Daily Record

Ensuring the drugs do work

- BY NEIL McINTOSH

I WAS born in 1962, so I probably have my mother’s obstinacy to thank for the fact that my life wasn’t so very different.

My generation will never forget that a drug called Thalidomid­e was licensed for over the counter use in Europe in 1957.

It was marketed as a sedative to treat insomnia, gastritis and, remarkably, morning sickness in pregnant women.

Oh, it is easy to be sceptical now, in an age when mothersto-be avoid nuts and blue cheese but back then the world was marvelling at drug companies that had brought us penicillin and the birth control pill.

A medical revolution was occurring and everyone wanted to be in on it. The result, of course, was awful.

Worldwide, about 10,000 babies were born with defects that included malformati­on of the limbs and 50 per cent did not survive. Lives were shattered. I remember my mum telling me our family doctor, individual­s in society who at the time were never questioned, had extolled the potential benefits of Thalidomid­e. Happily, for me, she didn’t fancy it.

The fact was, in the pursuit of money and prestige, the German drug company involved, Chemie Grunenthal, just had not done the required testing to determine whether Thalidomid­e was dangerous to the foetus.

But some great good has come of all this. Further research discovered that Thalidomid­e was useful for the treatment of cancers, such as multiple myeloma, and leprosy. More importantl­y, government­s woke up to the fact that all potent medicines can have unexpected sideeffect­s and so modern drug regulation­s were born.

Today’s drugs, because of Thalidomid­e and contrary to social media conspiracy theories, are tested, trialled and scrutinise­d beyond belief. Legislatio­n requires that all side-effects are disclosed and the penalties for “manipulati­ng” results of clinical trials are huge.

Pet owners should be reassured that similar standards are applied by the Veterinary Medicines Directorat­e to drugs that are intended for use in animals.

The enemy now, however, and the real threat to health, is not the big drug companies but counterfei­ters. Recent research by the NHS showed that 50 per cent of drugs sold online were fake. Something we all need to wake up to.

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