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Volunteers prepare more than one hundred tons of kinship for the homeless the koreans traditionally stock up on can she in the fourth because the fermented cabbage keeps well in winter its also rich in vitamin c. And seems to help keep up your spirits to in the cold months of the. Eastern german city of effort to meet a woman whose health was permanently dad once headed an institute for advanced training training when her husband was diagnosed with cancer she had via pain. Need to be profoundly. Really took i took two in the morning and another two in the afternoon i didnt think it was having any adverse of. Tablets of the pharmacy for ten years she took four four Hundred Milligram Tablets a day thats more than the rest its a day thats more than the recommended daily dose of. Her kidneys have stress for five hours she stopped its because i took painkillers. And i couldnt just sit down when i down when i was. This i trusted the pills because they relieved my pain he had a life on dialysis because of over the counter pain killers even if there are no clear statistics linking pain killers to Kidney Damage where you put in this new form that i assume is a relatively large or whose need for dialysis would have come later that of the others but. After all theyve been around for more than one hundred theyve been around for more than a hundred late Nineteenth Century doctors at the Renowned University of strasbourg were conducting the Conducting Research to find a cure against worms due to a mix up of drugs. The worms remained butler. Macular slee the patients fever came down the discovery away of research at by a paint plant in Leverkusen An Analgesic and feverish. Aspect was Salicylic Acid was marketed worldwide under various names in Germany Television ads praised its ability to provide fast its ability to provide fast relief. In new york in the one Nine Hundred Fifty s. Research on finance it in led to this troubled them for nasa to marketed as tylenol is tylenol in focused on trying to do so. Close and i cant ibuprofen the latter was said to be particularly a flatter was said to be particularly effect us for the Pharmaceutical Industry billion yelled over the cold over the counter for fifty years and ibuprofen. He has long been critical of paracetamol germanys number one painkiller. But its unusually dangerous of paracetamol remains a. Just. System flu medicine now if a person reaches all these medicaid person reaches for all these medications even if that that individual will be exceeding the threshold a fresh next day may well find themselves in the intensive care Unit Control Center as one of seven in germany. A pharmacist a pharmacist and encounter severe cases on a date only add to her age and weight though her age and weight. Is calculated to determine whether this is a case of men was attempting suicide and given suicide and given the robins killers the Patient Killers the patient swallowed eight grams a minute live a data Center Center and observed. For we have more than Three Hundred. Four we have more than Three Hundred made half of those cases are made half of those cases are back to being permanently high spirits were no longer functioning prop. Longer functioning properly. Management can advance painkiller moments. Pain with pain with never had a headache that when im running where i imagine one million the run lasts four hours the run lasts four hours and i wasnt sure at all that. A stones throw from the marathon Day Predilection for. The sun. To relieve the smoke its become totally normal. Pharmacists in france can hand out brochures to alert customers pis by us the most arent giving any thought to the danger. Then we give them a brochure to give them time to read up on it and to understand that this is an active ingredient that shouldnt be consumed too frequently. Your head is icky for most for me. Also me similarly true. Its half time at the strasberg marathon alongside the Course Runners who had to pull out of the race after an hour or two of being treated entirely without pain killers of welcome practical hour for the students of a local physiotherapy school. While the exhausted runners get a rub down the fitter ones reach the finish line todays best time is two hours thirty five minutes we cant find the young man who popped a paracetamol before the race but we do run into the german who packed a pill just in case figure it out sponsor us three i took an aspirin at the twenty kilometer mark. But it was purely prophylactics. It was easy as i didnt have any pain no problems maybe even maybe cost of national. American places a strain on the heart and lungs every knee joint is subjected to the equivalent of a force of Five Thousand tons. At the Two Thousand And Eight american in germany two participants died of a heart attack in sports theres another downside to taking medication that blocked our pain. Causing a beloved stones concert as its particularly important to know ones limits and avoid exceeding. The she adds but if someone decides to take a painkiller prophylactic lee it can minimize the bodys natural and vital alarm signals acknowledges cup pass and that can be dangerous yet thats kind of an eager to find me thing being killers have other effects like on the stomachs Mucous Membrane which is already placed under strain amid high levels of physical exertion some seventy five down that is just you know slow down to boost performance and that can have an effect on the cardiovascular system on the kidneys on the liver and as is the case with many medications the result can be long term damage far less and stay in. Pill for the past its become a habit without knowing the consequences thanks. To from the stress i have in school i get severe almost daily headaches i try not to take a pill every day but usually i have to so that i can keep up especially during exam time i cant prepare for exams if i have a headache so i usually take an ibuprofen or something one of my girlfriends always has a supply in her wallet we joke about it call her a Walking Pharmacy because she always has something with or for any complaint including painkillers. We ask for teenagers to read the Package Insert for popular over the counter painkillers. Do not take either you hack cell four hundred for more than four days without consulting your doctor or dentist. That incidentally applies to all. Over the counter painkillers none should be taken longer than three or four consecutive days so what with this i think most people dont bother to read all this through. Everything so i for one have never read it through. Sevenzo gastro intestinal side effects peptic ulcers bleeding from the stomach or intestine who even understands that. There is a list of allergic reactions in the form of Skin Rash Swelling of the face tongue and larynx. And theres a heightened risk of Heart Attacks Heart Failure stroke psychotic reactions even depression so theyre so good they play soon and incredible its really hard core yuliya do you take this regularly yes this is actually really shocking. Hardly anyone reads the small print so how well do pharmacies warm customers about the risks involved particularly when those customers are teenagers we equipped with a hidden camera to find out how well the girls are counseled when buying over the counter painkillers. Under german Law Pharmacists are obliged to ensure drug safety which means informing customers about the possible risks associated with a particular medication we visit six pharmacies and ask for different painkillers. A packet of ibuprofen please. Id like a packet of paracetamol. In four pharmacies the girls are told how many tablets they can take a day but theres no mention of the generation and two pharmacies fail to pass on any information at all we step in to ask why pickles havent been advised. If they dont look like they have any questions then most people dont have a lot of time they just want to take the product and go. I have a camera team outside can i bring them in for a short interview. Oh no. No one in the pharmacy is willing to talk to us though failure to advise customers is not a punishable crime nevertheless merely an youre surprised by the pharmacists lax approach it actually does here its a bit contradictory we cant buy hard liquor but we can buy painkillers which are also hard substance if you consider the side effects. Anyone can buy painkillers and theres no restrictions on advertising children and teenagers are exposed to them everywhere and even in magazines the typical example is this full page ad in a german News Magazine it looks like an article but its an ad published by a private organization called. Loss or initiative pain free the pseudo report says young people are too hesitant when it comes to using painkillers and it notes that german pair. One glance at the start is cited as evidence in a text makes it clear practically all of them were commissioned by i could bank or b. Who is affected bank and International Pharmaceutical Company Manufacturer of the well Known Ibuprofen Medicine Near offend a pain killer for the whole family we discover nurofen and the and its here to have schmetz lost are one and the same and i could bank is the Company Behind the campaign. One information or marketing three respected Pain Medicine specialists back the campaign as consultants and with their names lend It Legitimacy among them one professor Stephan Evers who it just so happens is the author of studies that back up bank uses claims only one study appears to have no affiliation with the pharmaceutical company or its specialist a Headache Study conducted by Constance Offender of the university of christ child in Two Thousand And Five one finding headaches are one of the most common physical complaints among adolescents but does the study also recommend increasing medication intake. On the contrary her study expresses concern over the fact. But more than fifty percent of adolescents take over the counter drugs. We write to ask why her study is quoted in an ad for painkillers. The Company Behind the Ad Packet Bank is a markets lower Strength Ibuprofen under the brand name youre a fan of medication devised for children and adolescents. And is not a child anymore if she is in pain i want to know im doing the right thing in reaching changes as girls and boys grow up girlfriend for teenagers that melt on the tongue and mature is age appropriate doses you can simply divide a four Hundred Milligram Tablet of ibuprofen into and get a two hundred milligrams theres no difference so its not special. Its a clever Marketing Strategy an opinion shared by the lead author of a Scientific Study Konstanz Offender has reply to our question she had no knowledge of the fact that her paper was being used for Advertising Purposes shes never even seen if i could bank his ad campaign she declines to appear on camera but wishes quote that experts were provided a similarly sized budget and the means to counter the Pharmaceutical Industrys evidently effective strategies. And association in the western german city of harm speaks out against the intertwined interests of the medical profession and Pharmaceutical Industry its name translates as i pay for my own food christiane official heads through scroope of doctors who pride themselves on their integrity they take a stand against colleagues who promote pharmaceutical products by most there who shrieked for there must be a strict division between advertising and in from. Advertising aims to market a product seat of the initiative you mentioned is designed to market its products it even admits as much if you dig down to the bottom of its website the last thing for example are you profound sold as nurofen is mocked at its identifying a market where people are encouraged to buy and self medicate this market is created to happen and this is and this is not real information so its really instead i would call It Advertising cleverly mixed in with a Little Information source pseudo information to create a market. Doctors play an Important Role in this its Little Wonder the Pharmaceutical Industry tries to curry their favor. And of course it starts with small gifts as a token of friendship. So you may think a Ballpoint Pen is harmless. But there are dozens of studies that prove it actually has an effect thats why else would they be giving anything away they dont do it out of the goodness of their heart theyre pursuing an objective. And or when they pay for food for the employees of a practice or a hospital it has an effect how do you feel cool thats some brand name medications are prescribed more often than others the need for the doctors and the Drug Industry an Unholy Alliance we flew to new york to visit pro publica a nonprofit investigative News Organization since Two Thousand And Thirteen pharmaceutical Companies Operating in the us have been required by law to disclose the names of doctors they paid as consultants promotional speakers. The bill was passed primarily as a result of public pressure. Pro publica his editorial offices are located in the heart of manhattans Financial District its journalists are permanent staff funded by a foundation Pulitzer Prize winner tracy weber has uncovered the deep ties between doctors and the Drug Industry. Back when some Drug Companies got in a little trouble with the federal government for marketing their drugs for purposes that they werent supposed to be and as part of settlements with the government they agreed to make the identities of the doctors and nurses and other Health Professionals that they paid to speak or or consult on behalf of different drugs public but they did so in an incredibly complicated hard to read way they would put them up on their websites if you couldnt search uneasily you couldnt search for who made the most money you can search by almost any way now in our database called dollars for docs weve scraped the websites like seventeen different Drug Companies and combined all their payments for speaking and consulting in one place and research and thats now Four Billion Dollars worth of payments when we started we had no idea how big it was and we were were shocked to know just how much money is being paid to tracy webb to track down the top earners like this doctor from nashville. The psychometrist has earned up to a Million Dollars a year with consulting and promotional talks with various Companies Pro publica reporters also examined the impact these payments have on patients and they looked into a possible connection between pharmaceutical money paid to doctors by the industry and prescription numbers and some drugs we were able to see that like seventeen out of the top twenty five years of a certain heart drug were also getting money from the company and thats thats a pretty thats a pretty Important Information and what a patient would say go back to their doctor and say id like to know this drug is only supposed to be for patients with a really severe Heart Ailment why am i getting it does your payment by the drug company have anything to do with that in the u. S. Patients have the right to know whether that dont to has ties to pharmaceutical money that might present a conflict of interest. In germany where Drug Companies do not have to report as some say pay doctors to help market their products but there are growing calls for more transparency in the Pharmaceutical Industry. Money can be transferred indirectly so for example the company will Commission Experts or socalled experts with a study and it pays for their study this may be illegitimate but it is legal. Is a little its what Transparency International calls legalized corruption. Its weird Companies Pay an astronomical fee to a speaker at a Company Sponsored training course. That. We look again at the Covert Advertisement for the bankers or drug nurofen the face of the campaign is professor stephan ever a renowned neurologist and Chief Physician at a clinic we want to know how much does he get promoted in the products a Pharmaceutical Company i could. Thats exactly the question we ask him in an email with curious how hell respond and continue our research. We discovered that up until Two Thousand And Thirteen he made numerous t. V. Appearances as an Expert Consultant on migraine headaches. So its safe to say professor Stephan Evers is not media shy but hes not prepared to talk openly about every topic he answers are saying he doesnt give Television Interviews and on the question of his feet he says i dont answer questions pertaining to my personal circumstances in this context. Weve travelled to frankfurt once a year it hosts the german pain and congress an opportunity for industry and medical professionals to meet and exchange latest findings on the true. Pain professor steffen avers is also attending to the talk on pain in childhood and adolescence. So we seize the opportunity and address him in person but he again declines to grant us an interview. Still we managed to ask a few questions. Im here to present data. But can you give an objective talk about the use of painkillers if you yourself are on the payroll of Painkiller Manufacturers i am not on the payroll of a painkiller company. So you work on a voluntary basis for Painkiller Manufacturers here where you go again no its just a question which i wont answer. I find it problematic if an expert such as yourself appears in an advertisement that is obviously aimed at selling more painkillers we just wanted to clarify that while you wont clarify are you write what you want your question indicated that you already have an opinion on the matter i want to answer it. According to the organizers the lecture was financed by a packet bank no wonder then that leaflets printed by an idiot if schmitz last were distributed at the lecture naturally we asked bankers what role an expert like stephan avers place and if he gets paid for his service how much this was the reply. To this meant that is obviously aimed at selling more painkillers we just wanted to clarify that well you wont clarify are you right what you want your question indicated that you already have an opinion on the matter i want to answer it. According to the organizer the lecture was financed by a psychic bank no wonder then that leaflets printed by an idiot if schmitz last were distributed at the lecture naturally we asked their kid bankers what role an expert like stephan avers place and if he gets paid for his service how much this was the reply. Professor avers merely receives compensation for his expenses in return for his support he does not receive Research Payments from affected bank is a nod to air b. Nor the initiative have any influence on professor avers scientific one. No Research Payments we find at least one instance when she definitely has conducted a study commissioned by if i could bank its quoted in the and its laws. And we also find his name in another study by if i could bank is a us coauthor on the paper disclosed how much he was paid Twenty Thousand pounds almost Thirty Thousand europes. The trail of money in the Pharmaceutical Industry unlike in the us there is no law in germany that requires Drug Companies to publicly report their payments to doctors though the Pharmaceutical Industry has agreed to Disclose Trade Event Sponsorship it remains voluntary no one can verify their disclosures. Payments to doctors are still a secret christiane officials says its obvious that when the medical industry cultivates ties to doctors the focus is no longer on patients well being. The product of the n. S. A. And the products are used to create a lucrative market much. As take the example of record thank you sir. Its goal is to increase demand for pain killers so more and more adolescents children and adults are taking painkillers on Axis Messmate that is the goal see the seeds the goal is not to combat pain it isnt that will be the medical goal is but that could be better achieved through exercise or sport for example thats what i can because we do Need Painkillers in certain situations but we dont need a company to create a market for them and not desecrate yet. Back in new york the Opioid Crisis in the u. S. Is emblematic of the dangers posed by the Business Activity called market creation up until three years ago twenty two year old peter had a job an apartment and a girlfriend then he had a Hernia Operation and needed a painkiller i was given a prescription for opioids i had a surgery when i was around eighteen or nineteen and i was described by my doctor and. Thats really what started everything with me so. I started abusing them obviously Phoenix House is one of the most prominent nonprofit Addiction Treatment talking eyes ations in the us we spoke to its former medical director Stephen Margolese before his death in twenty sixteen he described a very concrete link between pharmaceutical marketing prescription pain killers and addiction. Most data shows that somewhere in the mid one Nine Hundred Ninety s. Opioid analgesics were aggressively marketed to physicians to prescribers with the purpose of alleviating pain of mississippi and hospitals where the little pain scales and asked people how much pain a feeling and the sense was it would prescribe or stockers were told youre under treating pain with that the supply. Was generally increased and you saw a lot of large increase in exponential increase in prescribing of Opioid Painkillers but from the Point Of View of the Pharmaceutical Industry it was a successful marketing measure us doctors began Prescribing Opiates even for less severe pain today opiates are still among the most prescribed drugs in the us they have the same effect as heroin. We are now in the midst of what is probably the worst what has been called the worst Drug Epidemic and the united. States history and World History with the most drug overdose. So if you know trace this back what really happened is in the mid ninetys aggressive marketing of these drugs availability of these drugs had brought them into the marketplace people. Had better access to them and started using. The u. S. Consumes eighty percent of the global opioid supply perhaps the u. S. Senates the cradle of the Advertising Industry was particularly susceptible to the drug makers Marketing Strategies over the counter painkillers such as paracetamol sold here as tylenol or ibuprofen can be bought in the drug store like candy off the shelf we pick up a total of about one thousand one hundred pills against pain in one purchased for the equivalent of Forty Four Euros in the us some Four Hundred Fifty people die every year from a Tylenol Overdose which is why packaging for tylenol and generic brands have carried Warning Labels since twenty thirteen thats not enough says medical journalist tracy where. Well you know i think. Patients get used to a certain thing and they think they can take handfuls of it you know whoever i dont think people think their head who ever died of tylenol or acetaminophen who ever you know ibuprofen i could take this and leslie because i have this. And i think theres not a great awareness of what the build up of that is especially if youre you are someone who doesnt read the newspaper often or Pay Attention to studies that come out or you know its its everywhere its in Roadside Shops when youre driving crosscountry its in seven a lot and its in your you know in the airport and i think you just think i got a headache im going to take that. Shopping bag a super sized pack of paracetamol a total of fifty grams of the active ingredient a dose of more than seven grams can cause potentially fatal liver damage. The dangers of a Paracetamol Overdose A little known in germany too but here there are no warnings on packages in Two Thousand And Nine the size of packages available for sale in german pharmacies was reduced power pack in chains no more than ten grams of paracetamol. France has also moved to lower the risk to consumers by reducing the size of over the counter painkillers here paracetamol is only available in quantities of eight grams. Back at the hotline of efforts Poison Control Center its staff deals almost daily with a case of severe Paracetamol Poisoning despite smaller Package Sizes some Three Hundred cases are treated at the facility every year the experts say whats needed is more regulation. And often there needs to be a serious review of Public Perception of this medications as. Other efforts shouldnt be made to change their perception. For the authorities should consider changing the status of this drug to prescription only. All of its of liftons or first. Professor chi boehner has long been calling for Paracetamol Status to be revised to prescription only. For a study in Denmark Research has examined more than Sixty Thousand mothers and their children for six years the twenty fourteen finding showed the children of mothers who regularly took paracetamol during pregnancy were at higher risk of developing behavioral or attention deficit disorders. Zukin fear is here the reason is we have observed four characteristics in children with prenatal exposure to this drug and we can see the huge their physical development a slower as is their psychological and social development feel thirdly they are more prone to develop a d h d and finally and this has been known for a long time these substances can increase the probability of asthma and hay fever later life can be version. Of the study shows Paracetamol Harbors Dangers beyond the risks of an overdose and Liver Failure but none of the findings have prompted germanys regulatory body the Federal Institute For Drugs And Medical Devices to change Paracetamols Licensing Status it says more studies would need to be carried out but who would pay for them. Studies on Drug Effectiveness are expensive and are generally commissioned and funded by the Pharmaceutical Industry the findings in turn form the basis for the authorization of Licensing Prescription Requirements for prescription free sale one physician. In duisburg has long been speaking out against the one sidedness of drug assessment. Gritty from us for the shingles three. Studies carried out by the Pharmaceutical Industry are biased because of course those who pay for them and carry them out. I have a particular objective that they want to license for the drug or a positive review when its become and in the case of a new drug it would be quite possible for regulatory authorities in germany the Federal Institute For Drugs And Medical Devices to commission a company or a university to carry out such a study i feel no order and only visited me to do thorough research in full of all stock and this company or Scientific Institute would then report back to the Licensing Committee to the regulatory authorities and not to the Pharmaceutical Company which otherwise could say well if youre so critical of our product we wont commission you anymore. Then the offline with Internet Pages of its case speaks from experience from Two Thousand And Four to twenty ten he was director of the German Agency the judges the effectiveness of medicines the Institute For Quality and efficiency in health care or equal under his tenure the cologne based institute took a critical stance when evaluating licensing for new drugs surveyed ski repeatedly clashed with the Pharmaceutical Industry and made enemies in the process. In Two Thousand And Nine a conference of state economic ministers underlined the importance of the pharmaceutical and biotechnology industry for germany as a center of business and innovation. Because the Pharmaceutical Industry is so important the economic ministers did not like the fact that quicks approach has created considerable uncertainty in the Pharmaceutical Industry in Two Thousand And Ten the board announced it would not run use of its his contract despite widespread support for his work its a spectator that pharmaceutical lobbyists were behind the Decision Sivits is in private practice but his demands have not changed with this new kid was just projects and politics can be influenced by lobbyists but we elect a parliament or parliament can pass legislation that. And that legislation could for example stipulate that manufacturers can by all means pay for pharmaceutical studies before and after licensing is granted about it but that those studies are commissioned by the Licensing Authorities or another independent body the problem is there has to be the political will to want it and they dont appear to want to ensure. For example an instance of smaller tablet packages not only for paracetamol but also for the other over the counter painkillers aspirin ibuprofen and i cough and. As long ago as twenty twelve a committee of the Federal Institute For Drugs And Medical Devices called for limiting the sale of prescription free drugs to four day rations that would enable consumers to adopt a more cautious approach to painkillers. We inquired at the federal Health Ministry when will smaller packages be introduced. The answer. The Study Findings are currently being evaluated. Back in effort. Is in favor of a more rigorously controlled market. This just i wish lists and not made in my opinion it shouldnt be possible to have such easy access to these drugs only time it into the pharmaceutical Industry Needs to adopt a much more cautious approach to pain killers as someone means to ensure that the only patients who get prescriptions for these drugs are the ones who really need them its made a comment and fans up to happen. Kickoff wanted me to put all personally i am going to. The world cup one of the fronts the rising star in the bundesliga still guards most of mombasa. Where does he come from. What his future and vision. Sometimes books are more exciting than real lives. To read some. Of. What if theres no escape. Literature list the under german law streets. In january twenty eighth. We met a chinese mother looking for her son after he was sold by human smugglers. And now were back with Tangerine Chains and shes still ok. We accompany her to Police Stations on what Friends Orphanages will touching jane never see her son again. The whole story the recorder on t. W. To mock. This is deja news coming to you live from berlin the dangers of being

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