Saturday, February 18, 2012

The Chinese medicines manual has prominent issue day by day Bad reaction etc. can not be stated clearly

The Chinese medicines manual has prominent issue day by day Bad reaction,etc. can not be stated clearly
The people of high benefit who have already practised medicine for more than 50 years sit in the sitting room not very spacious, wear the always colored glasses, hold a pile of medicines manual in the hand tightly. As China first, two, committee member of the meeting of persons who examine the judging panel of the third new medicine, Lao Gao likes collecting various medicines manuals. Manual of a section of medicine taken with water is here " Pharmacology function " The column is written, " this product has function of inhibiting ADP, collagenic quality blood platelet and gathering " . The people of high benefit are lifting this paper, force a smile and reply, " which patient understand such a manual? " Acting as sees another manual" The bad reaction " Printing there " Not clear yet " At the 4 words, this 79 -year-old old doctor can't help being distracted. "All the time, the medicines manual is a big problem. " He says. Medicines manual, this thin paper often ignored in the kit, it should be the good assistant of doctor and patient. But a doctor even points out sternly, " if see with the strictest standard, China's most medicines manuals are not up to standard at present. " Prescribed medicine has doctors to help to make judging, non-prescribed medicine can only be judged by patient, the manual is written clearly very importantly, this is undoubted To most people, this kind of " not up to standard " Quite ocular. One buy, relieve cough with brand people of syrup find oneself has to try to figure out again and again, take orally 15 " whether should drink one big mouth on earth, one small mouth " ? Another plan is taken " One Hu of luminous pills of stone " Patient coming to understand in manual whether " last 6 grams each time " marked Mean several pills. Have no way, he has to pour a whole bottle medicine, several several 190 pills. According to indicating on the medicine bottle " Every bottled 36 grams " ,He is like the thing that a pupil does the operation question, it is about 5.3 to obtain each gram, just know " 6 grams " About 32 pills. It was awkward that this kind made people not know whether to laugh or cry, actually could avoid. Supervise " medicines manual and label regulation " that the administration bureau released in 2006 according to national food medicines, medicines manual and characters of the label should state " Scientific and normal, accurate " . Among them the non-prescribed medicine manual should also use the characters apt to understand to state, so that the patient judges, chooses and uses by oneself. "Prescribed medicine has doctors to help to make judging, non-prescribed medicine can only be judged by patient, the manual is written clearly very importantly, this is undoubted. " Jiang ZhuQuan, person in charge of institute of materia medica of the star of China, says. As people choosing non-prescribed medicine in the pharmacy being more and more, the importance of the medicines manual is prominent day by day. An item of statistical data in 2009 reveals, the market of non-prescribed medicine of China has already reached the scale of about 56 billion yuan. In the same year, " the fourth national hygiene serves and investigates the main result " that Ministry of Public Health announce shows, the survey district " Not going to a doctor, the proportion has been 38.2% " ,Among them " whether 70% of the patients or purchase medicines,etc. to treat disease in the pharmacy through taking medicine by oneself" . However, should become helpers of people's medicines manual originally, sometimes will turn into a murderer. 3 years before, shortly after one was called young people with valiant bright red and graduated from university, he has bought the bridal chamber, become a young doctor of Suqian of Jiangsu Province. But real life seems that has just begun, has already been over. At night of one summer, this 24 -year-old young people jump and leave from the family on the 17th floor, commit suicide. Family attempt to find the real reason why he commits suicide, I had never expected, a piece of medicines manual has exposed the indistinct truth. Once took a medicine curing youthful small pox valiantly for a long time in bright red. Later, family bought back a same medicine from U.S.A., there is medicines manual run to 46 pages in the kit to discover. Clearly wrote on the manual: "This medicine can initiate depression, phonism, commit suicide. Some patients who take this medicine will produce from the incomplete or idea wanted to finish the life. Some people attempt to commit suicide, and some people have really committed suicide. If you or your kinsfolks find you have symptom that mark disease, depression or phonism as follows, please stop taking this medicine immediately, and contact your doctor. After stopping taking medicine, if you also have the above-mentioned symptoms, you still need further psychotherapy. " Can be in the valiant Chinese kit taken of the bright red for a long time, people can find relevant spirit the content influenced has 6 words only, " spiritual symptom is depressed " . Nobody already can make it clear, if the young people of this see the manual of the detailed edition earlier, whether would not take medicine continuously, or seek doctor's help after depressed symptom appeared, also unlikely to walk for another road. In any case, that " optimistic child of sunshine " in the love of parents Can't come back again. And present medicines speak result of it, at the manual with the intersection of side effect and identical place that produce actually, will let us bear all the consequences as far back as the beginning of the 1990s last century, Jiang ZhuQuan found the enormous disparity between imported medicine and domestic medicine manual. This is called oneself " The person making scientific researches in the square in China's rule " ,Still remember until today, he found a medicine curing cardiovascular vessel disease in a German pharmaceutical factory at that time, the manual runs to more than ten pages, " detailed to having a lot of everybody think the content that can be neglected, even a patient decades ago, because took this kind of medicine and caused a kind of strange disease, also it is on the regular payroll to record conscientiously" . Scholar Liu Yu lived when being in U.S.A., was once given a start by the medicines advertisement in the TV too. Those advertisements all have a long passage except propagating efficiency of medicines, explain the side effects and risks of this medicines. For example, medicines of a kind of settlement arthritis agony may initiate " dizzy, suffer from diarrhoea, the probability which increase heart disease " . She can't help expecting, advertises like this, who dare buy? Bad reaction, taboo and attentive matters, it should be important contents of the medicines manual. It is in China, smudgy these contents sometimes, fasten one person's story upon another person sometimes, even Israel sometimes " Still indeterminate" A strip. "I do not understand, how was medicine with still indeterminate bad reaction listed. " The people say high benefit angrily. Perhaps this is involved in Chinese habit of thought. The personnel of a pharmaceutical factory reveal, he has ever acted for a section of imported medicine. Originally write very exhaustively on the manual, even indicate " may cause cancer " ,But the sales volume has been very bad all the time. Later, these " terrible things " on a manual of pharmaceutical factory Delete, the straight line of the sales volume rises. "In fact, understand that is clear, prove the riper and controllabler this medicine is about the poisonous side effect of a medicine. But Chinese do not believe this. " Sense that this personnel of pharmaceutical factory can't help Sigh. On the other hand, an officer of local Bureau of Drugs Supervision points out, Chinese medicines consumers' safeguarding the rights consciousness is not strong either. Example in U.S.A. happens and can be regarded as the contrast in another one. World-famous Merck pharmaceuticals developed rheumatoid disease analgesic that a name is Vioxx in 1999. By 2003, the gross sales amount of this kind of medicine has already reached 2,500 million dollars. However, people have found gradually, this kind of medicine makes the morbidity of heart disease improve by twice, Merck Company has not made any statement in the initial advertisement. The bitter day of Merck Company came. In 2007, an ordinary post office worker and rich company of this financial resources face a charge in court, have obtained compensation of 20 million dollars finally. In the same winter of year, Merck Company announces and agrees to settle out of court Vioxx lawsuit with 4,850 million dollars, in order to solve 27000 lawsuits that oneself faces. But in China, " take it seriously " like this Patient actually few. A lot of patients have not associated unusual state that oneself produced after using medicine with medicines either. That officer of Bureau of Drugs Supervision finds, " the side effect has happened to some people, do not know it is the question of taking medicine and bringing. " A group of surprising figures appear behind medicines manual. At the beginning of this year, according to the research of Chinese Medical Association's behavior medical branch's General Board Yang ZhiYin, in more than 50 million impatients, nearly 2,500,000 people are admitted to hospital because of the medicine bad reaction every year in China. The number of people that died in the medicine bad reaction every year is up to 200,000. Doctor of Shanghai Communications University medical college Shen NanPing has said to the media anxiously, "and present medicines speak result of it, at the manual with the intersection of side effect and identical place that produce actually, will let us bear all the consequences. " This doctor even finds, the manual in the kit has already arrived briefly, " connect with a nurse in the injection, do not know what the poisonous side effect that it may bring is " . The disparity between Chinese and foreign medicines manuals, perhaps it is the epitome of the Chinese and foreign medical system disparity The problem existing on the medicines manual has already been found. In the 1990s of last century, the people of high benefit participated in writing " functions and indications " of " pharmacopoeia of the People's Republic of China " Some. This is a code which records medicines standard, specification, all medicines manuals should be finished under the guidance of the officinal one. This doctor clearly remembers, in this code at that time, " peppermint " Have been written " Bu He " . At that time, " there are misspelled characters that did not all include the mistake " . Through understanding, the people of high benefit learn, the initial " pharmacopoeias " are all written by the old medicine workers of all parts. "Old the intersection of medicine and worker purchase classification, logistics, give medicine divide people of grade into. " Professor Gao explain " the rhizome of Chinese goldthread that Sichuan buy, transport Beijing to, come, sell, old the intersection of medicine and thing that worker be. " , in the unordered confused state. " the pharmacopoeia " at seventh, introduce expert opinion really. Moreover, without bad reaction concept before 10 year such as China, have medicine supervise department even before the 20 year. The people of high benefit still remember, participate in the American food medicine administration bureau (FDA) once The intersection of medicines and the intersection of register office and lecture of division chief, the officer provide, make present two figures that doctor shock very much, " new medicine should take out 3000 cases within 3 years after going on the market, upgrade the bad reaction in time on the medicines manual " . In fact, have not set up national medicines bad reaction until our country in 2001 and notified the system, have " released and already sanctioned producing and selling medicines and finding, happening the relevant information of the new, serious bad reaction in using accurately in time " ,With " guarantee public administration safe, reduce medicine, hurt to happen repeatedly accident, promote clinical effective means that use medicine rationally " . On the other hand, this system has already run in some developed countries for decades. In this system, the doctor collects the patient's bad reaction, and report to related departments. On the medicine webpage of FDA, " report the products question " Ranked in a quite prominent position, it does not have answering numbers manually of Sue that they even specially open for two the whole years, in order to record all " The emergency " . One doctor of Beijing remember, since the past two years, find bad reaction of patient behind the administration and record on the regular payroll, just become a part of most doctors work. But a reputable medical media personage insisting on anonymity says, " notify that there is not mandatory function, rupture existing in the middle of this " . No doubt, the medicines manual has already been paid attention to. In 2000, national Bureau of Drugs Supervision released the temporary provisions about medicines manual. Not long after releasing the formal regulation in 2006, Bureau of Drugs Supervision has printed and distributed to the notice that relevant questions explain in the regulation. But nobody can can tell, when people could see the really accurate, specific and accurate, smooth medicines manual dawn, just like what an insider said, " disparity between Chinese and foreign medicines manuals, perhaps it is the epitome of the Chinese and foreign medical system disparity " . (Zhao contains desert)

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