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Weight loss drug decision concerns health care professionalsELEANOR HALL: Doctors and health professionals in Australia have expressed concern about a decision that allows the drug company Roche to directly advertise a weight loss drug that can cause side effects such as diarrhoea and incontinence.The drug Xenical is available over the counter, but has never been advertised by name to consumers.Now, though, the Federal Government’s Drug and Poisons Committee has given the all clear for that to happen from September this year, as Jean Kennedy reports.JEAN KENNEDY: The weight loss drug Xenical was approved as an over the counter medication around two years ago, after previously only being available with a prescription.Until now, the drug company Roche has been banned from using the actual name of the drug in its advertising, with vague TV and radio ads telling people to go ask their pharmacist for more details.And that’s the way it should have stayed, according to the head of the Australian Medical Association Dr Mukesh Haikerwal, who believes direct marketing of the drug to consumers is fraught with potential problems.MUKESH HAIKERWAL: We have significant problems with the whole process that this particular committee goes through, including putting it over the counter at the pharmacy in the first place.Direct to advertising, with a government tick of approval, will make people that this really is their salvation when they’re overweight or obese.It’s simply not true. This may help in some respect for some people to reduce the absorption of fat from their body, but the downsides of it are really pretty dramatic.If you happen to have a fatty meal, or something with fat, after you’ve taken this, you can have significant problems with your bowel action and you can even get leakage from the back end.JEAN KENNEDY: He says without a low fat diet and exercise the drug is pretty ineffective.MUKESH HAIKERWAL: Use of Xenical alongside diet is imperative, and the results of diet alone versus diet and Xenical shows very little difference most of the time.JEAN KENNEDY: What concerns do you have about the targeting of particular groups of people with this drug?MUKESH HAIKERWAL: We would be concerned about young women, for instance, who may have eating disorders, or young people who really have no significant body problem but have a body image problem, who will take this stuff, which of course is freely available at the pharmacist anyway.It may give some people a false sense of hope, a false sense of security that they’re doing something about their obesity.
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