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Need of Guidelines to Practitioners & Consumers for
Prevention of ADEs from ASU&H Drugs
Prof. Anand Chaudhary
Department of Rasa Shastra,
Faculty of Ayurveda, IMS
BHU, VARANASI
NEED OF GUIDELINES TO PRACTITIONERS & CONSUMERS FOR
PREVENTION OF ADES FROM ASU&H DRUGS
https://www.ncbi.nlm.nih.gov/pmc
/articles/PMC3117316/
http://apps.who.int/medicinedocs/
documents/s17085e/s17085e.pdf
https://aiia.gov.in/pharmacovigilance/
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
 ADE
 ADR
 Quality
 Safety
 Efficacy
https://www.who-
umc.org/media/1061/abbreviations
.pdf
2
Why PV/ PhV for AYUSH Drugs ?
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
Directly from
Nature
 Plant Derivatives
 Animal Derivatives
 Mineral Derivatives
 Metal Derivatives
Mercurial Derivatives
3
What is THAT Natural for AYUSH Drugs ?
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
 Yes ,This is an Essential Element
 Compromises
 Corruption
 Contemporary Techniques
 Confidence –Lower /Upper
 Advertisement Anarchy
4
So, PV is a Compulsory Component -
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
5
 Alertness
 Advisory
 Motivation
 Incentive
 Accreditation
 Implementation
How it may be DONE ?
https://www.canada.ca/en/health-canada/services/drugs- health-products/reports-
publications/medeffect- canada/health-product-vigilance-framework-health-canada-
2012.html
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
• Probably YES
• Probably NO
• Immunity of Officials
• Arrogance of Manufacturers
• Egotism of Physicians
• Ignorance of Consumers
6
Are Regulatory Guidelines may Facilitate THE PURPOSE ?
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
7
https://www1.nyc.gov/assets/doh/downloads/pdf/han/advisor
y/201 9/elevaNteCdP-Alyeuvsheslusr-aoksfh-ale2a0d1-9mJaemrcnaugrayr-an1d0-
aNrosve2n0i1c9.pdf
Regulatory Requirements
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
8
A caring and knowledgeable clinician,
acutely aware of his/her limitations,
employs his ayurvedic knowledge
after adequate safety- netting in
order to deliver the best possible
patient care. Such well- meaning
clinicians whose approach to ancient
medical classics is seasoned by
scientific thinking, though a minority,
constitute the very cream of the
crop.
Finally, the funny but dangerous group
of gimmick mongers. From pulse
reading to medical astrology
https://www.thehindu.com/opinion/open-page/one-
system-four-practices/article29813865.ece
For Physicians
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
 Consumer Guidelines for Appropriate use of
Ayurvedic Medicines
 Developing observatory powers about effects of
Ayurvedic Medicines
 Legal proection
 Consumer Care
9
For Consumers
 Developing a sense of responsibilities
 Assurance of Quality ,Safety and Efficacy
 Certification Processes
 Penalty Provision ,if found guilty
10
For Manufacturers
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
https://health.gov/hcq/pdfs/ADE-Action-Plan-
508c.pdf
Path Way for Legal Guidelines
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
http://apps.who.int/medicinedocs/documents/s21625en/s2162
5en.pdf
12
Progressive Proposals for PV
NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
https://www.fda.gov/media/71878/downlo
ad
13
Progressive Proposals for PhV
NCP Ayushsuraksha 2019 Jamnagar
 Doctrine
 Drug
 Dose
 Duration
Herbal Hype Duty Demand
14
Milestone Measures
NCP Ayushsuraksha 2019 Jamnagar
Chinese Curve Official Overview
https://www.ncbi.nlm.nih.gov/pubmed/2237
4080
https://link.springer.com/article/10.1007/s40264-018-
0762-z
15
Established Examples
NCP Ayushsuraksha 2019 Jamnagar
1.local health systems must identifythe
group of patients for whom they are
accountable.
2.Second, effective health systems are
increasingly grounded in high-quality
community-based care.
3.Third, and in part due to the evolution
toward community-based care, health
systems around the world are starting to
“meet patients where they are,” both
physically and in terms of their health
trajectory.
4.The fourth principle common to
convergent health systems is using data to
guide care delivery and driveimprovement. https://hbr.org/2019/10/4-principles-for-
improving- health-care-around-the-
world
ImpressivePrincipled Guidelines
NCP Ayushsuraksha 2019 Jamnagar
Ideal Document Initiative Detail
https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/dhp-
mps/alt_formats/pdf/pubs/medeff/fs-if/2012- hpvf-cvps/dhpvf-
ecvps-eng.pdf
Proposed Guidelines to Prevent ADE
NCP Ayushsuraksha 2019 Jamnagar
 True Science
 Ethical Science
 Effective Science
 Beneficial Science
Market Magnum Sagacious Science
https://www.nature.com/articles/d41586-019-
03172-5
Precautionary Platform
NCP Ayushsuraksha 2019 Jamnagar
Physician
s Patients
Attendant
s
Medicines
Quality
Safety
Efficacy
Advertisements http://apps.who.int/medicinedocs/documents/s21625en/s21625en.pdf
Before Final Words -
NCP Ayushsuraksha 2019 Jamnagar
Yes , There is Need of Guidelines to Practitioners &
Consumers for Prevention of ADEs from ASU&H
Drugs which may be prepared and be NOTIFIED by
Licensing Authorities with provision of penal
actions ,if not followed properly .
20
CONCLUSION

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Need of Guidelines to Practitioners & Consumers

  • 1. Need of Guidelines to Practitioners & Consumers for Prevention of ADEs from ASU&H Drugs Prof. Anand Chaudhary Department of Rasa Shastra, Faculty of Ayurveda, IMS BHU, VARANASI
  • 2. NEED OF GUIDELINES TO PRACTITIONERS & CONSUMERS FOR PREVENTION OF ADES FROM ASU&H DRUGS https://www.ncbi.nlm.nih.gov/pmc /articles/PMC3117316/ http://apps.who.int/medicinedocs/ documents/s17085e/s17085e.pdf https://aiia.gov.in/pharmacovigilance/ NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 3.  ADE  ADR  Quality  Safety  Efficacy https://www.who- umc.org/media/1061/abbreviations .pdf 2 Why PV/ PhV for AYUSH Drugs ? NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 4. Directly from Nature  Plant Derivatives  Animal Derivatives  Mineral Derivatives  Metal Derivatives Mercurial Derivatives 3 What is THAT Natural for AYUSH Drugs ? NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 5.  Yes ,This is an Essential Element  Compromises  Corruption  Contemporary Techniques  Confidence –Lower /Upper  Advertisement Anarchy 4 So, PV is a Compulsory Component - NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 6. 5  Alertness  Advisory  Motivation  Incentive  Accreditation  Implementation How it may be DONE ? https://www.canada.ca/en/health-canada/services/drugs- health-products/reports- publications/medeffect- canada/health-product-vigilance-framework-health-canada- 2012.html NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 7. • Probably YES • Probably NO • Immunity of Officials • Arrogance of Manufacturers • Egotism of Physicians • Ignorance of Consumers 6 Are Regulatory Guidelines may Facilitate THE PURPOSE ? NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 9. 8 A caring and knowledgeable clinician, acutely aware of his/her limitations, employs his ayurvedic knowledge after adequate safety- netting in order to deliver the best possible patient care. Such well- meaning clinicians whose approach to ancient medical classics is seasoned by scientific thinking, though a minority, constitute the very cream of the crop. Finally, the funny but dangerous group of gimmick mongers. From pulse reading to medical astrology https://www.thehindu.com/opinion/open-page/one- system-four-practices/article29813865.ece For Physicians NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 10. NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019  Consumer Guidelines for Appropriate use of Ayurvedic Medicines  Developing observatory powers about effects of Ayurvedic Medicines  Legal proection  Consumer Care 9 For Consumers
  • 11.  Developing a sense of responsibilities  Assurance of Quality ,Safety and Efficacy  Certification Processes  Penalty Provision ,if found guilty 10 For Manufacturers NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 12. https://health.gov/hcq/pdfs/ADE-Action-Plan- 508c.pdf Path Way for Legal Guidelines NCP Ayushsuraksha 2019 Jamnagar 10 Nov 2019
  • 15.  Doctrine  Drug  Dose  Duration Herbal Hype Duty Demand 14 Milestone Measures NCP Ayushsuraksha 2019 Jamnagar
  • 16. Chinese Curve Official Overview https://www.ncbi.nlm.nih.gov/pubmed/2237 4080 https://link.springer.com/article/10.1007/s40264-018- 0762-z 15 Established Examples NCP Ayushsuraksha 2019 Jamnagar
  • 17. 1.local health systems must identifythe group of patients for whom they are accountable. 2.Second, effective health systems are increasingly grounded in high-quality community-based care. 3.Third, and in part due to the evolution toward community-based care, health systems around the world are starting to “meet patients where they are,” both physically and in terms of their health trajectory. 4.The fourth principle common to convergent health systems is using data to guide care delivery and driveimprovement. https://hbr.org/2019/10/4-principles-for- improving- health-care-around-the- world ImpressivePrincipled Guidelines NCP Ayushsuraksha 2019 Jamnagar
  • 18. Ideal Document Initiative Detail https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/dhp- mps/alt_formats/pdf/pubs/medeff/fs-if/2012- hpvf-cvps/dhpvf- ecvps-eng.pdf Proposed Guidelines to Prevent ADE NCP Ayushsuraksha 2019 Jamnagar
  • 19.  True Science  Ethical Science  Effective Science  Beneficial Science Market Magnum Sagacious Science https://www.nature.com/articles/d41586-019- 03172-5 Precautionary Platform NCP Ayushsuraksha 2019 Jamnagar
  • 21. Yes , There is Need of Guidelines to Practitioners & Consumers for Prevention of ADEs from ASU&H Drugs which may be prepared and be NOTIFIED by Licensing Authorities with provision of penal actions ,if not followed properly . 20 CONCLUSION