Concept of 'p' medicine:Moderator

[Guest guest]

Dear Moderator,Health Canada revised its guidelines for OTC cough and cold medications

and has recommended the products not be given to children under 6 years

old. The drugs affected include antihistamines, antitussives,

expectorants and decongestants. Manufacturers of the drugs, such as

& division McNeil Consumer Healthcare, will be

required to note the changes on the labels in order to encourage

appropriate and healthy use of the products, the agency said Thursday

18th Dec 2008.

CTV News (12/18/08), Reuters (12/19/08), The Canadian Press (12/18/08),

Health Canada (12/18/08), Canada NewsWire (McNeil) (12/18/08), Canada

NewsWire (NDMAC) (12/18/08)

(Copied for fare use).So, my Q is from Moderator, can we include OTCs as a P Medicine (Personal or Patient Medicine) and can be it Drug of Choice when they require to use it. Best Regards Mohammad Bashaar

From: chaitali_bajait <chaitali_bajait>Subject: Re: Concept of 'p' medicinenetrumgroups (DOT) comDate: Sunday, 21 December, 2008, 7:20 PM

Dear Trupti madam,

Thanks for your valuable suggestions. You have brought out an important point related to `p' treatment.

There is a difference between P-drugs and P-treatment. The key point is that not

all diseases need to be treated with a drug. Not every P-treatment includes a Pdrug!

`p' treatment include solving problems in therapeutics, prescribing appropriate drugs for a disease condition and delivering drug- and disease-related information in a meaningful way to patients and timely referral if necessary.

In case of a child with acute watery diarrhoea with mild dehydration, the main objective of the treatment is to prevent further dehydration and to rehydrate; the goal is not to cure the infection. The inventory of possible effective treatments (`p' Treatment) is therefore:

Advice and information: Continue breast feeding and other regular feeding;

Careful observation.

Non-drug treatment: Additional fluids (rice water, fruit juice, homemade

sugar/salt solution).

Drug treatment: Oral rehydration solution (ORS), oral or by nasogastric tube.

Referral for treatment: Not necessary.

Regards,

Dr. Chaitali

Nagpur

> > From: chaitali_bajait chaitali_bajait@ ...> Subject: Re: Concept of 'p' medicine> netrumgroups (DOT) com> Date: Sunday, December 21, 2008, 10:12 AM> > > > > > > > Dear Members,> > The quality of basic training in pharmacotherapy can have an impact on prescribing in the long term by helping to establish good habits and inoculating students against future negative influences on their prescribing. Developing personal formulary through problem based learning; students can improve skill in decision making and selection of knowledge. After developing a personal formulary, students may judge new drugs more effectively and be more capable of deciding whether or not to include these drugs into their

(personal) formulary.> > Dear members, please share your views regarding developing personal formulary.> > Regards> Dr. Chaitali>

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