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Number 40 - Indian Pharmaceutical Association

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Clarithromycin use may be linked to<br />

increased risk of miscarriage<br />

MedPage Today reports, "Use of the<br />

antibiotic clarithromycin (Biaxin) in the<br />

first trimester of pregnancy is associated<br />

with an increased risk of miscarriage,"<br />

according to a study published online in<br />

PLOS ONE. Researchers found, "in a large<br />

cohort study," that women "who took the<br />

drug in the first trimester were 56% more<br />

likely to miscarry than those who did not<br />

take the drug." However, there was "no<br />

increase in the risk of birth defects."<br />

treatment or monitoring, resulting in<br />

fatalities.<br />

The drugs have been used on thousands<br />

of adolescent girls in Gujarat and Andhra<br />

Pradesh, they said. "These vaccines had<br />

not been assessed with respect to safety<br />

and efficacy for the <strong>Indian</strong> population,<br />

where adolescent girls are<br />

overwhelmingly anemic and<br />

malnourished. No steps were taken to<br />

ensure the health and safety of the girls,"<br />

the petitioners said.<br />

Supreme Court notice to<br />

Government on PIL over marketing<br />

of Gardasil and Crevarix vaccines<br />

The Supreme Court has issued a notice to<br />

the government on a plea that licences<br />

for sale and marketing of Gardasil and<br />

Crevarix, vaccines for prevention of<br />

cervical cancer, should be revoked as the<br />

drugs are "unsafe" and the permits were<br />

granted without adequate research.<br />

Gardasil and Crevarix, both human<br />

papilloma virus (HPV) vaccines, are being<br />

marketed in India by MSD<br />

<strong>Pharmaceutical</strong>, a subsidiary of Merck,<br />

and GlaxoSmithKline, respectively.<br />

"Both vaccines were licensed in India<br />

without sufficient clinical trials in<br />

appropriate age groups to determine their<br />

safety and efficacy," the public interest<br />

litigation (PIL), filed on behalf of an<br />

Andhra Pradesh-based women's<br />

organisation, said.<br />

Seeking a ban on their sale and use,<br />

petitioners Kalpana Mehta, Nalini Bhanot<br />

and V Rukmini Rao alleged that the<br />

drugmakers were "conducting trials" on<br />

unsuspecting women from vulnerable<br />

sections of the society without follow-up<br />

The PIL claimed that the Parliamentary<br />

Standing Committee for Health and<br />

Welfare had sought a probe into the<br />

approval for marketing of these vaccines<br />

but "this was not done". According to the<br />

PIL, the <strong>Indian</strong> Council for Medical<br />

Research had entered into an MOU with a<br />

US-based NGO to execute a project to<br />

test the drugs.<br />

Source: Economic Times<br />

<strong>Indian</strong> Government plans new<br />

legislation to take DPCO out of<br />

Essential Commodities Act ambit<br />

The government is planning to bring a<br />

new legislation to modify and place the<br />

Drugs Price Control Order (DPCO)<br />

separately from the ambit of the Essential<br />

Commodities Act.<br />

However, the new legislation is unlikely to<br />

be presented in the Budget session of<br />

Parliament and the Department of<br />

<strong>Pharmaceutical</strong>s (DoP), hence, would<br />

notify the revised DPCO before the<br />

session, it is learnt. The new DPCO will<br />

lay out the retail price of over 6<strong>40</strong> packs<br />

of 348 essential medicines.<br />

“The National <strong>Pharmaceutical</strong> Policy was<br />

already notified and to define the<br />

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