What is the weight of the "four types of drugs" in pharmacies? Some pharmacy operators revealed that in their pharmacies, antiviral drugs account for about 6% of sales, and colds account for about 9%. "The suspension of the four types of drugs directly cuts at least 15% of sales."
With the normalization of epidemic prevention and control, the sales of "four types of drugs" in pharmacies have become more and more humane from the "one-size-fits-all" suspension to "refined management", which has also allowed pharmacy owners to slowly let go of the hearts they have been carrying.
01
The registration of two types of drugs is suspended from sale
Recently, the Zhengzhou Municipal Market Supervision and Administration Bureau issued the Announcement on the Implementation of Measures such as Electronic Registration of Drugs for Epidemic Prevention and Control in Pharmacies.
The announcement requires that from now on, pharmacies in the main urban areas of the city will implement non-entry sales measures, and pharmacies should urge drug buyers to scan codes, measure temperature, wear masks, and guide customers to purchase drugs in an orderly manner, check out, and avoid gathering.
Do a good job in the sales management of "four types of drugs". Suspend the sale of antipyretic and cough medicines, as well as two varieties of oseltamivir phosphate and antiviral oral liquid; antiviral and antibiotic drugs are registered and sold under real names.
At present, the sales policy of "four types of drugs" varies from place to place, or directly stops selling, or registers sales, or registers sales according to the corresponding drug catalog, there is "one-size-fits-all" management, there are also humanized policies, and they also learn from each other to form an increasingly refined "four types of drugs" sales management policy.
Zhengzhou City has refined on the basis of the previous, two types of drugs + two varieties of suspension, two types of drugs registered, "four types of drugs" sales management put forward new ideas.
The announcement also pointed out that the drug regulatory tracking system in pharmacies is fully used. At present, the drug supervision and tracking system of Zhengzhou pharmacies has been built and put into use, and the antiviral and antibiotic drugs that need to be registered and sold under real names should be uploaded and registered using the electronic registration system to provide data support for follow-up accurate prevention and control.
02
The definition of "four types of drugs" is constantly controversial
In fact, there has always been a controversy about the "four types of drugs", especially the antiviral and antibiotic drugs in the "four types of drugs", which generally have the effect of clearing heat, anti-inflammatory and analgesic, and are suitable for many symptoms.
Previously, a "sold a box of artificial bovine yellow metronidazole, pharmacies were suspended for rectification" news triggered a wide range of discussions, the definition of "four types of drugs" also made netizens have complain.
As the famous "toothache savior", the artificial bovine yellow metronidazole that was banned by the "four types of drugs" was affected, but it suffered a large number of toothache patients.
Some netizens complained: "I couldn't sleep for two days and two nights with a toothache, so I ate a meal." Go to the pharmacy to buy medicine, the pharmacy said that now it will not let you sell. I can only keep cold water in my mouth every day..."
Many netizens have questioned that artificial bovine yellow metronidazole is not a cold fever drug, why is it not sold for toothache?
It is understood that metronidazole is mainly for infections caused by anaerobic bacteria, while artificial bovine yolk has an antibacterial effect, and artificial bovine yellow metronidazole can generally play a detoxifying and heat dissipation effect. The indications for artificial bovine vernidazole are: for acute periodontitis of wisdom teeth, local alveolar abscess, pulpitis, periapical periapical inflammation, etc.
Also affected by the ban on the sale of "four types of drugs" are ibuprofen, aspirin and so on. Ibuprofen and aspirin are both non-steroidal anti-inflammatory drugs, which have anti-inflammatory, analgesic, antipyretic and other effects, and can also alleviate common headaches, toothache, dysmenorrhea and so on in life.
Let netizens complain about gynecological clean, hemorrhoid cream, wind oil essence, the main component of gynecological clean matrin has antibacterial, bactericidal effect, hemorrhoid cream has a strong anti-inflammatory effect, wind oil essence has a cooling effect, can be classified into the scope of "four types of drugs".
There are too many "tragic" cases exposed by netizens, and they will not be listed here. However, it can also be seen from the above cases that once antiviral and antibiotic drugs are banned, they have caused great inconvenience to many patients, which not only makes many netizens cry and laugh, but also makes many patients laugh bitterly.
Zhengzhou City clearly "suspended the sale of antipyretic, cough-suppressing drugs and oseltamivir phosphate and antiviral oral liquid two varieties; antiviral, antibiotic drugs to implement real-name registration sales", not only for the "four types of drugs" sales management made a fine division, but also for different efficacy of drugs to make different control measures, it can be said that there is loose and tight, tension and degree, taking care of the actual needs of many patients.
03
Refined management
Guarantee access to medications
In order to better implement the relevant policies of the "four types of drugs" sales management, all localities have tried to refine the management of the "four types of drugs", and also ensured the accessibility of many patients. In addition to policies such as ban on sales and real-name registration, the relevant departments are also more flexible and humane in the formulation of the "four types of drugs" catalogue.
For example, the second edition of the "four categories" drug catalogue recently released by Hainan Province has made corresponding adjustments on the basis of the 150 "four categories" drugs in the first edition.
Compared with the first edition, the second edition of the catalogue of Hainan Province highlights three characteristics under the premise of maintaining a relatively stable variety collection policy:
1. Enrich the classification form of drugs. In order to facilitate the use of retail pharmacies, the second edition of the catalogue lists chemicals separately from proprietary Chinese medicines, with chemicals based on the active ingredient and reference dosage forms listed. The second edition of the catalogue contains a total of 84 proprietary Chinese medicine species and 57 active ingredients of chemical drugs;
2. It is more in line with the actual drug use situation in Hainan Province. Search more than 6,800 common drug varieties in the field of drug circulation in Hainan Province, highlight the problem orientation, increase the cough control drug varieties that have recently entered the circulation link in Hainan Province, and improve the pertinence and practicality of the catalog;
3. Ensure the accessibility of medication to the public. On the basis of the first edition of the catalogue, the second edition of the catalogue fully considers the issue of drug accessibility, focusing on some anti-hepatitis B virus, anti-HIV virus antiviral drugs, antifungal, anti-mold drugs are not included, ensuring the accessibility of drugs for patients.
Of course, local policies are different, such as the Beijing Municipal Food and Drug Administration in January clearly proposed that "pharmacies must not refuse to sell 'four types' drugs", which has caused wide praise in pharmacy circles, but Beijing's purchase of "four types of drugs" needs to do nucleic acid within 72 hours, otherwise it will be "pop-up window".
In April, Xiamen City also proposed that those who purchase "four types" of drugs must register the actual drug user information in real names. The actual drug user must have nucleic acid "two tests in three days", that is, once within 6 hours after purchasing the drug, and then tested once in 3 days at an interval of more than 24 hours.
The Guangdong Provincial Drug Administration requires "hierarchical" management. The Guidelines for the Monitoring of Sentinel Points in Retail Pharmacies in Guangdong Province (2022 Edition) require that drugs should not be sold to customers with a body temperature ≥ 37.3 °C or a health code of "yellow code" or "red code", and should do a good job of guidance. At the same time, maintain the principle of "online and offline consistency" sales.
In addition, for the control of retail pharmacies in medium- and high-risk areas and sealing and control areas, online pharmacies must not sell or distribute drugs in the catalog to them, and offline pharmacies should require purchasers to provide a negative nucleic acid test certificate within 48 hours or remind the drug user to conduct nucleic acid testing within 48 hours.
In addition to the above circumstances, retail pharmacies in Guangdong Province shall not suspend business or suspend the sale of Catalogue drugs.
Affected by the normalization of the epidemic, many regions have explored their own "four types of drugs" sales fine management in practice, to avoid the situation of "one person infected, the city to stop selling", more humane control measures, not only can improve the people's access to medication, but also alleviate the situation of reduced passenger flow and declining turnover of pharmacies affected by the epidemic.
Source: Search for drugs
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