Thursday December 13, 2018

Negligence of drug side effects data in India

0
//
Republish
Reprint

New Delhi: While 3.63 trillion medicines popped worldwide have a scientific reason for adverse side effects, India still remains the world’s third-largest medicine market.

In 2013, India reported no more than two percent of globally occurring adverse drug reactions (ADRs), jargon for side effects of medicines, logged in Vigibase, maintained by the Uppsala Monitoring Centre, a World Health Organisation collaborating centre for international drug monitoring.

India has equal side effects of medicines as in other countries.

According to a study in 2014, serious effects were seen in 6.7 percent of patients. Drug side effects have been sited as the reason for 3.4 percent of hospital admissions in India, 3.7 percent hospital readmission and 1.8 percent mortality. In the developed world, adverse reactions are believed to be the fourth-leading cause of death.

Within India, the ADR reporting rate (ADRs reported per million population) has almost doubled in the last three years to 40, but it is lower than 130

The reality is India has been ignoring the problem of adverse drug reactions or not reporting the data. That could prove costly, said experts, if it isn’t already.

Ignoring data makes drugs more unsafe.

Reporting the side effects of a drug could help determine if the medicine should stay or be pulled off shelves. A medicine labelled safe for clinical use after trials could still be found to be dangerous –as happened with Rofecoxib, a non-steroidal anti-inflammatory drug, a runaway success after its 1999 launch.

Between its launch and 2004, Rofecoxib reportedly caused between 88,000 and 140,000 cardiac events. This forced Merck, the drug’s maker, to voluntarily withdraw it from the US market and so was ban in India, although no significant cardiac event was reported.

In 2004, pharmacovigilance existed only on paper in India. Although formal monitoring began in 1986, and India signed up to the WHO Programme for International Drug Monitoring in 1997. Reporting was lax until the launch of the Pharmacovigilance Programme of India in 2010.

Carelessness and insensitivity are among reasons for India’s poor reporting of side effects.

Some key reasons behind India’s poor track record in reporting ADRs:

Nurses, who are most likely to see a patient suffering from a side effect, are expected to inform the treating doctor but seldom do.

“Doctors in India are careless in prescribing medicines because they know they will not be held accountable for their actions, and are equally careless about reporting ADRs,” said Kunal Saha, a US-based doctor who’s wife Anuradha Saha died of side effects of a drug overdose while treated for a skin allergy in 1998.

Settling Saha’s case, the Supreme Court ruled that medical negligence includes not informing patients about the possible side effects of a drug. “Physicians prescribe new drugs at the behest of medical representatives even without reading the drug pharmacology, driven by the promise of gifts, despite this being illegal,” said Saha. “Patients are prescribed excessive doses, unwarranted drugs or unwarranted combinations.”

Some doctors don’t know that drug side effects should be reported to any one of 150 ADR monitoring centres across India, nor are they adept at recognising a drug side effect.

Half of India’s population depends on drug stores not ran by pharmacists, and on doctors holding alternative medicine qualifications who aren’t permitted to prescribe allopathic medicines in many states.

Scarce data preclude regulatory action on questionable drugs

Drug side effects in India are scarcely reported, even in scientific literature.

A 65-year-old woman with cardiovascular disease developed chest pain after being put on Nimesulide, a popular pain-killer, for fracture-related pain, as this 2003 study reported. Swapping Nimesulide with an alternative, Ibuprofen, quickly alleviated the chest pain.

A 78-year-old man with heart disease was prescribed Nimesulide for a wrist injury. He developed breathlessness, blue pallor and restlessness, and quickly succumbed to further complications, another 2004 study reported.(IANS)

NewsGram view- In India a large number people suffer because of taking wrong medicines, even that has become a business that doctors don’t try to find the core of disease and prescribe medicine first. There should be data kept for drug side effects.

Click here for reuse options!
Copyright 2016 NewsGram

Next Story

List of UPA Schemes Renamed by Modi Government

The above comparison shows that BJP is not only trying to steal the credit of previously launched schemes by Congress party by just repackaging them as new schemes

0
India, elections, vietnam, BJP
Modi's LPG scheme reduced household air pollution: Study, VOA

A lot of BJP supporters claim that government led by Narendra Modi has launched several schemes for the development of nation in the last four years. What they failed to acknowledge that Narendra Modi has done nothing else than repackaging and renaming the previous schemes started by Congress and took their credit to his name. Shocked, aren’t you? In the last four years, Modi government has failed to develop any original ideas. So in order to appear like the government is working, they have renamed various successfully running schemes started by Congress party to fool people of the nation into believing that BJP has launched numerous schemes in the country. If you find this fact hard to believe, here is the list of s Modi government schemes that are nothing but altered name previously running schemes in the nation:

Pradhan Mantri Jan Dhan Yojana

Originally Basic Savings Bank Deposit Account (BSDBA)

The (BSBDA) scheme was launched in August 2012 according to RBI which provided facility of no minimum balance required to maintain the bank account and avail all the banking services. The number of withdrawals were however limited to 4 per month. The Pradhan Mantri Jan Dhan Yojana (PMJDY) is nothing else than a wrap up on BSDAB scheme adding Rs 1 lakh of accident insurance, overdraft facility up to Rs 5,000 and a life insurance of Rs 30,000 to previous BSDAB accounts.

Beti Bachao, Beti Padhao Yojana (BBBPY)

Originally National Girl Child Day programmes

BJP
The government has initiated a lot of programmes to bring about a change in the attitude of people and stop these kinds of social evils. Wikimedia Commons

According to a report of Centre for Development and Human Rights presented in 2016, the girl child education programme listed under the BBBPY scheme is nothing but the repackaging of older Sarva Shiksha Abhiyan started by Congress.

The act of similar repackaging of scheme can be found in BBBPY’s programme to improve child sex ratio and reduce the dropout rates of school girls. These programmes were already available under Congress party’s Dhanalakshmi and Sabla schemes.

Swachh Bharat Abhiyan

Originally Nirmal Bharat Abhiyan

One of the major Modi government schemes, Swachh Bharat Abhiyan launched in September 2014 is nothing but restructured result of Nirmal Bharat Abhiyan scheme which was started by Congress in April 2012.

Nirmal Bharat Abhiyan was also a renamed scheme by Congress party which was originally introduced as Central Rural Sanitation Programme by Congress in 1986.

Pradhan Mantri Awaas Yojana

Originally Indira Awaas Yojana

Pradhan Mantri Awaas Yojana, BJP
‘Pradhan Mantri Awas Yojana ‘ is an initiative by Government of India in which affordable housing will be provided to the urban poor.

According to a parliamentary standing committee report, it is found that the most anticipated Pradhan Mantri Awaas Yojna by Narendra Modi nothing by rechristened format of Indira Awaas Yojana. The funny fact about the renaming of this scheme is that several web pages of Pradhan Mantri Awaas Yojana still open as Indira Awaas Yojana documents.

Deen Dayal Upadhyay Gram Jyoti Yojana

Originally Rajiv Grameen Vidyutikaran Yojana

According to an information release by government on 23rd July 2015, the Rajiv Grameen Vidyutikaran Yojana stated by Congress is merged under the Deen Dayal Upadhyay Gram Jyoti Yojana launched by BJP with no significant changes.

Soil Health Card scheme

Originally National Project on Management of Soil Health and Fertility

According to the Outcome Budget 2015-16 of the agriculture and cooperation department, a soil health card was included in the scheme of National Project on Management of Soil Health and Fertility. The similar soil cards were also issued by Congress under the National Mission for Sustainable Agriculture.

 

Paramparagat Krishi Vikas Yojana, BJP
The aim of this scheme is to form 10,000 clusters over the next three years and bring about five lakh acres of agricultural area under organic farming to develop agricultural activity in the country

 

Paramparagat Krishi Vikas Yojana

Originally Rashtriya Krishi Vikas Yojana and other programmes

The lack of creativity and insight in Modi government schemes can be seen in its Paramparagat Krishi Vikas Yojana which is nothing but the fusion of some existing components which are amalgamated together as a cluster based programme. This fact was reported in the Outcome Budget 2015-16 of the agriculture and cooperation department.

Pradhan Mantri Jan Aushadhi Yojana

Originally Jan Aushadhi scheme

The Jan Aushadhi scheme was developed by Congress to supply unbranded medicines at reduced prices. This scheme was executed on 23 April 2008 and the first store under this scheme was established on 25 November 2008. According to an statement issued by Loksabh on 144th March 2017, the Jan Aushadhi Scheme is renamed as Pradhan Mantri Bhartiya Janaushadhi Pariyojana.

Make in iIndia, BJP
Make in India, a type of Swadeshi movement covering 25 sectors of the economy,

Make In India

Originally National Manufacturing Policy

The funny part about BJP copying this scheme from Congress National Manufacturing policy is that they forget the remove the information of previous policy in the new website of Make In India scheme. The broken download link redirects to the 2011 older policy document of year 2011.

Also Read: Prime Minister Narendra Modi Appeals MPs To Utilize Their Winter Season Well

The above comparison shows that BJP is not only trying to steal the credit of previously launched schemes by Congress party by just repackaging them as new schemes, but the BJP lacks credibility and insight required to develop new schemes necessary for the development of the nations. Some other Modi government schemes that were actually the brain child of Narendra Modi and BJP part resulted in drastic disaster in nation. GST and demonetisation are two biggest examples of such failed Modi government policies.