Medicines Australia Code of Conduct: breaches

(Aust Prescr 2006;29:164-5)

Medicines Australia has a code of conduct to guide the promotion of prescription drugs by pharmaceutical companies in Australia.1 Complaints are reviewed by the Code of Conduct Committee and the results are published in its annual report. The report for 2005-06 is available on the Medicines Australia website.2

There were 27 new complaints in 2005-06. Seven are unresolved, but the report includes three complaints held over from the previous year. The Code of Conduct Committee found breaches in 11 of the complaints it finalised (Table 1).

The number of complaints coming from health professionals almost equalled the number made by companies about their competitors. In one case eight pharmaceutical companies were alleged to have breached the Code of Conduct with their advertisements in electronic prescribing software.3 The Code of Conduct Committee required six of these companies to revise their advertising.

During the year the Code of Conduct Committee had to consider whether a venue was of more than 'reasonable quality'. It also judged if the hospitality offered to specialists was 'sumptuous' or 'simple and modest'. Probably for the first time the Code was applied across the Tasman. A cruise vessel on Auckland harbour was not considered to be an appropriate place for an educational event.

In total 11 complaints were found to have identified breaches of the Code of Conduct. Details of the complaints can be found in the annual report.2 Analysis of these complaints should lead to improvements in the Code. The 15th edition of the Code of Conduct should be available in 2007.

References

1. Medicines Australia. Code of Conduct. 14th ed. Canberra: Medicines Australia; 2003.

2. 2006 Code of Conduct Annual Report. Canberra: Medicines Australia; 2006. www.medicinesaustralia.com.au [cited 2006 Nov 10]

3. Harvey KJ, Vitry AI, Roughead E, Aroni R, Ballenden N, Faggotter R. Pharmaceutical advertisements in prescribing software: an analysis. Med J Aust 2005;183:75-9.

Table 1
Breaches of the Medicines Australia Code of Conduct July 2005 - June 2006

Company Complaint Sanction imposed by Code of Conduct Committee

Drug - brand name Drug - generic name

Alcon Patanol olopatadine Advertisement in prescribing software to be revised

Boehringer
Ingelheim

Asasantin aspirin/dipyridamole Advertisement in prescribing software to be revised
GlaxoSmithKline Avandia rosiglitazone Advertisement in prescribing software to be revised
Pfizer Norvasc amlodipine Advertisement in prescribing software to be revised
Celebrex celecoxib Advertisement in prescribing software to be withdrawn
Sanofi-Aventis Actonel risedronate Advertisement in prescribing software to be revised
Solvay Zanidip lercanidipine Advertisement in prescribing software to be revised
Abbott Sevorane sevoflurane Withdrawal of detail aid
Corrective letter to everyone who received the detail aid
$25 000 fine
AstraZeneca Symbicort budesonide/eformoterol Withdrawal of promotional material
Corrective letter to general practitioners and respiratory physicians
$50 000 fine
Baxter Sponsored educational meeting during harbour cruise No further educational meetings to be held at same or similar venue as the harbour cruise
Bayer Levitra vardenafil Withdrawal of promotional material from website, and patient brochure
Corrective letter to doctors invited to join register of doctors interested in men's health
Douglas Estelle-35ED * cyproterone/ ethinyloestradiol Withdrawal of promotional material
Corrective advertisement (same size as original) in Australian Journal of Pharmacy and other journals
GlaxoSmithKline Seretide fluticasone/salmeterol Withdrawal of promotional material
Corrective letter to general practitioners and respiratory physicians
$15 000 fine
Merck Sharp & Dohme Zocor simvastatin Withdrawal of promotional material
Corrective letter to medical practitioners
$20 000 fine
Pfizer Somac pantoprazole Withdrawal of promotional material previously found in breach of the Code
$100 000 fine
Pfizer Vfend voriconazole Withdrawal of promotional material
$20 000 fine
Solvay Zanidip lercanidipine Withdrawal of promotional material
$30 000 fine

* See also: She needs safe and reliable contraception, not a treatment for severe acne! EstelleTM-35ED (cyproterone-oestradiol) (Douglas). Healthy Skepticism. AdWatch 2006 Apr. http://www.healthyskepticism.org/adwatch.php [cited 2006 Nov 9]

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NPS RADAR (www.npsradar.org.au) provides timely, independent, evidence-based information on new drugs, research and new listings on the Pharmaceutical Benefits Scheme.



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