Medical network - on July 18, on July 14, medicine institute of guangdong province issued "the super drug instruction directory (2017 edition)", 18 medical institutions in guangdong province in the update.
The super drug instruction directory (2017 edition) "total income 72, A total of 134 super instruction to use drugs, including A ring spore element, methotrexate, rituxan, Sally amine, metformin, etc.
▍ game: science and market
Exceed manual medicine refers to is beyond the scope of the drug specifications indicated indications and drug use behavior.
Exceed manual medicine on the one hand is the economic interests of the drug companies directly behind the driver, exceed manual medicine can to explore more, expanding the scope of the sales way; On the other hand is a clinical drug treatment may continuously explore, and even the birth of new scientific research.
Disclosed according to the will of the American medical association journal, hospital, in the United States each year, about 40% ~ 60% of prescription drugs is used for "without the purpose approved by the FDA," these unapproved new indications are "old drugs with new", after test and eventually change the purpose in the past became the Gospel.
Antipyretic analgesic, for example, aspirin is used to dilute the blood, prevent thrombosis; Anti-cancer older drugs mitomycin was used to treat leukemia; Antimicrobials methoxyl charting the ammonia pyrimidine is used to treat HIV/AIDS; The pill raloxifene was used to prevent osteoporosis women; Antidepressant drugs "was used to treat children with adhd are successful examples.
▍ drug firms big positive
Manual medicine institute, guangdong province, the printing of the super medication directory (2017 edition) "for many drug firms, is a lot of the Gospel, and drug use scope expands, may directly increase the sales related drug firms. From a much larger scale, the attempt of guangdong province medicine institute in drug super specifications used in this area is also a beneficial exploration.
Medicine institute of guangdong province in 2010, 2011, 2013, 2014, has issued a series of regulations normalizing the super specifications, such as in March 2010, guangdong medicine institute issued by the drug use unregistered expert consensus, it puts forward the five principles: exceed manual medicine
1, in affect patients' quality of life or life-threatening cases, there is no reasonable alternative medicine;
2, the purpose is not experimental study;
3, have reasonable evidence medical practice;
4, the hospital pharmaceutical affairs committee and the ethics committee approval of management and drug therapy;
5, to protect the patient's right to know.
▍ attached: the drug instruction directory (2017)
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