Ministry bans selling antibiotics without prescription

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that genius
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Re: Ministry bans selling antibiotics without prescription

Post by that genius » Sat Dec 23, 2017 9:16 pm

I meant the control issue, not the resistance issue
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Re: Ministry bans selling antibiotics without prescription

Post by Luigi » Sat Dec 23, 2017 9:21 pm

A pharma database? Geeezzz. Year 2088. The vehicle data base is still non existent.
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Re: Ministry bans selling antibiotics without prescription

Post by Jamie_Lambo » Sun Dec 24, 2017 12:20 pm

taabarang wrote:
Sat Dec 23, 2017 6:43 pm
that genius wrote:
Sat Dec 23, 2017 6:22 pm
username wrote:
Sat Dec 23, 2017 6:00 pm
Jamie_Lambo wrote:
Sat Dec 23, 2017 3:41 pm
i hope this doesnt get enforced
Yes, please let's hope one of the biggest threats to modern medicine, namely antibiotic resistance, can continue to worsen :facepalm:
You're completely ignoring the fact that 95% of Khmers wouldn't be able to afford the doctor.

So they die from diarrhoaea or typhoid, both easily treatable with ofloxacine, cost around $5, because they don't have $10 for the doctor, but that's OK with you?

Wouldn't surprise me if this is yet another scam cooked up by big pharma.

The biggest threat to modern medicine is the cocksuckers who profiteer from it.
The problem at least here in rural Cambodia is that if they don't have the money to see a "real" doctor of which there are damn few, they see the local Kru Khmer or witch doctor. They are not only poor, but trapped in a sliding scale of incompetence.
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Re: Ministry bans selling antibiotics without prescription

Post by that genius » Sun Dec 24, 2017 2:28 pm

username wrote:
Sat Dec 23, 2017 8:11 pm
that genius wrote:
Sat Dec 23, 2017 6:22 pm
username wrote:
Sat Dec 23, 2017 6:00 pm
Jamie_Lambo wrote:
Sat Dec 23, 2017 3:41 pm
i hope this doesnt get enforced
Yes, please let's hope one of the biggest threats to modern medicine, namely antibiotic resistance, can continue to worsen :facepalm:
You're completely ignoring the fact that 95% of Khmers wouldn't be able to afford the doctor.

So they die from diarrhoaea or typhoid, both easily treatable with ofloxacine, cost around $5, because they don't have $10 for the doctor, but that's OK with you?
Somebody gives you a choice: die the next time you get a serious infection (let's be generous, and say it only happens in a year's time), or in 15 years time.

Which would you choose?

No-brainer for most.
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Re: Ministry bans selling antibiotics without prescription

Post by username » Sun Dec 24, 2017 2:59 pm

that genius wrote:
Sun Dec 24, 2017 2:28 pm
username wrote:
Sat Dec 23, 2017 8:11 pm
that genius wrote:
Sat Dec 23, 2017 6:22 pm
username wrote:
Sat Dec 23, 2017 6:00 pm
Jamie_Lambo wrote:
Sat Dec 23, 2017 3:41 pm
i hope this doesnt get enforced
Yes, please let's hope one of the biggest threats to modern medicine, namely antibiotic resistance, can continue to worsen :facepalm:
You're completely ignoring the fact that 95% of Khmers wouldn't be able to afford the doctor.

So they die from diarrhoaea or typhoid, both easily treatable with ofloxacine, cost around $5, because they don't have $10 for the doctor, but that's OK with you?
Somebody gives you a choice: die the next time you get a serious infection (let's be generous, and say it only happens in a year's time), or in 15 years time.

Which would you choose?

No-brainer for most.
:facepalm:

I'm not arguing against the use of antibiotics.
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Re: Ministry bans selling antibiotics without prescription

Post by Kammekor » Sun Dec 24, 2017 3:23 pm

that genius wrote:
Sun Dec 24, 2017 2:28 pm
username wrote:
Sat Dec 23, 2017 8:11 pm
that genius wrote:
Sat Dec 23, 2017 6:22 pm
username wrote:
Sat Dec 23, 2017 6:00 pm
Jamie_Lambo wrote:
Sat Dec 23, 2017 3:41 pm
i hope this doesnt get enforced
Yes, please let's hope one of the biggest threats to modern medicine, namely antibiotic resistance, can continue to worsen :facepalm:
You're completely ignoring the fact that 95% of Khmers wouldn't be able to afford the doctor.

So they die from diarrhoaea or typhoid, both easily treatable with ofloxacine, cost around $5, because they don't have $10 for the doctor, but that's OK with you?
Somebody gives you a choice: die the next time you get a serious infection (let's be generous, and say it only happens in a year's time), or in 15 years time.

Which would you choose?

No-brainer for most.
If Cambodians continue down this path most antibiotics will be useless within our lifetime, and only stronger antibiotics will have some effect because those are only available in hospitals either due to price or the fact you can't simply swallow them. That will be a major change, back to the 1920's when a simple pneumenia means death for loads.
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Re: Ministry bans selling antibiotics without prescription

Post by Kuroneko » Sun Dec 24, 2017 4:39 pm

Kammekor wrote:
Sun Dec 24, 2017 3:23 pm
If Cambodians continue down this path most antibiotics will be useless within our lifetime, and only stronger antibiotics will have some effect because those are only available in hospitals either due to price or the fact you can't simply swallow them. That will be a major change, back to the 1920's when a simple pneumenia means death for loads.
Exactly right, but It's not just Cambodia, the problem is worldwide, and it's not just about restricting access but how well the drugs are prescribed, for example "as much as half of all antibiotic use in the United States is either unnecessary or inappropriate"(Frontline):

Antibiotic resistance is a major threat to public health, says the WHO. It is no longer something to worry about in the future, but is happening now and could affect anybody, anywhere, of whatever age.

"Without urgent, co-ordinated action by many stakeholders, the world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill," said Dr Keiji Fukuda, the WHO's assistant director general for health security.

"Effective antibiotics have been one of the pillars allowing us to live longer, live healthier, and benefit from modern medicine. Unless we take significant actions to improve efforts to prevent infections and also change how we produce, prescribe and use antibiotics, the world will lose more and more of these global public-health goods and the implications will be devastating."

The new report is the first to gather comprehensive data from the WHO on antibiotic resistance and has information from 114 countries. Although the data is more complete in some regions than in others, it is clear that drug-resistant strains of bacteria and viruses are common and that trying to preserve the efficacy of the antibiotics we have is a losing battle...........

The report looks in detail at antibiotic resistance in seven bacteria that are responsible for common and potentially serious diseases, such as bloodstream infections (sepsis), diarrhoea, pneumonia, urinary tract infections and gonorrhoea. It finds there is resistance even to antibiotics that are used as a last resort, when others fail.

Most troubling is that the data collected by the WHO shows there is resistance all over the world to the "last resort" antibiotics used against life-threatening infections that are caused by a common intestinal bacterium, Klebsiella pneumoniae.......

There have been no new classes of antibiotics for 25 years, he said..........

The report also highlights widespread resistance to one of the most widely used antibacterial medicines for the treatment of urinary tract infections caused by E coli. In the 1980s, when the fluoroquinolones were introduced, there was virtually no resistance, but now in many countries, they are ineffective in more than half of patients.

The UK is one of several countries where resistance has developed to the last-line antibiotics used to treat gonorrhoea, known as the third-generation cephalosporins. The WHO also names Austria, Australia, Canada, France, Japan, Norway, South Africa, Slovenia and Sweden as countries where this is the case.https://www.theguardian.com/society/201 ... ountry-who
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Re: Ministry bans selling antibiotics without prescription

Post by Jamie_Lambo » Sun Dec 24, 2017 5:26 pm

Kuroneko wrote:
Sun Dec 24, 2017 4:39 pm

The UK is one of several countries where resistance has developed to the last-line antibiotics used to treat gonorrhoea, known as the third-generation cephalosporins.


yup that pesky Gonorrhoea! but being able to pop down the pharmacy and picking up a box of Azithromycin for a few dollars... :bow: :Bravo: :beer: lol
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Re: Ministry bans selling antibiotics without prescription

Post by Kuroneko » Sun Dec 24, 2017 6:35 pm

Jamie_Lambo wrote:
Sun Dec 24, 2017 5:26 pm
Kuroneko wrote:
Sun Dec 24, 2017 4:39 pm

The UK is one of several countries where resistance has developed to the last-line antibiotics used to treat gonorrhoea, known as the third-generation cephalosporins.


yup that pesky Gonorrhoea! but being able to pop down the pharmacy and picking up a box of Azithromycin for a few dollars... :bow: :Bravo: :beer: lol


But for how long? Over the time I have been involved in treating STI's we have gone through about four regimen changes, starting with Penicillin, and the last I was recommending was Cefixime and Ceftrioxone with Azithromicin for Chlamydia. Now Cefixime is becoming less effective.

"Recent laboratory data suggest that the effectiveness of cefixime for treating gonorrhea may be declining. For this reason, CDC has updated its gonorrhea treatment guidelines and no longer recommends the routine use of cefixime. Instead, CDC now recommends using ceftriaxone along with a second antibiotic to treat gonorrhea."

"For patients with uncomplicated genital, rectal, and pharyngeal gonorrhea, CDC now recommends combination therapy with ceftriaxone 250 mg as a single intramuscular dose, plus either azithromycin 1 g orally in a single dose or doxycycline 100 mg orally twice daily for 7 days."

"There are times, however, when it may be necessary to use an alternative antibiotic regimen that does not include ceftriaxone. In instances where ceftriaxone is not available, CDC recommends cefixime 400 mg orally, plus either azithromycin 1 g orally or doxycycline 100 mg orally twice daily for 7 days. For patients with a severe allergy to cephalosporins, CDC recommends a single 2-g dose of azithromycin orally".

"In both of these circumstances, CDC recommends a test of cure for these patients 1 week after treatment, and this is an important change in CDC's treatment guidelines. In addition to these treatment changes, we encourage physicians to take 2 additional steps to ensure successful treatment outcomes for their patients."https://www.medscape.com/viewarticle/768883

The complete guidelines can be viewed at www.cdc.gov/std/treatment.
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Re: Ministry bans selling antibiotics without prescription

Post by taabarang » Sun Dec 24, 2017 7:22 pm

Kuroneko, I know better than to argue with you and your expertise in the field. In part this due to the fact that I had a highly antibiotic resistant infection around my right ankle(Pseudomonas aeruginosa ) and most Khmer MDs.dismissed it as a staph infection and prescribed inappropriate antibiotics and told me to keep my foot raised to reduce the swelling iny leg.

Toake a long story short I finally found an MD who sent a specimen to a lab that identified it
Even then the first antibiotic (serum 2x a day) proved to be totally ineffective. The second one worked, but it was scary with 3 so called Khmer MDs insisting amputation was the answer. It was more complicated than that, but you get the gist.

Still, if I feel that I can identify the bacteria I will not hesitate to self prescribe. I think it is a matter of knowing your limitations.
As my old Cajun bait seller used to say, "I opes you luck.
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