BUASIR & RAWATAN

Originally posted by La_Botox at 23-5-2005 14:54:
kebanyakkan yg kena buasir ni lelaki atau perempuan?
rasanya lelaki kan?
kenapa eak?
Ubat OTC tu boleh didapati dimana?
Buasir memang bukan penyakit keturunan ker?

OTC = over the counter i.e. tak yah prescription Dr.

Di hospital2 KKM Daflon, Anusol etc di bawah restricted list..the so-called List A drugs...cuma dr pakar aje yg boleh prescribe..how it becomes OTC items in private-owned  pharmacies puzzled me :stp:.

[ Last edited by drmnh on 24-5-2005 at 01:03 AM ]

blackmore

Originally posted by drmnh at 23-5-2005 21:59:


OTC = over the counter i.e. tak yah prescription Dr.

Di hospital2 KKM Dafilon, Anusol etc di bawah restricted list..the so-called List A drugs...cuma dr pakar aje yg boleh prescribe..how it  ...

...Anusol supp has been an OTC item for quite some time...proctosedyl supp still requires a prescription though...but if given the chance...i would choose proctosedyl supp...think it works better than anusol supp...ntah eh...lots of my pts responded well with proctosedyl supp compare to anusol...

blackmore

...but..im as puzzled as u doc...however...it seems that private-owned pharmacy somehow doesnt really care about prescription slips...during my holidays in melaka...i was able to buy norvasc and ventolin inhaler without any prescriptions....no questions asked too...:bgrin:...back here...its damn strict...for the above items...they wont dispense those items without a valid prescription...even if u want to buy procodin cough mixture...u have to fill in their book where they record down your particulars and address...:kant:...think the problem with these private-owned pharmacy is that either they are given too much of autonomy  or there is a lack in the govt system itself failing to check them on a regular basis...:kerek:

DAFLON - MAL19910909X
ANUSOL cream - MAL20000061XS
ANUSOL supp - MAL1999139OX

well theres no A at the back of the reg. no :nana:

Originally posted by prosperx at 23-5-2005 22:40:
DAFLON - MAL19910909X
ANUSOL cream - MAL20000061XS
ANUSOL supp - MAL1999139OX

well theres no A at the back of the reg. no :nana:

U jual ubat tapi KKM List A pun u tak tau maknanya..MasyaAllah..sama aje mcm jual ubat kat kaki lima.... KKM ada keluarkan buku ubat2an di mana ubat2 dikategorikan kepada beberapa kategori...e.g. paracetamol ada dlm list C di mana mana Dr dan MA boleh prescribe...nifedipine ada dalam list B di mana cuma Dr sahaja boleh prescribe..captopril di mana cuma pakar sahaja yg boleh prescribe dan alendronate ada dalam list A* di mana cuma subspecialist seperti ortho surgeon dan endocrinologist sahaja yg boleh prescribe.

BTW nombor2 yg u quote tu no pendaftaran ubat tersebut di Malaysia..semua ubat termasuk Panadol yg berdaftar dgn Kerajaan Malaysia ada nombor tu.. Genius!

[ Last edited by drmnh on 24-5-2005 at 12:15 AM ]

blackmore

Originally posted by drmnh at 23-5-2005 23:31:


U jual ubat tapi KKM List A pun u tak tau maknanya..MasyaAllah..sama aje mcm jual ubat kat kaki lima.... KKM ada keluarkan buku ubat2an di mana ubat2 dikategorikan kepada beberapa k ...

...Oucchhhh!!!..:bgrin:

..think the problem with these private-owned pharmacy is that either they are given too much of autonomy  or there is a lack in the govt system itself failing to check them on a regular basis...


blackmore,

I think the answer is there is a lack of  reinforcement  of the existing law by the health ministry..and the most worrying trend I seeing nowadays are in some places non-pharmacists are dispensing these kind of drugs. Welcome to BolehLand...

sweet_alya

alya nak tanya, alya pun buasir gak..
dah about 2 years but never getting serious la...
just that bila certain2 time buang air besar, berdarah, then mesti rasa seram sejuk nk demam...tp bkn slalu..mcm dlm once in 6 months..
bila g dr. dia just ckp viral fever biase n dia kasi daflon la...
just that, betul ke mmg biase? or may be sebab ada sakit lain?

Originally posted by drmnh at 23-5-2005 11:31 PM:


U jual ubat tapi KKM List A pun u tak tau maknanya..MasyaAllah..sama aje mcm jual ubat kat kaki lima.... KKM ada keluarkan buku ubat2an di mana ubat2 dikategorikan kepada beberapa k ...

Alahai nak bercerita dengan orang2 pandai susah la nak kena terangkan satu-persatu satu. Maksud A yang diperkatakan at the end of the KKM reg. no MALxxxxxxxxA (Controled), MALxxxxxxxxT (Traditional) - , MALxxxxxxxxX (OTC), MALxxxxxxxxK (Kosmetik). Agaknya daflon kat spital tu takde no reg. kat strip dia tu yg non-specialist drs tak tau dia OTC kut.

Dan berkenaan tanpa preskripsi manusia mesti ada tolak ansur tak tau la pendirian yang lain. Bagi kami asalkan benda tu menolong seorang hamba Allah tu biarlah tutup mata tapi kalau benda tu memang berpotensi disalahgunakan oleh golongan tertentu walau dengan preskripsi doktor palsu pun haram dikeluarkan. Di Malaysia juga Ventolin bawah Group C cukup masuk entry dalam buku tak yah prescription cam Norvasc. Orang2 yang minta beli ni pun selalunya dah biasa sebab ubat tu dah bagai makanan tambahan untuk depa (kesian kami tengok orang camni) jadi prescription yang dah dikeluarkan awal tahun gerenti dia tak simpan lagi nak dibeli dgn drs dia tahu mahal skit. Benda camni dibuat hal dengan customer alamat kena balik la kami yang hanya ingin membantu sambil untung skit. Sirap codeine pun dah mula takde dipasaran sebab ramai salah guna baik yang mengguna atau yang menjual.:devil:

Tapi satu pengalaman di bolehland nampaknya ada yang tak boleh. Satu malam di Kota Damansara semasa saya sedang memandu dari Sungai Buloh ke IKEA seorang polis menahan MPV saya meminta agar seorang mangsa pelanggaran motosikal budak Jusco dihantar ke hospital. Saya bersetuju dan cuba ke DSH tapi setelah masuk kena keluar balik katanya Jusco takde account saya cuba ke klinik yang kerap saya pergi di Sri Dsara juga ditolak dengan alasan yang sama. Akhirnya saya terpaksa menghantar ke wad kecemasan Hospital Sg. Buloh lalu membatalkan outing dengan keluarga. Persoalannya apalah salah diubati sedikit luka mangsa tersebut sebelum menolak dia pergi. Harapan saya agar apabila drs di sini membuka klinik sendiri janganlah perkara sebegini terjadi. Sekali kita menolong orang 10 kali Allah balas.

[ Last edited by prosperx on 24-5-2005 at 04:30 PM ]

Susah cakap orang yang tak faham tapi rasa dia tahu semua benda...

I was talking about the KKM so-called "blue-book" and not the product codes. If you havent heard or seen this book I suggest you ask somebody who knows about it before you make a fool of yourself more and more in this forum.

In this blue-book there is a list called The National Essential Drugs List.

The National Essential Drugs List was formulated by using the Ministry of Health抯 (MOH) Drugs List as a basis. The MOH Drugs List which was introduced in 1983 serves as the essential drugs list for the public healthcare sector. Every drug in this list is classified according to the category of medical officer or healthcare provider allowed to prescribe it. This list is dynamic and is reviewed every 4 months by a panel consisting of specialists from the main disciplines and pharmacists.

The Committee for Creating the National Essential Drugs List has decided that the List shall consist of two parts. The first part called the Essential Drugs List contains all preparations needed for primary and secondary healthcare treatment commonly used by Medical Officers and paramedics in primary healthcare facilities. Several preparations used in tertiary care are included in order to be consistent with WHO抯 Model Essential Drugs List. This part contains 358 chemical entities and 605 preparations (List B and C).

The second part called the Supplementary List consists of drugs used by specialists for tertiary level treatment. This part contains 257 chemical entities and 391 preparations (List A and A*).

Those codes you quoted were product codes. Daflon as an example although  listed as OTC is a List A drug as far as doctors are concerned. The rationale behind this was to restrict the use of this kind of medications to specialists and not to any doctors as they are expensive and have limited indications...factors those with patients wellbeings in mind can appreciate..

BTW I can prescribe List A drugs...:::

[ Last edited by drmnh on 24-5-2005 at 11:32 PM ]

Hmm yang tak tau benda tu OTC sape tadi ya? :hmm:
Rasanya bukan budak sekolahkan?
Apa-apa aje! :music:

[ Last edited by prosperx on 25-5-2005 at 07:45 PM ]

Originally posted by prosperx at 25-5-2005 16:48:
Hmm yang tak tau benda tu OTC sape tadi ya? :hmm:
Rasanya bukan budak sekolahkan?
Apa-apa aje! :music:

[ Last edited by prosperx on 25-5-2005 at 07:45 PM ]

I think somebody here doesnt understand english or may even be dyslexic..
READ THE THREAD THROUGH COS YOU'RE EMBARASSING YOURSELF HERE MR. ADVERTISER..

I was saying that in KKM hospitals some OTCs are not OTCs e.g Daflon..i.e you need a specialist to sign a prescription to be able to get them. Most of us like to adhere to existing regulations in terms of prescribing drugs unlike a small proportion of us who run over the regulations to make a few bucks...leave the prescribing jobs to the doctors. If you dispense prescription-required drugs without a prescription sooner or later you'll get caught. Not to mention halal-haram lagi...:hmm:

mbhcsf

so tak pa at least macam i akan luaskan pembacaan saya - saya right now faham yg list A drugs OTC yg list B drugs... hikhikhik...dan how to get list b drugs ..without being REVIEWD BY PKAT PERUBATAN - ini amat berbahaya ..jgn amakna cara ini okay ..review doktor - folow up walau pun nampak leceh dan tunngu lama ia penting untuk  yg nam bagitau  apa yg depa rasa  ttg sakit depa, ubat  kesan sampingannya...so apa apa poun follow up  jgn dapat status DNA!!!!

Masalah yang sama timbul semalam di antara saya dan seorang sales rep tapi akhirnya kami dapat berkongsi ilmu. Jadi baik la saya yang tak pandai ni tolong bagitau satu persatu nanti kalau tak faham juga tak dapat membantu la so ni kali terakhir saya menjawab perkara ni dengan  ikhlas ingin berkongsi ilmu saya yang sedikit ini bukan nak bergaduh dengan forumner yang lebih senior.

1. Buku paling penting untuk doktor & pharmacist satu Malaysia ialah MIMS di mana kategori drugs ada B, C & P2 dan juga NP.
B - Can be dispensed only against prescription of a registered medical practitioner (semua tak kira GP mahupun Specialist), dentist or veterinary surgeon.
C - Can only be sold as a dispensed medicine with entry in the prescription book.
P2(Part 2 Poisons) - Retail sale restricted to poison license holder.
NP(Non Prescription) - OTC drugs

2. Buku biru yang dimaksudkan hanya digunakan oleh hospital kerajaan bagi mengelakkan ubatan yang mahal samada dari Group B,C & NP sewenang-wenangnya digunakan. Jadi hanya doktor hospital kerajaan, dispenser dan sales rep ubatan yang akan guna buku ni.

Ok diharap penjelasan ini dapat membantu kekusutan yang timbul.

cheq-sue

saya setuju dgn prosper. lagipun dari kata2nya mengambarkan dia seorg yg ikhlas.

blackmore

Originally posted by prosperx at 27-5-2005 14:37:
Masalah yang sama timbul semalam di antara saya dan seorang sales rep tapi akhirnya kami dapat berkongsi ilmu. Jadi baik la saya yang tak pandai ni tolong bagitau satu persatu nanti kalau tak faham juga tak dapat membantu la so ni kali terakhir saya menjawab perkara ni dengan  ikhlas ingin berkongsi ilmu saya yang sedikit ini bukan nak bergaduh dengan forumner yang lebih senior.

...hmmmm....nie bukan nak gaduh...tapi...nak tanya sikit...nape dalam setiap debate kat forum mesti ada satu pihak tu yang akan mengaku dorang tak pandai dan sebagainya :hmm:....in the first place...kalau dah tau tak pandai...jangan pandai2 post itu dan ini ...in my opinion...kalau kita dah post kan satu2 artikel tu...kita kenalah ambil pendirian yang teguh dan menegakkan apa yang kita dah postkan tu...cos really...i sincerely believe that we have to be responsible and accountable for what we have posted here...tapi...kalau ada pihak lain yang menyangkal apa yang kita dah postkan tadi...cuba kita perhatikan dan baca posting dorang plak ngan hati dan minda yang terbuka...do accept critisism from other forumers with an open mind and if theres an opportunity for u to refute back...then do it in a healthy and responsible ways...theres no need for us to show that we are cleverer and smarter and noe all than others...cos really...if we think that we are smart and clever...there are others out there who are smarter and cleverer than us :ah:

....individual differs in everyways...including opinions...and we are free to voice out our thoughts here...and to be able to accept and discuss things in a mature way...i think thats the beauty of a healthy adult discussion...

...memang kita disuruh merendah diri setiap masa...tapi...janganlah sampai kita menghina diri kita sendiri...janganlah mengutuk diri kita macam tu...tak baik...orang pon tak suruh kita kutuk diri kita camtu...dalam setiap debate dan perbincangan....perbezaan dalam pendapat mesti berlaku...jadi...terimalah pendapat forumer lain ngan ikhlas dan hati yang terbuka...sebab semua kat sini tau...bila kita postkan something kat sini...niat kita hanya untuk berkongsi satu kebaikan ngan orang lain...itu sajakan??....hmmm...wallahualam...

...and like always...forgip me if ive crossed the line today....

merendah diri tak sama dengan menghina diri mengaku tak pandai bukan makna mengaku bodoh tetapi yang mengaku pandai belum tentu betul. :hmm:

oleh sebab itu benda confusing ni saya terangkan sebetulnya sebab sorang cakap pasal buku lain sorang cakap pasal buku lain jadi kedua-dua pihak betul dan kedua-dua pihak salah jadi buat apa dipanjangkan perbalahan yang bermula dari benda kecil akan merugikan forumner lain sebab mereka yang pening. lagi pening kalau thread tu dibaca lompat2 mana nak tau jalan cite:stp:

daripada perbincangan ilmu menjadi perkara yang membunag masa kan ke lagho benda camtu. :lebai:

hakikatnya saya dah faham pasal buku biru :hatdown:

[ Last edited by prosperx on 30-5-2005 at 04:04 PM ]

blackmore

:tq::tq::tq::bgrin:

I rest my case..Wallahualam.

pearlsweets

ada kawan saya yang alami buasir. kalau kencing jer, keluar darah dari buntut dia, tahap parah la jugak ni...