Paracetamol, Pan D Among 53 Medicines Fail Drug Regulator's Quality Test; What Experts Say About Their Safety

Over 50 medications, including common ones like paracetamol, Pan D, calcium and vitamin D3 supplements, diabetes treatments, and blood pressure drugs, have failed quality checks conducted by India's drug regulator. The Central Drugs Standards Control Organisation (CDSCO), in its most recent monthly drug alert, flagged 53 medicines as "Not of Standard Quality" (NSQ).

These alerts stem from routine random testing performed by state drug inspectors. Given that these flagged medicines are part of everyday use, we consulted Dr. Piyush Mishra, a General Physician and Immunisation Officer from North East District, New Delhi, to understand whether it's safe to continue taking these medicines.

Should We Stop Using Paracetamol Or Other Medicines Mentioned Until They Are Replaced by Safer Alternatives?

The initial response might be to discontinue using paracetamol and other medicines that didn't pass the quality tests. However, Dr. Piyush Mishra urges patients to exercise caution and consult healthcare professionals before altering their medication routines.
"Don't stop taking your prescribed medicine suddenly without speaking to your doctor first. They can advise you on whether to continue, switch to a different drug, or discontinue it based on your health requirements," advises Dr. Mishra.

What Does It Mean For A Drug To Fail A Quality Test?

When a drug fails a quality test, it indicates that the medication does not comply with the regulatory standards, which cover aspects such as potency, purity, safety, and efficacy. For a commonly used drug like paracetamol, a failed test is especially alarming, as it suggests the medication might not work as intended or even pose potential health risks.
Dr. Mishra elaborates, "A failed quality test can point to contamination, incorrect dosage, or harmful substances in the drug. This is a significant concern as it could result in ineffective treatment or harmful side effects for patients."

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Can You Take An Alternative Medication If Paracetamol is Deemed Unsafe?

If paracetamol is considered unsafe, there are alternative medications that can offer similar relief. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, can serve as effective replacements for managing pain and fever. However, these alternatives come with their own risks, including potential side effects and contraindications.
"Consulting a healthcare professional is essential to identify the best alternative based on an individual's specific health needs," Dr. Mishra stresses. "It's important not to self-medicate, particularly when switching between medications."

Immediate Actions To Take If You Suspect You Have Consumed a Drug That Has Failed a Quality Test?

If you believe you've taken a medication that failed a quality test, Dr. Mishra suggests taking these immediate steps:

• Stop Taking the Medication: Cease using the drug right away to avoid further risk.
• Consult Your Doctor: Get medical advice to evaluate any potential side effects and determine the appropriate course of action.
• Report the Issue: Notify both your doctor and local health authorities to help track the problem and prevent further incidents.
• Monitor Your Health: Watch for any unusual symptoms and seek medical attention if needed.
• "Taking quick action is vital to minimise possible adverse effects. Always keep your doctor informed and closely follow their guidance," advises Dr. Mishra.

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The recent failure of paracetamol and other drugs in quality tests highlights the critical need for strict pharmaceutical standards and informed consumer practises. While this news may raise concerns, it is essential to remain calm and follow expert recommendations to safeguard health. Seeking advice from healthcare professionals, exploring alternative medications under their guidance, and acting quickly if any adverse effects are noticed are crucial steps in navigating this situation effectively.

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