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BMJ 2005;330 (1 January), doi:10.1136/bmj.330.7481.0-e
What roles do pharmaceutical firms, healthcare organisations, and government regulatory agencies play in switching prescription drugs to over the counter drugs? Cohen and colleagues, prompted by increased numbers of prescription drugs being made available over the counter worldwide, analyse three recent controversial switches: simvastin in the United Kingdom, omeprazole in Sweden, and loratadine in the United States (p 39). They argue that the main motives are pharmaceutical firms' desire to expand their market, attempts to reduce drug bills, and the self care movement.
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Credit: KARL de BLAKER/AP
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