From the desk of Dr KK Aggarwal National President, IMA Generic drugs prescription The current Read more →
From the desk of Dr KK Aggarwal
National President, IMA
Generic drugs prescription
The current law situation is
““Every physician should prescribe drugs with generic names legibly and preferably in capital letters and he/she shall ensure that there is a rational prescription and use of drugs”
1. Every physician means all of us
2. ‘Should” means may and may means optional or preferable
3. Drugs with generic names means the chemical name of the drug
4. Legibly : means readable
a. It does not mandate electronic prescription
b. It does not mandate or it would have been shall and not should
c. It does not include the word “only’ it only manes naming the chemical name of the drug
In India. chemical generic name of the drug is available in three formats
And generic brand
All companies make all three versions. Generic brands are the costliest with no difference in quality
1. Choose drugs from national list of essential medicines (They are cheaper and of quality and efficacy)
2. When writing non NLEM take consent
3. When prescribing, write the cheapest available medicine and that will always be the generic- generic version of that company
4. Best will be to write the name of the salt and the name of the company you want to choose. No- body can stop you choosing the company for quality assurance.
5. When writing paracetamol for jan aushidhi you have to write the name jan aushidhi
Dean/Principals of all the Medical Colleges, 2. Director of all the hospitals (exclusive PG Institutions without medical colleges), 3. President, all the State Medical Councils.
5. Health Secretary of all the States.; 5. The Director of Medical Education, all States with request to ensure compliance.6. The Director of Health Services, all States with request to ensure compliance and inform about action taken.
Your kind attention is invited to circular no. MCI-211(2)(Gen.)/2012-Ethics/145183 dated 22.11.2012 & 18.01.2013.
The said circular had called upon the doctors practicing medicine to prescribe Drugs with Generic name as far as possible.
However, the clause 1.5 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 has been amended in 2016 and notified in the Gazette of India on 21.09.2016, which reads as under:-
“1.5 – Use of Generic names of drugs: Every physician should prescribe drugs with generic names legibly and preferably in capital letters and he/ she shall ensure that there is a rational prescription and use of drugs.”
All the Registered Medical Practitioners under the IMC Act are directed to comply with the aforesaid provisions of the Regulations without fail.
You are requested to give wide publicity of the above regulation to ensure that all the doctors practicing medicine under your jurisdiction comply with the regulation.“
All concerned are once again urged to take necessary steps for observance of the aforesaid provision of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 in its letter and spirit.
For any doctor found violating clausel.5 of Ethics Regulation, suitable disciplinary action would be undertaken by the concerned SMC/MCI.
“ All the Registered Medical Practitioners under the IMC Act are directed to comply with the aforesaid provisions of the Regulations without fail”
“For any doctor found violating clause l.5 of Ethics Regulation, suitable disciplinary action would be undertaken by the concerned SMC/MCI”
We need to read the circular as a whole and not the first part only which is not mandated. The one which is mandated is (shall) is the second part of the clause and that is rational prescription. Only any irrational prescription can lead to an action