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Medical Voice 19th March 2019
Dr KK Aggarwal,  18 March 2019
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Date expired pharmaceutical products

  1. Expiry drugs should not be returned to manufacturers.
  2. Some manufacturers may reprocess the drugs.
  3. The expiry drugs shall be destroyed in the end points, not in the manufacturing point.
  4. Expiry drugs should be destroyed in the presence of the competent authorities not below the rank of Drugs Inspectors or Authorized Officers at any time after the date of expiry.
  5. A certificate may be issued by the authority. That certificate is useful for recovery/replacement/payment.
  6. Expiry drugs should not reach the public/people for use at any cost.
  7. For expiry drugs, the manufacturer/wholesalers should give credit note/replacement/payment/for actual rate.
  8. Expiry drugs should not be kept in the hand of people/public/medical stores
  9. Expiry drugs should not be thrown out (on the street).
  10. It should be destroyed.
  11. DCC should bring necessary amendment of provision of Drugs and Cosmetics Act 1940 with a new set of legislations and suitable enforcement for returned drugs, date expiry drugs.

(35th Drugs Consultative Committee Held on 29th & 30th April, 2004)

Morning Medtalks with Dr KK

  1. Aspirin got downgraded while heart-beneficial diabetes medications got a boost in updated primary prevention of atherosclerotic cardiovascular disease (ASCVD) guidelines.
  2. The guidelines now recommend that prophylactic low-dose aspirin: "Might be considered" for select patients, ages 40-70, at higher ASCVD risk but not at increased bleeding risk (IIb recommendation); Should not routinely be used for adults age >70 (class III, a warning of harm) and Should not be given at any age among people at increased risk of bleeding (class III)
  3. For atrial fibrillation (Afib) patients who also need antiplatelet therapy due to a recent cardiac event, using apixaban (Eliquis) without aspirin may be the sweet spot for balancing thrombotic and bleeding risk, the two-by-two factorial AUGUSTUS trial showed.
  4. Ms Patience Chikahamadze (28) whose daughter (3) had her right arm amputated at Gwanda Provincial Hospital following a botched IV canula medical procedure is suing the hospital and the Minister of Health and Child Care Obadiah Moyo for $300 000.
  5. New and effective way to avoid infection after surgeries involving implantable electronic devices, including pacemakers: As per Cleveland Clinic major infections were reduced by 40 percent with the use of dissolvable envelopes that wrap around devices and automatically release antibiotics [American College of Cardiology Annual Scientific Session, and simultaneously published in the New England Journal of Medicine]
  6. Some relief for Dr Mohammed Shaloo after the Medical Council of India (MCI) issued a fresh notification on Friday saying that students with locomotor disability of above 80% are eligible to be admitted into post graduate degress like MD and MS.
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