The Pharma Career Ladder · The medical rep · Step 3: Knowing the science · Lesson 6

Talking about side effects

Honesty that builds trust instead of losing the call

By Ahmed El Menshawy · 20 years in pharma, from medical rep to country manager in the UAE. Founder of RepPharma. LinkedIn
Published

The fastest way to lose a doctor's trust is to pretend your drug has no side effects.

He already knows it does. Every drug does. When a rep avoids the subject, the doctor does not hear confidence. He hears someone hiding something. Industry codes require promotion to be balanced for exactly this reason.

What I coach:

  • Wrong: wait and hope the doctor does not ask.
  • Right: raise the most common side effects yourself.
  • Wrong: "It is very well tolerated, Doctor."
  • Right: "This is the most common one, and this is how it was managed in the trial."
  • Wrong: skip the discontinuation data.
  • Right: show how many patients stopped, and why.
  • Wrong: argue when the doctor reports a problem.
  • Right: thank him, and report it to the safety team.

Handled well, the side effect conversation is often the moment the call turns. The doctor sees that you will tell him the difficult part too, and everything else you say becomes more believable.

“The doctor already knows every drug has side effects. He is testing whether you will tell him.”
Talking about side effects: Honesty that builds trust instead of losing the call

Lesson 6 of 11 in Step 3: Knowing the science, with the full guide and a checklist for this week.

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