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ben goldacre witters on and on and on about things that are too long to post on twitter and not clever enough to post on his main blog at www.badscience.net

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    Write the MHRA label for homeopathy - a science communication challenge

    Homeopaths are boring, but homeopathy is a great teaching tool for evidence based medicine, because it's such an extreme example of a treatment that doesn't work, but is hotly defended by some patients and healthcare people.

    So, in that vein, here's an interesting science communication challenge.

    You have to write the official MHRA label for homeopathy pills when they're sold in the UK. You need to convey a lot of information in a small space (though to be honest, they could make it bigger), to a lay audience who don't know any technical terms. The most important thing from an ethical perspective is that you respect patients autonomy, and informed consent, by clearly informing them of what they're putting in their body.

    The competition closes tomorrow:

    http://www.mhra.gov.uk/Publications/Consultations/Medicinesconsultations/Othermedicinesconsultations/CON105929

    Here's my first draft for the label (but I don't think it's perfect, the "dummy" is problematic, but so is "placebo"):

    Lactose tablet sold as a “homeopathy” treatment, contains no detectable ingredients. Repeated trials have shown no difference in patient outcome when “homeopathy” treatments are compared with dummy treatments, beyond a placebo effect.

    Here's DC's entry:

    http://www.dcscience.net/?p=4011

    Here's the homeopaths' entry:

    http://bengoldacre.posterous.com/homeopaths-are-at-their-most-amusing-when-the

    And here's some background on homeopathy:

    http://www.badscience.net/2007/11/a-kind-of-magic/

    .


    .


    Can you write the label better than me, the MHRA, DC, and others? I'm sure you can. Post your suggestions if you can be bothered...

    A MESSAGE FROM NO SPONSOR:

    You might die soon, before that happens you should totally buy some books, they're awesome, like a Kindle only they don’t break all the time. You can have my book in the UK, US or Canada, my favourite storybook is this which I just bought for Robin Ince, I wrote an introduction for this amazing book because I love it, your life is basically broken if you don’t watch Wholphin which is how I found this which made me cry (ish). You could improve your life with nerd kit, this thing is made by people but my top nerd tip this month is stick some velcro on the back of your laptop and use that to attach a small portable hard drive with a short usb cable, hey presto, instant space upgrade. If you only read one book a month that's ten a year and 100 a decade. All that stuff to know about, and how many decades have you got left? I don't mind telling you this scares the hell out of me.

    • 17 February 2011
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    over 1 year ago Ben Goldacre responded:
    Ben Goldacre
    haha
    http://twitter.com/baldywilson/status/38267570192654336

    How about, "This product to be used for entertainment purposes only"

    over 1 year ago Chris responded:
    I think my label would probably be:

    ACTIVE INGREDIENTS:
    Tap Water.
    Bit of sugar to make you feel it's got *something* in.

    over 1 year ago David B responded:
    The liquid in this bottle is harmless, like water. We recommend water.
    over 1 year ago Zach Beauvais responded:
    Zach Beauvais
    Each tablet contains lactose and no other detectalbe ingredient. It is licensed to be sold as a safe product because no effects have ever been shown to occur except "placebo" effects.

    Not recommended for persons who are pregnant, expect to be pregnant, or who are not pregnant and have no such expectations.

    over 1 year ago Craig Travis (Facebook) responded:
    "It is recommended that anyone who believes in Homeopathy should never get pregnant"
    over 1 year ago Dave responded:
    Effects not included.
    over 1 year ago Claire Q responded:
    Contents: harmless, ineffectual.
    over 1 year ago baldywilson (Twitter) responded:
    393900_3144470170968_1241417128_3296944_1749882189_n_normal
    Since you kindly re-tweeted it for me, my contribution for posterity :) "This product to be used for entertainment purposes only"
    over 1 year ago thebottlerocket (Twitter) responded:
    Twitter_logo_normal
    Users may contain traces of nuts
    over 1 year ago Riffler responded:
    The manufacturer makes no claims about the efficacy of this product in treating gullibility.
    over 1 year ago DT_1975 (Twitter) responded:
    F2191837-c87c-4f17-aed1-be36df092bc0_normal
    I'm going for "Powered by the science of placebolecules"
    over 1 year ago boggits (Twitter) responded:
    Twitterprofilephoto_normal
    I'm giggling that the chosen advert on the youtube video was for "Homeopathic First Aid"
    over 1 year ago Geoff Robbins responded:
    WARNING: Contains chemicals, including dihydrogen monoxide.
    over 1 year ago Barry R responded:
    Just leave the label blank. Or "30C" as they put it. It'll be more effective.
    over 1 year ago boggits (Twitter) responded:
    Twitterprofilephoto_normal
    How about:

    !!!WARNING!!!
    These tablets contain no active ingredients
    <inc>Standard Lactose Warning </inc>

    over 1 year ago Steve Anderson responded:
    Steve Anderson
    On 30C Belladonna pilules:

    INGREDIENTS: No belladonna.

    Change as appropriate.

    Also, a nice generic one:

    ACTIVE INGREDIENTS: Imagination

    over 1 year ago KevlinHenney (Twitter) responded:
    Dsc_0065__reduced__cropped__normal
    This product contains no detectable active ingredients. Trials have found no evidence that this product acts as a medicine. It has no adverse side effects, but should not be used in place of medical treatment. If in doubt, consult a medical doctor.

    (I think it's important to keep re-emphasising the use of the words "medicine" and "medical", even to the point of clarifying "medical doctor", as this clearly distinguishes MDs from practising homeopaths with PhDs.)

    over 1 year ago Mary Hamilton responded:
    Mary Hamilton
    Warning: side effects may include delusions.
    over 1 year ago SceptiGuy (Twitter) responded:
    Duck_normal
    My suggestion:

    HOMEOPATHIC PRODUCT. This product contains no detectable active ingredient. If you have, or suspect you have, a medical condition, consult your GP.

    over 1 year ago Nik Halton (Facebook) responded:
    Warning: May Contain Traces Of The Nuts Who Made It.
    over 1 year ago FayeKilburn (Twitter) responded:
    28974_661639074762_193110663_40416707_6305363_n_normal
    Yesterday's cure...today!
    over 1 year ago Jo Brodie liked this post.
    over 1 year ago Steve Evans (Facebook) responded:
    Sugar water.
    Safe for diabetics.
    over 1 year ago wassabeee (Twitter) responded:
    30bb21ec-362c-4f38-86a9-5f3a01372267_normal
    Ingredients: 100% lactose. 0% <name>. Clinical trials of homeopathic medicines show they have the same effects as lactose (sugar) pills.

    This needs to be modified for preparations that have other "incipients" such as water and alcohol for liquid medicines.

    over 1 year ago bpmurray (Twitter) responded:
    P1020921cropped_normal
    NUTRITION INFORMATION
    Typical Per 100g Per 1g
    Values As sold Serving
    Energy 1200kJ/280kcal 133kJ/30kcal
    Protein 0g 0g
    Carbohydrate 99g 0.9g
    of which sugars 99g 0.9g
    Fat 0g 0g
    Magic dust 1g 0.1g
    over 1 year ago Mark_Scott (Twitter) responded:
    Mes_simpsonized_normal
    Really like KevlinHenney's proposal.
    over 1 year ago Jo Brodie responded:
    Jo Brodie
    Don't forget the Nightingale Collaboration's submission http://www.zenosblog.com/wp-content/uploads/2011/02/The-Nightingale-Collabora... which I think is best read with the accompaniment of fight scenes from Batman in the background. Biff! Kerpow! etc. http://www.youtube.com/watch?v=k7_7semtxI0
    over 1 year ago aperks responded:
    aperks
    Active ingredients:
    over 1 year ago garethpar (Twitter) responded:
    Gareth_normal
    99.9999999999999999999999999999999999999999999999999999999999% H20
    over 1 year ago garethpar (Twitter) liked this post.
    over 1 year ago garethpar (Twitter) responded:
    Gareth_normal
    likely to cause financial harm
    over 1 year ago Woo responded:
    Homoeopathic remedy
    Caution: knowledge of ingredients, or lack thereof, may render product ineffectual .
    over 1 year ago Andrew Perks (Facebook) responded:
    Any criticism may be watered down.
    over 1 year ago Zygotegifts (Twitter) responded:
    Newspaper_background_normal
    Mostly Harmless.

    or

    No detectable ingredients besides lactose. Substitution of the "homeopathic" pills for ordinary, cheaper sugar "pills" will be just as effective as this preparation.

    over 1 year ago psychokosmic responded:
    Not To Be Taken seriously
    over 1 year ago dvavasour (Twitter) responded:
    Penfold2_normal
    This product is certified as being safe to consume. It has no active ingredients, and should not be used as an alternative to consulting your family doctor.
    over 1 year ago crazyMat (Twitter) responded:
    Mat4_normal
    This product contains no active ingredients and should not be taken as a substitute for prescription medication.
    ---
    Do not exceed the maximum dosage.
    Adults and children: 10^12 pills per day.
    ---
    For best effect combine with proven treatments.
    over 1 year ago Becky Clarkson responded:
    There is no scientific evidence that these pills cause autism.

    *****************
    Equally effective treatments for these symptoms include: Tic Tacs

    over 1 year ago Andrew McLean (Facebook) responded:
    Lactose tablet prepared using homeopathic techniques. Contains no detectable ingredients. Repeated trials have shown no difference in patient outcome between homeopathically prepared lactose tablets and ordinary lactose tablets.
    over 1 year ago Anna Bradley (Facebook) responded:
    It's probably quantum
    over 1 year ago _TheGeoff (Twitter) responded:
    Elite_normal
    There's far too many funny, but accurate, ideas here to print on a label. Maybe just use "Please see http://bengoldacre.posterous.com/write-the-mhra-label-for-homeopathy-a-scienc... for further information."
    over 1 year ago Alan Henness responded:
    Alan Henness
    Patient Information Leaflet
    -----------------------------------------------
    100% woo
    -----------------------------------------------
    No known side-effects: no known effects
    -----------------------------------------------
    Warning: in case of overdose, consult a Dietitian or Dentist
    -----------------------------------------------
    POM - Placebo Only 'Medicine'
    -----------------------------------------------
    How to take your 'medicine': Add to tea or coffee with milk as required
    -----------------------------------------------
    Storage: Keep in a dry place in a sugar bowl
    -----------------------------------------------
    Return any unused product to your Grocer
    over 1 year ago Chris Richards responded:
    How about: Warning - may cause multiple financial atrophy when used for a prolonged period. If this side effect is noticed please use an alternative such as water.
    over 1 year ago Zygotegifts (Twitter) responded:
    Newspaper_background_normal
    CAUTION: please apply logic before using this product

    or

    CONTRAINDICATIONS: higher brain functions, logic, sense about science,any illness

    over 1 year ago Kafkafan (Twitter) responded:
    Kafka_20red_20and_20green_normal
    To enjoy the full benefit of this product:

    1. stand by kitchen sink
    2. open your mouth
    3. position mouth beneath tap
    4. turn on tap

    over 1 year ago David Anthony Graham (Facebook) responded:
    This product contains:
    4mg Woo
    ℓP (Planck Length) mysterious quantum vibrations
    100% Blind Hope
    over 1 year ago Vince1905 (Twitter) responded:
    16122010110_normal
    This pill should be used if you are suffering from a self limiting disease only, as part of the homeopathic tradition. If you have a serious illness or are seeking protection from a serious illness then please seek a qualified medical doctor and a proven medicine. According to homeopathic tradition like treats like and more diluted substances are more powerful. As a result of this the advertised ingredient is one drop of the original substance diluted in 1,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000, 000,000,000,000 drops of water, According to experimental, practical and theoretical branches of science, physics, biology and medicine this means that there is no molecule of the original substance remaining in these pills. Contrary to medical science the homeopathic tradition believes these pills work due to water having a memory of the original substance
    over 1 year ago Chris Richards responded:
    This product will not work if you are exposed to either a sharp injection of common sense or a nursery school science class. If you are accidentally exposed to either of these please repeat the following over and over again "I KNOW IT WORKS! I KNOW IT WORKS!". These words will realign the water memory energy fields and activate the non-existent molecules...
    over 1 year ago Andy responded:
    To be taken with a large pinch of salt.
    over 1 year ago Chris McCray (Facebook) responded:
    The original description of planet Earth from The Hitchhiker's Guide to the Galaxy springs to mind - "Harmless". Though in case some loon out there eats the sugar pills like, well, sweets, or drinks the water like, well, water, perhaps the revised description of: "Mostly Harmless" would do?
    over 1 year ago Paul Shaw (Facebook) responded:
    Warning - may cause drowning.
    over 1 year ago nagaraj subbaiah responded:
    Using electron microscopy (TEM), electron diffraction, and atomic spectroscopy, it has been found that , contrary to the arithmetic, there are nanogram quantities of the starting material still present in these ‘high potency’ remedies in the form of nanoparticles.

    how long detractors fool general public saying homeopathy is quackery

    over 1 year ago Alan Henness responded:
    @nagaraj subbaiah

    Oooohhh! Do you have a reference to that?

    about 1 year ago chris responded:
    I go for "Magic Quantum Ingredients"
    about 1 year ago Sion_Jones (Twitter) responded:
    134f3338-31ea-4599-a926-15a1c555d616_normal
    Side effects may include death from untreated conditions.
    12 months ago Paul responded:
    active ingredient: homeopath's bank balance
  • Ben Goldacre's Space

    I like stats. I'm a doctor. I write about dodgy scientific claims in my spare time.

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  • About Ben Goldacre

    I like stats. I'm a doctor. I write about dodgy scientific claims in my spare time.

    This isn't my main blog. Find me here:

    Blog:
    www.badscience.net/

    Book:
    http://www.amazon.co.uk/Bad-Science-Ben-Goldacre/dp/000728487X/?tag=bs0b-21

    Tweet:
    www.twitter.com/bengoldacre

    TED talk:
    http://www.ted.com/talks/ben_goldacre_battling_bad_science.html

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