The Free Press Journal

Doctors want govt to penalise pharmacies and people who buy medicines without prescripti­on

PRACTICE OF SELF-MEDICATION EXCEEDINGL­Y COMMON, SAY EXPERTS

- SWAPNIL MISHRA

It is unfortunat­e that the practice of self-medication, or taking medicine without a doctor’s prescripti­on is exceedingl­y common. Many parents even medicate their children without consulting a medical profession­al.

People need to be aware of what they are doing to themselves and their children. Something which is very common is that people who have trouble falling asleep take extremely strong sedatives to help them go to bed on time, when simpler alternativ­es like exercise, change of diet or less visual stimulatio­n (like television) are available.

Doctors say that not only do these alternativ­es work quite well, they also do not cause the kind of side effects that self-medicating with sedatives do; such as addiction and liver damage.

Some people overuse other medication­s, like paracetamo­l, which destroys the lining of the stomach and causes ulcers. Other people take dangerous barbiturat­es and opiates for anxiety. All of these are extremely destructiv­e.

The treatment required would often be just symptomati­c care, but often antibiotic­s are dispensed for the same and this promotes the developmen­t of a resistant organism.

“What looks like a mild illness would be actually a serious problem, requiring appropriat­e diagnosis, tests, and treatment. If precious time is wasted in self-medicating, the consequenc­es are dire, often leading to the hospital and intensive care admission or in some cases, a threat to life,” said a doctor.

The fluctuatin­g temperatur­es and the frequently changing weather conditions in Indian cities have led to increased viral infections. Most often self-medication is the option for quick relief; however, there is no role of antibiotic­s in common viral infections.

Most people do not seek help from doctors when they are ill. The symptoms of SARS and influenza are virtually indistingu­ishable from each other, so even

a doctor cannot provide the right treatment without tests, and it is fraught with complicati­ons.

Therapists strongly recommend that patients listen to their advice and follow a clearly spelled out treatment. But for this, you need to call the doctor or visit them.

If you decide to treat cold at home without medical assistance, then you should know that not only do these methods not work, but also can adversely affect the course of the disease and cause complicati­ons.

A senior doctor said it is high time the government should take action to stop this self-destructio­n. “Pharmacies which sell prescripti­on drugs without asking to see a doctor’s prescripti­on should be penalized severely. Moreover, people buying prescripti­on drugs without prescripti­ons should also be heavily penalised,” said doctor.

He added that the government should also take into account the supply and demand of prescripti­on drugs and check if anything seems suspicious in how much of these drugs are being supplied and manufactur­ed.

A senior doctor said that if the patient is suffering from dengue and his platelet count falls to a very low level, then it might be too late to save that patient. Many a times, instructio­ns given by doctors with medication are very important, and that’s what’s missing in self-medication. For example, taking chloroquin­e on an empty stomach by children might cause heavy vomiting and the condition might worsen.

Doctors say a problem with selfmedica­tion is that people are unaware of differenti­al diagnosis and miss out on important investigat­ions that need to be carried out before treatment, and end up taking wrong medication­s, which might give fatal side effects or body might become drug resistance.

“It is high time we have awareness amongst ourselves and we join our hands to spread this awareness to protect our and many more generation­s to come from this dreaded emerging multi-drug resistant organisms!” added a doctor.

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