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DHQ 3

Medical Representatives make a real fool out of doctors. Just today a medical rep accompanied me all along the length of my clinic. His deal was that if i prescribe his medicine to the patient he will provide the patients with free first two doses of the medicine. I didn't prescribe his medicine to any of my patients of my own free will. He was selling piroxicam a potent analgesic and anti inflammatory agent. The drug is prohibitively expensive at 8 rupees for a single tablet. Yet he was adamant that it was a very very cheap alternative to many of the drugs available in the market.
I have been trained to doubt all medical representative authority. But all is not lost on this front. Medical representatives are human beings too. True they want to sell their drugs and do so by any means possible but still most of them do things that is very classifiable as human compassionate behaviour. they know that the free samples that they leave on the tables do not go to waste but are given to patients who are poor and cannot afford to buy the products. I know that they do this without completely telling their companies about it. Probably they are trying to undo some of the harm that they know they bring with their profession.
Then again the role of a medical representative in this country has been completely falsified because the doctors are illiterate. A medical representative can come in handy if he shares true and most up to date information with you about drugs. they can be a good source of information on indications and contra indications and the latest development in the pharmaceutical industry. But the doctors in Pakistan think that a medical representative is equivalent to a new air conditioner in their clinic or a new ball pen or a new car or refrigerator.
Maybe one day this relationship between doctors and medical representatives would become an honest one.
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