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Patients Should Have the Right to Choose Their Medicine Brands: Medkart Pharmacy

Patients Should Have the Right to Choose Their Medicine Brands: Medkart Pharmacy

AHMEDABAD: Does your doctor follow the Ethics of MCI (Medical Council of India), and write the generic name of drugs and not brand names on the prescription?

99% of practicing doctors write brand names in illegible handwriting which is in clear violation of the code.

On May 13, 2016, the Drugs Technical Advisory Board (DTAB) of the Union health ministry had turned down a proposal by the ministry to amend Rule 65 of the Drugs and Cosmetics Rules, 1945 to provide that the chemist may offer for supply a drug formulation containing the same ingredients but in generic or other cheaper brand name. It felt that there is no guarantee that the bio availability of the generic medicine so offered by the chemist will be the same as prescribed by the physician and the lack of same effectiveness of the generic medicine may lead to harmful effect on the patient.

This, however, is in complete contradiction to the MCI Code of ethics which says “Every physician should, as far as possible, prescribe drugs with generic names and he or she shall ensure that there is a rational prescription and use of drugs.”

The FDCA however continues to approve drugs according to the generic names and their quality standards prescribed.

Globally, the USFDA notes: “Any generic drug ed after a single, brand name drug must perform approximately the same in the body as the brand name drug. There will always be a slight, but not medically important, level of natural variability just as there is for one batch of brand name drug compared to the next batch of brand name product. This amount of difference would be expected and acceptable, whether for one batch of brand name drug tested against another batch of the same brand, or for a generic tested against a brand name drug.”

All these are not coherent and forces us to believe that there are vested interests behind such decisions. A recent book ‘Dissenting Diagnostics’ talks about the ill-practices and its origin in a profession which is portrayed closest to GOD.

Does your doctor follow the Ethics of MCI (Medical Council of India), and write the generic name of drugs and not brand names on the prescription?

99% of practicing doctors write brand names in illegible handwriting which is in clear violation of the code.

On May 13, 2016, the Drugs Technical Advisory Board (DTAB) of the Union health ministry had turned down a proposal by the ministry to amend Rule 65 of the Drugs and Cosmetics Rules, 1945 to provide that the chemist may offer for supply a drug formulation containing the same ingredients but in generic or other cheaper brand name. It felt that there is no guarantee that the bio availability of the generic medicine so offered by the chemist will be the same as prescribed by the physician and the lack of same effectiveness of the generic medicine may lead to harmful effect on the patient.

This, however, is in complete contradiction to the MCI Code of ethics which says “Every physician should, as far as possible, prescribe drugs with generic names and he or she shall ensure that there is a rational prescription and use of drugs.”

The FDCA however continues to approve drugs according to the generic names and their quality standards prescribed.

Globally, the USFDA notes: “Any generic drug ed after a single, brand name drug must perform approximately the same in the body as the brand name drug. There will always be a slight, but not medically important, level of natural variability just as there is for one batch of brand name drug compared to the next batch of brand name product. This amount of difference would be expected and acceptable, whether for one batch of brand name drug tested against another batch of the same brand, or for a generic tested against a brand name drug.”

All these are not coherent and forces us to believe that there are vested interests behind such decisions. A recent book ‘Dissenting Diagnostics’ talks about the ill-practices and its origin in a profession which is portrayed closest to GOD.

Author: Medkart Pharmacy

 

Disclaimer: The views expressed in the above article are solely those of the author/agency in his/her private capacity and do not represent the views of Medical Dialogues.
5 comment(s) on Patients Should Have the Right to Choose Their Medicine Brands: Medkart Pharmacy

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  1. The retail pharmacy shop is known to substitute cheaper brands of medicine written by the doctor with expensive brands. Moreover at times cheaper brand does not mean good quality. Not each and every tab manufactured is tested for quality. Only few tabs in a batch are and quality check is assumed to be ok

  2. user
    Dr. Lalithambica June 18, 2016, 11:52 pm

    If doctors are to prescribe only generic name why permission is given to manufacture hundreds of brands of same drug?when I prescribe tabiron what pt gets from medical shop is the most costly iron preparation.ie rs. 8 per tab.but if I prescibe brand name I can order iron tab worth just 2rupees

  3. If someone providing wrong/ bad/ Dirty/Dangerous drugs book them under criminal act. Just for SERVING the greavy made out of peanut/ ground killed ( died)a costumer having eaten it one of INDIAN Restorants in England , the LAW enforcement Agencies booked against the Restorant owner as man slaughtering. It is high time not impose such stringent LAWS in our country. It is my guess more number of people Die in our country due to wrong treatment than the disease itself. Whether it is brand Or the generic the quality, efficacy, and safety should be the at most importance. In the name of medication we cannot get poison. There should not be mercy against the wrongdoings.

  4. The solution is to limit the number of companies which can produce a generic drug and keeping quality control over them…..Meropemen is being produced by more than 600 companies…..how do you keep control over all?

  5. Many drugs are spuriously manufactured in our country. How will you gaurantee if the drug you are taking is authentic. Will you take a drug manufactured in a company located in some unknown interior of the country or would you prefer to take a drug manufactured by a known big company ( which is mentally assuring as you know that the chance of the drug being bad is remote). Would you like to use genetics manufactured by unknown companies in your family members ? I for one surely would not.

Source: Press Release

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