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A. Coodley (1975)
Letter: Patient management by the judicious physician.The New England journal of medicine, 293 8
To the Editor.— I both agree and disagree with Dr McMahon's reactions to the patient package insert issued by the FDA (233:1089, 1975). When I recently wrote "we must recognize that our fundamental Hippocratic responsibility must center upon every patient's best interests,"1 I also meant that a realistic description of possible toxic reactions to a prescribed drug coupled with emphasizing its specific benefits is certainly indicated for some patients. As Dr McMahon pointed out, for other patients such discussion must be limited and sufficiently vague in order to minimize undue anxiety. Of course, one might feel much freer in discussing such potential problems with a patient's close relative. When the toxicity of a drug is being discussed, there is a crucial value in "universalizing the potential toxicity of every drug on the market, including even something as simple as aspirin."2 If we carried the patient package insert to
JAMA – American Medical Association
Published: Jan 26, 1976
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