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Permissible Drug Lists Based on the Type and Mode of Consultation

Written by Mary Pooja

Permissible drug lists based on the type and mode of consultation

 

List Group Mode of Consultation

[Video/Audio/Text]

Nature of Consultation

[First- consultation/

Follow-up]

List of Medicines
O Any Any List 0 1
A Video First Consultation

Follow-up, for continuation of medications

List A2
B Any Follow-up List B3
Prohibited Not to be prescribed Not to be prescribed Schedule X of Drug and Cosmetic Act and Rules or any Narcotic and Psychotropic substance listed in the Narcotic Drugs and Psychotropic

Substances, Act, 19854

1.      This list included commonly used ‘over-the-counter’ medications such as Paracetamol, Oral Rehydration Solution (ORS) packets, Antacids etc.

This list also includes medicines that may be deemed necessary during emergencies and would be notified from time to time.

2.      This list includes usually prescribed medications for which diagnosis is possible only by video consultation such as antifungal medications for Tinea Cruris, Ciprofloxacillin eye drops for Conjunctivitis etc. and Re-fill medications for chronic diseases such as Diabetes, Hypertension, Asthma etc

3.      This list includes ‘add-on’ medications which are used to optimize an existing condition. For instance, if the patient is already on Atenolol for hypertension and the blood pressure is not controlled, an ACE inhibitor such as Enalapril

4.      For instance, Anti-Cancer drugs; Narcotics such as Morphine, Codeine etc

 

MEDICINE LISTS

List O

Common over-the counter medications such as

  • Antipyretics: Paracetamol
  • Cough Supplements: Lozenges,
  • Cough/ Common-cold medications (such as combinations of Acetylcysteine, Ammonium
  • Chloride, Guaifensen, Ambroxol, Bromhexene,Dextromethorphan)
  • ORS Packets
  • Syrup Zinc
  • Supplements: Iron & Folic Acid tablets, Vitamin D, Calcium supplements
  • Etc

Medications notified by Government of India in case from time to time on an Emergency basis  Such as Chloroquine for Malaria control for a specific endemic region, when notified by

Government

List A

First Consult Medications (Diagnosis done on video mode of consultation) such as

  • Ointments/Lotion for skin ailments: Ointments Clotrimazole, Mupirocin, Calamine Lotion, Benzyl Benzoate Lotion etc
  • Local Ophthalmological drops such as: Ciprofloxacillin for Conjunctivitis, etc
  • Local Ear Drops such as: Clotrimazole ear drops, drops for ear wax etc..
  • Follow-up consult for above medications

Follow-up medications for chronic illnesses for ‘re-fill’ (on any mode of consultation) such as medications for

  • Hypertension: Enalapril, Atenolol etc
  • Diabetes: Metformin,Glibenclamide etc
  • Asthma: Salmetrol inhaler etc
  • Etc

List B

On follow-up, medications prescribed as ‘Add-on’ to ongoing chronic medications to optimize management such as for hypertension: Eg, add-on of Thiazide diuretic with Atenolol

  • Diabetes: Addition of Sitagliptin to Metformin
  • Etc

About the author

Mary Pooja