Monthly Archives: April 2017

Parkinson’s could start in the gut

Scientists have found more new evidence that Parkinson’s could start in the gut before spreading to the brain, observing lower rates of the disease in patients who had undergone a procedure called a truncal vagotomy. The operation removes sections of the vagus nerve – which links the digestive tract with the brain – and over […]

This macrophage is busy capturing bacteria, but its relatives may be helping your heart beat.

The Science Picture Company/Alamy Stock Photo Immune cells unexpectedly help the heart keep its beat By Mitch LeslieApr. 20, 2017 , 12:00 PM The immune cells known as macrophages have a long to-do list in our bodies. They defend us from bacteria, coax wounds to heal, and perform other vital tasks. A surprising new study […]

Dictating treatment 

It must have happened to you many times that an anxious parent came to your clinic for follow up with his daughter suffering from fever and telling “Doctor it has been two days she is suffering from fever. Why are you not giving her some STRONGER antibiotic that acts FAST and heal her fever?” Even […]


Prime Minister Narendra Modi’s resolve to ensure that doctors prescribe only generic medicines is being undone by some creative interpretation of the Medical Council of India’s (MCI’s) “code” for doctors, which ostensibly makes it mandatory to prescribe using generic names. Reacting to the MCI injunction that doctors should prescribe generic drugs, the Indian Medical Association […]

Generics -IPS VIEW

Declaration: This communication is to address the immediate concern of fellow psychiatrists. The IPS EC is schduled to meet on the 10th May at the IPS HQ to discuss the sequel and impact of the relevant MCI circular.  The following communication is being released after due approval from the Honb’le President – IPS.   +++++++ […]

Lawyers and generics 

A reputed law firm opines in the context of Health Ministry’s letterNew Delhi: The letter dated 18.4.2017 sent out by the Government of India, Ministry of Health & Family Welfare to the various Secretaries in the States/UT’s enclosing a copy of the amended MCI regulation which mandates that “every physician should prescribe drugs with generic […]


IMA-FOMA DELHI RESOLUTIONS (IMA- Federation of Medical Associations of India) Prescription of Generic Name of the Drugs by Medical Professionals · IMA-FOMA appreciates Hon’ble Prime Minister, Shri Narendra Modi’s concern about the availability, accessibility and affordability of quality economical drugs to the society. · IMA-FOMA recommends that Government should ban differential pricing of a drug […]


A generic drug is identical–or bioequivalent–to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics and intended use. Although generic drugs are chemically identical to their branded counterparts, they are typically sold at substantial discounts from the branded price. According to the Congressional Budget Office, generic drugs save consumers […]

Fibromyalgia and pain

  by Donna Ker Leesley, Researchers Find Main Source of Pain in Blood Vessels. Researchers have found the main source of pain in Fibromyalgia patients, and contrary to what many believe, it does not stem from the brain. The findings mark the end of a decades-old mystery about the disease, which many doctors believed was […]

Psychiatry needs neurosciences

It challenges our intuition to think that brain neurons like these are responsible for all of our thoughts, emotions and mental disorders—but they are. Credit: Nephron Wikimedia (CC BY-SA 3.0)  Earlier this month, JAMA Psychiatry published a groundbreaking addition to their journal’s line-up: an educational review intended to educate psychiatrists about neuroscience. A group of […]

Hathi committee 

1.1 Health is a fundamental human right. The Constitution of India directs the State to regard the improvement of public health as among its primary duties. The Five Year Plants have been providing the framework within which the Centre and States have developed their health services infrastructure and programmes. Since the attainment of Independence considerable […]


The dispute really is whether respondents 1 2 and3 as above-mentioned can acting within the scope of the power conferred by the Act and the Rules compel the petitioners or the other manufacturers of drugs to either not use the brand name or trade name at all in marketing the drugs respectively produced by them […]


Date:- Friday, August 13, 1982 Court:- High Court of Delhi Judges:- THE HONOURABLE CHIEF JUSTICE MR. PRAKASH NARAIN & THE HONOURABLE MR. JUSTICE S.S. CHADHA Advocates:- A.H. Desai, C.M. Manier, K.M. Iyer, K. Prabhakar, Rainu Valia, S.I. Thakore, T.M. Ansari, V. Rao.   Full Text:-       PRAKASH NARAIN C. J. (1) THE import manufacture […]

Mad Girl

  When the journalist Bryony Gordon wrote about her struggle with depression she was taken aback by her readers’ reaction. In her memoir Mad Girl she recalls: ‘Of all the subjects I had written about in my career, not one of them had elicited a response like this… I received hundreds and hundreds of messages […]

Legal issues

Brand names can not be restricted by the Govt. The Notification only provides additional requirement of writting GENERIC name. It does not prohibit writting BRAND in addition to generic. Word ONLY is missing from notification. DB judgement of Delhi High Court in Hoechst Pharmaceuticals Vs. C.V.S. Mani, 1982 can be referred where it was held […]

‘Safe medical practice’ –

 you heard it only as a philosophical sentence till now, we are presenting a case from a gynaecologist to tell you how serious this sentence is. © Detcare -Few days back a normal healthy pregnant woman came to my clinic for delivery. She got admitted as a normal delivery patient. Everything was going on fine, […]

Prescribing medicine in generic name

OPEN LETTER TO PRIME MINISTER OF INDIA SHRI NARENDRA MODIJI AND UNION HEALTH MINISTER SHRI J.P. NADDAJI Dear Sir Indian Medical Association has always supported prescription in generic name provided the government can ensure quality of the drugs manufactured or available in our market. The generic drug prescription is a complex issue. 1. The quality […]


After reading the ethical guidelines I am of the view that doctors are unnecessarily agitated over the MCI circular. The concerned section is as follows.     “1.5 – Use of Generic names of drugs: Every physician should prescribe drugs with generic names legibly and preferably in capital letters and he/ she shall ensure that there […]

Shall or should 

.To The President MCI Dear Madam This is about the following circular being issued by the MCI. However, the clause 1.5 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 has been amended in 2016 and notified in the Gazette of India on 21.09.2016, which reads as under: “1.5 – Use of […]


As we all are Pharma professional, …..Now a days lot of myth being spread by media and the politicians about generic and non generic drugs, So i would like that we all should pull up our socks and make people aware about these myths….and let us clear them about Drugs …..1. Drugs are developed by […]

2034 may 1

2034, May 1  Woke early morning due to chilly weather in the room even though it was quiet hot outside in Mumbai . Since govenment had made use of cow dung ( Gober) compulsory to be used as plastering material and biweekly reapplication , rooms were getting astonishingly cold . use of air conditioners were […]

Medical Negligence Vs Bad Practice, Which Is Going To Cost You More

In our previous medico-legal articles we have used the term “medical negligence” and “malpractice” several times. In general, these two terms have been used interchangeably, whereas, in legal aspect they have a subtle difference in the definition of these two terms. A knowledge of this difference may often lessen the legal burden for an accused […]

What is generics. What is Pharmaceutical name. Is it same. No

Drugs with generic name means drugs manufactured by a company who has not invented the drug and does not hold the patent for the same . Because the company has not invested in R &D it is able to sell it at a much lower cost. This can happen after the patent duration has expired […]

Facts about Generic Drugs

  Today, nearly 8 in 10 prescriptions filled in the United States are for generic drugs. The use of generic drugs is expected to grow over the next few years as a number of popular drugs come off patent through 2015. Here are some facts about generic drugs:   FACT: FDA requires generic drugs to […]


🔴🔴🔴🔴🔴🔴🔴🔴From the desk of Dr KK Aggarwal National President, IMA Generic drugs prescription The current law situation is ““Every physician should prescribe drugs with generic names legibly and preferably in capital letters and he/she shall ensure that there is a rational prescription and use of drugs” 1. Every physician means all of us 2. ‘Should” […]

What’s the difference between brand-name and generic prescription drugs?

What’s the difference between brand-name and generic prescription drugs? ADVERTISEMENT | REPORT AD Pharmacist Erik Mogalian and assistant professor Paul Myrdal of the University of Arizona’s College of Pharmacy explain. A brand-name drug product is originally discovered and developed by a pharmaceutical company. In order for the company to market and sell their product they […]

Compulsory license

A compulsory license provides that the owner of a patent or copyright licenses the use of their rights against payment either set by law or determined through some form of adjudication or arbitration. In essence, under a compulsory license, an individual or company seeking to use another’s intellectual property can do so without seeking the […]

Societal views on patents

Legal scholars, economists, activists, policymakers, industries, and trade organizations have held differing views on patents and engaged in contentious debates on the subject. Critical perspectives emerged in the nineteenth century that were especially based on the principles of free trade.[1]:262–263 Contemporary criticisms have echoed those arguments, claiming that patents block innovation and waste resources that […]


Evergreening is any of various legal, business and technological strategies by which producers extend their patents over products that are about to expire, in order to retain royalties from them, by either taking out new patents (for example over associated delivery systems, or new pharmaceutical mixtures), or by buying out, or frustrating competitors, for longer […]


A biosimilar (also known as follow-on biologic or subsequent entry biologic) is a biologic medical product which is almost an identical copy of an original product that is manufactured by a different company.[1] Biosimilars are officially approved versions of original “innovator” products, and can be manufactured when the original product’s patent expires.[2] Reference to the […]

Bayh-Dole Act

Government Patent Policy Act of 1980 Patent and Trademark System Reform Long title An Act to amend the patent and trademark laws. Nicknames Patent and Trademark Law Amendments Act Enacted by the 96th United States Congress Effective December 12, 1980 Citations Public law 96-517 Statutes at Large 94 Stat. 3015 Codification Acts amended  Patent Act […]

Anti-Counterfeiting Trade Agreement

ACTA Anti-Counterfeiting Trade Agreement French: Accord commercial anti-contrefaçon Spanish: Acuerdo Comercial Anti-Falsificación {{{image_alt}}} Type Plurilateral agreement Drafted  15 November 2010 (final revision)[1] 15 April 2011 (formal publication)[2] Signed 1 October 2011 Location Tokyo, Japan Effective Not in force Condition Ratification by six states Negotiators   Australia  Canada  European Union  Japan  Mexico  Morocco  New Zealand  Singapore  South […]

Generic drug

In some countries, such as Brazil (photo) and France, more than 20% of all drug sales are generic. A generic drug is a pharmaceutical drug that is equivalent to a brand-name product in dosage, strength, route of administration, quality, performance, and intended use.[1] The term may also refer to any drug marketed under its chemical […]

Counterfeit medications

A counterfeit medication or a counterfeit drug is a medication or pharmaceutical product which is produced and sold with the intent to deceptively represent its origin, authenticity or effectiveness. A counterfeit drug may contain inappropriate quantities of active ingredients, or none, may be improperly processed within the body (e.g., absorption by the body), may contain […]


The problem is compounded by the fact that there are very few branded medicines in india , the rest can be called branded generics .Also there are numerous compounds for which there are no so called branded generics. Branded molecules are those which are patented, branded generic being brands made after expiry of patent and […]

Worse than Death

(C) Dr. Rajas Deshpande “Doctor, I have started to die. Can you help me somehow?” he asked, calmly. In his late twenties, a handsome young man, well dressed, but with a certain painful gloom upon his face that was a mismatch to an overall nice and clean appearance. What could this be? I started thinking, […]

Treating Headaches in Psychiatry

We know that headaches are common in the general population, but they are particularly common among patients with psychiatric problems. According to one review, (Pompili M et al., J Headache Pain 2009; 10(4):283-290) patients with depression have a 46% lifetime prevalence of migraine, while bipolar patients have a 51% prevalence. Patients with migraines have triple […]

What is unethical…

After GBM I realised.. everyone is unhappy..  Physicians are unhappy about Surgeons treating DM, HT, thyroid diseses themselves .. Surgeons are unhappy about Physicians developing Medical ICUs and treating surgical diseases.. Gynacs are as such frustrated with PCPNDT and cutthroat competition, surgeons doing hysterectomies.. Opthalmologists are frustrated with optimetrists and Free NGO cataract camps… Radiologists […]

Retail margin on generic drugs may be as high as 1,000%, claims study

Pharmaceuticals By Durgesh N. Jha, TNN | Updated: Apr 19, 2017, 09.13 AM IST Ironically , India is one of the world’s largest exporters of generic drugs. If you think doctors prefer to prescribe expensive drugs when cheaper options are available, you are only partly right. A study in Indian Journal of Pharmacology found that […]

Defensive medicine 

Doctors fearing the threat of prosecution are avoiding high-risk procedures and patients who could be denied life-saving treatment as a result, a survey suggests. The poll, carried out for Doctors and Manslaughter, found 86% of UK physicians who responded said that they had adopted “a more defensive style”. Defensive medicine is where doctors recommend a […]

Why no generics

The website of Central Drug Standard Control Organisation (CDSCO) in New Delhi clearly says that this organisation has no role in testing the Drugs and Drug Manufacturing in India. The zonal labs under its control only test drugs submitted. This is the finished product. They do not verify manufacturing process. In all pharmaceutical manufacturing, the […]

Modi ji and cheaper medicines

Press Note 18.4.17Dr. Vitull K. Gupta, Chairman, Association of Physicians of India (Malwa Branch) has criticized Prime Minister Narendra Modi’s suggestion of a legal framework under which doctors will have to prescribe generic medicines stating that generic medicines are cheaper than equivalent branded drugs projecting doctors as demons putting the entire blame on doctors. Dr. […]

Doctor bashing 

Doctor bashing both physically and metaphorically seems to be a favourite pastime. Patients and relatives assaulting doctors are becoming frequent if the outcome is not what they expected. Politicians (read Namo) also speaks disparaging about doctors, casting aspersions on their integrity saying they are looting and overcharging patients, writing branded drugs. Every body wants the […]


HIGHLIGHTS The PM outlined a series of measures planned by the health ministry in line to regulate cost of medical care in the country The health ministry has recently issued a draft gazette notification making it mandatory for pharma companies to carry generic name of drugs on packs NEW DELHI: In a major step to […]

Allopathy orAyurveda 

Just before we left Gurgaon for Chennai, Krishnan had a severe stomach infection. Whatever he would eat, he would throw up and he was in really bad pain. When we consulted our GP Dr. Nehal Vora, she prescribed some medicines and then when the situation didn’t get better, she asked us to get an ultrasound […]

Why sitting is not the ‘new smoking’

By Emmanuel Stamatakis  Source: The Conversation 17 FEB 2017 – 7:12 AM UPDATED 17 FEB 2017 – 7:12 AM Emmanuel Stamatakis, University of Sydney Sitting has been branded the “new smoking” for its supposed public health risks, especially for people with sit-down office jobs. Over the past 15 years or so sitting has been linked […]

IMA to move court against “unconstitutional” provisions of CLINICAL ESTABLISHMENT Act IN BENGAL

Press Trust of India | Kolkata Apr 16, 2017 02:57 PM IST The Indian Medical Association has decided to move court for questioning the “validity” of the Clinical Establishments (Registration, Regulation and Transparency) Act, 2017 introduced by the West Bengal government.  The IMA will also protest “politically” and observe “National IMA Black Day” on April […]

Teach patients how to google

Most doctors don’t like patients who search for information on the internet. Their experience has been that because there is so much unreliable information on the internet, these patients get lost and confused, and are always trying to second-guess their doctor’s advice. This is why they tell them to stay away from doctor Google, and […]

Signs of psychiatric disorder

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. […]

Mental Illness: How the Media Contributes To Its Stigma

/jaruneu/ December 9, The scene opens with an unsuspecting woman taking a shower. Through the shower curtain, we see a figure approach her. As violins screech in the background, he throws the shower curtain aside and repeatedly stabs her in the back, leaving her for dead. We later learn that the killer, Norman Bates, has […]