Canadian Internet pharmacies offer potential benefits to patients but also potential harms. These benefits and harms are assessed from both an ethical and an economic point of view. It is argued that the Canadian Internet pharmacy industry produces a favourable balance of good over bad consequences. Criticisms frequently directed towards Internet prescribing are considered and are shown to apply to what are labelled “rogue Internet pharmacies,” but not to the tightly regulated Canadian Internet pharmacy industry.
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References
1.
EysenbachG. What is e-health?J Med Internet Res2001;3(2):e20. Available: www.jmir.org/2001/2/e20 (accessed March 12, 2008).
CooperBPringleR. Online prescriptions: a developing convenience or emerging nightmare?2003. Available: www.heartland.org/ on their Policybot research database as document #11767 (accessed May 15, 2006).
4.
BessellTLSilagyCAAndersonJNQuality of global epharmacies: can we safeguard consumers?Eur J Clin Pharmacol2002;58:567–72.
5.
FAQ: Should I buy from a website that is not CIPA certified?Gravenhurst, ON: Canadian International Pharmacy Association; 2007. Available: www.ciparx.ca/pages/faq.html (accessed August 16, 2007).
6.
PoundR. The lawyer from antiquity to modern times. St. Paul, MN: West Publishing; 1953. p. 5.
7.
College of Physicians and Surgeons of Manitoba. CPSM Newsletter2003 Dec;39.
8.
HanlonJTFillenbaumGGSchmaderKEInappropriate drug use among community-dwelling elderly. Pharmacotherapy2000;20:575–82.
9.
TamblynRBerksonLDauphineeWEUnnecessary prescribing of NSAIDs and the management of NSAID-related gastropathy in medical practice. Ann Intern Med1997;127:429–38.
10.
BeauchampTChildressJ. Principles of biomedical ethics. 5th Ed.Oxford: Oxford University Press; 2001.
11.
EngelhardtHTJr.The foundations of bioethics. 2nd ed.New York: Oxford University Press; 1996.
12.
ChoudhryNKDetskyAS. A perspective on US drug reimportation. JAMA2005;293:358–62.
13.
RowlandC. Canada threatens to halt shipments of drugs to US. Boston Globe, 11 November, 2004.
14.
CalhounA. Get on the bus: extreme answers to prescription drug costs. Christian Sci Monitor2000;18 April.
