Do not lower blood pressure, do not sleep with anesthetics, and do not diarrhea? The medical insurance and drug supervision departments answered questions on the centralized drug procurement

The reporter learned from the National Health Insurance Administration that in January this year, some experts believed that some centralized drug procurement may have the quality risk of "no blood pressure drop, no narcotics sleep, and no laxatives" and the relevant departments sent personnel to investigate and understand the situation. Recently, the medical insurance and drug supervision departments involved in the investigation accepted an interview with reporters.

Q: Please introduce the relevant situation of the survey. What information were mainly communicated with the experts on the spot?

Answer: The researchers listened carefully to the opinions of relevant experts, as well as the heads of seven hospitals including Ruijin Hospital, Renji Hospital, Zhongshan Hospital, and medical staff in the surgery, internal medicine, anesthesiology, pharmacy and other departments. While listening to opinions, we also went deep into relevant departments to extract relevant data.

The researchers expressed to the experts the sincerity of "opening the door to handle centralized procurement and listening to opinions from the door", seriously accepting social supervision, introduced the specific practices of centralized procurement of drugs, introduced the relevant measures to strengthen the quality supervision of centralized procurement drugs, and the disposal of selected drugs found in individual quality risks, and introduced the real-world research on centralized procurement of selected drugs carried out by more than 80 tertiary hospitals covering more than 300,000 patients.

The researchers focused on the information from the experts:

1. The feelings about the efficacy and quality of the drug when using various centralized procurement drugs on the front line of clinical practice;

2. The specific situation mentioned, such as "no blood pressure drop, no sleep in anesthetics, no laxatives", and the third is the opinions and suggestions on improving the centralized procurement policies of drugs and strengthening drug quality supervision.

Q: What did the research understand about the several statements made by the experts during the interview?

Answer:

The statement about "the blood pressure of antihypertensive drugs does not drop." The generic drugs that reflect "amlodipine" are not as effective as those of the original drugs, and the cause is personal experience of using drugs. Ruijin Hospital provides clinical real-world research results comparing selected generic drugs and original drugs that the hospital participated in, showing that "for patients with primary hypertension, the treatment of original and generic amlodipine can achieve good results, which can effectively reduce blood pressure levels and is of equal safety." This research result has been published publicly.