A Vicious Circle
The regulations of dispensing the drugs have been toughened in some Russian regions. Antibiotics can no longer be sold without prescription. On the one hand this is as it should be and fully meets the new edition of the Order of the Ministry of Healthcare and Social Development approved in 2014 No 785 “On the Procedure of Dispensing Drugs”. The order was effective but did not actually work. Now as of January 1 Roszdravnadzor toughened the measures. A significant punishment may follow sales of antibiotics, hormonal drugs, antidepressants, antihypertensive drugs.
As a result, where pharmacies comply with the law, the sales decrease, although according to experts it will be compensated through increased prices for antibiotics. First of all it concerns products prescribed for treatment of infections – bronchitis, tonsillitis, sinusitis, rhinitis etc.
Of course, self-treatment is not the best method. However, not everyone has an opportunity to visit the doctor in time, and the drug may be required as soon as possible. That is why patients have to rely on their own positive experience and advice of their friends.
As for antibiotics used for treatment of specific infections (urogenital tract, central nervous system etc.), the sales of such products will not decrease, as these drugs are used by patients regularly visiting their doctors, and do not take drugs unless recommended. And if the doctor recommends it at the visit, the drug will be taken.
But now prescriptions for any antibiotics will have to be obtained from the doctor. It means an increase of the patient flow in polyclinics. However, it is not known whether they are ready for an increase of patient flow. Would it create a vicious circle?