OBJECTIVE: To critically analyze the drug information contained in Ind
ian pharmaceutical advertisements. DESIGN: Analysis of pharmaceutical
advertisements supplied by drug representatives (DRs) to prescribers f
rom July 1, 1995, to June 30, 1996. SETTING: A university-affiliated u
rban teaching hospital in India. PARTICIPANTS: 585 pharmaceutical ad p
amphlets. MAIN OUTCOME MEASURES: The ads supplied by DRs to physicians
in different clinical departments of the hospital were collected. The
se were distributed to different systems/categories and a special refe
rence to fixed-dose drug combinations was given. The drug information
contained in these ads was evaluated by using a checklist, framed by i
ncorporating the World Health Organization ethical guidelines for medi
cinal drug promotion and some relevant items from other studies. RESUL
TS: The most frequently occurring ads were for antimicrobial agents. T
he ads on fixed-dose drug combinations constituted 37.9% of the total.
More than 85% of the ads mentioned the generic name, brand name, cont
ents, and pharmaceutical dosage forms, as well as the name and address
of the, company. The information concerning adverse effects, precauti
ons, contraindications, warnings, major interactions, ingredients know
n to cause problems, pharmacology drug overdose, references, drug stor
age, and cost was present in less than 40% of these ads. CONCLUSIONS:
There has been inadequate information in pharmaceutical ads supplied b
y DRs to the physicians in India. The current scenario could be improv
ed by formulating some definite legislative guidelines for the minimum
level of information to be included in pharmaceutical ads and adherin
g to that legislation.