Drug testing has become more vigorous over time, particularly after the thalidomide case
William Withering's digitalis soup
Through trial and error, Withering developed a remedy for dropsy using foxglove and its active ingredient digitalis
Too much digitalis poisoned patients, too little had no effect, Withering found the optimum dosage
Stages of drug testing
Testing on human tissues and cells, computer models
Testing on animals
Clinical trials: Phase 1 (testing on healthy volunteers), Phase 2 (testing on small group with illness), Phase 3 (testing on large group)
Drug testing requirements
Placebo group
Double-blind trials
Peer review
Placebo effect
The patient's condition improves because psychologically they believe the drug will make them better, so they do make some improvement
Drug testing
Need to compare to the placebo group of patients to observe whether the drug is more effective than the psychological effects
Blind trial
Where the patient does not know whether they have the active drug or the placebo drug; this is so the placebo effect can be observed
Double-blind trial
Where neither the patient nor the doctor knows which drug they have; this is to stop any subconscious bias the doctor may have when assessing the patient and their improvement
Peer review
Studies such as drug testing are reviewed by other professionals to be sure they're accurate, well carried out and significant