In December, a day came that pharma marketers have been waiting for for years – the FDA finally began to release guidance on how pharmaceutical brands can and cannot use social media to engage with patients. But the guidance is, well, a little underwhelming. (For a look into the specific actions firms should take as a result of the guidance, Dale Cooke of Digitas Health has put out a regulatory note, it is the best I’ve seen so far)
First, some background, if you’re not knee deep in health-related social media circles. The US Food and Drug Administration, in addition to determining which pharmaceutical products should and shouldn’t be allowed in America’s pharmacies, also regulates the ways in which pharma companies are allowed to market to doctors and patients. Sounds smart, right? After all, we’re talking about potentially-dangerous drugs, here.
As such, they’ve developed guidelines and rules for the use of electronic marketing in a pharmaceutical setting. The only problem is, they haven’t been seriously updated since the late 1990s – and do not account for social media at all. This has put pharma companies in the weird position of being able to use social to broadcast certain messages but unable to have meaningful conversations with their customers, lest a side effect or adverse event is reported, setting off a chain of regulatory red tape.
The FDA listened and, in November 2009, held two days of hearings where pharma marketers, consultancies, doctors and scientific groups testified and gave suggestions on adapting the agency’s guidelines for a shifted communications landscape. And then, we waited – until Christmas Day 2011, when the FDA published this – entitled “Responding to Unsolicited Requests for Off-Label Information About Prescription Drugs and Medical Devices” - in the Federal Register, without even issuing a press release. This particular issue is one small facet of the pharma/social media problem, and it looks as though that the agency, rather than issuing sweeping guideline shifts that acknowledge a new communications landscape, is going to attack issues piecemeal.
But this specific guidance gives very little evidence that the FDA is thinking about social media as a systemic phenomenon, as opposed to a special case, capable of being dealt with with one-off regulations. First, the basic assumption is that marketers will be using social channels to “disseminate product information”, i.e., to advertise. That’s a given, but social offers organizations a lot more than just more space to plaster messages; we’ve talked about how social media trends mirror those in real life, and presumably the ability to listen to consumers better might lead to better health outcomes.
So here’s what I’d like out of future FDA guidances: an acknowledgement that social is a conversational medium, not a broadcast one; that it has benefits for pharmaceutical companies and broader public health outcomes beyond providing a place for Pharma to advertise; and that rigid rules on what Pharma can and can’t discuss in certain circumstances is bound to fail in a landscape where drugs are prescribed for all kinds of purposes.
Maybe we’ll get it, but I’m not hopeful.

The term “emerging markets” is a misnomer—many of these markets have already emerged and are better described as “ascendant markets”. That much is clear after reading 



