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3rd June, 2017
Rational use of medicines: What does the word 'rational' mean?

As doctors taking care of patients, our guiding principles remain 'beneficence (act in the best interest of the patient)' and 'non maleficence (do no harm)'. Medicines cure, control and prevent disease. Hence, rational use of medicines is a very important aspect of patient care as it impacts patient outcomes.
 
What does the word 'rational' mean? The dictionary meaning of the word 'rational' as defined in the Oxford English Dictionary is that which is "based on reasoning or reason" or that which is "sensible, sane and moderate".
 
In 1985, the World Health Organization (WHO) convened a Conference of Experts on the Rational Use of Drugs in Nairobi in 1985, which defined the rational use of medicines as "The rational use of drugs requires that patients receive medicines appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and the community".
 
The 'Five Rights' of safe medication administration by the Institute of Healthcare Improvement also advocate the same: Right patient, Right drug, Right time, Right dose and Right route. Four more 'Rights' have been added to this: Right documentation, Right action (reason for prescribing the medication), Right form and the Right response.
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IMA to flag off the Dilli Chalo movement
  • Doctors unified in their stand against the many issues faced by the medical profession
  • This huge movement is the need of the hour to urge the government to take strong action
New Delhi, 02 June 2017: In what will probably be the largest movement against the atrocities faced by the medical profession, the IMA will be organizing the Dilli Chalo movement on 6th June 2017 and has urged the entire medical fraternity to join in large numbers. The Association has already undertaken an intensive month-long campaign to raise awareness on and bring to light the issues faced by the medical profession today. IMA is a unified voice and the collective consciousness of the medical profession in the country. 
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