According to this AMA
article
</font><blockquote><div id="quote"><font class="small">Quote:</font>
<font size=+1> Is is not proper for clinicians to use placebo therapy in everyday practice without telling patients first, according to the American Medical Association's ethics council.
A report by the Council on Ethical and Judicial Affairs (CEJA) said that it is unethical for a physician to use a placebo in the guise of therapy without the "knowledge and cooperation of the patient."</font>
</div></font></blockquote><font class="post">
This JOURNAL OF MEDICAL ETHICS
article says placebo use doesn't always involve deception.
However, I agree with this AMA
article , which states placebo use in routine clinical practice insufficiently engages the patient in the treatment plan, breaching the patient-physician relationship.