Practical Standard Prescriber LC Gupta, Kusum Gupta, Abhitabh Gupta
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1Practical Standard Prescriber2
3Practical Standard Prescriber
Eighth Edition
Editors Late LC Gupta MD FAMS DSc (Hon) Kusum Gupta PhD (Hon) Abhitabh Gupta MD DMRE New Delhi, India
4
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© 2013, Jaypee Brothers Medical Publishers
All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.
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This book has been published in good faith that the contents provided by the authors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the authors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Practical Standard Prescriber
First Edition: 1984
Sixth Edition: 2001
Reprint: 2002, 2004, 2005, 2007
Seventh Edition: 2009
Pharmaceutical Reprint Edition: 2010
Eighth Edition: 2013
9789350904725
Printed at Ajanta Offset & Packagings Ltd., New Delhi
5Dedicated to
Revered Sh RC Lahoti
Ex-Chief Justice of India
who helped and guided us
at every turning point of life6
7Contributors 9Preface to the Eighth Edition
This revised eighth edition of Practical Standard Prescriber, owes to the popular demand of students, residents and general practitioners. M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India is proud to present this in its continuing efforts to serve the medical profession. Treatment part has been totally revised and updated. Certain new diseases have also been included.
Late LC Gupta
Kusum Gupta
Abhitabh Gupta
Tribute
The title is the last contribution of Late Dr LC Gupta to the medical literature, whose tireless efforts made the completion of this book possible and will keep his memories alive in our hearts.10
11Preface to the First Edition
The drug world is expanding at a very fast pace. New drugs are continuously being added and obsolete ones are withdrawn. Age-old regimens which once enjoyed mass acceptance and reputation are being replaced with newer concepts. A busy practitioner or a new incumbent to the profession should keep himself abreast of these developments and reorient himself to the changing circumstances. Drug resistance is frequently being encountered and is the main cause of treatment failure. In this small work, attempt has been made to enumerate the standard drugs to be prescribed for a particular disease. In case of intolerance or drugs resistance, alternative regimens are also inserted. However, the choice of drugs depends upon the treating physician. Over-prescription is certainly to be avoided and drug abuse is to be kept at minimum.
Doctor shopping is a common feature of the present time. Readymade prescription is available across the counter from mini modified doctors and there is no need to present the patient before the doctor. Such a trend is certainly hazardous.
Correct dosage, duration of therapy, contraindications, adverse reactions, drug interactions, side effects and toxicity should be kept in mind while writing a prescription. The economic status of the patient and12 his occupation should be given due consideration. Ailments which are otherwise innocuous and self-limiting should be handled tactfully. For reaching at a correct diagnosis, the cardinal symptoms, signs, pathologic and laboratory findings are also incorporated in this book. However, correct diagnosis is left to ingenuity of the prescriber.
In a developing country, where many people are below poverty line with high illiteracy rate, one may find it extremely difficult to afford costly medicines for miraculous cure, or discriminate between safe and dangerous drugs. They wholly and fully depend upon the prescriber who may be a doctor, a quack or a friend. Under such circumstances, the cheap, effective and harmless medicines are to be tried first rather than jumping to the newer and less known products.
Aggressive marketing and unabated advertising through mass media by some drug manufacturers to push their product creates confusion and dilemma in the minds of innocent consumers. Some products without a rational basis become the household remedy and every home possess them. Such practice is certainly detrimental to the ethics of medical profession.
LC Gupta