StudentShare solutions
Triangle menu
  • Home
  • Subjects
  • Miscellaneous
  • Is the use of placebos as a control ethical when an effective standard of care medication is available (YES or No)

Is the use of placebos as a control ethical when an effective standard of care medication is available (YES or No) - Essay Example

Nobody downloaded yet

Extract of sample
Is the use of placebos as a control ethical when an effective standard of care medication is available (YES or No)

This does not exclude the use of placebo, or no treatment, in studies where no proven prophylactic, diagnostic or therapeutic method exists.1i
The revision does not ban placebo but allows it only when there is unanimous agreement among members of medical community that no effective treatment is available. In the absence of effective preferred treatment, placebo controlled trials are permissible. In all other cases, its use has been restricted on ethical grounds. Critics have raised objections to the absolutism of the revised version. The basic ethical concern is grounded in one complex question: Are the rights of the subject more important than potential for greater good of the society
If it is felt that inefficacy of drugs can be tested through placebos and new drugs can be developed, should the researchers proceed with the trial or should they be concerned about welfare of the subjects to the extent that they abandon the research This is a question which definitely is not easy to answer. Proponents of the revised version support the declaration that: "In research on man, the interest of science and society should never take precedence over considerations related to the well being of the subject."ii
Supporters of placebo controlled trial are of the view that use of an inactive agent is preferable to an active one because it provides an important static reference pointiii. Another major argument in favor of placebo use is connected with Food and Drug Administration in the US that does not approve any drug that has not been tested with placeboiv. While it is true that many resent the imperialistic stance of FDA, the fact remains that in most cases, clinical trials with placebo might appear to be the only option.
It is true that welfare of the subjects is an important concern but equally important is the development of a better and more effective treatment. In case an effective treatment exists and the patient is suffering from a life threatening disease, it is better not to proceed with the placebo control method. But where a slight delay might not significant affect a patient and a clearly effective treatment is unavailable, use of placebo should be allowed unhindered. FDA on one occasion for example "argued that the low risk to subjects justifies the use of placebo arms in clinical trials when effective treatments are available and equipoise is therefore impossible."v
It is possible to reach a consensus on the issue if we study the placebo control method carefully and delineate some clear rules as to when it can be applied. Emanuel, Miller offer a sound solution when they say, "A placebo-controlled trial has a sound scientific rationale if the following criteria are met: there is a high placebo-response rate; the condition is typically characterized by a waxing-and-waning course, frequent spontaneous remissions, or both; and existing therapies are only partly effective or have very serious side effects; or ...Show more


Use of placebo in clinical trials has sparked serious controversy after the last revision of the Declaration of Helsinki in 2000. Declaration of Helsinki is by far the most significant document delineating the rules for clinical research. The document has been subjected to criticism over its earlier versions but the 2000 revision successfully addressed some deep conceptual problems that had not been covered in earlier versions.
Author : kautzerneoma
Is the use of placebos as a control ethical when an effective standard of care medication is available (YES or No) essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Is the use of placebos as a control ethical when an effective standard of care medication is available (YES or No)"
with a personal 20% discount.
Grab the best paper

Check these samples - they also fit your topic

Provide an analysis of 3models of health and demonstrate which is the most effective mpdel to use when working with young people
Many of the diseases that were once the scourges of humanity like smallpox, polio, plague etc. have been systematically investigated, defeated or held in abatement. While it is true that many diseases and ailments do not discriminate between the age or sex of the individual, quite a few diseases have been found to be age or sex related.
8 pages (2000 words) Essay
Demonstrate Knowledge and Understanding of Legal, Ethical and Professional Frameworks for Safe Effective Patient-Centred Care
Professional boundaries are defined as ‘lines which separate the therapeutic behavior of a registered nurse from any behavior which, well intentioned or not, could reduce the benefit of nursing care to patients, clients, families, and communities’ (CRNNS, 2002).
3 pages (750 words) Essay
PROBLEMATIC SUBSTANCE USE/ DUAL DIAGNOSIS//What assessments would need to be carried out to enable effective care planning for
They are often confused to be one problem because the general assumption is that the psychiatric disorders manifested by a patient are the resultant effects of excessive and heavy use of drugs (Phillips, 2009). It has, however, been opened by medical researchers that the two are separate illnesses that tend to be manifested concurrently in patients of this nature.
4 pages (1000 words) Essay
Ethical Health Care
Minority health professional the individuals who develop the community to which they belong and the impetus should be to empower then to serve and improvise the quality health standards of their own university communities. In order to achieve this, a strategy should be adapted and must be purposed to increase the number of trained minority health professional.
10 pages (2500 words) Essay
Community Assessment and Care Planning in Medication Compliance
It did not particularly define the limits and parameters of mental illness, nor did it modify the provisions for compulsory treatment of patients diagnosed to be mentally ill under the Mental Health Act. This point of contention, among others, is one of the areas of concern
8 pages (2000 words) Essay
International accounting standard No.2 (IAS2) inventory
This standard does not apply to financial instruments and it gives out a guideline on how to measure an asset which is categorized as an inventory, which concept constitute of the cost and at what time an expense
6 pages (1500 words) Essay
Writing Response 11:Yes/No/Okay, But & And Yet
It made me curious because I thought that the use of “I” is a mortal sin in academic writing because it waters down the argument of the text as being subjective. I read and examined the argument closely and I must say that the
1 pages (250 words) Essay
Legal and Ethical Aspects of Medication Administration Case Study
In the second case, the nursing staff overdosed the little infants which caused the death of three of them. Moreover, in the third case, did a mistake in a gynecological medical procedure that led to the death of the mother. In the first
2 pages (500 words) Essay
What is lost when indigenous Australian use standard English
As Australia was colonized by the British forces in the early centuries, English became the prominent language with the Aborigines also prominently using it (or were forced to use it), and in the process undermining their own languages. Due to this undermining and
2 pages (500 words) Essay
Ethical use of information
Use of medical information other than to provide them with care and treatment is unethical, unprofessional and illegal. In case there is suspected unethical use of patient information, one must try to find out whether the physician has acted out
1 pages (250 words) Essay
Hire a pro to write
a paper under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
Comments (0)
Click to create a comment
Contact Us