Thursday, 27 June 2013

28 June, 2013

Pioglitazone ban: Health Ministry’s decision draws ire from all corners

The Union Health Ministry’s decision to ban anti-diabetes drug pioglitazone has come in for sharp criticism from the pharma industry in the country. Indian Pharmaceutical Alliance (IPA) secretary general DG Shah said, ‘There is complete secrecy and confusion about what led to banning the drug by the government which will adversely impact around 30 lakh patients who are using the drug at present.’ 
Some have even believe that this move is calculated which will force patients to consume more expensive drugs like gliptins. The industry is justifiably peeved because the drug is available in many countries including extremely regulated ones like the US (with a warning), Japan, UK, Switzerland, Canada and Australia. The only major country where pioglitazone is banned is France.
It was banned along with analgin (a painkiller) and deanxit (an anti-depressant) and while these drugs have a controversial history, the ban of pioglitazone has taken the entire industry by surprise. In its response to a parliamentary committee the health ministry said, ‘It has since been decided that whenever a drug is banned due to adverse drug reactions in countries with well-developed and efficient regulatory system viz. USA, UK, EU, Australia, Japan and Canada, the manufacture, import and marketing of such drugs would be immediately put under suspension till the safety of the drug is examined and established in the country’.
But as the industry insiders correctly point out, the drug pioglitazone isn’t banned in any of the aforementioned countries. We spoke to our expert Dr Rajiv Kovil, renowned diabetologist and the founder of the Diabetes Care Center, to find out more about the ban, and how it can affect patients.

28.06.2013



Kashmir, northeast worst-affected by cancer of the oesophagus

Cancer of the oesophagus – or what is commonly called food pipe – has been detected as the third most common cancer in India, with people from the northeast and Jammu and Kashmir found to be the highest affected by the disease, said experts Tuesday.
Cancer of the oesophagus – the tube in the throat that carries food and liquid to the stomach – is known to be a very morbid condition which affects the upper digestive tract of the human body. 
‘As per the Indian Council of Medical Research, every 8-10 people per 1 lakh population suffer from the cancer of oesophagus. The figures are even higher for northeast India,’ Bhushan Bhole of the Pushpawati Singhania Research Institute (PSRI) told IANS.
Jammu and Kashmir and the northeastern states of India also fall under the Asian belt of oesophagus cancer together with China, primarily due to the cold weather conditions and increased consumption of smoked meat.
‘There is a place in Mizoram, where 25-26 people per one lakh population suffer from the cancer of oesophagus,’ added Bhole, and added that for easier treatment and faster recovery, the doctors at PSRI have been conducting the surgery with minimal incisions (laparoscopic surgery) and creating awareness about the growing disease.
‘The new surgery with minimal incisions is better than the open surgery, as it entails less blood loss, lesser hospital stay for the patients who are especially elderly in the age of 55-60 years,’ said Sanjay Chaurey, a laparoscopy consultant at PSRI. 
The open surgery undertaken earlier would involve the opening of the abdomen, the chest and the neck for the treatment of oesophagus.
‘Recurrence of acidity for a few weeks and difficulty in swallowing are the main symptoms to the cancer of oesophagus,’ added Chaurey. 

28.06.2013







Little by little. A little becomes a lot


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