Month: October 2015

Edward Linney – Pharmacy Council Code of Ethics Consultation Response

Submission relating to proposals by the Pharmacy Council to alter Clause 6.9 of the code of Ethics

I am Edward Linney a consumer with an active interest in evidence based medicine.

I do not support the intent of clause 6.9b to avoid a requirement of credible evidence of efficacy for complementary therapy or other healthcare products.

Extract from consultation document

Proposed supplementary wording – two distinct parts – clause 6.9

6.9a “Only supply or promote any medicine or herbal remedy where there is no reason to doubt its quality or safety and when there is credible evidence of efficacy.”

6.9b “Only supply any complementary therapy or other healthcare product where there is no reason to doubt its quality or safety and when sufficient information about the product can be provided in order for thepurchaser to make an informed choice with regard to the risks and benefits of all the available treatment options.”

The addition of 6.9b explicitly avoids any requirement for there to be credible evidence of efficacy. It moves the roles of evaluation of scientific evidence from the scientists to the consumer. This is bizarre, we all understand that the patient purchasing the homeopathic remedy for example is a believer and is most unlikely to be able to make an informed decision in the complex task of selecting the best products to treat themselves with.

Pharmacies are businesses BUT they are run by scientifically qualified people and they trade on this image. They are the only place where the public can purchase prescribed pharmaceuticals. Pharmacists enjoy a very privileged position in that regard. In my view the public expects you to sell and promote products which are shown in appropriate testing to perform better than a placebo, in short evidence based products.

The National Health and Medical Research Council of Australia ( The Government if you will) published an unqualified opinion in March 2015 after wide public consultation and a meta analysis of many trials that homeopathy is no more effective than placebo in treating humans. It comes as no surprise to me that when the credibility of these products which are actively promoted and sold in all my local pharmacies is vanishing that the Council proposed to avoid the requirement for efficacy in the sale of these to the public by pharmacies.

I believe there is a connection between the growing awareness that homeopathic remedies are placebos and the intention to explicitly avoid efficacy in the code of ethics in relation to their sale in pharmacies. It is a business protection step taken now to ensure that members of the public cannot take pharmacies to task for breaches of their code of ethics.

I submit it is totally unethical for the Council to put in place a provision whereby a scientifically trained seller uses that credibility to then sell known placebos as if they have efficacy. It is a betrayal of the science that trained them and a cynical exploitation of their status as health professionals. I wonder if pharmacists will have a warning label on these products which states they have NO active ingredients and they are no more effective than placebos. Perhaps the Council, if it wishes to see pharmacists selling these products should insist on a step like this, that would be the truth and assist the informed choice you are advocating. It was not so long ago that the pharmacies used to say “the health professional you see most often”, sadly you cannot make this claim today given current practice in selling known placebos.

It is telling that the consultation document suggests not promoting or recommending products which lack efficacy but is unwilling to take the ethical step of including efficacy explicitly in the code. It is simply duplicitous and puts commercial gain ahead of evidence based operations in patient and public outcomes.

The Council should retain the requirement at all times when selling products that claim to assist medical situations that there MUST be credible evidence of efficacy. Not to do so is in breach of the duty of Council to promote good practice and protect the public by being complicit in the public opting for remedies which are placebos and thereby not using genuinely efficacious products that have been proven by proper trials. The patient outcomes are likely worsened if a placebo is used in place of the best treatment.

Pharmacies seek to be taken seriously and want to expand on their offering in the evidence based market by adding things like Wharferin testing for example. They cannot have it both ways they are either just a peddler of anything the public wants or are serious health professionals. Your decisions in this matter will answer that question.

Edward Linney

Pharmacy Council Response Submitted

The NZ Skeptics sent a submission to the Pharmacy Council last Friday in response to the Council’s consultation on a suggested change to their Code of Ethics. Thanks to all our members who took the time to visit pharmacies and send us your reports about what they had to say about homeopathy.

We know of at least three other submissions that were in a similar vein to ours, including a submission from the Society for Science Based Healthcare, one from Edward Linney and a great response from the New Zealand Medical Association.

Pharmacy Council Code of Ethics Consultation

Submission to the Pharmacy Council’s 2015 Code of Ethics Consultation

The Pharmacy Council’s Code of Ethics 2011 appears to be a well written document which puts the wellbeing of the patient front and centre. This can be seen throughout the code, and is embodied in the very first clause:

1.1 Take appropriate steps to optimise medicines-related health outcomes for the patient as a fundamental principle of pharmacy practice.

The existing clause 6.9 of the code gives a good level of protection to patients, in that it states that pharmacies should not supply products where there is a lack of evidence of efficacy.

6.9 Only purchase, supply or promote any medicine, complementary therapy, herbal remedy or other healthcare product where there is no reason to doubt its quality or safety and when there is credible evidence of efficacy.

In the Pharmacy Council’s Consultation Document, the proposed new wording of clause 6.9 of their Code of Ethics splits healthcare products sold in pharmacies into two broad categories:

medicine or herbal remedy
complementary therapy or other healthcare product

The reason for this split appears to be an effort to relax the code for the second class of products (complementary therapies and other healthcare products). Effectively, this would remove the code’s requirement for there to be “evidence of efficacy” before these products can be supplied by a pharmacist. Instead, the new code only requires that “sufficient information about the product can be provided”. As it stands, the existing code appears to be in place to protect patients – any weakening of the code is going to reduce this protection, and that can only be a bad thing.

The Pharmacy Council’s vision is “Safe Effective Pharmacy Practice”. We believe this proposed change in the Code of Ethics would compromise the “Effective” part of this vision, by making it more likely for individual pharmacies to sell products that do not meet any reasonable standards of credible evidence, and could therefore be reasonably considered to be ineffective.

In the “Background” section of the consultation document, the Pharmacy Council says:

Over a number of years there has been much debate and discussion regarding the promotion, supply and sale of complementary and/or alternative medicines by pharmacists. This debate has primarily focussed on the efficacy of these therapies.

Given that most pharmacies appear to sell at least some complementary/alternative health products, we presume that this debate and discussion has been around whether pharmacies should stop selling these unproven remedies. The document goes on to say that “Over the past 12-months the level of sector and public interest has notably increased”. We are glad to hear that the Pharmacy Council is aware of the concerns people have about the sale of alternative health products, but are concerned that their proposed solution, although it is technically a “fix” for the problem, is a step in the wrong direction.

The Pharmacy Council is faced with the issue of pharmacies’ actions conflicting with their Code of Ethics, and changing the code appears to us to be the wrong choice out of the two obvious options the Council has to choose from to help resolve this conflict. Instead of relaxing their Code of Ethics, we think that the Pharmacy Council should instead consider either putting in place an effective program that is able to ensure pharmacies are abiding by their existing Code of Ethics, or delegate this important function to another organisation that is better suited to the task. We think that a code of ethics that carries no incentive for compliance is not a code that is likely to be adhered to. The following paragraphs show that the existing code has not been followed by what appears to be a significant number of pharmacies, and that there is a need for active management of compliance to the code.

We have a concern that the Pharmacy Council’s expectation that “Pharmacists should be able to advise patients about the general use, current state of evidence, associated effectiveness and any safety issues relating to complementary and/or alternative medicines” is unrealistic given the current state of the pharmacy industry, and as such we tasked people around New Zealand with visiting their local pharmacy to ask about homeopathy. We chose homeopathy because there is a strong scientific consensus that homeopathy has no efficacy beyond the placebo effect, and there is no plausible mechanism of action:

“NHMRC concludes that there are no health conditions for which there is reliable evidence that homeopathy is effective” – Australia’s National Health and Medical Research Council

“Pharmacists should not sell, recommend, or support the use of homeopathic products” – Royal Australian College of General Practitioners

“PSA does not support the sale of homeopathy products in pharmacy” – Pharmaceutical Society of Australia

“The Royal Pharmaceutical Society believes that there is no evidence from randomised controlled trials for the efficacy of homeopathic products beyond a placebo effect, and no scientific basis for homeopathy“ – UK Royal Pharmaceutical Society

“By providing homeopathy on the NHS and allowing MHRA licensing of products which subsequently appear on pharmacy shelves, the Government runs the risk of endorsing homeopathy as an efficacious system of medicine” – House of Commons Evidence Check

“it’s an ineffective treatment. It’s basically giving a glass of water or a sugar pill to patients, and I think you would consider that unethical” – New Zealand Medical Association Chair

We found that around half of the pharmacies visited had staff that were willing to promote or supply homeopathic products without adequately explaining the current lack of evidence. Worrying statements that were reported to us fell into several broad categories. Firstly, there were recommendations from pharmacy staff:

“It brings the body back into homeostasis”

“I have had a number of people tell me it really helped”

“I asked if it was good – she said that it was very good. I asked if it was effective – she said that they were all effective and that the store sold a lot of those products. I asked if it was as good as prescription medication. She said that the sleeping aids would not knock you right out, but otherwise they were all superior to prescription medication. I asked why they were superior, she said because they can never do any harm and that many prescription remedies cause liver damage and / or addiction.”

“When asked if they were as effective, she said that it has to do with your belief system.”

“When asked how the homeopathic remedy that she could order in for me works she said that it would help my body to heal itself”

“The staff member told me that these products worked, and that science was starting to show this. She dismissed the idea that they only work as well as placebo, and insisted that they have a real effect.”

“I was told by a staff member from behind the prescription counter that homeopathy works, and that its extensive historical use was evidence of this. I was also told that the number of customers they have buying homeopathic products was testament to its efficacy.”

“different to normal medicine but with a mix of ingredients that would help”

“I asked about homeopathic sleep drops on the shelf below and was told they definitely work.”

“The pharmacist told me that the Weleda Cold & Flu remedy would absolutely help with a cold, and with flu symptoms as well. He said that I should take a large initial dose that would help me recover quicker.”

“he has no problem with recommending the Weleda products to customers”

“She said that Arnica was an absolute must-have, and then proceeded to take me to a section and offer me several bottles of different concoctions, all of which ad 9c or 10c after them, which I recognised as the symbol for incredible amounts of dilution”

“The pharmacist confirmed this was a homeopathic product and then started out by saying they had several mothers that swear by this product”

“was recommended a homeopathic sleep remedy”

“I was told that homeopathy would help with a cold, and that it works “holistically”. I was also recommended vitamin C, echinacea and aged garlic to treat the symptoms.”

“Three products were recommended for a cold. I was told it worked for the staff member’s son, better than any other medicine. I was told that echinacea would definitely treat my cold”

“I was told that homeopathic Weleda Echinacea would help lessen the length of a cold, and that homeopathy helps by boosting the immune system. The staff member also tried to sell me high dose vitamin C and a Go-Vir supplement.”

Next were staff members who weren’t sure what homeopathy was (In fairness, some of these pharmacies didn’t stock homeopathy):

“he was almost totally ignorant of the subject and thought it had active ingredients”

“the assistant had little knowledge or awareness about homeopathy thinking this was instead ‘natural’ or ‘herbal’ and directed me to these products instead”

“the younger ones simply had no idea what any of these things were”

“the staff member didn’t really seem to know what I was talking about”

“She said because they were natural, I asked her if she knew what was in them or how they worked. She said she would get her manager”

“the assistant had to ask the Pharmacist as she didn’t know what homeopathy was”

“She said she wasn’t sure, but she thought homeopathic was probably different to natural”

“I was told that there’s no chemicals, and instead it’s plant extracts.”

Several pharmacies were happy to recommend visiting somewhere that would give a more positive outlook on homeopathy and/or a greater range:

“they didn’t stock that product, but I could find it at Health 2000”

“suggested I come back tomorrow when the expert on homoeopathy would be in the shop”

“the assistant had little knowledge about homeopathy and referred me to a natural health food shop”

“if a customer wanted homeopathy products she would refer them to a local homeopathy dispenser”

“She recommended “Health 2000” for a greater selection”

“Suggested Simillimum [a local homeopathic dispensary] if I was after homeopathy”

“I was redirected to a local spiritual/natural health store for more range, and told that I would get good advice there.”

The full text of the reports we received accompanies this submission.

It seems that some pharmacies did not stock homeopathy, but a significant number of others did have homeopathic products on their shelves and in most of these pharmacies staff were willing to offer homeopathy as a viable treatment, with no information offered about a lack of efficacy. It was only on further probing that a subset of these staff members were then willing to share their thoughts that homeopathy isn’t generally understood to be effective.

In the main, the reports we received painted a picture that many pharmacies are selling ineffective health products, and that staff are either reluctant to speak their mind about their lack of efficacy or have a mistaken belief that it works. This is echoed by a recent statement attributed to the Pharmacy Council’s chairman:

Pharmacy Council chairman Dr Andrew Bary said the rules as they stood were “unworkable” and many pharmacists, including himself, were already selling complementary medicines, even if they didn’t believe their claims.

This statement concerns us as it suggests that even the head of the Pharmacy Council does not take the Council’s Code of Ethics seriously. With the code being an important patient protection mechanism, we’re disappointed to see it so readily disregarded.

Given the evidence we collected of pharmacies offering not just homeopathy, but also other unproven treatments, we wonder if it would be wise for the Pharmacy Council to consider running their own “secret shopper” visits to New Zealand pharmacies to ensure a consistent high standard of service.

As well as these pharmacy visits, a quick search of New Zealand pharmacies online showed a worrying number of pharmacies outright promoting homeopathy for sale. Examples of homeopathy being promoted by these pharmacies online are:

“A popular service we provide are concise acute homeopathic consultations”

“a range of homeopathic medicines to treat a wide range of illnesses and concerns”

“Homeopathic remedies offer gentle solutions to common complaints without the nasty side effects of many drugs”

“an all-natural allergen-free homoeopathic formula that provides soothing support for wind, colic, upset stomach, bloating and hiccups”

“[Homeopathic] tablets help the body cope with tobacco cravings and are a useful substitute for cigarettes”

“Weleda ARNICA 30C… Used to treat bruising and sprains”

“Treatments such as homeopathy… may be great avenues to consider if you’re suffering from chronic illness.”

More information about these websites accompanies this submission.

Pharmacies are in a privileged position in today’s healthcare industry, where the advice of pharmacy staff is trusted by patients. This position has been well earned, with a long history of highly trained professional pharmacists and other pharmacy staff giving valuable advice to patients. The Pharmacy Council’s Code of Ethics says as much in the introduction to Principle 6:

Patients, colleagues and the public place their trust in you as a pharmacy professional.

This trust will inevitably extend to the products on a pharmacy’s shelves – many people will believe that if a pharmacy is selling a product, there must be good evidence of efficacy. People will assume that because pharmacists are known to have the best interests of their patients at heart, they would not be willing to supply anything lacking in clinical evidence of efficacy.

The Pharmacy Council consultation document clearly states that:

In instances where there is credible evidence to suggest a specific complementary and/or alternative medicine/product lacks efficacy, pharmacists should not promote or recommend its use.

We agree with this, and think that it would make a valuable addition to the code if “supply” is added. This paragraph regarding products where there is evidence of a lack of efficacy would make a good counterpoint to the existing clause, which talks of products with a lack of evidence of efficacy.

Additionally, as a part of this new clause, we would like to see provision for either the Pharmacy Council or another related body to maintain a list of classes of products where it is deemed that there is credible evidence of a lack of efficacy. This list would both help pharmacies to avoid unintentionally breaching the Council’s code of ethics, and would save individual pharmacists having to do their own time consuming research into these products. It is much more efficient, and would be a much more robust solution, if this research was performed once by a group of experts under the care of the Pharmacy Council, and that information was then shared with all pharmacies.

The document says that “It is not Council’s intention to endorse or prohibit the supply of any particular complementary and/or alternative medicine or product”. Whereas we understand that not endorsing a product is a wise stance, prohibiting the supply of products or classes of products that are ineffective, or even just recommending that pharmacies refrain from supplying them, would seem like a good way to ensure that pharmacies can easily abide by their Code of Ethics without having to try to figure out the Pharmacy Council’s intention. We support any measures the Pharmacy Council take that will make it easier for pharmacies to interpret the Council’s various codes, and it seems obvious that there is a need for clarity regarding clause 6.9 of the Code of Ethics.

Finally, the Council’s consultation document says that “Pharmacists must also respect patients’ rights to freedom of choice or autonomy in relation to their treatment options”. We hope that the Council understands that people’s freedom of choice would not be removed if pharmacies stopped selling unproven treatments. There are many other avenues in New Zealand where patients would continue to be able to purchase these products. As an example, pharmacies generally don’t sell therapeutic magnetic bracelets, as these are considered not to be efficacious, but they are still available for New Zealanders to buy at alternative health stores and online sites.

In conclusion, we do not support the Council’s wording of the proposed supplementary clause to section 6.9 of the Pharmacy Council Code of Ethics 2011. We are concerned with the Council’s motivation for making this change, and would prefer to see the current wording both kept and enforced. We would also like to see a different supplementary clause (6.9b) to the Council’s suggested clause added:

6.9a Only purchase, supply or promote any medicine, complementary therapy, herbal remedy or other healthcare product where there is no reason to doubt its quality or safety and when there is credible evidence of efficacy.

6.9b Do not purchase, supply or promote any medicine, complementary therapy, herbal remedy or other healthcare product where there is credible evidence to suggest it lacks efficacy. A current list of these categories of products can be found <on the Pharmacy Council website / at http://www.pharmacycouncil.org.nz/xxxxxxx / in Appendix X>.

This submission has been prepared by the NZ Skeptics, and is approved by its Committee:

Mark Honeychurch
Barry Lennox
Keith Garratt
Matt Beavan
Daniel Ryan
Michael Edmonds
Lisa Taylor
Robert Woolf
David Riddell
Brad MacClure
Vicki Hyde
Craig Shearer

Pharmacies Promoting Homeopathy

This report is part of the NZ Skeptics’ Submission to the Pharmacy Council‘s consultation of their Code of Ethics.

The pharmacies below are were found by a quick google search to be promoting the sale of homeopathy in New Zealand. This list is by no means exhaustive. The text shown under each pharmacy’s name was copied from the supplied URLs in early September 2015.

Lincoln Mall Pharmacy

http://www.ecostore.co.nz/retailers/lincoln-mall-pharmacy

We are a friendly team based in eco-friendly Waitakere City. We are a group of registered pharmacists, qualified homeopaths and knowledgeable pharmacy assistants. This pharmacy was originally started by a New Zealand pharmacist who trained in England and held a special interest in homeopathy. A popular service we provide are concise acute homeopathic consultations

http://yellow.co.nz/y/lincoln-mall-pharmacy-henderson

Lincoln Mall Pharmacy offers a range of homeopathic medicines to treat a wide range of illnesses and concerns.

Whether you have a small rash or are looking for a more holistic treatment to an underlying issue, we have a range of options.

Stay Well Pharmacy

http://staywellpharmacy.co.nz/products/

Homeopathy

Pregnant? On lots of medication? Have allergies? Homeopathic remedies offer gentle solutions to common complaints without the nasty side effects of many drugs. We stock the most popular ranges in New Zealand.

Pain Relief

Headache, Joint pain, Back pain, Stomach pain, Period pain, Arthritic pain, Pain from Sports injuries, the list goes on…

…Do you want pharmaceutical treatment or homeopathic? Is the pain local or referred, chronic or acute? Don’t just listen to the Marketers, listen to the medical experts.

Life Pharmacy Manukau

http://www.lifepharmacy.co.nz/p/?i=9858259

Colic Calm Homeopathic Gripewater 60ml is an all-natural allergen-free homoeopathic formula that provides soothing support for wind, colic, upset stomach, bloating and hiccups.

Maungatapu Pharmacy

http://www.maungatapupharmacy.co.nz/category/7741

The Quit Smoke Pack contains Quit Smoke Withdrawal that supports the body through the process of giving up smoking. Quit Smoke Craving tablets help the body cope with tobacco cravings and are a useful substitute for cigarettes. Quit Smoke is a non-drug nicotine free programme that is not habit forming.

Best results are obtained when using both products together. Quit Smoke can be especially useful for pregnant women who should avoid potentially toxic nicotine replacement therapies. Vitamin B complex, Zinc and Vitamin C supplements may be beneficial.

Prices Pharmacy

http://pricespharmacy.co.nz/homeopathic-1/

Weleda ARNICA 30C 30ML

Is a high dose supplement
Used to treat bruising and sprains
For athletes and those active in sports

Massey Amcal Pharmacy

http://www.nutrimedpharmacy.co.nz/

http://www.pharmacytoday.co.nz/in-print/2015/march-2015/april-2015/pharmacists-support-patient-choice-with-homeopathy.aspx

Auckland pharmacist Martin Harris says there is good evidence for homeopathy in the field of quantum physics.

“There’s no placebo-controlled, double-blind randomised controlled trials using one remedy and one result because homeopathy doesn’t work that way, it works on energy,” Mr Harris says.

Conventional medicines have been proven to have side effects and contraindications, but pharmacies still sell them, he says.

Mr Harris, who specialises in nutrition medicine, admits he is no expert when it comes to homeopathy, and his Massey pharmacy sells only a few homeopathy products.

NetPharmacy

http://www.netpharmacy.co.nz/

“Treatments such as homeopathy, nutrition counselling and acupuncture are all associated with naturopathy, and may be great avenues to consider if you’re suffering from chronic illness.”

http://www.netpharmacy.co.nz/practitoner-ranges

http://www.netpharmacy.co.nz/herbs-and-vitamins/homeopathy

Pharmacy Homeopathy Reports

This report is part of the NZ Skeptics’ Submission to the Pharmacy Council‘s consultation of their Code of Ethics.

The following are reports gathered in response to a request the NZ Skeptics sent out to its Alert newsletter subscribers. All identifying information about the sender of each report has been removed from the document.

I visited the UFS pharmacy on Courtenay Place in Wellington this morning.

I couldn’t see any homeopathic products on the shelves, so I asked the Pharmacist if they had any. She said she thought they only stocked a couple of Welada ones, but if a customer wanted homeopathy products she would refer them to a local homeopathy dispenser.

I asked if she thought that homeopathy worked and she answered that she didn’t know enough about it to comment or recommend it’s use.

I know that Garry Logan Chemist will not sell homeopathy as he says it is nonsense and does not do as claimed.

On Web 16-Sep-2015 I went to two pharmacies in the Hillcrest suburb of Hamilton.

The Hillcrest Pharmacy had no homeopathic remedies.

Master Ave Pharmacy was different story. I went there at 12:30 pm and spoke with Paula, who worked there as a herbalist. She recommended Naturo Pharm Travel Remedy. When I asked how it works she said “It brings the body back into homeostasis”. When I asked whether it actually worked she said she “Was on the fence about whether homeopathy really works. But I have had a number of people tell me it really helped.”

Where: Uni Pharmacy, Canterbury University, Ilam, Christchurch

When: 2:00pm 16/014

The pharmacy stocked 6 Naturo Pharm Homeopathic products.

When asked, the assistant had little knowledge or awareness about homeopathy thinking this was instead ‘natural’ or ‘herbal’ and directed me to these products instead – clinicians and blackmores.

She Suggested vitamin C or Berocca for a more ‘natural’ cold medicine

Today (16 Sep 2015) I went to Lamb’s Pharmacy & Natural Therapies (173 Karangahape Rd, Auckland). I selected a tube of anti-fungal cream and asked if they had any homoeopathic remedies for the same conditions. The pharmacy assistant showed me two ranges (brands) of homoeopathic remedies that they stocked. She wasn’t aware of any antifungal creams but said she wasn’t an expert and suggested I come back tomorrow when the expert on homoeopathy would be in the shop. She asked another person (who I assumed was the pharmacist) if they had a homoeopathic anti-fungal agent but he was non-committal.

I formed the conclusion that they stocked the homoeopathic items for those who knew which one they wanted but that they didn’t know much about them and weren’t pushing them. The assumption was that they work, for they never said I would be better off sticking to the evidence-based anti-fungal cream.

Looking at one range of homoeopathic remedies (sorry, I didn’t note the name of the brand), I saw one that was labelled “Candida Albicans”. I knew that to be fungal but when I looked at the box, it didn’t say what it was good for, and the assistant didn’t know.

Where: Marslands Family Pharmacy, Cnr Preston Rd and Marshlands Rd, Christchurch

When: 5:00pm 16/09/15

The pharmacy stocked 7 Naturo Pharm Homeopathic products.

When asked, the assistant had little knowledge about homeopathy and referred me to a natural health food shop.

I went to Albany Care Pharmacy at the Albany Megacentre (next door to The Warehouse) searching for Tru2U Cherry juice, a product suitable to help children sleep. http://tru2u.co.nz/

They did not have any and asked me what it was for, I explained that it was for my restless son and was recommended a homeopathic sleep remedy. I didn’t realise that I was purchasing a homeopathic product and realised after opening the bottle that the primary ingredient was alcohol. Given what I know about homeopathy I wasn’t particularly happy with the fact that the only actual ingredient would have been alcohol so I returned the product. They seemed completely baffled by my objection to giving alcohol as a “sleep remedy” to a child.

I went to the Feelgood Pharmacy in Dinsdale, Hamilton today (17th September).

I went in and looked through their “natural health” section, which had a lot of vitamin and mineral supplements, but not any homeopathic remedies. A staff member asked if I needed any help. I said that I was interested in homeopathic remedies. She pointed out the supplements, so I asked about actual homeopathy. She said that they had some rescue remedy (actually a Bach flower remedy) and I said that I would like to see that.

With the rescue remedy there was also the full Naturo Pharm range. I asked if it was good – she said that it was very good. I asked if it was effective – she said that they were all effective and that the store sold a lot of those products. I asked if it was as good as prescription medication. She said that the sleeping aids would not knock you right out, but otherwise they were all superior to prescription medication. I asked why they were superior, she said because they can never do any harm and that many prescription remedies cause liver damage and / or addiction.

I phoned a couple of pharmacies complaining of sinus pain.

At Unichem Hamilton East (14 Beale St) I asked if they had any Kali-bichromicum (as suggested by mothering.com). The staff member who answered said that they didn’t stock that product, but I could find it at Health 2000. I asked if there was anything else that she could suggest. She suggested Marshmellow, which she said was as effective as a prescription medication (the marshmallow was a triple strength preparation) and that it worked by suppressing the production of mucus. It was late in the conversation that I realised that this was a herbal remedy, not homoeopathic.

Pharmacy 547 ( 533 Grey St, Hamilton East) said that they do not stock any homeopathic remedies because there is no evidence that they work.

At the Hillcrest Healthcare Pharmacy (153 Cambridge Rd, Hamilton), Julie said that they don’t stock any homeopathic remedies for sinus pain, but could order them in. When asked if they were as effective, she said that it has to do with your belief system. She did suggest several conventional medications, and some other alternative medications (e.g Otrivin oil). When asked how the homeopathic remedy that she could order in for me works she said that it would help my body to heal itself.

Erin at Anglesea Clinic Pharmacy (Thackeray St) asked me some pertinent medical questions (other health problems, current medications, asked me to describe the pain) then suggested Go Healthy Decongest. A triple strength preparation, she said that the horseradish would help clear my nose, and the garlic and vitamin C would support my immune system. This is of course herbal, not homeopathic.

Christchurch South City Pharmacy

https://sleepdrops.co.nz/

The product was called Sleep drops

The assistant knew the only active ingredient in it was ethanol. She said she had not been trained in the product but other staff had. She said the people who bought it wanted a natural product.

I talked to a female staff member at Kenepuru pharmacy in early 2014 about the homeopathic products they sold (there were maybe 5 or 10 on display). The staff member told me that these products worked, and that science was starting to show this. She dismissed the idea that they only work as well as placebo, and insisted that they have a real effect.

I asked in Porirua Pharmacy in mid 2014 why they sold homeopathic products – they have quite a range of both homeopathic and herbal remedies on their shelves.

I was told by a staff member from behind the prescription counter that homeopathy works, and that its extensive historical use was evidence of this. I was also told that the number of customers they have buying homeopathic products was testament to its efficacy.

Amcal Pharmacy

Medical Supply Store

Address: 51/53 George St, Tuakau 2121

Phone:09-236 8014

Is willing to sell and promote homeopathy. I have had sever talks with the pharmacist about this and he was almost totally ignorant of the subject and thought it had active ingredients. I asked what was in a bottle and he said, whatever it says on the label. He was a very young guy. He also said that its what customers wanted.

All on 18th September 2015 ~5pm

Bunny Street

Used to have just Arnica but not any more

Believes it doesn’t work

Suggested Simillimum if I was after homeopathy, but wouldn’t recommend it.

Unichem top of Willis

Had about 20 homeopathic remedies, some mixed with medicines.

I was told that a Weleda remedy would help with a cold.

It was described as different to normal medicine but with a mix of ingredients that would help.

When pressed about whether it works, I was told that it helps if you believe in it.

Life Pharmacy Manners

First I was pointed to a honey pill for a cold, but the person checked and said it probably wasn’t homeopathic. She said she wasn’t sure, but she thought homeopathic was probably different to natural.

I asked about homeopathic sleep drops on the shelf below and was told they definitely work.

UniChem Cuba Mall

I asked if they had anything homeopathic for a cold. The staff member pointed out 2 separate shelves with homeopathy on them.

When asked for details, they grabbed a pharmacist.

The pharmacist told me that the Weleda Cold & Flu remedy would absolutely help with a cold, and with flu symptoms as well. He said that I should take a large initial dose that would help me recover quicker.

Address: Unichem 3 Pilgrim Pl, Sydenham, Christchurch 8011

Talked to one guy there and asked him three questions:

Do you sell Homeopathy?

He said they did and showed me where they stock 6 Weleda products, 3 x arnica producst and 3 others. Weleda was the only brand of Homeopathy they sold.

Does Unichem inform you about how to give advice on homeopathy products?

He told me Unichem does not give any advice on Homeopathy products.

What do you think about Homeopathy products?

He told me he was aware that there is no evidence for the efficacy of Homeopathy and that he tells people that if asked. He also said he has no problem with recommending the Weleda products to customers

So my general feeling was that he was ‘on the fence’ about homeopathy. probably due to never seriously looking into it. But also because he may have seen a lot of people happy to purchase it.

This shop had a really tiny selection of homeopathy and it was tucked right away in an obscure corner (maybe because whoever arranges the stock knows its all BS and does their best to curb sales 🙂 But they still sell it.

Where: Life Pharmacy, The Palms Shopping Centre, Shirley, Christchurch

When: 12:30pm 19/09/15

The pharmacy stocked 4 Naturo Pharm Homeopathic products on its shelves.

When asked, the assistant had to ask the Pharmacist as she didn’t know what homeopathy was.

When she returned she said “we don’t stock that here”

Unichem Pharmacy Tower Junction Christchurch

They had two types of homeopathic sleep drops on the shelf that I could see.

A staff member came over to serve me and I asked her why they were selling them. She said because they were natural, I asked her if she knew what was in them or how they worked. She said she would get her manager. The manager said they hadnt had training on them. I asked her why they stocked them and she replied that it was unichem policy and even if she didnt order them they would get sent to her, she didnt have a choice.

One of the products showed lots of ingredients in it, but (should have worn reading glasses) I am pretty sure they were homeopathic quantities.

I recently went into a pharmacy as I was about to have an operation and wanted advice on what vitamins promoted healing and if there were any supplements that I could take that would aid my recovery.

The lady serving me said that she’d recently had an operation and she’d taken some great things which helped.

She said that Arnica was an absolute must-have, and then proceeded to take me to a section and offer me several bottles of different concoctions, all of which ad 9c or 10c after them, which I recognised as the symbol for incredible amounts of dilution, at which point I left the pharmacy – completely gobsmacked and with my faith in pharmacology quite damaged!

As a store offering science based remedies to medical problems, I think that offering me distilled water as a effective remedy is irresponsible and undermines the credibility of medical science.

The Pharmacy was ProChem pharmacy at 1862 Great North Rd, Avondale 1026.

Life Pharmacy, The Palms, ChCh

No homeopathic medicines in the shop, but there was a mind-boggling array of other “stuff” from plants, minerals, organic things, etc, etc. The staff member said they don’t carry it. However, there was one that was very, very, close the old “Rescue Remedy” a Bach flower remedy. She said that some people found it very good.

Sydenham Pharmacy, South ChCh.

No homeopathic medicines in the shop, and the staff member didn’t really seem to know what I was talking about. Was keen to flog me a Probiotic, for a mere $76 for a 60 day supply.

Date

25 September 2015

Pharmacy

Unichem Rototuna, Hamilton

Product

Sleep Support System Sleep Drops for Babies 30mls $39.99

Ingredients (taken from website)

Organic Coconut Glycerine, purified water, ethanol, Corydalis ambigua (Corydalis), Eschscholzia californica (Californian poppy), Humulus lupus (Hops), Lavandula officinalis (Lavender), Matricaria recutita (Chamomile), Passiflora incarnate (Passionflower), Piper methysticum (Kava), Scutellaria baicalensis (Baical Skullcap), Albizia lebbeck (Albizia), Viburnum opulus, (Cramp bark) Zizyphus jujuba (Zyziphus) with Homeopathic Calc phos, Chamomilla, Colocynthis, Kreosotum, Mag phos, combined with flower essences.

Directions

Drops are put under the tongue, or close to the tongue and lips, inside the mouth. To support regular sleep, administer 1-2 drops when your baby goes down. Babies can also have 1 drop to reestablish calm. If they wake during the night, your baby can be given another drop each 5 to 10 minutes of awake time until sleep is restored.

Caution

Infants sensitive or allergic to any of the ingredients should avoid this product.

There is 0.005grams of dried herb equivalent per 5 drops dose so herb/drug interactions should be impossible. If you are concerned about this possibility please follow the advice of your medical practitioner.

Consultant

The sales consultant handed me over to a pharmacist

The pharmacist confirmed this was a homeopathic product and then started out by saying they had several mothers that swear by this product. She was quite dubious when making this statement and was checking for how I would respond to that and paused for a second. As I didn’t jump on that particular bandwagon, she then went on to say that to be honest, there was no good science that could support this product.

I went in and asked about homeopathic remedies for a sore stomach/heartburn and asked about alternatives as they all didn’t recommend one. I’ve got no idea whether Homeopathic remedies are offered for it but it seemed like something that they would and wouldn’t cause concern if I didn’t consult a Doctor or left without making a purchase. Besides I’m familiar with the symptoms and conventional medicines (antacids).

Antidote Meridian: 267 George St, Dunedin, 9058 (Meridian Mall)

Very limited selection and didn’t recommend any of it. Asked if I’d used it before (I said no but a friend recommended it) but didn’t discuss whether it worked or offer conventional medicines. She recommended “Health 2000” for a greater selection, really confused why they’re the most supportive of Homeopathy and knew which products were Homeopathic of the stores and yet weren’t profiting from it themselves.

Stock Grade: B

Science Grade: D

Unichem Centre City: 133 Great King St, Dunedin, 9016 (Centre City Shopping Centre)

Had limited stock but more than the other stores, a large stand of “Artemis” teas greeted me at the front of the store, the store assistant recommended these but had no idea what any them were even for, let alone how they claimed to work. But she seemed happy to sell them to me anyway, literally just reading flavours on the box to see if I’d like any of them. Seems like just expensive tea to me. She then gave up on selling the teas and took me over these supplement bottles and recommended one, again no mention of how or whether they work. I’m not even sure if these were Homoeopathic, they looked like normal vitamin pills but had names like “St John’s Wort” so probably some form of “Natural” bullshit.

Stock Grade: D

Science Grade: D

Unichem Knox: 402 George St, North Dunedin, Dunedin 9016

Ironically the two Unichem branches contrasted the most, they didn’t stock Homoeopathic products at, had a “natural” section but completely ignored it, asked about the symptoms and went straight to endorsing the conventional antacids.

Stock Grade: B

Science Grade: A

Albany St Pharmacy: 27 Albany St, Dunedin, New Zealand

The first younger guy had no idea, at first I was concerned when he started turned the older lady and she whispered to him. But she whispered “No”. She still suggested ginger but they didn’t stock Homoeopathic or Natural Products and they again asked about symptoms and took me straight to conventional antacids.

Stock Grade: A

Science Grade: B

I went to the Unichem Pharmacy, 95 Ashby Avenue, Glendowie. They didn’t have many homeopathic products on sale apart from Naturopharm Arnica and a couple of other creams.

When I asked them about evidence that they worked they said that they are honest with customers and say that there is only anecdotal evidence that any of the natural products like supplements work. Then I asked whether they thought it was ethical to sell them and the pharmacist said that it was better that the products were on sale at a Pharmacy rather than a health food shop as the pharmacist can tell the patient when it is necessary to see a doctor rather than take the product wheras at a health food shop staff have no training.

Unichem High Street Lower Hutt

Around 10 homeopathic products on the shelves

I was told that homeopathy would help with a cold, and that it works “holistically”. I was also recommended vitamin C, echinacea and aged garlic to treat the symptoms.

Unichem Lower Hutt

Had about 100 homeopathic remedies under a banner of “Weleda Medicine”

I was told that there’s no chemicals, and instead it’s plant extracts.

Three products were recommended for a cold

I was told it worked for the staff member’s son, better than any other medicine.

I was told that homeopathic echinacea would definitely treat my cold

They said that homeopathy treats the underlying body.

Burns Pharmacy Petone

I was told that homeopathic Weleda Echinacea would help lessen the length of a cold, and that homeopathy helps by boosting the immune system.

The staff member also tried to sell me high dose vitamin C and a Go-Vir supplement.

I was redirected to a local spiritual/natural health store for more range, and told that I would get good advice there.

Unichem Petone

Only had arnica and Sleep Drops

The staff member was cagey, only saying that sleep drops would help in the “natural way”, and that they would take a while to have an effect.

Petone Countdown Pharmacy

Only had Sleep Drops but told me they don’t work beyond placebo!!!

I have been to several pharmacies in my region and had various responses with regards to the sale of homeopathic products.

Johns Photo Pharmacy and Herbal Dispensary on Cameron Rd in Tauranga promotes itself on these pages

http://www.naturaltherapypages.co.nz/therapist/2258

I have discussed the promotion of products in their pharmacy that are supported by evidence based data- (ie homeopathic remedies)- on one occasion the pharmacist (who I suspect was an employee and a new graduate) said that her hands were tied and it was sold to meet the demand of customers.

On another occasion I have noted that the Bureta Pharmacy in Bureta Road doesn’t appear to sell or promote any homeopathic remedies- recently I discussed purchasing a product to assist with my daughters travel sickness and I was recommended active therapeutics/ antihistamines rather than the homeopathic remedy I was recommended at the TravelPharm in Auckland International Airport.

The Central Parade Pharmacy in Mount Maunganui also has a homeopathic/ natural remedies counter, and indeed my own GP has suggested I seek treatment from this pharmacy from a homeopath to deal with hormonal imbalance.

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