FDA
hopes to cut down on unnecessary prescriptions
WASHINGTON, Feb 6.
Antibiotics will soon need to carry warnings advising doctors to avoid
unnecessary prescriptions, which have become a major contributor to the
problem of drug-resistant infections.
Antibiotic resistance is a serious and growing public health problem, not
only in this country but worldwide.
MARK MCCLELLAN
FDA
Commissioner
THE NEW
requirement, announced by the Food and Drug Administration on Wednesday,
aims to reduce inappropriate prescribing of antibiotics for common ailments
such as ear infections and chronic coughs, which often are caused by viruses
that do not respond to antibiotics.
Antibiotics only kill bacteria, but patients often request them for
treating a variety of infections.
Starting next year, antibiotic labels will be required to include
instructions for doctors to prescribe them only when an infection is proven
or strongly suspected to be caused by bacteria.
The labels also will encourage physicians to counsel patients about
what types of infections require antibiotic treatment, as well as remind
them to take all of their medication, even if they feel better in a few
days.
Not completing a full course of treatment can give microbes the
chance to mutate to resist antibiotics, causing infections that are harder
to treat.
According to the Center for Disease Control and Prevention, half of
the 100 million prescriptions a year written by office-based physicians in
the United States are unnecessary because they are prescribed for the common
cold and other viral infections.
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Antibiotic
resistance is a serious and growing public health problem, not only in this
country but worldwide, FDA Commissioner Mark McClellan said, noting that
the growth of resistant germs is outpacing development of new antibiotics.
We may end up in a situation where we dont have effective antibiotic drugs
for common infections that were once easily treated.
The agency plans to try and publicize the warnings through medical
journals and professional medical societies.
Reacting to the announcement, Jeff Trewhitt, a spokesman for the
Pharmaceutical Research and Manufacturers of America, said the drug industry
group had just begun reviewing the new rule, but declined further comment.
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