El decreto 1024 permite la venta de medicamentos de venta libre, específicamente analgésicos y antiácidos, en almacenes, supermercados y kioscos. Estos establecimientos deben cumplir ciertos requisitos como tener los productos perfectamente señalizados, venderlos en caja cerrada y solo a mayores de 18 años mostrando documento de identidad. Otros medicamentos de venta libre seguirán vendiéndose exclusivamente en farmacias debido a posibles contraindicaciones con otros fármacos. Este cambio busca proteger la salud pública evitando la confusión entre diferentes tipos de medicamentos y su uso incorrecto.
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00:00We talk about drugs for retirees or the clergy for everyone for everyone for everyone
00:04It is very brief the information because it has to do with a decree with the decree
00:091024 that speaks exactly of free-sale drugs
00:13There are free-sale drugs that will be able to be sold in stores
00:19supermarkets, kiosks, but only two those that have to do with
00:23analgesics and those that have to do with antacids
00:26These shops that are not pharmacies
00:29They must meet certain requirements, for example, have them in their gondolas or in their places in their shelves
00:36perfectly signaled they have to sell them in a closed box and only to people over 18 years old, of course
00:44showing an identity document
00:46nothing more than that
00:48Then what happens to the others with other free-sale drugs have to be sold in pharmacies
00:56those
00:57drugs plus what has to do with drugs under prescription have to be sold in
01:04pharmacies and of course with the
01:06pharmacist in the pharmacy
01:09they have
01:1060 days to
01:11Add and implement all this
01:13What do the pharmacists think?
01:15We are with Isabel Reynoso, who is a pharmacist and is already attending us. Hello Isabel, how are you?
01:20Good morning, how are you?
01:22Good, we want to have your reflection regarding the free sale in kiosks and supermarkets of what Clara mentioned
01:29of what you can buy, be it analgesics, be it antacids, etc.
01:33Yes, this already happened in the Argentine Republic in the 90s
01:37and on the pretext of being able to lower prices, measures are taken that
01:44in our opinion is a strong sanitary setback
01:51The scope of application of this decree is exclusively in the city of Buenos Aires, in the rest of the provinces
01:57that there are sanitary laws, everything will continue at least
02:02as it has been doing so far because it is already proven that people
02:07do not have to know the adverse effects of medicines
02:12free sale or prescription medicine requires
02:16to have the security of the origin, of the legitimacy and of the conservation
02:22The decree itself says that in pharmacies, the pharmacist has to ensure the physical and chemical properties
02:28of that drug that is going to be in a gondola. So, with all due respect, I ask the authorities of the national government
02:35how are they going to do it in a warehouse, in a kiosk, who is going to ensure the physical and chemical properties of that drug
02:43that was well preserved
02:45Isabel, because the whole criterion speaks of the arrival to the public directly without intermediaries
02:53Who would be the intermediaries in this case of the drugs that we are talking about?
02:57Of course, in this case, saying without intermediaries is what it means to say without the pharmacist giving you any kind of advice
03:04so that the person can choose freely
03:08according to the price. Also, to tell you that the price of the drug in Argentina
03:13is set by the manufacturing laboratory and today
03:17in pharmacies, patients are given the available options
03:22so that they can acquire the cheapest one. But in turn, this patient who, for example,
03:29takes an antacid can also be taking another type of medication
03:35and that antacid, even if it is for free sale, has contraindications
03:41with respect to another medication that the patient is taking. For that, a pharmacist would be needed
03:46to explain it to him, because in addition, and by the way, I ask you, what makes an antacid or something for the reflux
03:53cost a box? Put it, of 28 units and x milligrams 56 thousand pesos and of another laboratory 26 thousand pesos.
04:03Of course, the manufacturing laboratory is the one who sets the price and many times it has to do with the production of that product
04:10because you can have the same drug, the same dose, but the release or the availability is different,
04:17the technology used is different and the price is different. But hey, all those alternatives
04:24are in pharmacies today. This decree is not something isolated, it also comes from the hand of some
04:31measures that were taken months ago, where, for example, it was decided that in the Argentine Republic
04:36the omeprazole, pantoprazole of 20, 40 milligrams, go to free sale, which does not exist in any country
04:43in the world. And if you look for access only through the price, well, from that measure,
04:51all these products that used to have coverage in social works now do not have it.
04:56Of course, yes, it is true.
04:58Isabel, good morning, Clara is talking to you.
05:02Good morning, Clara, how are you?
05:04You know that you just said that no drug is harmless. One thinks that since it is an antacid or an analgesic, nothing happens.
05:13You can buy it anywhere. I totally agree with you because it seems to me that the drug is a matter of responsibility.
05:20But, let's see, the background of all this is that when you can buy the free-sale drug,
05:27one can fall into self-medication and even polymedication.
05:32And overdoses.
05:35You can't think that, for example, an omeprazole is harmless because it is in a free-sale condition.
05:43And I say again, only in the Argentine Republic, there is no country in the world that has a proton bomb inhibitor
05:51like the omeprazole of 20 or 40 milligrams in free sale.
05:56But that omeprazole, combined with another medication, can have interactions and cause the patient not only an improvement, but also damage to health.
06:09And what also happens is that it is trivialized, it is lost with respect to the drug, and even the simple aspirin must be very careful.
06:22Yes, of course, you can get an ulcer.
06:25Because one thing is the dose as a platelet-rich anti-aggregator, which is 80 milligrams, 100 milligrams,
06:32and another thing is the abuse that ends with an ulcer.
06:36But the aspirin is historical, Isabel.
06:38We have bought aspirin in the kiosks for a long time, right?
06:41As if it is something conventional, it has already become naturalized.
06:44Yes, later in 2009, that is, in the 90s, it was deregulated in the city of Buenos Aires,
06:51it could be sold anywhere.
06:53What did we have?
06:55We had falsified drugs, adulterated drugs.
06:59I don't know if you remember.
07:01Drugs that were sold online.
07:03Drugs that were sold online.
07:05Exactly, exactly.
07:07Well, then, for the protection of the health of the population, it was decided in the National Congress to reverse this
07:15and propose that the drug could not be in a gondola, that it had to be behind the counter.
07:21Why?
07:23So that when the person approaches, because many times they come and tell you,
07:27in fact, the person gets confused and tells you,
07:31I want an antibiotic because I have a cold.
07:33Well, the antibiotic is sold under prescription, it is not indicated for colds.
07:37They confuse what paracetamol is with what ibuprofen is.
07:41Sure.
07:43There are people who are anticoagulated, there are drugs that cannot be taken.
07:47They are for free sale.
07:49Isabel, I will ask you a question.
07:51You just commented that paracetamols in the rest of the world are sold under prescription, they are not for free sale.
07:57Here they have just been released very recently.
07:59What about antacids and analgesics through this free sale decree?
08:07How is it in other countries?
08:09The doses that other countries have, for example, in ibuprofen,
08:13free sale in other countries is exclusively 200 milligrams,
08:17not 400 or 600 milligrams.
08:21Argentina, let's say, is on its way,
08:27passing drugs, let's say, in high doses,
08:33which do not correspond and cause health damage.
08:37I started by saying that it was a strong setback from a health point of view,
08:43because I think we all agree that access to medication has to be there,
08:49and that the price is one of the factors.
08:53That is why there are different brands and alternatives,
08:55but it cannot be at risk of not knowing what the person is taking,
09:01of not knowing the origin, of not knowing if it was expired,
09:05let's say what happened and what is going to happen again in the kiosks,
09:09in the warehouses, they sell you for compressed.
09:13When you cut the pill, you lose the victory.
09:17So not even the person who is going to be taking it,
09:21let's say, knows what the origin is, nor if it is correct or not.
09:27And there is another point that is important.
09:29In all the pharmacies networks of the Argentine Republic,
09:33we interpret the recalls, which would be the withdrawals from the market
09:39for quality failures or for some problem that the drug has,
09:43and automatically that drug is removed from sale when the ADMAT says,
09:49for this reason or another.
09:51Now, how is it going to be implemented in shops that are not even
09:55licensed by the health authority, that do not have any professional
09:59that can interpret what is a medical recall.
10:03Those products will continue to be sold,
10:05even if the health authority has prohibited them.
10:08So there are many factors that make this not a good measure.
10:13Thank you for this valuable contribution.
10:15Let's see if this is reconsidered.
10:17A hug.
10:19Good day, thank you.
10:21Goodbye, good day.