Dear Ashish,
Congratulations for in-depth analysis of the role-
pharmacologists should play.
We should teach rational drug therapy to students(that
most of pharmacologists are doing).
Updating of General Practitioners' knowledge regarding
RUM (by arranging small group meetings-CME for them)
can be carried out by us.
Patients' education through media and meetings is also
a fruitful exercise towards RDT.
Research on tropical diseases and herbal medicines is
another way.
Good.These are the ideas.
Can you suggest some action plan?
Bharat Gajjar.
Moderator.
--- Ashish Kurundkar <drashish_kurundkar@...>
wrote:
>
>
> Hello Sir,
> It is true that pharmacologists
> are not directly involved in prescribing drugs for
> patients. As teacher the pharmacologist can teach
> them rational and cost effective treatment for their
> patients. We know irrational drug prescriptions and
> polypharmacy is rampant in developing countries. The
> pharmaceutical industry plays major role in
> influencing the decision making of health sector
> (doctors) as well as public opinion in favor of
> unrestricted drug market. The drug industries cannot
> be held solely responsible for this. The
> prescription and requisition of drugs are totally in
> hands of doctors. It is the attitude of a doctor and
> way prescribes that needs to be changed.
> Pharmacologists can contribute significantly in
> changing these attitudes.
> In India, many irrational, outdated and hazardous
> preparations are on sale and taken by patients
> without prescriptions e.g. Action 500 containing
> phenyl propalamine, Nimesulide suspension for
> paediatric group, quinidochlor,etc. Media and
> consumer unions play important role in mobilizing
> public opinion against their promotion. The
> pharmacologists can effectively put across such
> information through media and educate the public in
> correct use of pharmaceuticals products.
> As our country faces many health problems, demand
> for drugs is always on rise, but budget has it’s
> limits. Here pharmacologists can play pivotal role
> in formulating essential drug list.
> It is estimated that about half billion people are
> infected with tropical disease and India faces major
> challenge of tropical diseases. But biomedical
> research on tropical diseases account for less than
> 3 percent of world expenditure all biomedical
> research. Most of the people infected with tropical
> diseases live in countries with income less than
> $400 per person each year. Their government spend
> just $4 per person a year on health care.(Report by
> WHO Special programme for Research and training in
> tropical disease) Pharmaceutical companies are
> understandably reluctant to spend $100 million to
> bring drug for tropical diseases to market that
> cannot afford it. Being pharmacologists of
> developing country like India, we should accept the
> challenge and develop expertise in indigenous
> research. There are number of medical colleges in
> India .Pharmacologists from some these colleges can
> join hands and form team with project of research
> and development of treatment of tropical
> diseases. Government will always be eager to fund
> such type of research through ICMR, CSIR and even
> WHO can help. Research on tropical diseases should
> be priority of pharmacologists and thus contribute
> for alleviating health problems of our community.
> Thus pharmacologists can contribute to health care
> by proper educating doctors, creating awareness in
> society about wrong drugs promotion, formulating
> drug policy of nation according to need, and
> developing expertise in research.
>
>
> Dr.Ashish R Kurundkar,
> Resident,Dept.of Pharmacology,
> G.M.C.,Nagpur.
>
>
> ---------------------------------
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DR. BHARAT GAJJAR
ASSOCIATE PROFESSOR,
DEPARTMENT OF PHARMACOLOGY,
PRAMUKHSWAMI MEDICAL COLLEGE,
KARAMSAD-388325.
DIST.-ANAND (GUJARAT) INDIA.
MOBILE NO. 09428153344.
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