Medical network - February 7, old people can't see also look not to understand, young people don't understand, also don't want to see, small a leaflet often dozens of important notes, covering pharmaceutical ingredients, drug name, character, and so on project, most make a lot of patients is some instructions and molecular formula and molecular weight. Have said for the patient, with marked so see also look not to understand the chemical formula, rather than the patient read entries font, "translate" adult people read statements. Beijing morning paper reporter understands from drug companies, each drug firms drug specifications is fill in according to the national specification, cannot be changed. While doctors suggested that patients can focus on the description on the "notes", "usage" and other key information.
Reporter investigation
Wear presbyopic glasses still can't see
In his version of the children's father, like many old people, suffering from disease of heart head blood-vessel, need to take blood pressure drugs and dredge cardiovascular drugs. In the old medicine cabinet, neatly packed with all sorts of medicine box, he is too careful not to every specification of the drug remain in the boxes. But this instruction manual for the children's father is like "chicken ribs", he told the Beijing morning paper reporter: "I am a little are not the first time to take this medicine, all is according to the doctor the doctor's advice to eat. Why don't see leaflet? Because word too look down upon, besides, I also don't understand!" He drew a leaflet for treating high blood pressure, see it closely printed many little word, he wear presbyopic glasses, pointing to the instructions at the top of the small word to say: "you see" approval date "was written here, 'standard date, a total of JiuZu year, month, day, and I don't know what is the difference between this. You look' ingredients' here again, all chemical structural formula, molecular formula, I can't see wear presbyopic glasses. This one instruction at least thousands of words, my eyesight fails, after watching it head all dizzy."
Reporter discovery, a lot of western medicine drugs manual "ingredients" column will be listed in the chemical formula and molecular formula and molecular weight, and then the "character" and "indications", "usage" and other patients can understand information. May be limited to the cause of the size specification, and the directions of the font is very small, some font is 1 mm wide, 2 mm long. For the elderly perennial need medication, the font size seems very difficult indeed.
"Adverse reactions are ignorant.
For patients, drug adverse reaction is the focus in the manual, but some instruction in the "adverse" expression is also very difficult to understand. Beijing morning paper reporter the query to a treatment for high blood pressure drug specifications in "adverse" this statement: "because there are big differences between the condition of clinical trials, a kind of drugs in clinical trials observed adverse reaction probability can't and another drug in clinical trials directly compared incidence of adverse reactions, may not reflect the incidence of clinical practice observed." Then manual use about 200 words and three form of the drug in clinical research in abroad, such as in the United States concluded relatively complete data, multiple occurrences of "rate", "placebo", "other adverse reactions", "individual adverse reactions", "relevance" and so on. Reporter is studied for a long time are not very sure whether the drug adverse reactions, and what's the adverse reactions.
To this, citizens Yang feel the same way. Mr Yang as the body fat, blood pressure, blood sugar is high, the doctor advised taking medication. Less than 50, Mr Yang in this leaflet is also very upset: "some people say that once eat blood pressure medication, lifelong medication. I'm not old, are willing to lower blood pressure medication, but worry about the medicine to eat many will there be other side effects. But I watched leaflet back and forth several times, didn't also can see understand will have adverse reactions." Every possible way, Mr Yang found a doctor friend, with instructions, please friends give detailed meant to explain, "my friend the doctor says no problem, I will dare to take, or great then see don't understand the information, they're not steadfast."
Targeted expression is also professional
Pregnant women and lactating women, the elderly and children is a special object, many in the leaflet will make special part of the four groups of administration. Targeted drug originally is a good thing, but the reporter found that some instruction is also formulated more professional, puzzling problem.
For example, "in pregnant women have not enough and good contrast research. Only when the potential benefit exceeds the potential risk of the fetus, only can be used during pregnancy..." "This product clearance reduce elderly patients, which leads to the area under the curve (AUC) increased about 40 to 60%, so the appropriate dose with small..."
In addition, many specifications was labeled the "pharmacology", the expression is also very professional, such as it is "a total synthesis of immune stimulation regulator, by stimulating nonspecific nature immunity, humoral immunity and cellular immunity effect. Its acute and chronic toxicity effect is very low..." Statements describe not only makes it difficult to read, the more difficult to understand.
Proprietary Chinese medicine instruction is relatively simple
National health development planning commission, according to a report in the urban and rural residents in our country, to be able to correctly read the leaflet residents proportion is about 15%. In 2012, in contrast, China's national adverse drug reaction monitoring network received adverse drug reactions or incident reports more than 1.2 million copies. Compared with western medicine instruction, proprietary Chinese medicine specifications are relatively easy to understand. Traditional manual also includes "drug names", "composition", "character", "functional attending", "usage", "reaction", and "taboo" project, describe the basic can one see to understand, especially in the column of "ingredients", mostly in the form of Chinese patients are familiar with Chinese herbal medicine ingredients, such as st John's wort, rhubarb, artemisia annua l, radix bupleuri, radix glycyrrhizae, etc. "Adverse" labelling is more easy to understand. "Taboo" column section only simple annotation "is unclear.
The doctor view
Patients also have a right to know
A engaged in the study of blood doctor told the Beijing morning paper reporter, said in a strict sense, leaflet is not addressed to patients, but showed doctors, pharmacists and other professionals, is only a formal specification, that is to say, see instructions and give patients to doctors, pharmacists and look at the instruction of the same.
So is it possible for patients to write a popular version of the manual? The doctor said, this is not accord with the requirement of national food administration of drug safety, also do not conform to the international practice. "The more big pharmaceutical production enterprise, the more information on the manual, and any possible side effects are listed, it is responsible for patients." The doctor said analysis, provide patients with comprehensive instructions not exist potential problems, "the patient also has a right to know. You listed patients don't understand, does not provide relevant information with you, nature is completely different." The doctor said, traditional manual accessible because of its specific pharmacological mechanism and metabolic way is not clear. The doctor recommends that patients can mainly to understand the key information when see leaflet, such as "indications", "usage" and the major side effects.
Drug firms to respond to
The unified regulations of the state can't modify
South, head of a certain drug firms, said in an interview with the Beijing morning paper reporter all drug firms drug specifications are according to the national food administration of drug safety regulation to write, "all of the instructions are not determined by the enterprise how to write, should be in accordance with the" template "formulated by the state to write, to adjust instruction to declare with national food administration of drug safety. Unless some enterprise of certain drugs increased the clinical indications, specification changes, or drug firms will be according to the" template "to fill in the specifications, not to declare."
The official also said that prescription drug instruction is mainly to see the doctor, the doctor will give patient a prescription according to the directions. Foreign drug specifications, he said, is also this way of writing, and "because the pharmacological research of western medicine abroad more thoroughly, to carry out for longer periods of time, so there will be more projects listed on the instructions."
S the reporter's note
Start small people-oriented
Medicine can cure, also can cause, in addition to medication in strict accordance with the doctor's advice, see the instructions should be a able to prevent the virus from medicine effective channel. Reporters to see a lot of drug packaging and instructions, found mostly on the box to write a drug indications and usage and dosage, few annotations of adverse reactions and taboos. Since countries have specific request for instructions to writing standards and international practice, so is "adverse reactions such as" information can be also marked on the packaging? Because such patients in hospital can prescribe medicine or pharmacy to buy medicine, the first time to see the most need to understand the information, if you have not understand information can also ask your doctor or pharmacist as soon as possible, avoid because don't understand the instruction information and delay treatment.
A small manual contains the information of big, in addition to your doctor or pharmacist, we ordinary people, I'm afraid it is difficult to understand, although do not rule out some patients can read, but, if improved drug packaging specification, advance the key information "location", maybe can reduce the patient's confusion. People-oriented, based on patients, might as well start small improvements. |
