This document contains guidance from Dr. H.K. Takvani on prescribing drugs. It advises doctors to only prescribe drugs that are necessary, effective, safe, cost-effective, and something they would give to their own family. When choosing branded drugs, Dr. Takvani recommends selecting ones from reputable companies with the lowest prices and avoiding incentives. Generic drugs are preferable if quality can be controlled, ideally through government oversight or double-blind studies conducted by medical institutions. Doctors should base their drug knowledge on peer-reviewed literature, not information from pharmaceutical companies.

1. Dr.H.K.Takvani, MD Ped.
FIAP (Fellow, Indian Academy of Paediatrics)
Former Assistant Prof. of Paediatrics 1987-1993
Former President, NNF,(National Neonatology Forum) Gujarat
Former President IAP, Gujarat State Branch
Former National Executive Board Member. IAP
Former President IMA Jamnagar City Branch
drtakvani@gmail.com
www.takvanidr.multiply.com
https://www.facebook.com/#!/drtakvani1
1We can not guarantee cure, what we guaranty is an honest and transparent effort

2. IAP Oath for writing a drug
 Is this drug required?
 Is this drug effective for this condition?
 Is it safe?
 Is it cost effective?
 Are you ready to use it for yourself or for a family
member?
 Then only pen it down…………………….
11/4/2014 Takvani 2

3. Choosing a branded drug
 10-15 Standard / reputed companies,
 I select one with Minimum MRP
 No scheme, incentives or tour is required
 Academic grant to recognized body is OK
 Declare the funding and conflict of interests.
 I should also learn to spend for my ‘learning’
 Example is “Awesome” of IAP yearly academic meet
without any sponsorship and extravaganza.
11/4/2014 Takvani 3

4. Generic Vs Branded
 If quality generics are available they are preferable
 How to control quality?
 Govt? Best
 Doctors? Difficult at an individual level
 Medical Colleges or Academic associations by
conducting studies,
 Double blind RCTs
 Using 15 or 20 bottles/strips in office practice and
deciding efficacy is not a standard study. Should not
be attempted.
11/4/2014 Takvani 4

5. Knowledge of drugs
 My knowledge of drugs should be based on peer
reviewed literature and not the info given by MR or
literature of drug company
 Knowledge, honesty, transparency and unity works
well in all fields of life
 Let us give it a fair trial.
11/4/2014 Takvani 5

6. 04/11/2014 Takvani 6
drtakvani@gmail.com
www.takvanidr.multiply.com
Dr.H.K.Takvani MD (Paediatrics), FIAP
Children Hospital and Neonatal Care Centre
Valkeshwari Nagari
Indira Marg
JAMNAGAR-361008, Gujarat, India
Friends…. Please Share your views
THANKS