Re: [nukkad] Which iron preparation is recommended by REAL experts?

["Dr.M.C. Gupta" <>]

[This message contained attachments that have been removed.]


Answer: 2002.

Obiter:

However, such query would not have been made by a knowledgeable medical
person who knows what he is talking about and what.

 If you are thinking on the "new research, outdated drugs" lines, let me
tell you that whatever the drug companies and private practitioners, who are
often their most effective spokesmen, sometimes for indirect
consideration, tell you, epoch making changes do not occur in medicine every
day. Just because aspirin and rauwolfia are centuries old drugs does not
mean that they are obsolete or have better alternatives today. If you are
not, that's fine.

Mind you, this is not being posted by a layman. And, it was not meant to be
a potshot in a fight. [In any case, it is just not the done thing to carry
on professional debates on lay lists. To call or insinuate names in this
connection is worse]. The information was meant for the lay public [80-90%
women and about 50 children suffer from iron deficiency anemia and maybe 95%
of those so suffering are poor or of modest means.

It may interest you to know that the most important cause of postpartum
hemorrhage and death [death during childbirth due to excessive bleeding] is
anemia. Right now, I am arguing such a case in the National Conumer
Commission for a client whose wife died in this manner. I am almost 100%
sure that I will win. THREE medical boards, one from a highly prestigious
postgraduate institute, had exonerated the doctors and the case had been
dismissed at the State level. I came into picture after that. And, though I
might have earned more through my medical practice, I am happier in the
present shoes because I know that I am able to get justice for the poor lay
public against whom doctors act as a solid lobby to protect themselves. I am
able to puncture that strong lobby-wall.

BTW, let me mention that the majority of my clients are doctors, but when I
am against a doctor, he better count his luck.

A lawyer is loyal only to his client [as long the client pays his fees], be
it a doctor or a patient. And that is what a lawyer is expected to be as per
rules of professional ethics.

M C Gupta

=======================

On 5/10/08, Ravi Menon  wrote:
>
> What date was the publication?
>
> On 5/10/08, Dr.M.C. Gupta  wrote:
> >
> > [This message contained attachments that have been removed.]
> >
> >
> > Here is a reproduction from the WHO sponsored book titled "Standard
> > treatment guidelines" jointly published by the Delhi Society for
> Promotion
> > of Rational Use of Drugs [Headed by the renowned Emeritus Scientist Dr.
> RR
> > Chaudhury, who was long back professor and HOD, Pharmacology, PGI,
> > Chandigarh; later was President Delhi Medical Council; Currently in a
> senior
> > advisory capacity in Apollo Hospital, Delhi] and the WHO-India Programme
> on
> > Essential drugs. The book has been sponsored by WHO, under the technical
> > assistance of Dr. Hans V Hogerzeil, Coordinator for Policy, WHO, Geneva.
> It
> > has a forward from South East Asia Regional Director of WHO. The
> editorial
> > board consisted of 7 experts. It was written by 66 professors and
> reviewed
> > by another 15.
> >
> > THE EXCERPT FOLLOWS:
> >
> > ****
> >
> >
> > *TREATMENT*
> >
> > *Iron deficiency anaemia *
> >
> >
> >
> > 1. Treat the underlying cause: menorrhagia in women, gastrointestinal
> blood
> > loss in all age groups including hookworm infestation, dietary
> deficiency,
> > rarely* *malabsorption.
> >
> >
> >
> > 2. Tab. Ferrous sulfate 200 mg 3 times a day. Reduce the dose as
> hemoglobin
> > rises to over 10 g/dl. Once haemoglobin is normal, continue with I
> > tablet *daity
> > *for at least three months.
> >
> >
> >
> > Other preparations of iron are not superior, but they can be tried if
> > patient does not find ferrous sulfate suitable. These include ferrous
> > fumarate and ferrous gluconate.
> >
> >
> >
> > The rate of rise of haemoglobin should be 1 g/dl per week. If this does
> not
> > occur, consider ongoing blood loss, noncompliance, associated
> > hemoglobinopathy like thalassemia carrier status, malabsorption, or an
> > incorrect diagnosis.
> >
> >
> > Parenteral iron  does not lead to a faster rise in haemoglobin. It is
> > indicated in  the following situations: (i) Malabsorption of iron, (ii)
> > Intolerance of * *oral iron, (iii) In late pregnancy to ensure fetal
> stores
> > of iron are replenished rapidly, (iv) If ongoing blood loss exceeds the
> > capacity to absorb oral iron (like in inoperable malignancy), (v) In
> > non-compliant patient. There is danger of anaphylactoid reactions, hence
> to
> > manage these should be readily available.
> > M C Gupta
> >
> >
> 
>=======================================================================================
> >
> >
> >
> >
> > --
> > Prof. M C Gupta
> > MD (Medicine), MPH,  LL.M.,
> >
> > Advocate & Health and Medico-legal Consultant
> >
> > mcgupta44@gmail.com
> > www.writing.com/authors/mcgupta44
> > http://mcgupta44.blogspot.com/
> >
> >
> ----------------------------------------------------------------------------
> > Remember, we're just monkeys. Less hairy. But just monkeys.
> >
> ----------------------------------------------------------------------------
> >
> >
> >
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> >
>



-- 
Prof. M C Gupta
MD (Medicine), MPH,  LL.M.,

Advocate & Health and Medico-legal Consultant

mcgupta44@gmail.com
www.writing.com/authors/mcgupta44
http://mcgupta44.blogspot.com/

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