Ludhiana, December 19
A symposium on “Rational prescribing of central nervous system (CNS) drugs and drugs in AIDS ” was organised by the Department of Pharmacology, Christian Medical College and Hospital(CMCH), here today under the aegis of the Delhi Society for Promotion of Rational Use of Drugs (DSPRUD).
The chief guest, Dr S.N. Tiwari, Civil Surgeon, emphasised the need for training young doctors in prescribing various medicines rationally for maximum efficacy and safety.
He said emergence of newer and easy available sedatives, tranquilisers and mood elevator drugs in the past three decades had led to the misuse of CNS drugs, especially in Punjab. Alcohol abuse had also soared in the state, he said adding that efforts should be made to control it.
Dr Mohan Verghese, Principal, CMCH, emphasised the importance of rational prescription for budding young doctors. He thanked the DSPRUD and WHO for choosing the CMCH as a venue for imparting training in the subject for the third successive year.
Dr J.K. Joshi, acting Director, CMCH, advocated the rational use of the drugs in a cost effective manner. He also gave outline procedures of procurement and dispensing of drugs carried out at the CMCH's pharmacy.
He appreciated efforts of the Pharmacology Department and the DSPRUD for conducting the symposium and added that it would prove to be a great asset, especially in prescribing drugs for HIV patients.
In the introductory note, Dr Sangeeta Sharma from the DSPRUD, who is also a representative of WHO, briefed the audience about the concept of rational use of drugs and the essential medicine list (EML). Highlighting advantages, she added that the EML and the STG led to better therapeutic care and economics and ethical practice.
Speaking on the drug abuse, Prof A.P. Dadhic, Head, Department of Pharmacology, CMCH, and national coordinator for the state in the DSPRUD said since long many plants and CNS drugs had been used for medicinal purposes and to alter mood, thoughts and feelings.
Many CNS drugs like benzodiazepines, barbiturates and analgesic were prescribed everyday at a large scale to patients, often leading to self-medication. Many of these, like caffeine, nicotine, alcohol, opium and their derivatives, were socially accepted, but these products were causative of drug abuse and were also toxic, he said.
Dr P.P Khosla described various obstacles in the rational prescribing of CNS drugs. Dr A.K. Agarwal, described how drugs could be prescribed for ancient related disorders.
Dr Dinesh Badyal, organising secretary of the symposium, described general guidelines about prescribing drugs in depression. Dr R.S. Deswal, a psychiatrist, shared his experiences about the management of insomnia.
Dr Gagandeep and Dr Ashiash Maseeh provided information on various antiretroviral (ARV) drugs used in AIDS, which was followed by a talk on its management Dr G.D. Singh.
About 60 delegates from various hospitals and medical colleges in Punjab attended the symposium. It was felt that organising more such symposia would be very helpful to regulate and modulate prescribing habits of physicians for treating various diseases.