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May 26, 1989


Author Affiliations

Winnipeg, Canada

Winnipeg, Canada

JAMA. 1989;261(20):2952. doi:10.1001/jama.1989.03420200042016

To the Editor.—  The keen observation by Dr Smith1 that American pharmaceutical companies have avoided the letter J as the first letter of a drug name is both fascinating and perplexing. As a Canadian viewing the situation, I see only two options available to my colleagues in the United States.One solution is the formation of a congressional subcommittee with a mandate to investigate the etiology of "J discrimination."The second solution is far more beneficial to both our countries. A quick perusal of the 1988 Compendium of Pharmaceuticals and Specialties reveals two brand names beginning with the letter J: Jay Max 500, a vitamin B complex with ascorbic acid, and Jectofer, injectable iron sorbitol.America needs drug names that begin with the letter J. Canada needs a warmer climate. In the spirit of the forthcoming Free Trade Agreement between our two nations, I propose swapping our Canadian pharmaceuticals