Misleading Ads Fueled Rapid Growth of Online Mental Health Companies

In an advertisement on Facebook and Instagram, a middle-aged man holding a dumbbell says testosterone "literally changed my life," restoring his energy and happiness. What the October ad from telehealth startup Hone Health doesn't say is that the unidentified man is an actor who has never used the prescription drug. From a report: It doesn't mention that testosterone is approved by the Food and Drug Administration only for men with specific disorders and that among its risks are heart attacks and stroke. Similar telehealth companies are flooding TikTok, Instagram and other platforms with ads that don't conform to longtime standards governing the marketing of prescription drugs and healthcare treatments. They feature actors posing as customers, tout benefits of drugs with no mention of side effects and promote medications for uses not approved by the FDA. Since the pandemic, online advertising has drawn hundreds of thousands of people to telehealth companies such as Cerebral and Done for treatment of attention-deficit hyperactivity disorder, anxiety and other medical conditions. Some employees and patients have said their marketing practices contributed to the abuse of controlled substances. In a four-week period spanning October and November, about 20 companies ran more than 2,100 ads on Facebook and Instagram that described benefits of prescription drugs without citing risks, promoted drugs for unapproved uses or featured testimonials without disclosing whether they came from actors or company employees, according to a Wall Street Journal analysis of ads collected by the nonprofit Algorithmic Transparency Institute from Meta Platforms' ad library.

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