PHM-Exch> Fixed dose combination medicines (FDCs) (2)

[Claudio Schuftan]

From: massimo serventi <ser20 at hotmail.it>


  I've worked in several countries, african and asian, the music is the
same: children are overmedicated, too many and Unecessary drugs, especially
antibiotics. I feel alone, nobody seems concern on this issue. Now I read
this FDC, although I don't understand its basics it seems to me related to
my concern.

IMCI cost a big amount of money, the aim was to optimize the use of drugs
in children. Honestly I don't find IMCI applied in practice, not at all.

I have few proposals for which I would like to have the opinion of
colleagues in the world.

1) It should NEVER be accepted a prescription of more that 2 drugs per
child, never, under ANY circumstance. One drug per child is OK, 2 drugs are
possible, 3 NEVER!
2) Prescription of drugs AND delivery of the same drugs should never occur
in the same building or dispensary if you like. Conflict of interest is
clear here.
3) Widal test should be banned from ANY health centre, hospital whatsoever.
Banned, regarded as dangerous, for patients, for the the art of medicine.
4) A ordinary out patient dept(ambulatory) should prescribe NO MORE than
15-2% of antibiotics to children. In other words only 1 out of 10 children
should be treated with an antibiotic, maximum 2 out of 10. NEVER more that
this percentage.

It should be clearly written on the walls of any ambulatory that the
majority of children febrile diseases are of VIRAL origin, therefore they
are not susceptible to antibiotics and heal Spontaneously,some paracetamol
will suffice.
It should also be written that drugs are dangerous(!!), expensive(!!!), the
good doctor is the one who prescribe less and REVIEW more, after one or two
days, come again in case of no improvement.....

* I want the opinion of other doctors, pediatrician like me*. I repeat...I
feel alone, the market is there to win, drugs are flowing into African
countries, expensive(poor , poor people deprived of the little money they
have!!) we all should be serious, honest and concerned. Respect for the
poor, respect for medicine.

Massimo Serventi
Pediatrician
Dodoma
Tanzania


From: *Gopal Dabade* <>

http://pharmabiz.com/NewsDetails.aspx?aid=67408&sid=1

*
*

*Planning Commission panel calls for sterner regime on FDCs*
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