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Quality main issue in prescribing generic drugs: CII president Shobana Kamineni


Quality main issue in prescribing generic drugs: CII president Shobana Kamineni

New Delhi: Sounding a note of caution on the MCI move asking doctors to prescribe only generic medicines, CII President Shobana Kamineni has said poor quality of drugs could be dangerous for patients.

Kamineni, who is also Executive Vice Chairperson of Apollo Hospitals Enterprises, pitched for making India a major medical tourism destination to “heal the world”.

During an interaction with , she also made a strong case for promoting traditional medicines like Ayurveda.

On the contentious issue of doctors being asked to prescribe generic medicines instead patented drugs, Kamineni said the real problem is quality of drugs.

“If the generics are high quality, yes. Quality is the main thing. You cannot inject something that is not good quality… People can take the wrong thing. That’s also a danger,” said the first woman president of the leading industry chamber.

She said that for pharmacist, who are only diploma holders, it would not be easy to interpret the right mixture of salts and molecules of a generic drugs.

“It’s important that a via media is found… If we need to create more access to health care, let us find the way. But let us find the safe way,” she added.

Observing the cost of health care is low in India in comparison to developed world, the CII president said the country has an unique opportunity to become hub of medical tourism.

The Medical Council of India (MCI) has advised doctors to prescribe medicines by generic names in place of brand names.

While generics have established bioequivalence with the originators’ products, similars have not.

The Indian Pharmaceutical Alliance (IPA) patients may end up with drugs that “may not be effective at all” if doctors were made to prescribe only generic medicines.

Kamineni, whose group firm Apollo Pharmacy is among the biggest organised chemists in the country, said alopathy doctors are not allowed to prescribe Ayurvedic medicines.

“We have science in Ayurveda. We have science in Yoga and we should celebrate that,” she said. NKD RKL CS SA



Source: PTI
1 comment(s) on Quality main issue in prescribing generic drugs: CII president Shobana Kamineni

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  1. user
    Dr Pankaj kumar May 15, 2017, 1:22 pm

    Dr pankaj Kumar
    Author – evolution of medical profession-extinction of good doctors

    Doctors can be victim of this anomaly in a bigger way:
    They can be in big trouble if quality of the drug prescribed by them is lacking in its quality and efficacy. Major adverse effects and even deaths have been reported due to poor quality of drugs or contaminated drugs. For example deaths in a sterilization camp in Chhattisgarh (FIR 11.11.14) have been attributed to use of contaminated drugs. Think of the plight and suffering of the doctor who was then portrayed as a criminal. He was lucky that court ultimately found out about the poor quality drugs as the cause. But in a day to day routine practice, it is very difficult even to think of such possibilities and prove it and consequently doctor has to suffer the blame of being negligent. Most of the time, it is taken as incompetency and failure of the doctor while the actual problem lies with the drug. If a doctor makes a correct diagnosis and advises medicines correctly but the patient still does not get well, it is the doctor who is blamed for the lack of improvement. Sometimes, if patient does not get well or if a life is lost, doctor may be abused, assaulted or dragged to court. Consequently most doctors try to play safe and prescribe drugs of pharmaceutical companies of sound background. So doctor’s concern should be to ensure and demand strict quality control of medicines because it has a real bearing on the ultimate practice of the doctor. It is really unfortunate that for the lack of poor regulatory mechanisms and greed of pharmacy industry, doctors suffer.

    Doctors just need stringent quality control, law and mechanisms to guarantee effective medicine be it generic or branded.