p medicine concept

[Guest guest]

Dear Dr. Chaitali,

Congratulations for carrying out discussion, on the topic which is of value for medical students (marks!), teachers (concept formation), patients (health and wealth) and doctors (prescribing practice), in such a well formatted manner.

You have rightly said that responsibility of implementation of ‘p drug’ concept should be shouldered by not only prescriber but patients and regulatory authority as well. It is not necessary to know brand name of hundreds of medicines but just few of the medicines should be known in and out so as to use them effectively to treat the patient. That is the “personal formularyâ€.

As said in the undergraduate pharmacology practical manual ‘STEP’ should be the way to select p drug.

Safety

Tolerability

Efficacy

Price

Pharmaceutical industry is using rule of ‘C’ to improve sell of me too drug by targeting both prescribers as well as patients (OTC drug ads). So if prescribers are thorough with their prescribing policies, they might cross check tall claims made by pharma companies and prevent themselves from hopping from one brand to other just for the namesake and no gain for the patients.

Improved patients awareness is the best reign on pharma practice and manipulated prescriptions but it would take time. So in the present scenario it’s the prescriber who with p drug could treat the patient rationally. In the curriculum undergraduate students should be given the theoretical problems to select p drug for major diseases so that this “habit†might help them follow rational prescribing in long run.

Regards,

Dr. Smita MaliGMC, Nagpur.

From: chaitali bajait <chaitali_bajait@...>Subject: Re: p medicine conceptnetrum Date: Saturday, 20 December, 2008, 10:30 PM

Dear members,

Please go through an article- “Should medical students learn to develop a personal formulary?†attached herewith.

Regards,

Dr. Chaitali

Nagpur

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