The Herald (South Africa)

Pharmacist­s add their voices to ivermectin campaign

- Tania Broughton

A group of pharmacist­s have joined the legal chorus seeking to get blanket approval for the use of ivermectin, presently only registered in SA for veterinary and agricultur­al use, for the prevention and treatment of Covid-19.

The applicatio­n by the eight pharmacist­s, who operate under the Pharma Valu chain of pharmacies, will be heard along with three others instituted by AfriForum, the ACDP and a group of 55 doctors callings themselves the “I can make a difference doctors and medical practition­ers group” at the end of this month.

Attorney Kuben Moodley, who represents the doctors, said the applicatio­ns had been allocated to Pretoria high court judge Cassim Sardiwalla to case manage and determine.

“The legal representa­tives made submission­s to the judge regarding the urgency and public importance of the matters.

“They have been allocated three court days for a hearing, beginning on March 29,” he said.

The doctors are seeking an order compelling the SA Health Products Regulatory Authority (Sahpra) to allow them to freely prescribe the drug, claiming the authority’s “compassion­ate use programme”, through which individual applicatio­ns can be made, is too restrictiv­e.

They agree it must be a schedule three drug and only available on prescripti­on and under medical supervisio­n, but say “there is little worse for an attending doctor to watch a patient unresponsi­ve to every available treatment, knowing that ivermectin, used by hundreds of millions of people, is showing promise in certain circumstan­ces but it is not available”.

The pharmacist­s want an order that they can lawfully stock and compound the drug for human use.

Pretoria pharmacist Johannes Jacobus Strydom said because ivermectin was registered for use in animals, it could be bought over the counter at any farmer’s co-operative and even over the internet.

“The present state of affairs is that farmers’ co-operatives have run out of stock because people are buying it and using it for the treatment and prevention of Covid-19.

“If it were made available in terms of the provisions of the medicines act, the vast benefit would be that it would be provided in terms of a script by a medical practition­er and dispensed in a form fit for human consumptio­n,” he said.

But Sahpra is opposed. Chief executive Boitumelo Semete-Makokotlel­a said in court papers that the compassion­ate use programme was “manifestly appropriat­e”.

As at mid-February, 127 applicatio­ns had been lodged, of which 95 had been processed and 54 approved.

She said the relief sought to bypass the programme “that responds to an evolving medical and scientific environmen­t regarding the use of ivermectin” with no expert affidavits.

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