Guest guest Posted January 24, 2008 Report Share Posted January 24, 2008 The concept of essential drugs was first stressed in 1972, in the WHO's action programme for attaining health for all by 2000 AD. The Hathi Commission had recognised 113 drugs as essential and the government of India has included 279 drugs in the genre. A list of `essential drugs' compiled by the government health department, it is reliably learnt, includes Nimesulides both in the tablet and syrup as one of the `essential drugs' for centralised procurement to be used by government hospitals . Nimesulides, cautioned some clinicians,It may lead to arrhythmias along with liver toxicity and GI related problems. Yet the Inclusion of Nimesulides has predictably stirred a hornets nest and the medical fraternity is clearly divided over the issue. One section defends the drug tooth and nail, holding it as a very effective painkiller with very few side effects.However, the conservative section is gravely concerned over the indiscriminate and growing use of Nimesulides. Further, The exercise to shortlist the essential drugs was undertaken by the Health System Development Projects (HSDP) a year ago, on the suggestion of Delhi Society for Promotion of Rational Use of Drugs (DSPRUD). Manufacturing of fancy antibiotics and painkillers was on the cost of exclusion of life saving drugs like ORS, anti-tubercular drugs, or vaccine to counter Japanese encephalitis. Even for something as essential as vitamin A, one has to depend solely on government supply. Dr.Kiran V.Barar Quote Link to comment Share on other sites More sharing options...
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