Antibiotics

DRAP Issues Directive for Antibiotics Prescription to Combat Antimicrobial Resistance

Islamabad: The Drug Regulatory Authority of Pakistan (DRAP) has issued a directive urging all provinces, Azad Jammu and Kashmir, Gilgit-Baltistan, and the Islamabad Capital Territory (ICT) to ensure that antibiotics are sold strictly on a doctor’s prescription.

This move aims to tackle the growing threat of Antimicrobial Resistance (AMR) and combat the harmful practice of self-medication, as reported by ARY News.

In a letter sent to the health departments, DRAP officials highlighted the increasing misuse of antibiotics, noting that self-medication often leads to overuse and resistance, diminishing the effectiveness of these critical medications.

They pointed out that over 70% to 80% of antibiotics are prescribed unnecessarily for self-limiting conditions, contributing significantly to the AMR crisis. This misuse makes antibiotics less effective against disease-causing microorganisms, posing a severe public health risk.

The DRAP chief emphasized that, similar to practices around the globe, antibiotics should only be available through prescriptions to mitigate the risks associated with self-medication.

Growing Concerns Over Antibiotic Consumption

Data from recent years shows a troubling rise in antibiotic consumption in Pakistan. In Lahore, a 66% increase in cumulative antibiotic consumption was recorded in 2021 compared to 2019.

Additionally, the National Institute of Health (NIH) reported a 78% increase in oral antibiotic consumption and a 35% increase in intravenous usage during the same period.

Among the antibiotics, there has been a significant rise in the use of macrolides, cephalosporins, penicillins, and quinolones, with moxifloxacin and ciprofloxacin being the most commonly used quinolones in the region.

Conclusion

The DRAP’s directive is a critical step towards regulating antibiotic use in Pakistan. By enforcing prescription-only sales, authorities aim to safeguard public health and combat the alarming rise in antimicrobial resistance. The health departments are now tasked with implementing this directive to protect the efficacy of antibiotics and ensure their appropriate use.