Wednesday 2 October 2024

Modern times require Modern Solutions


For modern times an ideal prescription should be a computerized printed form prescription so that it is legible opposite to oftenly an illegible physician's handwritten prescription. So that automization of dispensing of prescription medicines is possible by using modern technology like a computer scanner attached to pharmacy vending machines eg Script Pro Unit Dispenser.

The Need for Strict Action Against Companies Manufacturing Spurious Medicines in India.

The Need for Strict Action Against Companies Manufacturing Spurious Medicines
in India
by Vikas Parashram Meshram

spurious medicines
The news that 53 medicines claiming to relieve ailments such as fever, pain, high blood pressure, diabetes, etc., have failed to meet quality standards during trials is concerning. The inclusion of Paracetamol, a widely used medicine in the country, among these is ironic. It is astonishing that these medicines are being sold openly under the nose of the government. The Central Drug Regulator has released a list of medicines that do not meet quality standards. The general public is left wondering how these substandard drugs affect our health. Moreover, has any action been taken against those selling inferior medicines? As of now, no official information has been released in this regard. Undoubtedly, this is shameful and exposes the failure of the system, where the medicines people buy to alleviate physical suffering are substandard. It is highly likely that such inferior medicines could also have negative consequences. Serious research is needed in this regard.

Importantly, the medicine Paracetamol, which is commonly taken by people, also failed in the trials. It is generally believed that this medicine is effective in treating occasional fevers, pains, etc. Including it in the Central Drug Regulator’s list of substandard medicines will undoubtedly break people’s trust. It is unfortunate that human values have declined to the extent that people do not hesitate to play with the lives of suffering patients for their own benefit.

Although the CDSCO (Central Drugs Standard Control Organization) has tested the quality of 53 medicines, only a list of 48 was eventually released. The reason behind this is that five of the listed medicines were claimed by the manufacturing companies to be fake drugs being sold under their brand names. The unethical practices in the pharmaceutical industry are increasing the crisis in people’s lives. While the Drug Standard Control Organization has banned these medicines, today, these medicines are not saving millions of lives; instead, human greed is taking them.

Many branded companies’ medicines have also been included in the list of substandard and defective drugs. Despite strict processes in place to ensure the quality of medicines, cases of substandard medicines continue to surface. Even well-known pharmaceutical companies’ products are failing to meet the standards, leading one to believe that these companies have begun compromising ethics and humanity for more profits at lower costs. In addition to the issue of inferior drugs, many fake medicines are also being sold. These include medicines for BP, diabetes, acid reflux, and certain vitamins. Furthermore, among the medicines that have failed CDSCO’s quality standards are Paracetamol (a fever reducer), Diclofenac (a painkiller), and Fluconazole (an antifungal medicine), produced by some of the country’s largest pharmaceutical companies, which have also been declared harmful to health.

The release of a list of substandard medicines has raised concerns about the safety of patients’ health. Patients take medicine with the hope of recovery. Today, these medicines are not saving millions of lives; human greed is killing them. The inclusion of many branded companies’ medicines among substandard and defective drugs is alarming. Despite strict processes to ensure the quality of medicines, these cases of non-compliance with standards keep surfacing. The process includes testing raw materials and inspecting the production process. Even then, if well-known pharmaceutical companies’ products fail to meet the standards, it shows that they have begun to sacrifice ethics and humanity for more profits at lower costs.

This is not the first time medicines have failed to meet quality standards. The common public remains with the question: if these medicines do not meet the standards, what are their negative consequences? How much will these substandard medicines affect our health? Also, has any action been taken against those selling inferior medicines? Undoubtedly, this is shameful and highlights the failure of the system, where people buy medicines to reduce physical suffering, only to find them substandard. It is highly likely that such inferior medicines could have negative consequences, and serious research is needed in this regard. The ongoing sale of these medicines poses a threat to people’s health.

Meanwhile, the DSCO (Drugs Standards Control Organization) has granted exemptions for some medicines imported from select countries like the USA, Australia, Japan, Canada, and the European Union from routine sample testing. Yet, defects are being found in medicines from companies entering the Indian market. This will negatively affect our image. Any negligence in drug testing is inexcusable, as this malpractice in the pharmaceutical business could become a threat to people’s lives. The reality is that state governments are also delaying action against pharmaceutical companies run by the powerful and wealthy class, and it is the common people who are paying the price. It is unfortunate that human values have declined to such an extent that people do not hesitate to play with the lives of suffering patients for their own benefit.

This August, the central government banned the sale of 156 fixed-dose combination (FDC) medicines. In fact, these medicines were generally used in the form of cold and fever relief, pain relievers, multivitamins, and antibiotics. The production, distribution, and use of these medicines were banned because they were found to be harmful to patients. The government took this decision based on the recommendations of the Drug Technical Advisory Board, but medical quality remains questionable. In fact, the combination of several medicines into one pill is known as fixed-dose combination drugs (FDCs). However, the lack of standards in life-saving medicines used for common ailments is playing with patients’ lives.

The culprits selling inferior medicines must be severely punished. Such individuals are only interested in personal enrichment through wealth. Now, it seems that the times have become so absurd that anyone who gets the opportunity is involved in looting. The extent of this is evident when reports emerge of counterfeit injections being made instead of life-saving injections. We have become so greedy and inhumane that we have lost all sense of sensitivity, which is why we sell our dignity and mix Paracetamol into injections to sell them. What will all this wealth be worth? Pharmaceutical companies are jeopardizing people’s health by compromising on the quality of medicines. Firstly, there are no effective treatments for many diseases, and secondly, the essential medicines used for these diseases are unverified and defective. The government has failed to control this situation.

Millions of people across the country are looking to the administration for a way out. It seems that the government’s control over the system is weakening. Where will the common man go? The country that once gave the world a message of nobility, morality, and humanity now stands on the verge of moral collapse. Today, the country is so hollow and frail in terms of values and sensitivity. Materialistic and selfish values have taken root so deeply that eradicating them will not be easy. The entire conduct of man has become corrupt. Immorality has infiltrated all small and large businesses. In such circumstances, governments will have to formulate long-term policies, considering the broader implications. The regulatory departments must be held accountable, and those guilty of selling substandard medicines must be punished.

#PharmacistAndHisCertificate

#PharmacistAndHisCertificate 

A Pharmacist and his Certificate are not two different separable instruments to be left and move on...

One has no value without the other just as one side printed currency note.

A Pharmacist who doesnt know the professional value of his Certificate is not a Pharmacist.

POV : Bhagwan PS

DCC asks sub-committee to look into procedures related to disposal of unused medicines by general public

DCC asks sub-committee to look into procedures related to disposal of unused medicines by general public
Gireesh Babu, New Delhi
Monday, September 30, 2024, 08:00 Hrs  [IST]
The Drugs Consultative Committee (DCC) has asked the sub-committee which prepared a draft guidance document on safe disposal of unused or expired medicines, to look into the procedures related to disposal of such medicines by the general public.

The DCC, in its 64th meeting held on June 19, 2024, said that the sub-committee it recommended in the 58th meeting in July, 2020, has submitted its report along with the guidance document on safe disposal of unused/expired medicine now and the DCC deliberated the guidelines and report in detail.

"The DCC agreed in principle with the report of the sub-committee and the guidance document and recommended that the sub-committee may also look into the procedures mentioned under the draft guidance document related to disposal of expired/unused medicine by the general public before finalisation," said the Committee.

The 58th DCC meeting considered the proposal for creation of drug disposal policy for public and support for "pharm ecovigilance", following a letter received from All India Institute of Medical Sciences (AIIMS) referring an article that contains a study aimed to assess the extent of exposure of active pharmaceutical compounds (APCs) in the hydrologic cycle in and around New Delhi.

The study analysed the presence of 28 drugs from different classes in the surface water. The study further revealed that apart from therapeutic usage, the main source of ecological exposure could be due to the disposal of unused and expired pharmaceutical compounds into landfills. It revealed the existence of antimicrobial agents and other APCs in the aquifers of Delhi with levels >0.1µg/L.

Placement of appropriate strategies is expected to reduce the
burden of APCs and other pollutants into the hydrologic cycle. It has also been stated that un-segregated drug disposal could be a reason for the emergence of drug resistance with special reference to antibiotics.

"Hence, drug disposal policy for public and hospitals where people can dispose of used, unused, expired drugs and drug formulation safely is required," observed the committee in 2020, while recommending the constitution of a sub-committee under chairmanship of State Drugs Controller, Kerala to examine the issue.

The Indian Pharmaceutical Association (IPA), has also raised the issue with the then health minister J P Nadda in January, 2019, requesting development of strict regulations and policies for disposal of pharmaceuticals.

With no system in place to direct the patients and clinics to send the medicines unused through a specified safe collection and disposal mechanism, such medicines usually are dumped in the trash cans or flushed down the sink or toilet. In addition to medicines, blood sugar testing strips, cotton and bandage materials as well as syringes and needles used for self-injection, for example, of insulin by the patient are also dumped in the trash cans, said the IPA in a letter to the then health minister.

"All medicines are chemicals and their improper disposal poses a serious threat to the environment and public health," said the letter signed by general secretary of IPA, Suresh Khanna.

"Each year there are tons of expired or unused medicines disposed of by households, hospitals, and manufacturers. The disposal of these medicines is not as per any particular guideline and these disposed of medicines ultimately enter water resources such as rivers and lakes through soil and landfills, eventually affecting aquatic life and entering the food cycle through fish and vegetables. Improperly disposed medicines could also get repacked and recycled to pose a direct threat to human health," it added.

The Association suggested steps on a war footing including policies and systems for segregation, collection and disposal of pharmaceuticals at the domestic as well as at specific stages of the pharmaceuticals distribution chain, monitoring of large scale disposal of unused pharmaceuticals by the manufacturers, development of nation-wide awareness on the ill effects of unsafe and inappropriate disposal of pharmaceuticals, and mechanisms to reduce unnecessary medicine purchases and implementation of responsible use of medicine.

The Association also suggested development of the concept of eco pharmacovigilance and strict implementation. The collection and safe disposal system for unused expired or unexpired medicines must be developed and implemented at the local government level, it added.

We hope that the guidance note will provide detailed procedures for the collection, storage, transportation, and disposal of such drugs, ensuring they are managed in a way to protect the environment and public health.

Sunday 29 September 2024

Pharmacists are Healthcare Professionals or Pharmacare Professionals?

Pharmacists are HealthCare Professionals.

Lets be worth it.

Really!!!,  then why the term ' PharmaCare ' was coined.
Pharmacist A HealthCare professional? If so why pharmacy course is not?. Has the Pharmacy education been got included in National Health Education Manual?

Saturday 28 September 2024

Why do different kinds of medicines have different number of tablets per packet?

Why do different kinds of medicines have different number of tablets per packet? For some, there are 4 tablets for a pack, and for some there are 10.
There may be different reasons for it.

The main reason why it is done, is to cover the complete course of medication. e.g. if the course of a medication, especially antibiotics is completed in four doses, it is most likely that the tablet shall be marketed in blister packs of four tablets. This is done primarily to avoid overdosage and unprescribed usage of the drug. On the other hand, any OTC medication like acetaminophen/paracetamol or multivitamins can come in blister packs of 10/15/20/30 as they can be taken over the counter and whenever needed, till their expiry.
Secondly, the MRP per tablet of smaller pack size is higher (although manufacturing costs are also higher). Some pharma companies may market the same salt in smaller pack sizes to improve their margins per tablet.
Thirdly, there are certain combinations of different drugs that need to be taken in a particular sequence. Usually this sequence is of two or three different salts, each to be taken one after the other. In such cases, the complete course is packed in a single blister pack that usually contains three or max four tablets.
Smaller packs of medicines are consumed quickly and the patient has to go to medicine shop repeatedly. This increases the sales volume of the pharma company. Again, profiteering.

Friday 27 September 2024

WorldPharmacistsDay 25 Sep 2024. Meet the Pharmacist. Care while purchasing Medicines.

#WorldPharmacistsDay 

I am seeing the template posts of only Non - Practicing academic schollars as Resource Persons for "#WorldPharmacistsDay "!

I am not finding at least a Single 'Practicing Pharmacist' being invited as 'Chief Guest' for Pharmacist day / Weak anywhere in India.

Even Pharma Academy looks down at their own Pharmacist. 😢

POV: Bhagwan PS
Happy World Pharmacists Day...!!!

Today, we celebrate the vital role of pharmacists in transforming global healthcare. In India, clinical pharmacy is steadily evolving, with pharmacists taking on more significant roles in patient care. From optimizing medication therapy to collaborating with healthcare teams, Indian pharmacists are bridging gaps in healthcare delivery. 

As medication experts, they are pivotal in ensuring safe, effective, and economical use of medicines, especially in hospital settings. With initiatives in pharmacovigilance, patient counseling, and therapeutic drug monitoring, clinical pharmacy practice in India is expanding to meet global standards.

Let's recognize their contributions today and continue supporting their growth towards a healthier tomorrow...!!!

#WorldPharmacistsDay #ClinicalPharmacyIndia #HealthcareProfessionals #PatientCare #MedicationSafety #fip