Click on the name of the disease to receive the online prescription platform "free consultation and prescribing", but no doctor inquires about the condition


  . Do you really need a "prescription" for online prescription drugs?

  A few days ago, some netizens said that buying drugs online is very casual, including prescription drugs for anesthesia.

A reporter from the Beijing Youth Daily found that when purchasing drugs on some drug and health websites, the review of "prescriptions" is a mere formality. You only need to click on the name of the disease to receive an online prescription without uploading prescription photos. The fastest 3 minutes You can complete the verification and wait for the goods to be received.

Experts said that random prescribing of prescription drugs may bring medication risks, and it is recommended that the platform strictly strengthen the review.

 survey

  No prescription for online prescription drugs?

  At present, there are many online medical platforms on the Internet. Not only O2O companies specializing in drug delivery services, but also large e-commerce platforms have opened health services to provide online drug purchases. In addition, takeaway sites can also buy drugs.

  In the "online pharmacy" of an e-commerce platform, a reporter from the Beijing Youth Daily chose a prescription drug for thyroid disease, "Youjiale". The price of the drug is 38 yuan per box and 58 yuan for two boxes.

After the payment is completed, the system prompts, "Purchasing prescription drugs requires supplementing the user's information within 24 hours, and we will ship it to you after consultation and prescribing. Otherwise, the refund will be automatically refunded if it expires."

A reporter from the Beijing Youth Daily added the name and ID number of a real-name patient. At this time, in the “Confirmed Disease” column, the indication “hypothyroidism” of the drug automatically appeared. Just click the option, and Check the prompt "Confirm that you have taken the medicines in the order offline and have no adverse reactions" at the bottom to submit the consultation information.

After clicking it, it will automatically enter the "Inquiry Prescription" page. Although you don't know where the other doctor is from, the system has prompted "The pharmacist is reviewing the prescription for you", and the system will display "Doctor prescribing is complete" after about 1 minute.

At this point, in less than 3 minutes, the entire process is basically over. Consumers can exit the page and wait for the system pharmacy to review the shipment immediately. The reporter received the shipment reminder in a while.

  The Beiqing Daily reporter’s investigation on another platform also showed a similar situation. For example, after placing an order for a skin anesthetic ointment "Compound Lidocaine Cream", the user was asked to fill in the information of the user, and click directly on the platform prompt "Acupuncture Anesthesia" ", check "Confirm that the drug has been diagnosed offline and taken, and there are no contraindications and adverse reactions", and click "Free consultation and prescribing" to enter the review stage.

During this process, there was no pop-up dialog box, and no Internet hospital doctor asked about the condition and medication.

About 2 minutes later, a reporter from the Beijing Youth Daily received a text message stating that "the doctor has issued a prescription based on your description of the condition. After the review is passed, the medicine will be dispensed for you and the delivery will be arranged."

The reporter found that a free "prescription service for drug purchase" was added to the order at this time.

Respond to

  Those who do not have a prescription can prescribe it through "online consultation"

  Prescription drugs refer to the drugs that can be purchased, dispensed, and used only with the prescriptions of licensed physicians and licensed assistant physicians.

According to Article 72(2) of Section VI of "Pharmaceutical Business Quality Management Regulations", when selling drugs, a licensed pharmacist or pharmacist must review and sign the prescription before dispensing and selling drugs based on the prescription. ; No prescription drugs can be sold without a prescription from a physician.

  Are there any rules for purchasing prescription drugs online?

According to the platform's customer service, the prescription drug reservation process includes: click on the product to buy immediately, check the package to submit the reservation, successfully submit the reservation, fill in the information to agree to the consultation, and the Internet hospital to issue an electronic prescription.

What if there is no prescription?

The customer service said: "We can write prescriptions on our platform."

  It is understood that at present, multiple drug purchase platforms not only provide "drug" sales services, but also bind "online consultation" services.

If the patient has a prescription, he can submit a prescription issued by an offline hospital; if the patient does not have a prescription, the doctor can write a "prescription" in just a few minutes, without even communicating with the patient.

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  It is risky to buy and use prescription drugs at will

  A doctor said that prescription drugs generally have a high probability of adverse reactions and have certain treatment risks. The doctor needs to decide whether to use them after evaluating the risks of medication and health benefits.

Some prescription drugs need to be selected according to the patient’s physiological state, or some special inspections are required before and after the medication, such as antihypertensive drugs and the drugs for the treatment of hypothyroidism purchased during the investigation by the Beijing Youth Daily reporter. The doctor needs to adjust the medication at any time according to the patient’s condition. In some cases, some need to be reduced, while others need to be increased, otherwise it will bring danger.

  Analysts said that there are currently thousands of companies across the country that have obtained "Internet drug trading qualifications", and the business volume of e-commerce sales of drugs has grown rapidly, which has brought considerable pressure to supervision.

my country’s restrictions on the sale of prescription drugs by pharmaceutical e-commerce companies have only just been liberalized. According to the “Measures for the Supervision and Administration of Online Drug Sales (Draft for Comment)” issued in November 2020, pharmaceutical retailers who sell prescription drugs online should ensure the source of e-prescriptions. Authentic and reliable, and conduct prescription adjustment review in accordance with relevant requirements, and electronically mark used prescriptions.

In addition, blood products, narcotic drugs, psychotropic drugs and other drugs subject to special state management are still not allowed to be sold online.

Therefore, in the future, relevant national agencies need to strictly manage the sales of prescription drugs to avoid misuse and abuse of drugs and protect consumers' health.

  Text/Reporter Wen Jing

  Coordinator/Yu Meiying