Medical Voice 19th March 2019
Date expired pharmaceutical products
- Expiry drugs should not be returned to manufacturers.
- Some manufacturers may reprocess the drugs.
- The expiry drugs shall be destroyed in the end points, not in the manufacturing point.
- 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.
- A certificate may be issued by the authority. That certificate is useful for recovery/replacement/payment.
- Expiry drugs should not reach the public/people for use at any cost.
- For expiry drugs, the manufacturer/wholesalers should give credit note/replacement/payment/for actual rate.
- Expiry drugs should not be kept in the hand of people/public/medical stores
- Expiry drugs should not be thrown out (on the street).
- It should be destroyed.
- 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
- Aspirin got downgraded while heart-beneficial diabetes medications got a boost in updated primary prevention of atherosclerotic cardiovascular disease (ASCVD) guidelines.
- 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)
- 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.
- 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.
- 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]
- 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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