The Long Road Ahead

Pic showing an officer explaining the registration of health product to a stall owner / retailer
Pic showing the use of consumer education tools (phamplet and postcard) in the education campaign

Being an enforcement agency, it's not all about flexing enforcement muscle and hard punishments. In fact the best form of enforcement is consumer education. We call this as 'proactive' enforcement. This method allows the reduction of demand from the consumer thus disrupting the "demand-supply chain" of unregistered health product. This is made possible by empowering the retailers to choose to sell registered helath product only. This effort involve an intelligent planning, precise execution and a lot of patience before reaping the desired results. On our part at CPF Sabah we have so far embarked on a few education campaign targeting multi-level members of the society. It is important to get the cooperation of everyone to ensure the success of law enforcement on medicine and pharmaceuticals. It's a long road ahead.

Make a Point to Read the Label of Your Medicine

Have you been asked the name of your current medicine?
Can you name the medicine that you are taking?
Do you check the label for each medicine that you receive from the hospital, clinic or retail pharmacy?

If you answer “no” to any of the questions above please spend time to read this article now.

Compulsory Requirement for Labelling of Medicine

According to the Poisons Regulations 1952, when any poisons is supplied as a dispensed medicine it shall be labelled with certain details. This includes the name and address of the supplier or seller (in this case the Clinic, Hospital and Pharmacy it was obtained), name of the person whom the medicine is for, name of the medicine and adequate direction for the use of such medicine. Tthe medicine pack should also have the reference number as in the record called the ‘Prescription Book’ and the words ‘Controlled Medicine’.

(Pic above shows the proper labelling of dispensed medicine)

Consumer Responsibility

The government always advocates Malaysians to be smart consumers. One small step to achieve this aspiration is to read the medicine label and to know the medicine supplied to you. It’s not a surprising fact that certain members of the public neglects to read the label of their medicine. Whether this medicine is obtained from hospital, clinic, or retail pharmacy, many of us don’t take the time to read or to ask about the medicine we received. Please find the time at the end of this article to check your medicine cabinet and look at the medicine label that many of us are currently taking, it’s not surprising to find dispensed medicine labelled with the words ‘Sakit Perut’, headache, ‘muntah-muntah’, ‘cuci darah’, and many more. Some might find this amusing and strange but the bottom line it’s a sad reality. The paradigm shift in medical care is to encourage the patient to play an active role in treatment of their illnesses. The patient can play this role by taking the initiative to ensure that their medicine is clearly and completely labeled. Request the doctor or pharmacist who supplies the medicine to label the medicines properly. All patients whether adults or children have the right to expect the medicine supplied to them are appropriate, safe and effective. By fulfilling this basic consumer responsibility it is hoped that consumer will be familiar with the medicine that they are taking and take more responsibility in their treatment.

Supplier Responsibility

An example of professional duty in the medical field is to inform matters related to any diseases or medicine involving such patients in accordance with the standard clinical guidelines that focuses on the patient (patient centered). All doctors, dentists or pharmacist must ensure that the label of dispensed medicine conforms to the law. In any government medical institutions, labeling of medicine with generic or chemical name has become a norm. Such practices should be implemented in all private hospitals, clinics and retail pharmacies for the benefit of the patients. For example the common painkiller medicine containing the chemical Mefenamic Acid has been registered undert the names like Ponstan, Beafemic, Dyfenalic, Fenagesic, Hamitan, Mefemic etc. The practice of labelling using chemical name is important because it allows the consumer to know the active ingredients in each medicine and help to avoid any toxicity that might arise due to the administration of different medicines with the same active ingredients. .

Advantage of Proper Labeling

The advantages of having a proper label of medicine are as follows;
1.The patient can obtain further information about that particular medicine from reliable information sources or by referring the medicine by name to doctors and pharmacists
2. Improve patients compliance to maximize the treatment effectiveness
3. Patients able tell the name of medicine they are taking to doctors or pharmacist to avoid duplication of therapy especially for those seeking second opinion from different healthcare provider for a particular illness.
4. If adverse effects or allergic reaction occur, it will be easy for patient to recognize the medicine that causes it and to report the matter to their medical provider.
5. The patient will be able to stop taking medicine which has an active ingredient which is banned
6. Easy to understand the direction, frequency and duration of treatment for that particular medicine
7. Know the medicine proper and safe storage
8. Avoid cases of medicine mistakenly consume by individuals living in the same house.

In conclusion, by taking the initiative to ensure your medicines are labelled properly, all of us choose to become smart consumers and take full charge in the treatment of our illness.


© Sabah State Pharmacy Enforcement Branch

Importation Of Drug Into Malaysia

Many of us today take a lot of pride in using imported cosmetic product and also consuming imported medications. But have any one of us wondered how these products enter Malaysia? It is not as straight forward as some of us may think. This article is written with the hope to increase the public’s awareness regarding importation of drug and also cosmetic product.
In general, importation of drug into Malaysia is controlled by the Poisons Act 1952 and Control of Drugs and Cosmetics Regulations 1984 to ensure ‘Controlled Medicines” are imported by licensed pharmacists and to ensure medicines imported are safe, efficacious and of quality.
Before any drug can be considered to be imported into Malaysia, it must first be registered with the Drug Control Authority. Public can check whether a product is registered or not by contacting the National Pharmaceutical Control Bureau at 03-78835400 or search the website http://www.bpfk.gov.my/ . After the product is registered, the importer has to apply for an import licence to import the registered product.
Under the Poisons Act 1952, poisons means any substance listed in the first column of the Poisons List. You need an appropriate licence to import poisons. Type A license is for a licensed pharmacist to import all poisons . A type B license can be issued to any person deemed proper or fit by a licensing officer to import industrial chemicals controlled as poisons and a Type E licence to import sodium hydroxide. Application of any of the above license can be done through the Pharmacy Enforcement Division (Cawangan Penguatkuasa Farmasi). Any person found guilty of committing offences under this Act, is liable to a fine not exceeding RM 5000 or imprisonment not exceeding 2 years or both.
Starting this year (2008) under the Control of Drugs and Cosmetics Regulation 1984 importer must notify the DCA the cosmetics they intend to put in the market. Prior to this cosmetics also need to be registered with DCA, This is in-line with the harmonization requirement amongst ASEAN countries. For any query, don’t hesitate to call the local Pharmacy Enforcement Division near you.

© Sabah State Pharmacy Enforcement Branch