[india-drug] ADR monitoring in India

["Dr NA Kshirsagar" <dcpkem@vsnl.com>]

ADR monitoring in India
----------------------

Dear Dr Pipasha 
In response to your question of imposing strict laws to make ADR 
reporting mandatory, we are not sure that is the right approach. The 
foundation and cornerstone of ADR monitoring is spontaneous reporting 
wherein every physician and practitioner in the country perceives it as
 part of his or her duty to report adverse reactions. This is the most 
sensitive, powerful and cost effective system for ADR monitoring and 
generation of signals. 20 ADR reporting and generating a reporting
culture is more easily achieved  in countries with small populations.
India, with its vast population is  more a continent than a country,
and thus has its own unique problems.  Interestingly, even countries
with good ADR monitoring systems have low rates of spontaneous
reporting and this in fact is a worldwide problem. Improving ADR
reporting can only be done through education, motivation  and improving
awareness among the physician community, who hold the key. Prior to
imposing laws, it may be worthwhile setting out achievable  goals, and
periodically monitoring achievements. 

Best regards 
Dr Nithya Gogtay, Dr Nilima Kshirsagar 
Department of Clinical Pharmacology 
Seth GS Medical College & KEM Hospital Parel, 
Mumbai: 400 012 
Tel: 91 22 24133767 
Fax: 91 22 24143435 
E mail:dcpkem@vsnl.com/njgogtay@hotmail.com 


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