By Sunil Garodia
First publised on 2022-09-09 03:11:08
A study in
Lancet Health - Southeast Asia has confirmed the widely held view in the
medical fraternity that there is rampant misuse of antibiotics in India. This
is due to several reasons - excessive and sometimes needless prescription by
doctors, self-medication by patients and lack of stringent rules that allow
chemists to sell antibiotics over the counter without prescription.
Most doctors
in India are guilty of prescribing strong antibiotics for even the most common
ailments. This is mainly due to the fact that they receive 'commissions' on
sales from drug companies. But as medical practitioners, they are the ones who
should know that rampant use of antibiotics reduces their efficacy and makes
the human body less immune.
Then, most
patients try to avoid a visit to the doctor and indulge in self-medication (a
dangerous trend). They often dig out old prescriptions and take the same
medication again if they find similar symptoms, not knowing that many diseases
throw up similar symptoms but need different treatment. A doctor is the best
person to diagnose the disease and prescribe medicines. Self-medication has led
to people misusing antibiotics.
But this
would not have been possible if the local chemist store had demanded a current
prescription from patients. Chemists often sell antibiotics over the counter in
violation of the rules. It has been reported that post Covid, azithromycin has
become the most misused antibiotic in India and people have been popping the
drug if they get symptoms of common cold.
This is a
dangerous trend and the government must step in to tighten rules to prevent
antibiotics from being sold over the counter. The misuse of antibiotics must be
stopped as it also reduces immunity and makes people less capable of fighting diseases.
People must be warned about the dangerous effects of unnecessary or excessive
use of antibiotics.