Misuse of corticosteroids is prevailing in Madhya Pradesh. Steroids are
prescribed for quick relief of bronchopneumonia, bronchitis, brochiolitis,
fever, temperature of any cause and, also to make the child chubby. When
the parents watch the relief of the child by such medicine, they recommend
it to their neighbors and relatives and also publicise the practitioner
who has given it. They also start keeping it as a household remedy,
without knowing the dose and method of tapering and the long term harms of
it on the adrenal and the effect of sudden withdrawal. And while
approaching to me or some other practitioners for some other ailment they
show the strip/bottle to us very proudly that what magic drug is
Betamethasone? Because it is doing magic in wheezing etc. without the
consultation of the doctor.
Here in this area of Madhya Pradesh there is no agency
to control the dispensing of drugs without prescription. At the same time,
cash memos are issued to only one out of thousand customers and that too
to the persons who need reimbursement and by the way if some asks for the
cash memo he has to wait for hours for it/refused to sell medicine.
I am writing this letter to you with the hope that this
will open the watchful eyes of IMA, IAP and Government of MP who in turn
will be able to create some strict laws to prohibit unauthorized
dispensing of the drugs and also create public awareness of not using
drugs without consultation.