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Journal of Medicine Vol 4 - Amrita Institute of Medical Sciences and ...

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<strong>Amrita</strong> <strong>Journal</strong> <strong>of</strong> <strong>Medicine</strong><br />

Caution! Counterfeit <strong>Medicine</strong>s are on the Rise<br />

To report any suspicion on spurious / counterfeit<br />

products to the authorities/ pharmacovigilance cell in<br />

the area.<br />

To fully cooperate with enforcement agencies.<br />

a. Communication:<br />

The Pr<strong>of</strong>essional bodies should maintain effective channels<br />

for communication with enforcement agencies<br />

<strong>and</strong> legitimate manufacturers.<br />

b. Education:<br />

The Pr<strong>of</strong>essional bodies should take the initiative in<br />

consumer <strong>and</strong> public education spread information<br />

on suspected counterfeiting activity to their members.<br />

They should devise <strong>and</strong> disseminate simple safety tips<br />

for the consumers.<br />

6. At the Consumer Level:<br />

Consumers are advised to be particularly vigilant about<br />

their medications.<br />

These products may be expired, contain incorrect ingredients<br />

or amounts <strong>of</strong> active ingredients, or be enclosed<br />

in packaging that does not match the product inside.<br />

Consumers are advised to be particularly vigilant about<br />

their medications.<br />

SIMPLE SAFETY TIPS FOR THE CONSUMERS<br />

1. Look at Your <strong>Medicine</strong>:<br />

It is very difficult for healthcare pr<strong>of</strong>essional, let alone<br />

the patient to identify a counterfeit product just by<br />

looking at a medication or its packaging.<br />

a. Read the instructions printed on the product, the package<br />

or the package insert.<br />

The label or the package insert should provide all the<br />

basic information about the product <strong>and</strong> the manufacturer.<br />

These are required for the safe <strong>and</strong> effective<br />

use <strong>of</strong> medicines.<br />

b. Signs <strong>of</strong> tampering<br />

Package / container is different, unduly soiled or<br />

damaged.<br />

Contents show signs <strong>of</strong> decaying like discolouration,<br />

cracks, precipitate etc.<br />

c. Information about the product:<br />

Name <strong>of</strong> the product (generic <strong>and</strong> registered).<br />

Strength.<br />

Total quantity in a pack.<br />

Unit dose, <strong>and</strong> dosage per day, dosage interval.<br />

Route <strong>of</strong> administration.<br />

Synopsis on pharmacology.<br />

Warnings, interactions - possible drug - food <strong>and</strong> drug<br />

– drug interactions.<br />

d. Information about the manufacturer:<br />

Name <strong>of</strong> the manufacturer /distributor.<br />

Licence number <strong>of</strong> the manufacturing firm <strong>and</strong> / or<br />

distributor.<br />

Lack <strong>of</strong> basic information about the product in question<br />

or an unpr<strong>of</strong>essionally prepared document with<br />

factual errors <strong>and</strong> /or spelling <strong>and</strong> grammar mistakes<br />

should arouse suspicion <strong>of</strong> a spurious medicine.<br />

2. Talk To Your Pharmacist:<br />

If the package is different or damaged.<br />

If there is variation in shape, colour,<br />

consistency, taste, smell, or feel.<br />

If it does not produce the expected<br />

results or it produces. This can be due a<br />

number <strong>of</strong> reasons, including:<br />

a. Your body’s response has changed<br />

over time (requiring a higher or lower dose).<br />

b. You have a new medical condition<br />

that changes the medication’s<br />

effectiveness, or<br />

c. An interaction has occurred among<br />

medications, vitamins, or herbal<br />

supplements you are taking or<br />

specific foods you are eating<br />

d. you have received a counterfeit<br />

medicine.<br />

If it produces unusual experiences<br />

It may be due to side effects, interactions<br />

or allergy.<br />

3. Advice on Procurement <strong>of</strong> <strong>Medicine</strong>s:<br />

a. Authorised dealer<br />

Chances <strong>of</strong> getting original medicines are high when<br />

medicines are purchased from reputed, known, authorized<br />

pharmacies.<br />

b. Beware <strong>of</strong> E- trading<br />

Consumers are advised not to be lured by the advertisements<br />

that appear in the Internet. It is very difficult<br />

for the public to know whether the site is approved<br />

for E- trading or not. To stay safe, if medicine is to be<br />

purchased through e- trading outlet, chose a web site<br />

that posts the National Association <strong>of</strong> Boards <strong>of</strong> Pharmacies<br />

VIPPS (Verified Internet Pharmacy Practice<br />

Sites) symbol if such a system exists.<br />

c. Receipt<br />

Always dem<strong>and</strong> bill after purchase. Verify whether<br />

batch number <strong>and</strong> expiry date are noted down on<br />

the bill.<br />

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