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Carol & Richard Eustice
Arthritis Blog

By Carol & Richard Eustice, About.com Guides to Arthritis

Placebo Is Prescribed by Half of Internists and Rheumatologists

Friday October 24, 2008
What would you think if someone told you about half of American doctors regularly give their patients a placebo? A placebo is a treatment that has no therapeutic value -- for example, a sugar pill, or an antibiotic prescribed to treat a virus. Unbelievable? Apparently we should believe it. Researchers at the U.S. National Institutes of Health randomly sent surveys to 1,200 internists and rheumatologists. According to the study published October 23, 2008 in BMJ, there were 679 doctors who responded and 62% believed using a placebo was acceptable.

Interestingly, 70% described the treatment to their patients as "a potentially beneficial medicine not typically used for your condition" while only 5% actually called it a "placebo". Most of the doctors did use real medication to serve as placebo -- 41% used painkillers, 38% used vitamins, 13% used sedatives, 2% used sugar pills. Is it ethical for doctors to use placebo? Would you feel ripped off if you knew you were given a placebo? Some doctors believe it would undermine the placebo to be forthcoming with their patient while others think placebo can still be effective if patients are told the truth.

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Photo by Annett Vauteck (iStockphoto)

Comments

October 26, 2008 at 12:52 am
(1) jamie says:

So what are the names of these placebos?

October 28, 2008 at 7:48 pm
(2) Carol says:

It was not specified what was used in each instance. The point was that about half of the doctors surveyed said they have used a placebo. The placebo can be a real drug in some cases, as opposed to a sugar pill, but it is known that there is no “true” therapeutic value.

October 30, 2008 at 9:09 pm
(3) Dfreak says:

I do believe placebos are useful at times if supervised by a doctor/ nurse practitioner. Sometimes there are wierd effects not expected. Obviously we’re not talking about bp meds or thyroid replacement therapy or anti rejection drugs!!!

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