Sunday, October 10, 2010

Mexico's New Prescription Drug Law - Good or Bad?

The Mexican government passed a new law a few months ago requiring that all consumers who purchase antibiotics must present an original prescription from a certified Mexican doctor.  This means no citizen, resident or tourist in Mexico is allowed to just walk into a pharmacy in Mexico and buy whatever antibiotic they choose without first visiting a doctor.  Although this new decree makes it more difficult for many to treat simple illnesses like travelers diarrhea by simply purchasing Cipro (ciprofloxacin - an antibiotic used to treat bacterial infections), the law appears to be well-intended and may actually do some good.

A couple of months ago while we were in the US Allan's American doctor recommended Allan take Cipro for a week to cure a minor medical condition.  Allan decided to pick up the drug when we returned to Playa del Carmen as it was less expensive (and we were unaware of the new law). When Allan sent me to the pharmacy in Mexico I was stunned that the pharmacists would not sell it without a prescription.  They mentioned a new law passed and pointed to a sign explaining the new legislation.  I unsuccessfully tried 4 different pharmacies, hoping one would ignore the law.

At first we viewed the law as a bit of an inconvenience.  We wondered why Mexico was focusing on antibiotics.  Although they are strongly regulated in the US, so is almost everything in America.  From our experience in Mexico things are a bit more laid back.  Why decide to control antibiotics now? 

Our opinion has since changed after speaking with a local Mexican doctor.  According to him the Mexican legislature was faced with a financial crisis and felt compelled to act.  Many sick were incorrectly self-medicating themselves with antibiotics, often with the wrong dosage or completely wrong medicine.  Consequently the state sponsored hospitals were seeing a rise in the amount of patients who required stronger, and hence more expensive, antibiotics because the bacteria was becoming resistant to the antibiotics.  Through improper use and dosage, the sick were essentially not killing the bacteria, but rather making it stronger.  Hypothetically 8 out of every 10 patients would now need the more expensive drug and the state would have to pay for it.  Additionally, by now requiring people to first visit a doctor the state would essentially help to control proper diagnosis and treatment of illnesses, thus also providing more public safety and cutting cost by hopefully having less sick.

Although the new prescription drug law makes it more difficult for us to treat minor illnesses on our own, it does help us to correctly treat our medical problems and hopefully stop the stem of antibiotic resistant bacteria.  Hopefully the government will be able to cut costs and put the money to good use, like maybe fighting poverty in Mexico.  A routine visit from a doctor is probably a good idea anyway, even if it is not the most convenient.

The new law also has allowed me to experience the humor of living in Mexico.  Yesterday at the pharmacy the technician was pointing to a line item on the prescription and indicated that it was not in their system.  Written in English were the words "plenty of fluids".  I explained that it meant the patient should drink more water.  When the technician could not find in their system another item on the list I joking said it meant "kiss more girls".

Notice of the new law at the pharmacy.  Translation "Dear User, this commercial pharmaceutical establishment sells antibiotics only with a medical prescription."
View of the beach at Playacar Phase 1
Demi and Mitzi


3 comments:

KfromMichigan said...

That is bad news! We always bring back a case full of our meds. It was saving us so much money, but all good things come to an end. Thanks for the video .. my pups look great!

Matt Weatherbee said...

There are doctors that will just write prescriptions. Our visit to a good physician only cost $500 pesos. I think near one of the pharmacies you can find a very inexpensive doctor who can probably give you the prescription you need.

Joe said...

That makes a lot of sense after you explained why they did it.

From living in Mexico I can understand why this would be a problem. It seems anytime I go to the doctor here for any reason they try to prescribe me antibiotics, even when it doesn't seem necessary.

That's just my experience but if it was generally the case I can see how the general public would begin to think that just taking an antibiotic is a way to save money by not having to go to the doctor.

For expats I don't think this will be an issue at all since you can see a doctor for as little as 20 pesos, although most expats might be more comfortable with the 400-500 peso doctors who speak fluent english.