we would prefer a
life without prescription drugs. While some people with type 2
diabetes are able to become free of drugs, they need to test on a
regular basis to not let diabetes get the upper hand.
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