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Practice Tip: The Learned Intermediary Doctrine

BY Diane E. Lifton
July 31, 2008

For more than a half-century ' a virtual lifetime in American law ' pharmaceutical and medical device manufacturers have benefited from the learned intermediary doctrine as a defense in product liability cases alleging a failure to warn of a product's risks. The doctrine remains a strong and viable defense to this day. The learned intermediary doctrine, in recognition of the existence of the unique relationship between prescriber/physician and patient/consumer, provides that manufacturers of prescription drugs and medical devices can be held liable for failing to warn of the risks of a device or drug only when the manufacturer fails to warn the health care provider of risks attendant to a specific device or drug. In re Norplant Contraceptive Prods. Liab. Litig., 215 F. Supp. 2d 795, 803 (E.D. Tex. 2002); Restatement (Third) of Torts: Prod. Liab. '6(d) cmt. a (1998). Thus, unlike all other manufacturers, a manufacturer of pharmaceuticals and medical devices need not warn the consumer directly. The doctrine is based on the well-accepted principle that a patient's prescribing physician is in the best ' and the unique ' position to educate the patient of the risks presented by a drug or device, given the patient's specific medical condition and therapeutic needs.

Recently, notwithstanding the defense's adoption in the majority of states, the Supreme Court of Appeals of West Virginia, in Johnson & Johnson v. Karl, declined to adopt the learned intermediary doctrine. The court concluded, incorrectly, that direct-to-consumer advertising (specifically in the context of pharmaceuticals) has eliminated the role of the prescribing physician in educating patients regarding the risks of prescription drugs. As set forth more fully below, this holding and its underlying rationale: 1) ignores and undervalues the duty of a physician to exercise medical judgment in the prescribing of drugs and medical devices based on his or her patient's individual and specific needs; 2) undermines the federal regulatory scheme that requires pharmaceutical and device manufacturers to provide warnings to physicians; and 3) deprives pharmaceutical companies of a long-standing, valid defense, apparently solely because, like all manufacturers, such companies benefit financially from the sale of their products. As set forth herein, however, the very same reasons that prompted the development of the learned intermediary doctrine more than a half-century ago remain relevant and applicable today.

Johnson & Johnson v. Karl: Factual and Procedural Background

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