Editor-in-Chief eMediNexus – Dr KK Aggarwal
5th February 2019
How are the prices of drugs fixed?

Dr KK Aggarwal, Padma Shri Awardee

Drugs sold in India, whether generic or branded, are either scheduled or non-scheduled drugs as per the Drugs and Cosmetics Rules, 1945.

The prices of all scheduled drugs is capped. But, the Drugs (Prices Control) Order, 2013 (DPCO 2013) allows 16% margin to the retailer, as per para 19 of the DPCO, within the ceiling price fixed by the government. The distributor generally has a 8% trade margin. They are not permitted to increase the price more than 10% in a year.

This means that chemists can give concession up to 16% in controlled drugs and up to 20% in unscheduled drugs. The distributor or the company can directly give up to 30% discount. High cost products are marketed directly by the companies. In most cancer products the hospitals make 30% margins or more. ...read more

Board of Governors propose parity in stipend paid to interns

Dr KK Aggarwal, Padma Shri Awardee

The Board of Governors in Supersession of Medical Council of India are considering to include the following provisions in the Regulations on Graduate Medical Education, 1997:-

"All the candidates pursuing compulsory rotating internship at the institution from which MBBS course was completed, shall be paid stipend on par with the stipend being paid to the interns of the State Govt. Medical Institution / Central Government Medical Institution in the State / Union Territory where the institution is located." ....read more

Practice Updates

Tata Memorial Hospital studying impact of daily diet and air quality on health

With lifestyle and environmental factors emerging as key reasons for the rising incidence of cancer, two mega studies have been conceived by Tata Memorial Hospital to gauge if diet and quality of air impacts on overall health. These studies seem significant in the backdrop that genetic causes can only be attributed... read more

Updated Beers criteria for drug use in older people

The 2019 update to the Beers Criteria for potentially inappropriate medication use in older adults have been published online Jan. 29, 2019 in the Journal of the American Geriatrics Society by the American Geriatrics Society (AGS). The Beers Criteria are a compendium of medications potentially to avoid or consider with caution... read more

Changes in RA autoantibody levels reflect intensity of immunosuppression

A subanalysis of the early rheumatoid arthritis (RA) IMPROVED study published Jan. 18, 2019 in the journal Arthritis Research &Therapy has shown that changes in RA-autoantibody levels are not associated with disease activity or long-term treatment response,... read more

Matched sibling donor hematopoietic stem cell transplant shows promise in children with sickle cell anemia

Among children with sickle cell anemia requiring chronic transfusion for abnormally elevated transcranial Doppler velocities, matched sibling donor hematopoietic stem cell transplantation (MSD-HSCT), compared with standard care, was significantly associated with lower transcranial Doppler velocities at 1 year...read more

High-dose IV iron better than low-dose iron in hemodialysis patients

Among patients undergoing hemodialysis, a high-dose intravenous iron regimen administered proactively was superior to a low-dose regimen administered reactively and resulted in lower doses of erythropoiesis-stimulating agent being administered in a study reported in the New England ... read more

PAHO reminds international travelers to get yellow fever vaccine before traveling to endemic areas

The Pan American Health Organization (PAHO), regional office for the Americas of the World Health Organization (WHO) reiterated its recommendation to inform international travelers that they should get vaccinated against yellow fever at least 10 days prior to visiting areas where the virus circulates. .... read more

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Medicolegal Corner
eMedi Quiz
a. Neutrophil
b. Macrophage
c. Histiocyte
d. Dendritic cell
Lifestyle Updates
Inspirational Story 1: The Waste in Worry
Inspirational Story 2 : 20 Words to the Wise
Lack of a proper emotional environment at home can lead to conduct disorders in children
Parents should model the behavior they wish to see in their children
New Delhi, 4 February 2019: Neglect, abuse, domestic violence, poor parental health, lack of support system, father’s alcoholism and lack of brain stimulation lower children’s growth and development at an early age, according to a largest population-based study done in Haryana. The study demonstrates how children are never too young to understand and absorb what is happening around them. Each adversity lowered the child’s growth and development by the age of 18 months, with cumulative exposure leading to developmental inequities from the start of life.
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