Indian Doctors Asked to Prescribe Generic Drugs | Vantage with Palki Sharma

[@yashpoza]

Another experience I want to share. While doing post graduation. We were instructed to prescribe some specific brand by our teachers. These medicines are branded but still price effective,but somewhat expensive than generic. In medical college we see patient from all classes, some are very poor and couldn't afford these drugs. So we prescribe them with generic name. Patient goes to pharmacy and given some very expensive choice by that pharmacists, which is no better than our regular brand in quality and affordability. Poor patient suffers. Doctor connects to the patient, they understand their need and give MOST APPROPRIATE treatment. This relationship is not established in case of a pharmacy shop owner.

[@BikanoNavratna]

Sir, not all doctors think like you

[@Mo-qh3in]

​@@BikanoNavratna do you know why number of bad doctors increasing day by day..that's bcoz of boom in medical education from private medical colleges and MBBS from china,Russia like places..as their only moto is to gain the money which they have spent for getting the degree.. they feel no responsibility..while doctors from government colleges don't think like that,they don't have any education debt, they have a sense of responsibility and their primary focus is patient..but public labels all the doctors in the same category.. it's our responsibility to research about the doctor before going to any doctor

[@Arpitkumar-vq5ii]

Tu shi bol ra yaar, you must be from Himachal, ya Himachal main Padh raha hona, Pr patients aware ho jaaye ga, parmasist bade MC hai, Baddi main hi PCM ki 625 ki goli Corona kaal bhi kitni biki, Baad main pichle saal salt fail uska, Doctor to bharose ki dawai hi dega, 🌹Khi khi jgh pharmasist or doctor dono hi bde mc nikl jaate hain 🌹 Civil k to theek hi Hain yaar,

[@GoatedGamer1122]

@@Arpitkumar-vq5iilmao

[@ANANDRAJ-ot2ys]

See I used to see whether the women is wearing thread or gold chain mangal suthra to judge their affordability.... plus smart phone or not...... generic MRP tags are same or costlier than branded drugs.... But the profit margin is huge..... It is upto the pharmacist if he passes on the benefit to patients or sells at mrp... packing wise cannot differentiate between the two... I being dispensing doctor have both costly and cheap medicines.... both work similarly.. plus subsidizing by giving samples

[@WorldgeopoliticsbyPrashant]

This is the journalism that we always required. Thanks Palki & team. India is definitely moving forward.

[@girishpai4538]

the way forward would be to improve the 1) quality control tests on Generic Drugs 2) Improve the stock pile of Medical stores 3)improve the doctors salary as these big brands provide huge commission to doctors 4) Enhanced Audit and Assurance reporting about the Drugs 5) Ensure that the doctors do follow the Regulations and the Ethics of providing Cheap but Good Quality Drugs rather than selling Over priced Drugs. if I was the CEO/CFO for these institutions this would be my answer.

[@phanikumarvempati]

Doctors already getting proper salary and they are getting commission on top of it because of competition between multiple manufacturers.

[@suvamkumarsarangi6593]

1,2,4 are already done

[@aman6828]

Why doctors need big salaries....They have no right to play with patients life and earn mindless comission.....They are doing a job and should be compensated accordingly....They are just a professional and should be treated likewise.

[@ck3289]

lol quality control of generics 😂

[@ck3289]

Are u a doctor ? How can u say they are getting proper salaries then? According to me , u should be paid half of what u get now ! Will u agree?

[@yashpoza]

Firstly I am a doctor. While studying, living in hostel everyone wants to save some money. I did same. I bought cheap generic montelukast for my asthma. Took it for about a month. Meanwhile I started developing itching all over body. It gradually got worsen day by day, but I wasn't able to find the cause. One day after excercise I developed skin rashes all over body, needed to take emergency injectables. Cause was identified and stopped taking generic. In few day skin itching was gone. Montelukast is supposed to treat allergies and it was creating one. Quality of generic is questionable.

[@ishumehrotra2985]

Yes doc.I suffer from allergic rhinitis & when I purchased generic brand it's not simply working so I have to go to innovator/patented drug like Telekast-L .There is no other option.Period

[@retrocuber9478]

Those of you who would vouch for generics go to your state run Hospitals and health centers and try the free medicine yourself and you'll get to know.Most of my state governments hospitals provide substandard drugs. Of course they are all generic. The reality is probably the same in your state too. Many times even if the drug is effective excipients in the formulation causes severe allergy. It's happened to me and my family members. Whom will you sue ? The Government?

[@nitishkumar2634]

So problem is substandard quality of generic drugs then same goes for many branded drugs for instance recent deaths due to branded cough syrup….. So instead focus should be improving the quality of generic drugs

[@retrocuber9478]

@@nitishkumar2634 Fixed dose combinations of generic drugs masquerading as branded to give false hope of quality. Exported as generic but marketed as branded in another country. The brand's are not registered but labelled.Many times minor spelling changes with those of good companies

[@retrocuber9478]

@@nitishkumar2634 Government failed to quality check branded why will it even make effort to check generic. There won't be a brand no company manufacturing as such.powders imported from china packed and sold by a business man without accountability

[@drip_monke2542]

I used to write generic but the experiences were not great, 1) I wrote moxifloxacin eye drop, you can get it branded for around 140 rupees, that's what i told the patient but the pharmacy guy sold him some drops from some unknown company for 210 rupees. 2) Gave one patient betahistine but the shopkeeper gave him betadine. 3) If i write atorvastatin 20mg the shopkeeper can give you a 25 rupee medicine or a 194 rupee medicine, you can guess which one you will be getting. My personal experience, they don't stock the 25 rupee one. So if you think this move will protect your pocket, it won't. The comission money that was previously going to some doctors will now go to someone else.

[@bluesky-oq2wz]

Majority of doctors (individual) do not get commission Some small PD companies do give commission as some doctors stock themselves... These are not freely available and usually are stocked by dispensing doctors. Generic can only be successful only if standardized and Government will have to ensure their quality.. All branded things are costly.. Be it a soap, shampoo, garment or a technology item... Even with same specification.. There is DPCO list.. A list of medicine specified by government with maximum price restrictions.. Pharma companies arm twist the formulation even slightly to stay away from the list... Say a vitamin of certain composition to cost below 2.00 rs.. A company adds say zinc.. In a very small sub pharmacological dose.. Price is rs 16.00..escape the rules... This product will be focused Asking for generic is like ordering say chicken biryani... Best selling ones around 350.00 per plate... Not what is available in 5 star hotel You'll get some at Rs 90.00 or lower may be per plate perhaps.. If someone ensures both are same quality then generic makes sense Another thing to note is Original research product does not have generic in the initial exclusive marketing period around 6-8 years for tablet, and 12-15 years for injection.. Generic are available after patent expiry Major pricing anomaly is in injection segment.. Sometimes abnormally landing price of a injection and mrp may be 150-1200 4-12 times.. Used in nursing home hospitals.. Doctors do not have a say unless doctors are owners.. Very few

[@anups7958]

You are talking like digital India does not exist! People are nowadays smart enough to Google or visit sites like 1mg to check the variety and pricing.

[@drip_monke2542]

@@anups7958 yeah, try buying genxvast 20 ( the 25 rupee atorvastatin 20) from your 1mg regularly.

[@mohammadaatif5222]

​@@anups7958not everyone is aware of 1mg I have seen educated professor not accepting substitute medicines if prescribed one was not available. Moreover generic is not efficacious as branded generics , and don't say US uses generics, they also use branded generic because a branded generic is very cost effective in comparison to innovator, medicines are of three kinds Innovator ( who has innovated the molecule ) branded generic ( same copy of innovator with same quality and tested on same physiochemical parameters) and comes generic ( not tested no guarantee of quality it could work it could not work or worse it makes your health more worse ) I can assure you if you know all these you will not use generic for chronic disease

[@Rajkumar-vc2pg]

Generic medicines are available only in Generic stores in my area

[@natureview5561]

I am working in carribean island as pharmacist since from last couple of years . We use almost 90 % (in those 10 % we didn't find any generic options. ) generic medications for all patients . Most of them are manufactured in india . But i didn't find anyone till date who face any issue about results . So i think we should have to appreciate this initiative and help poor to reduce burden of costlier branded medications .

[@operacurrently2060]

Generic work but due to lack of heavy investment in R&D generic medicines not getting so much trust among people

[@Justwatch-mp6yd]

But our shameless government doctors want some "rewards" like their American counterparts.

[@arug2502]

@nature view...there r many generics in india but what u may get is a better company. In India that doesn't seem the case! Its confusing when u stand in the pharmacy n ask 4 generics! The pharmacy staff make the decision 4 u! Is that right?!?

[@ayushkumardash2995]

I have seen my seniors prescribing double the required dose to make the generic medicines work, well certainly there is issue somewhere, not to mention the poor quality leading to other side effects like increased risk of metabolic syndrome in future

[@Tropicalgodzilla]

This is a good initiative, otherwise you'll get American style of healthcare.

[@explorer2616]

Yes

[@nyxawesome9409]

US healthcare and insurance are the absolute worst. It is more business and political ploy than wellness.

[@enyoalejandro9598]

Pilipino style prescription All Branded ... No Generics

[@indianabroad4530]

That is simply not true. I am living in the US for decades, In the US also Doctors are asked to prescribe generic drugs. And Health Insurance companies make sure that pharmacies provide generic drugs. Yes, there are some drugs for more serious health issues that are branded.

[@himanshuyadav1406]

Wake up we are already in American style health care with poor infrastructure, almost negligible social security and govt regulators full of corruption.

[@BBeeblebrox]

As a doctor who works in Govt setup who prescribes govt supply generic medicines to pts, i can confidently say that this is a stupid decision. Before making it compulsory to prescribe generic medicines , govt should work on improving the quality of generic drugs in the market. I have seen patients who come to me asking for generic substitute for branded medicines, once we change them over to generics,their diabetes worsens at the same dosage. If they were taking 2 tablets of branded drug to control their sugars, now they need 3 tablets of generic drugs to control their sugars.

[@tusharunki8507]

I think quality of drugs should not be doctors concern, our regulatory bodies should be concerned about it, this rule empowers the patients to choose what they want, if they can afford they will go with branded if they cant they go with generics, I worked in manufacturing unit i know how the quality is increased & how much money is spent for what , majority of amount is spent for marketing ,Indian Pharma companies export FDA standard generic medicines to the world. But same companies cannot maintain the quality in domestic market. this issue should be addressed. without any base telling this decision is stupid, is not wise for educated like you, i also worked in govt setup & aware of services provided there.

[@souvikool]

I don't think you have understood the directive. You have to write the name of the molecule and dose. You cannot write the brand name. Pharmacists will decide the brand.

[@operacurrently2060]

​@@tusharunki8507no ur mis calculated his views. Regulatory body not coming in your rescue if any patients health deteriorated and patients party accuse doctors for it. Why should doctor take such liability. I neither support doctors nor the mandatory rulings of usage generic medicines. Their is need more discussion on this. Generic medicines are good but quality can be questioned. In normal illness generic medicines can be taken bt until generic brands came with R&D trust

[@operacurrently2060]

​@@tusharunki8507agreed higher priced medicine companies mostly invest in advertising and commission so their medicine is costlier than generic brands. Both sides needs relook their marketing. Generic medicines need robust investment in R&D and high priced medicine brand's to stop wrong practices and decrease price to make them easily to buy in market

[@mizterjay2]

@@souvikoolso pharmacist will sell drugs with higher margins, in other words the most expensive brand after seeing the name of the molecule. Choosing brands will be done by pharmacist. This is basically taking decision making power from a more qualified person and giving to an under qualified person. A double whammy on both cost front and quality front. What a joke! There was also a report which said only 17% of pharmacists are medically qualified lol. It’s like this govt simply cannot stay for 1 day without messing things up. Good luck India!

[@Raja-ct9xq]

My Doctor always prescribes the medicine only available in his in-house medical shop 😂😂😂 and charge 100% of the MRP. Now he earns in both ways from Pharma companies as commission and as sales margin 😂😂

[@bhavyawadhwa1]

very true. Seen it with a lot of doctors.

[@1mcg1]

Hahahah what a legend

[@The_ED_guy]

Why don't you go to a government hospital then? When you know that your doctor is prescribing branded drugs, you can easily go to a different doctor...

[@HelloMedicAnkit]

Boss , if you have problem with High cost of branded drugs go complaint against the big Pharma companies who are making it tell them reduce cost ...why blaming doc???

[@kdramafangirl2299]

If the doctor doesn't do that, the medical shop person will do it.. who will lay regulations for the medical shop owners?

[@anantbhushangaur1972]

As an Indian who has lived most of his life on generic drugs, I can assure that no branded drug/medicine can come close to generic drug on the quality factor 🔥

[@biossylhet2944]

ক

[@shri-ganesh]

may just the packing is good on the branded drugs.

[@IMasterSkeptic]

​​@@shri-ganeshnot may but they do have nice packaging, attractive colour etc to lure the customers charging them not only the cost of madicine but also the research & patent cost is included in prices unlike generic drugs..

[@ck3289]

Which drugs did u use ?

[@ukb5115]

What do you mean, generics are better.

[@gaurav87amity]

The government's step is definitely in the right direction but the IMA and the Big Pharma Nexus won't let it happen. Commissions do exist and this nexus is rampant across the country. I would be happy if this mandate becomes a reality.

[@pm4306]

F big pharma and their stooges---identify them, their families, their businesses and make all that information public....there will be some group who will take them to task.

[@amitkulshrestha7169]

gandu survey dekh na pehle

[@srikanthreddyaluri493]

why don't the government ask pharmaceutical companies to not make branded drugs ,but ask doctor s to prescribe generic drugs

[@ishumehrotra2985]

Bro do you even know what's the difference b/w a generic drug and an innovator??If not search it on Google even Aiims director told the govt that generic drugs are not useful in critical illness and other life threatening diseases.Their bioavailability is also less as compared to patented/innovator drugs.

[@AIntel540]

​@@srikanthreddyaluri493 the choice will be left to the patient to go either for generic drugs or branded once this implementation takes place. Doctors would lose their commission from brand pharma companies.

[@milindbhai1]

Palki, when comparing generic drugs to branded drugs, it must be noted that they must be pharmaceutically similar (similar formulation), biologically similar (must have a similar action in the body). The quality of excipients (non active ingredients used for "bulking" the drug should be good as well. In principle, it is fine to ask generic drugs to be prescribed. Who will do the quality control? And if there are casualties, who will take the rap?

[@dudette317]

Yes, pharmacodynamics and pharmacokinetics should have been taken into consideration.

[@ishumehrotra2985]

​@@dudette317Which also includes their bioavailability too..

[@druv007]

U guys seriously thinks that the person sitting in nmc or their ias babus don't have access to expert well researched info regarding this?. Well the quality standards of the drugs are responsiblity of the state and it will be sorted as a prerequisite, The problem the real tangible problem is the business share declining of billion dollars worth Pharma company on one of the largest markets in the world. Just bloody business and everyone is trying to save their cuts😂

[@ishumehrotra2985]

@@druv007 That's the real hypocrisy right there..If govt dont want Indian companies to sell branded drugs than govt should cancel their licenses.Why Indian govt is collecting millions of dollars of taxes from Indian companies. Just ban their licenses & remember it will be a huge huge impact of our Indian economy.Period

[@shantanusrivastava5019]

Milind bhai r u american doctor

[@hero108zero3]

I live in the USA for decades. Our insurance covers only generics when generics are available. Many of the generics come from India. One can still ask for the manufacurer name for the generics. e.g I go to Walmart or Walgreens, each of them have generics for the same brand name drug. I can still choose Walmart or Walgreen ( and perhaps both may or may not be made by the same manufacturer). I do not remember using any brand name drug for decades. So only brand names are effective may be a myth that cannot be scientifically proven in a double blind study. There may be some exceptions, but exceptions should not drive the rule, like tail wagging the dog. Even Costco carries generics from India. Generic does not mean poor quality. What we need is transparency with respect to pricing, manufacturer and quality. Anecdotal evidence is just that - just an opinion but not scientific. AFAIK all medical insurance in USA , especially Medicare Advantage and HMO type insist on generics whenever available.

[@human9512]

I Wish US Citizens Will Enjoy Cheap Healthcare like Most of the World enjoys. 🇮🇳🤝🇺🇲

[@mr.gyani_shorts]

Listen sir, I'm UK, US ... THERE IS ONLY BRANDED GENERIC, not a generic that is being used in india.... There is a big difference...... You are getting the most Trusted, Tested Generic medicine..... But , the problem is Indian infrastructure is not to handle a branded generic drugs, Govt has to take steps. For India like country, Branded Drugs is very important bcz here quality regulations is very weak.

[@neerajagarwal4753]

Won't it be fun to get appointment for even cold after 3 month in India too and for a basic a surgery just like USA and Canada

[@ADITYARAJ-lx5fj]

@@mr.gyani_shorts baba I m currently posted as a chief scientist in nmc ( national medical council ) I can assure that here in India generic can do much better than your brand one as all the generic medicine is having all the certification from not only India but by who(gmp) as well as nfo. If you want a good generic medicine then you can buy it from generic adhar which is one of the largest growing Pharma company for generic drugs in India and being funded and mentored by air ratan tata

[@srijandas1450]

First u have to understand the nomenclature. What u get in US/UK are branded generics manufactured by big companies like Sun pharma, GSK, Cipla These same drugs in India are labelled as branded drugs Here, generic means drugs manufactured by local shady companies who don't even have a name for themselves. Simple logic - try using an iphone & cheap chinese phone. There is a huge difference in quality in everything. Would u like cheap ineffective drugs made my shady local companies for ur health? & there will be quality difference. I myself being a doctor prefer branded generics but not these shady factories.

[@jubinsharma8441]

How beautifully Palki has explained the news without taking a side and keeping concerns of both drug mafia and scared patients. This is true Journalism, Incredible 🎉

[@Dawn-xy4qy]

Our Doctor always prescribes generic names only. He is an amazing Doctor.

[@IMasterSkeptic]

Lucky guy

[@drlungs]

That is the problem. Its not that genric medicines are all good. Many of them are substandard due to poor quality controls. One should not compromise on quality because of price. Its a matter of health.

[@HelloMedicAnkit]

​​@@drlungsBoss he doesn't need to know about quality...all he care about is price that he pays and practically speaking he doesn't need to know about the quality of medical if it works for him and if anything goes wrong u can always blame your doctor...what's the big deal

[@edge710]

​@@drlungs you seem Dr/in Pharma!

[@edge710]

@@HelloMedicAnkit you seem in Pharma marketing!

[@pikachu414]

And how do you stop the pharmacist from giving the drug he has the most margin in? And why don’t you just stop the pharmaceutical companies from making the drugs?

[@rajantrs1]

4.5% sub standard generic isn't big concern...even branded ones may b substandard .. everyone knows what are the tight quality controls we have for products destined for domestic market...

[@NongkuKadumLego]

4.5 percent is a huge concern dude we are dealing with people’s lives. Not even a single percent we should compromise. We can’t trust this generic drugs.

[@retrocuber9478]

Maybe something's missing . It's thatperhaps 4.5% branded drugs are substandard. Most generics are spurious even the Government run Janoushadhi sells spurious drugs. I've bought from Both good brand and Janoushadhi you too can try it. Why would so many children die in many countries due to Indian cough syrup?

[@nishant54]

​@@NongkuKadumLegoNope it's neglible hence good quality.

[@anniaryan9504]

Palki Sharma ji . I am a pharmacist and have running a pharmacy. I am also support this bill there is no income in branded drug . In generic drug lots of margin but in branded drug margin only 10 to 20% . And in case of generic medicine margin should goes up to 30% to 50% . So the profit has earn by pharma companies not any doctor or not by pharmacist. Clear this

[@InfiniteCodeMage]

most of the common generic medicine is 10 times cheaper than branded. It is better to write salt rather than writing brand name in prescription.

[@NongkuKadumLego]

Please don’t compare salt with drugs we are dealing with people’s lives. This generic drugs are not effective enough as per we want them to be. Some India’s brands are very ineffective they focus more on profit rather than quality. We can’t trust this generic drugs.

[@rakhimukerji7937]

I HOPE THEY ARE SAFE AFTER AFRICAN EXPERIENCE.WHO WILL TAKE RESPONSIBILITY?

[@bhavyawadhwa1]

Bhai, commission kaise milegi doctoron ko aur pharma company ki sales kaiser badegi ?? 😅

[@rakhimukerji7937]

@bhavyawadhwa1 recently some children in Africa have died after taking cough medicine made In India Thry are not branded and the families have norecourse to take against them.

[@NongkuKadumLego]

@@bhavyawadhwa1 you will understand when someone from your families or you will get sick. Tab generic medicine Lena 😂😂.

[@UMS9695]

Kudos to Palkhi for a balanced report!

[@UMS9695]

@@ut2104 Wrong examples given? Yes. I agree that both Dolo and Crocin are generics, not branded drugs. Branded drugs are those under patent regulations and the companies that manufacture them have a right on them for 10 years. The term "branded" is vaguely interpreted. But the spirit of the message is to save money for the patients.

[@Topcoatdetail]

I have started purchasing medicine from PMBI . Compared with branded insulin , now I have to reduce 2 units to maintain the same effect. In this case generic medicine is more powerful than the branded ones. Price wise branded is 750 rs and generic medicine from Pradhan Mantri Jansyusadhi is 340. Which is more than 100% price difference

[@HelloMedicAnkit]

Is that shop nearby to you?

[@vicky116]

Where to find Pradhanmantri Janaushadhi and how to avail their facility?

[@Topcoatdetail]

You can avail the benefits by Google map search "PMBI" or find the address from the below link janaushadhi.gov.in/DistributorDetails.aspx List of generic medicines availability and MRP janaushadhi.gov.in/ProductList.aspx I hope my post helps someone to save some money.

[@Topcoatdetail]

@@vicky116 It's available very near to my place. But I have seen several shops atleast 1 in one area.

[@utsavbhalla8163]

@@vicky116 download the app and search your area store

[@AshmitaRoy876]

Different branded drugs of the same medicine have different bases or combinations which help is various ways like controlled absorption , increasing Bioavailability, reducing side effects or reducing dosage of the drug given . I've experienced myself that The generic medicines like paracetamol 1000 given in govt outlets work like paracetamol 500 dose .There r many other drugs which have the same problem. So these are also important factors which a doctor looks into while prescribing medications . More important than checking and ordering doctors not to prescribe branded medicines is to tell pharma companies not to make anything branded and keep their prices within a certain limit and also to improve the quality of generic drugs . Doctors have studied for years to reach the position where they can decide correctly which drugs can be given in which situation. Non doctors shouldn't impose unrealistic rules in a field which is not their area of expertise

[@gravittii]

This will stop the big pharma, getting bigger and ultimately dictating terms. BUT unless there is REINFORCEMENT in place the doctors, under pressure from thier friendly med reps, will continue prescribng their favourite brands.

[@pramodsurana693]

This will increase profit of insurance companies and will also save money for govts. Suddenly govt. caring about peoples expenses doesn't make sense, it is trying to reduce its own expenses.

[@Sachinrohitfan]

You are living in delusion

[@drhareshmanglani4788]

Well covered. Facets not touched upon - 1) Absolve doctors of the outcome of generic prescription. In your example when a doctor writes Paracetamol and fever does not subside then make sure the doctor is neither roughed up nor taken to task for no relief 2) It has become a norm now to pin the blame for each facet of Healthcare on doctors. High time everyone has a defined job and is accountable for their part. How can a doctor be blamed for non functioning DG set or a short circuit in the government hospital. 3) Stop this one way traffic And if all people feel doctors in private practice are crooks then make them stop their small nursing homes and hospitals.....let everyone go to govt or corporate hospitals....1 week is sufficient to know that the Healthcare of the entire country depends on these small nursing homes ans specialty hospitals. Pls don't forget the Rajasthan strike

[@laxmandixit6775]

Very very Good move 👍

[@bhavinidhi]

A few questions arise -If every allopathy doctor prescribes compulsorily generic medicine, who will prescribe the bonded medicine? -Why are direct drug companies not banned from making branded drugs? - Who will take the responsibility of the quality of the medicine if the drug shop owner will give the medicine of his own company on the prescription of the generic medicine of the doctor? - Will the drug companies making millions and crores stop making branded drugs? -Many Ayurvedic, Homeopathic doctors, people without degree prescribe allopathic medicines, what to do about it? Who will take responsibility for the quality of generic drugs? -What to do if many educated doctors ask to prescribe medicine of a bonded multi-national pharmaceutical company? - Can you implement these rules in big corporate hospitals?? Due to new rules being implemented day by day..the tussle between doctor and patient is increasing. It is not right to suspect every doctor because of the nexus of a few doctors with drug companies. Day by day the medical packages are getting tougher and the new rules are becoming very confusing. Rather than this fix the price of each drug.. Compare the price of the same drug of any company.. there will be no problem. With this rule it is not possible to take action on every doctor but it will be easy to take action against the disliked and selected doctors.

[@dss7507]

Sounds like you are a doctor

[@operacurrently2060]

This problem neither solved by doctor nor company. Because everyone is part of the system malfunction. Doctors need more loyalty on profession instead of profit making and high priced medicine brand's needs stop unnecessary investment in advt. And commission system and generic brands needs quality products. Government also need more sensitivity to the issue.

[@lifeofanitguy]

In India brands maintain the quality, who will maintain the quality of the generic medicines?

[@retrocuber9478]

And who can you sue?

[@truthngenuine4565]

I go with branded cos I purchased generic manytimes and it never gave the therapeutic response expected but when I switched to branded the response was good and the values maintained. Quality issues

[@Mind_it88]

If all politicians agree to be treated with generic medicines, the common public shouldn't have any problem.

[@pm4306]

only 1 drug is needed for politicians----it is public road-style justice in every matter.

[@niranjanganesh8335]

True politician will get admission in private hospitals and treated by standard medicine but public should go only to government hospital with poor care

[@HelloMedicAnkit]

@@niranjanganesh8335 no its a very wrong theory, I don't know why it floats so much among Indians, but the best quality of doctors and most sincere nurses are found only in government hospitals, yes not as shiny as private hospitals or here we don't have so-called Suite category rooms but the necessary care is always taken in government hospitals, especially in medical collages, One more thing if you go through the quality of education among doctors and nurses, especially nurses then you might never admit you won family members into those privet hospitals .

[@PankyJ]

This is the type of news reporting we want . Unbiased ❤

[@VJ96K]

I m medical representative and generic medicines will help pharma companies only ..... For Eg : Azithromycin 500 tab of branded company is ₹65 and generic mrp is also ₹65 the difference is branded medicine price to retailer is ₹34 where as with generic it is just ₹7 so drug stores will make more profit from generic drugs rather than branded.... don't trust all the news thrown to us

[@giridharkatikapalli9894]

The problem is with pharma company, why should they write MRP as 65 for 7 rupee product. They can give same profit to pharmacy by charging only 38. You statement is odd.

[@VJ96K]

@@giridharkatikapalli9894 generic medicines there is no regulations so no proper usage of material and no watch from government bodies whereas branded every tablet or medicine is under compulsory scanner of medical bodies and so cost of production goes high....

[@VJ96K]

@@giridharkatikapalli9894 Statement is not odd that's my practical experience.... go to agra there is big sample market rather MANDI... all the medical samples from india are collected repacked and at double price go outside india to porkistan, nepal, bhutan, bangladesh, etc etc

[@Sachinrohitfan]

@@giridharkatikapalli9894you did not get it

[@Sagarpramanik670]

​@@giridharkatikapalli9894ab eye baat tum Pharma company ko kaun samjhaye 😂

[@anveshnidumolu3679]

wah... another detail critical topic covered. Relearned well today....thank you mata.

[@clasyakulal-1122]

Please make a video on how the govt can make medical education more affordable😊 The process of becoming a doctor being able to prescribe medicines itself is expensive!

[@dylangoveas6239]

Absolutely

[@engadge]

Comment of the day award

[@juwalesaurabh]

You are 💯 right...

[@GlobeMaster11]

Government doctors prescribing expensive medicine too, although they finish their medical degree by govt aid ⛑️. Literally Doctors are looting poor people 😢

[@clasyakulal-1122]

@@GlobeMaster11 now the fee of govt college is also not low, atleast not low for an aspirant of lower middle class. If you think doctors are looting the patients, you always have the option of going to Primary health centers for consultation. But why don't people go there? Quality right?

[@pgbabu14]

Well explained the subject, thank you Palki Sharma👍

[@swatisharma9006]

The solution is called “regulating the price”. We can most certainly know the baseline of what it takes to develop a medicine. Now brand’s might get fancier with taste or processing but there should still exist an acceptable baseline minimum cost of production of a pill that meets quality control standards. Giving leverage of about 5%-10% of the cost price from the baseline price will work fine for everyone - patient, doctor and the business. But the pharma industry is a sophisticated colony in itself; runs by rules of maximizing extraction not by regulating profit margins/prices. Whosever suggested trying to improve generic drugs while leaving “branded ones” as is in their profit model is BSing.

[@Bharat_mata_ki_jai275]

Palki you're doing great work ❤

[@tishfoster2767]

Not all drugs are equal! Many generic medicines are not up to standard. But medications have to be affordable and perhaps a cap on profits would keep costs down.

[@Ducktility]

This is true. I have heard of cases where brands actually matter. The generic ones often are substandard. There needs to be crackdown on non-conforming drugs

[@aayushilalita7788]

you can ask to give you the best medicine and that you are willing to pay extra for brand.

[@Ducktility]

@@aayushilalita7788 thanks for the tip, who would have imagined.

[@MahiMahi-yu5jo]

I don't think you understand what is going on here. Substandard? As if there is a category of drugs called 'generic'. Doctors ard asked to write 'Paracetamol' instead of 'Crocin' Or 'Dolo'. Educate yourself before spouting BS and spreading false information

[@Ducktility]

@@MahiMahi-yu5jo wow, you really think you did something, don't you? Doctors do prescribe named brands which are known to be working, that's the point OP implies. Its not that deep really.

[@HelloMedicAnkit]

Boss , if you have problem with High cost of branded drugs go complaint against the big Pharma companies who are making it tell them reduce cost ...why blaming doc???

[@maotsetung243]

Pharma is giving commission that's why docs are selling lol.

[@tab8294]

Exactly, in Indians ko doctor ke pichhe hi padhna hai, piche pura Pharma ko bhi dekho

[@raghuveerdendukuri1762]

Good move by the government. The supply chain to be reinforced and every stakeholder to be made active participant in the process.

[@rajt8343]

Thank You Palki Sharma

[@rajashekarraj4667]

Finally u hv addressed the pros n cons ,ppl r so blind that they r worried abt benefits of doctors more than their health safety, substandard medicines will do more harm than helping

[@maotsetung243]

India is supplying billions of dollars of generic drugs and is named as the Pharma of the world for nothing. if it were so substandard how do u think india makes hundreds of billions of dollars.

[@HelloMedicAnkit]

Exactly

[@singerdarshil]

Thanks you Palkiji for sharing both sides of the story.

[@venkateswarluk5133]

In Western countries such as the UK, you can get generic medicines such as paracetamol from supermarkets at very low prices. In rural India, medical shops used to give medicines (generic or labelled) based on the affordability of customers but it has changed recently.

[@aayushagrawal2453]

lovely news! salute to the nation, most awaited news

[@sumeghatomar2560]

Doctor can prescribe generic medicine then who gets to decide the brand the pharmacist who’s 12th pass in India brand also makes sure the composition is well constituted it doesn’t matter in small diseases as fever but if a person has some major fungal infection than the constitution of amphotericin can decide weather u live or die from infection or an generic anti diabetic may not reduce blood glucose precisely and you may end up with coma

[@Sweetie01782]

Exactly???

[@nikitatiwari6378]

Branded drugs are the medicines which were initially entered into market...it has gone under all the preclinical and clinical trials and approved patent....all this process is costly for the pharma companies and so the cost of branded drugs are higher... while in case of generic drugs..this are launched after the patent of branded drugs gets over so all the cost of research and development, preclinical and clinical trials etc. is saved and so this are not as costlier as branded drugs. And the quality of generic drugs is generally not compromised and taken care of very safely...but for the patient compliance and believe quality control and GMP of the generic drugs should be given the topmost priority to save the issue.

[@Anione111]

Why can't the govt manufacture all generics to the highest quality standards and make them available across India, with ALL pharmacies, online and physical ones ordered to stock them. Let the branded meds exist as well. Let the doctors be told to prescribe generic govt brand if patient asks for it. Let the choice be left to the patient.

[@HelloMedicAnkit]

Exactly

[@sheetalky]

This is a wonderful initiative by the Govt. Not only are branded medicines expensive, but frequently simple generics like paracetamol or ibuprofen are mixed with vitamins and marketed with higher prices. This racket needs to stop. What the medical council can suggest to these doctors opposing is to write your prescription for generic and let those who can afford buy the higher priced brand because they "trust" it more. For majority of poor people in India medical costs are bankrupting them. They should also look into runaway charges for MRI, CAT scans and other services that are frequently unnecessary. India needs protocols and standards like in the US that all hospitals and doctors must follow and there should be a consequence for breaking them. Just don't use insurance and legal recourse like the US

[@AslamPallikkattil]

I am a UAE based pharmacist. The quality of MNC/ big Pharma manufactured products are way better than cheaper products of the same medicine. It’s a truth.

[@nishantahvan]

Last time I visited govt hospital they give me big list of medicine next I goes govt certified store I was stunned the bill of 1000 rs on medicine which was high so I ask store owner give me only generic, he replied beside paste everything is generic. If this high price was for generic then I can't imagine price of branded.

[@nachiketa2011]

Good coverage as always. Ms Sharma has taken Indo TV journalism to a level miles above the shouting matches with no content.❤

[@craftmond8322]

Let people too decide on it. Patient should be given a choice. Making Doctor mandatory to write generic drugs is same as making citizens of the country mandatory to take generic drugs only (when we say mandatory we know what it means almost all the time). Afterall every citizen wants best drug for themselves. I dont thinks Crorepatis will go for Generic medicines for their treatment (well may be some with vested interests).

[@sas2061]

So basically now pharmacist will decide which brand drug to give😂 Why dosent the govt ban brand name on drugs....let companies write only salts name .

[@rajashahbrd1]

Same thing happens at in house pharmacy of hospitals and doctors

[@bhavyawadhwa1]

Who's stopping you to get informed and decide yourself if you have the name of the generic salt. Laziness ? Wah...Remove the brand name. So that anyone with bad intentions can produce fake ones in their backyard and mix with the original one's.

[@sas2061]

@@bhavyawadhwa1 u think this is not happening now😂.where do u think govt supply of medicines manufactured in itarsi are happening.....in state of art facilities?

[@sas2061]

@@rajashahbrd1 so ban them bring abt a rule saying no corporate or private dr can have inhouse pharmacies.let govt open Jan aushadhis every km and stock all meds there

[@bhavyawadhwa1]

@@sas2061 In some cases it might be but Kaun keh rha hai Govt. Brands hi kharido. There are more than 100 private Pharma companies. Let us choose between those private companies.

[@drbidyut3]

Beyond the price ,the important point that regulators are missing is that the quality / amount of active ingredient / purity and hence the effectiveness of the drug varies a lot among different companies manufacturing for the same compound . Which government agency is ensuring the quality of the generic medicines ?

[@nunchi3291]

So the pharmacist will have the Power now on what a doctor prescribes?

[@SIDDHARTHA01]

Just wow, till date nobody has documented on this very vital issue.. A big salute..

[@wolfmangoland7972]

If the generic version is available, insurance companies in the US only cover the generic version of the drugs. Made in India generic drugs are sold by most pharmacies in the US and Canada.

[@pramodsurana693]

That is the game here, the move is mainly for benefit od insurance companies and govt.

[@Srikanthraoma]

Excellent move, but need to make ensure that generic medicines stocks are available in all pharmacy. Jai Hind Vande Mataram

[@shantigeorge3476]

Good move 🙏🙏🙏

[@lndian_Patriot]

I can't imagine how challenging it must be for the Snapdragon Seed rescue team, but their bravery and hard work shine through. They are truly inspiring and deserve all the recognition and support they receive.

[@Medicineknowledgefor]

If government have so much care for patients they should reduce the gst first

[@parlok]

Any reduction in GST will be eaten up by pharam companies.

[@devasisdutt8914]

Very rightly said.

[@phanikumarvempati]

I also found that generic drugs are not working like branded ones. My pharma friend said that generic drugs may have same medicine but while making them the catalysts used in them may not work as intended, the impurities are not cleaned properly, active and inactive ingredients may not be in proper ratio. All of these shortcomings will make the generic drug dangerous rather than working for the disease. Testing labs not available and even they are available , large scale testing may increase the drug price again and so generic drug makers won't go through such rigorous testing. Government should come in to start testing labs in that case. Simply forcing doctors to suggest generic drugs will be a stupid thing to do.

[@maotsetung243]

Why do u think india makes hundreds of billions of dollars and is named as Pharma of the world if nothing is tested?

[@lndian_Patriot]

Watching the Snapdragon Seed rescue team's captivating exhibition is truly impressive and heartwarming. I'm thankful for their dedication and hard work, and this video is a perfect example of their passion.

[@besties1936]

First and foremost they should control selling of drugs which are not supposed to be sold OTC. Who is monitoring pharmaceutical companies, quality, distribution, etc.... If any drug produced it should have unique number, complete data should be available from production to who consumed.

[@kingasokanasokan8353]

I think Media has a great role in bringing this issue to light in a right and accurate manner with no ifs and buts.Because private Hospitals cannot put their pen down as it is their livelihood. Govt.doctors if they protest they will have to face so many oppositions from all quarters. So Only genuine media people like u have to throw light on this serious issue ,and make it reverted,

[@arpitsinha09]

The NMC should have done this ONLY after ensuring that all companies are upto standard limits when it comes to quality of the medicines. No doubt medicines of foreign pharmaceuticals like novartis and indian pharma like cipla are lot better when it comes to standard.. comapred to those pharma companies.. whose cough syrups are accused of killing children in africa.. If doctors write generic drugs then cgemists will only sell the costlier brands of drugs..as it has more cuts involved.. Totally disagree with this.. Not every doctor is a part of nexus..

[@sumansengupta2552]

Question is not about generic drugs. Suppose if in a store there is no generic drugs available, if the doctor writes paracetamol 650 instead of calpol, dolo or parasafe then then we have the option to buy the lowest priced branded medicine from the stocks thats in the drug store . But if the doctor writes specific medicine's name then most patients don't have the courage or understanding that any other brand same composition wil work the same. It's a very good initiative.

[@drlungs]

India is far behind in quality control standards as compared to USA and other nations. So same rule should not be applied to India. Instead the authorities responsible for ensuring quality should be strengthened.

[@coachinghangout4016]

Quality of corona virus vaccines and drugs in us compared to India is for everybody to see.

[@om_02040]

One of the greatest decision by the government. 👏

[@drlungs]

If government are so keen for generic drugs to be prescribed why do they give licences to branded drugs. Initiative should be from the government and they should ban all branded drugs and ensure the quality of generic drugs

[@RutwikPatel246]

much needed move

[@krisjustin3884]

A good balanced report. Nice to see some consideration towards the poor patients.

[@nikhilnair5611]

It's a revolutionary change. We need it .

[@coucoubrandy1079]

Doctors here prescribe generics most of the time it isn't a problem, it keeps the prices down. During the pandemic there was a shortage of some medicaments. That's when we learned that a lot of them came from...India ! Which did cause a bit of a stir . Not because it's India, but we have the pharmaceutical giants here ! We didn't understand why we couldn't make them ourselves. But , yes of course, money !! 😡😡😡

[@vidhyanandavidhyananda994]

Good research in medicine, please continue anthor research in medical sector

[@drshaikee978]

Some studies shows difference between generic and branded drugs of action, kindly look at it, after that you won't ask for generic, generic gives good income to Pharmacy, branded gives good outcome in case of managing diseases! Only graduted doctors can understand

[@giridharkatikapalli9894]

You think the regulatory body has quacks??? I am sure there are many higly qualified and lot of experienced people with multiple labs under their control. There are always exceptions, some generics are better than originals. So, Dont bull shit.

[@drshaikee978]

@@giridharkatikapalli9894 we are also in same field no need your suggestions

[@kshetra-kshetragnya]

Secubitril+Valsartan Salt 1.Vymada Brand - ₹1130/- 14 Tabs 2.Mymada Brand - ₹124/- 10 Tabs Both are branded, Mymada is not generic. Let you know how Medical Mafia is looting us.

[@kamalbharti157]

Thnk you so much

[@chula3155]

Excellent decision ❤

[@HelloMedicAnkit]

Even if doctors write the generic name it won't effect much, cause there aren't enough generic medicine store... before lecturing doctors government should focus on flooding the market with generic medicine first instead government send the generic medicine to developed nations...i hope now you understand who is the main culprit

[@sahil-jo7ot]

Good

[@justplay6315]

Well, the problem is, there are some new drugs that are sold this way- the sellers visit clinic, demonstrate or talk about drugs and sell some quantity to the doctors.. doctors not only prescribe this, but also handover initial dosage during the visit itself which they recoup the money (consultation+medicine) .. doctors get cut from both sides, drug dealers and patients and they make 2x the money. This has to stop such docs should have their lisence revoked

[@AshmitaRoy876]

Well as per my knowledge the samples given to doctors are NOT sold . They are given for free which most doctors give to patients who can't afford the medication to check the patient outcome and put in their list of p drugs if they see that the drug is having desired outcome . I am a doctor myself and this is what I've seen till now

[@lndian_Patriot]

As a member of society, I am truly inspired by the Snapdragon Seed rescue team's commitment and friendship. This video is an amazing work of art that deserves recognition and appreciation.

[@shaunakdutta7498]

Why not order pharma companies to sell same medicine at fixed price all over India.... All problems solved... Food for thought... Ms. Sharma, would really appreciate ur and ur teams research on this. Also, would appreciate your insights on taxation on medicines and its implications.

[@bhavyawadhwa1]

Not possible. A lot goes into manufacturing, RnD, marketing, sales of a drug that it would be impossible for the government to analyse and put the same peice on all companies...In short you are asking for socialism...

[@shaunakdutta7498]

Yeah. But after 20 yrs ... to brands who are not original researchers of these medicines... this should become a norm... or after 20 yrs this should go directly to generics.

[@shankargubbirajanna9779]

I take silodosin 8mg for prostate problem from Janaushdi Kendra costs Rs. 10 per tablet. Same branded item costs Rs.26 per tablet. Likewise, Febuxostat 40 mg costs Rs.3 per tablet in Janaushadi and branded item costs Rs.14 per tablet. I am comfortable with generic version. Almost all private hospitals have their own medicine outlets which is a profit making machine for private hospitals since retailer margin is anything between 25% to 40%. It is natural for them to oppose. Also, can anyone clarify as to why questions are not asked about quality of branded drugs? Is it taken for granted that they maintain quality? Nodoubt that Government should bring in stricter quality control measures, so that people buy generic drugs without any reservations.

[@maheshmsrinivas6889]

There are so many Pharma companies good n bad. There r no strict regulations about quality control in Pharma companies. At times doctor also gets confused to identify good brands so patient gets cured. Now patients ll b at the mercy of pharmacy stores who don’t care about whether patients cured or not n think about their profit n also patients have to pay more n for longer time at the the expense of their money n health.

[@kdramafangirl2299]

Exactly..

[@lndian_Patriot]

As an supporter, I have immense respect for the Snapdragon Seed rescue team's tireless dedication and passion. This video is a stunning exhibition of their high-quality and impressive work.

[@swati21sharma]

This is superb!!! They will protest because commission from brands will stop

[@HelloMedicAnkit]

Don't you think before lecturing doctor on what to prescribe government should flood the market with generic drug first ???so that it becomes more available to common people...and people are complaining doctors not Pharma companies who are putting high price on their products...that even more weird 😂😂😂

[@Mr.Awes0me]

​@@HelloMedicAnkitSeveral generic medicines are available in the market but never seen any doctor prescribing them. The most common examples are Dolo and paracetamol. Generic Paracetamol is available in most shops but never seen a doctor prescribe it, they mostly prescribe Dolo or some other brands. Instead of prescribing generic antibiotics they prescribe Dr Reddy's or other big brands' medicines. Of course Pharmaceutical companies will sell their medicines at a higher price because they have to pay for the medical representative & doctor's commission, marketing. They are there for business not for charity. 🤦🏻‍♂️😂

[@HelloMedicAnkit]

@@Mr.Awes0me ☠️☠️☠️👍...So the price of medicines are high because they need to pay doctors for their promotion...i think I need to stop my studies... enough internet for today

[@HelloMedicAnkit]

@@Mr.Awes0me So you are telling me you can find generic medicine in normal medicine store...ohh I see...such a profound knowledge you have

[@HelloMedicAnkit]

@@Mr.Awes0me So let the pharma companies do their business and let the government play all the blame games and blame doctors for every thing...that's a nice strategy btw

[@lndian_Patriot]

This video is a true work of art, and I'm captivated by the Daffodil Seed rescue team's impressive exhibition. It showcases their passion and dedication, and I am truly proud of where they stand today.

[@kdramafangirl2299]

More than doctor's prescription, medical shop owners dispense whatever medicine they want. Who will regulate that???

[@nishant54]

Patients only

[@batcryalok]

Please take a look at the frame at 4:44. One can see the format of a standard prescription. There is Rsubx written on it. R stands for result and x stands for unknown. The doctor who is prescribing the medicine is acknowledging that he/she does not know what what will be the effect of the drug/drugs he/she is prescribing on the patient. It does not matter whether the drug is generic or not, expensive or cheap. The doctor is just hoping that it will work. The patient is taking the drug/drugs at his/her own risk.

[@classroom3223]

Generic drugs are less effective than other. Govt in india want to save money at any cost , even at the coet of lifenofnpeople. I have seen many govt employees who have retired dont take free medicines from dispensary but buy branded from chemist

[@joybagchi5087]

rightly said

[@dudette317]

In case of epilepsy, even if the patient tries to use a different brand medication from the one that he is using before can prove fatal without the doctor’s intervention. A lot of times, due to lack of availability of a drug , the patient chooses to use another brand which could lead to death and guess who is held responsible? The doctor! Not everything is about profit and money.

[@giridharkatikapalli9894]

I dont belive it if paient changes the drug, why is doctor held resposible. Dont bull shit. Give live cases of your argument

[@ADITYARAJ-lx5fj]

Bro my father has bipolar disorder and the doctor was sending it's own local manufactured medicine and was very expensive more than the branded in the market .so I decided not to go with doctors medicine . I purchased the same branded medicine of same composition from market and my father is doing well. Now I have moved from branded to generic medicine few years back and it's quite effective not having harsh result . So , every affordable things are not bad and harshfull but can be good also just like tata Nana which was backthrusted by people earlier so called cheap and people are buying the same things at a triple price (mg cars ) so we have to appreciate the efforts of our government because there are various committees who have worked upon this final commitment to sell generic drugs and they are more certified and heighly educated than us . Son we should not deliver false claims regarding generic medicine as it can work as a boon for middle class family

[@amitray4105]

And the chemist is free to choose the brands?? How does this work as long as pharmaceutical companies make branded drugs?

[@curioussoul5747]

Generic drugs prescription is done in govt setups coz tey cnt afford good brands. However thse drugs hav such poor efficiency double d dose r given often. In pvt places if docs dnt prescribe brands thn medical reps wud instead go to pharmacists and giv tem money to sell their brands. Nd how is tat a better option? Coz tey hav no idea abt thngs + in india pharmacists r not running pharmacies tey r jst business ppl wid no degree therefore its evn more dangerous to patients.

[@samratkadiyam4071]

Good decision by the Govt. Companies also must be mandated not to put any brand name for their drugs.

[@gajananjoshi9350]

Much awaited, most expected, excellent move by the government...need of the hour ...just need to monitor the quality of the generic medicines at appropriate stages... nicely presented

[@HelloMedicAnkit]

Not only quality it's about availability

[@HelloMedicAnkit]

Even if today any doctor prescribe a generic medicine you won't get it easily...in my case the nearest generic medicine store is at a distance of 25km ...

[@sailajaswain6242]

Great journalism 👍🏼👍🏼

[@drlungs]

It is unfortunate that in India people are ok with poor quality just beacuse it is cheap. A large part of it is due to freebies distributed by various parties which have changed the habbit of people and made them so dependent. Ultimately its the yax payers money getting affected

[@maotsetung243]

Tax is meant for freebies only. In west tax is The reason education is free in some countries and affordable healthcare. You should reconsider what you describe as freebies.

[@kumardeepmazumder2691]

Great analysis