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BeBe! yee Cast ree. 2091) B
Afrldi- 29% batch
ssential
Tt consists of main component are
i. Essential drug concept (EDC)
li, Essential drug list (EDL)
Define EDs:
Drug that satisfies the health care needs of majority of population,
Criteria:
+ Free available
Safe
Efficious
Effective
Cost .
Provide favorable risk benefits ratio
Should be selected by the generic name (INN)
Majority of the people can be treated
Preference should be given to those drugs that are thoroughly studied
(pharmacokinetics, pharmacodynamics and toxic profile)
* Which is not constant, changeable, and varies from country to country
Objectives:
* To develop and improve the drug supply system
+ Toassist in developing national health policy
* To ensure availability of safe, effective drug at lowest possible cost in
support of Phe for-all people
To provide rational use of drug in the globe
Importance or advantages:
Reduction in the number of the pharmaceutical product
Improvement of quality of drug utilization
Facilitating the use of drug that are more economic and rational
Overcome the primary health problem by providing safe, efficious, cost
effective drug
* Stimulation of local pharmaceutical industriesAfeadl—age batch
= To avoid irrational prescribing
+ For developing prescribing behaviors rational and scientific
oer ccrend the accessibiliies of the most necessary drug
-Meager amount of budget in the health sector
‘Unequal distribution of wealth in urbor and rural population
Avoidance of use of unnecessary non essential drug
Tradition to use medicine instead of emphasizing hygiene and nutrition
Utilization of the resource available in the country
For optimum benefits to the population, prescriber should keep in their mind
‘that ‘fewer drug better therapy’ and newer drug always not a better therapy
‘ond many excellent drugs are often cheap
Metis containing the registered medicinal product that prepared by drug
administration.
+ 1” published in Bangladesh 1982 and revised in 1996. Last updated in 2008
= Who model list of essenti
ial drug 1" published in.1997 and updated several
Levels of EDL:
| time
1. Village health care level
2. Primary health care level
3. Tertiary health care level
4. Specialized drug
Village health care level:
+ Cover upto village
+ 12 items
‘+ Examples- paracetamol, ORS, ampicillin ete
Primary health core level:
‘+ Cover up to thana level
+ 45 items (above 12 to 33 newer)
‘+ Examples- injection, cholera solution, i
Erorwiee Gee nj. Benzyl penicillin, atropine,y
Afrial- 19% batch
Tertiary health hi
‘+ Includes district level, teaching institutes and medical college
+ 150 items (above 45 to 105 newer)
+ Examples ~ escitaloprm, digoxin, captopril ete
+ For specialized treatment
+ Examples -
i. Anti cancer drug: methotraxate, cisplastin, vinplastin, vincristin
etc
ii. Anti sterility drug: clomiphene citrate