Chiropractic & Manual Therapies, an open-access chiropractic journal, has a
Those who oppose prescription privileges cited the loss of identity as a "drugless" profession. The lack of chiropractic education and training in pharmacology and toxicology, which amounts to a paltry 12 hours, is also a barrier. Note that this figure belies the
And here's another scary thought. According to the article,
North American chiropractors as a group were of the opinion that only 39.8% of all pharmacetical prescriptions filled annually were clinically beneficial.
How they came to this position with only 12 hours of education on the subject is suggested by the authors: such an attitude might be more related to philosophy than evidence-based practice. They got that right. Unfortunately, this conclusion leads the authors in the wrong direction:
the legal right to prescribe certain drugs to patients . . . would include the right of un-prescribing these same drugs. For example, if given limited prescriptive authority, this would enable chiropractors to advise patients against overuse and over-reliance on medications such as analgesics, NSAIDS, and muscle relaxants. Therefore, chiropractors may not all agree on prescribing rights in chiropractic, but perhaps all could unite on the issue of prescribing rights related to counseling patients on medication use?
So, they want the right to prescribe drugs so they can discourage patients from using them? Even though the authors realize their education is woefully inadequate? Do they not realize that advising against the use of a drug takes the same amount of education and training as prescribing a drug?
The push for prescription rights may be spurred by physiotherapists (physical therapists)
Even with their anti-drug bias, surveys showed that a substantial majority of chiropractors do recommend OTC drugs to patients, including NSAIDS, which chiropractors love to hate. Pain-relievers were, in fact, what the majority of pro-prescribing authority chiropractors wanted to be able to prescribe: NSAIDS, analgesics and muscle relaxants, both OTC and prescription. In Switzerland, one of two jurisdictions in the world allowing chiropractors to prescribe, their formulary is limited to analgesics and NSAIDS. Which is what you'd expect from chiropractors who brand themselves as specialists in musculoskeletal problems.
Not in the other jurisdiction though. That would be
Hormones for topical, sublingual, oral use
- dessicated thyroid
In addition, we see "homeopathics requiring prescription" and "other substances by injection," including sterile water and saline (presumably for
The article glides right by this one, never calling attention to the fact that this is a nonsensical mish-mash of real, substandard and fantasy drugs. It is a perfect example of just why chiropractors should not be allowed to prescribe as well as the folly of their claiming they can serve as PCPs.
Thank goodness it's just two jurisdictions in the world. Really small ones too. That is more than enough.