Industry Odisha Bureau, Sept 23: The Central Drugs Standard Control Organisation (CDSCO) has issued an advisory warning against the indiscriminate use and self-medication of painkillers and antibiotics. In the advisory, they have cited the risk of serious health complications including Chronic Kidney Disease (CKD).
The advisory, dated September 21, was issued to healthcare professionals, pharmacists, retailers, distributors, hospitals and the public. It says that Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and antibiotics should be used only when clinically indicated. That too, at the appropriate dose and for the recommended duration under medical supervision.
Most NSAIDs are classified under schedule H of the Drugs Rules, 1945. It means that they cannot be sold at retail without a prescription from a Registered Medical Practitioner. Most antibiotics fall under Schedule H1 and carry warnings against use without medical advice.
The advisory cautions people against repeatedly or unnecessarily taking these medicines, particularly for prolonged periods. The public has also been advised not to self medicate with antibiotics for conditions such as most uncomplicated viral infections, where antibiotics may not be clinically required. Patients have been asked to complete prescribed antibiotic sources and avoid sharing medicines or using leftovers.
People with existing kidney disease or other risk factors for renal impairment have been advised to inform their doctors for taking NSAIDs. Persistent or recurring pain, fever or other symptoms should be medically evaluated instead of being repeatedly treated through self medication.
Doctors have been asked to consider factors such as age, medical conditions, other medicines and kidney related risks before prescribing these drugs. Pharmacists, retailers and distributors have also been directed to follow rules governing prescription medicines.
Hospitals have been asked to strengthen prescription reviews, antimicrobial stewardship and patient counselling. Meanwhile, state and Union Territory drug authorities have been requested to increase public awareness.
