Drugs on the spot

The rumor was rumored, the High Authority of Health confirmed it: its members recommend the disenfranchisement of 221 drugs. It remains to be seen whether the Minister of Health will follow ... What are these products? Why were they chosen? How do the patients react? ... All answers with .

Patients left behind

221 drugs, previously reimbursed at 35%, should be deregistered in the coming weeks. In practical terms, these medicines, which the doctors prescribed and which the Social Security took over in part - the mutuals completed - would still be available to the patients tomorrow.

Drugs replaced by other ... less effective?

Among the products offered in the delisting, there are creams used in dermatology, trace elements, mucolytics (cough syrup), eye drops, anti-inflammatory, anti-ulcer or veinotonic ... (see list All medicines deregorised below) But why are these drugs, and not others, today in the sights of the health authorities? For Professor Laurent Degos, President of the High Authority for Health, "their usefulness is not sufficient to be taken over by national solidarity. It is above all a choice of priorities, based on the available medical data" . In reaching this conclusion, a panel of experts examined 245 medicinal products whose usefulness had already been debated from April 2004 to June 2005.

List of 221 drugs proposed for de-reimbursement

The scientific and medical data for these products were reviewed and analyzed to determine a level of actual medical service (SMR). The medical criteria for the actual service are based on the analysis of the severity of the disease, the effectiveness of the treatment in the therapeutic strategy and its interest in public health. Result: Of the 245 drugs studied, 24 had a medical service deemed sufficient, 221 others had an insufficient medical service.

For Pr. Gilles Bouvenot, hematologist and member of board of the High Authority of Health, "that a drug has inadequate medical service does not mean that it is ineffective. (...) But we enter An era of priorities. We must take charge of progress, we can no longer accumulate. " If priority is to be given to more effective medicines, it is important to note that not all disbursed drugs do not always have more effective equivalents.

And it remains that a number of drugs, which have never been scientifically proven to be effective, are still supported at 35%. This is the case, for example, for homeopathy. But for now, the High Authority of Health seems not in a hurry to open this file.

The therapeutic advances have made it possible to put on the market effective treatments for heavy and disabling pathologies. But these treatments have a cost, too heavy for society. Although there is no doubt that these medicines must be totally taken care of by the community, it is nevertheless regrettable that the treatment of patients suffering from less serious diseases is not so. Because tomorrow, patients whose disease is minimized will have to bear the full cost of their treatment.

Some of them worry about the we forums: The actual service rendered is insufficient in the eyes (experts) because it considers that having varices is not so serious, and that the company does not have To bear the blow. Basically, if you want to treat your legs you pay ... "says Caroline." Another bad news for patients "continues schoucky1. Others worry about" the slow development of a health system in two Speeds, (...) where only the rich can be properly cared for. "

Would these concerns be unjustified? For the High Authority for Health, the reimbursement of such medicinal products "does not entail a demonstrated negative impact on the quality of care."

If disbursements should logically be accompanied by 400 to 500 million savings for social security, the most pessimistic observers are already announcing that this will not happen because doctors will replace treatments not reimbursed by other medicines reimbursed, not always suited to the pathology ... phlébotropes for example, numbers of experts consider that the delisting will be accompanied by reports of requirements to anti-inflammatories and analgesics. Similarly, studies conducted abroad show, in the case of venous disease, that patients who are not treated at an early stage should be treated in hospital structures at a later stage of the disease and ultimately cost More expensive to society. Hypotheses swept by experts of the High Authority today: "The results of postponements of prescriptions concerning veinotonics are contradictory and inconclusive."

The future will tell us what will happen to these patients and the social security accounts. In the meantime, it is up to the Minister of Health to follow or not the recommendations of the High Authority ...

DERMATOLOGY

OLIGOTHERAPY and VITAMINS

STOMATOLOGY

PNEUMOLOGY

RHEUMATOLOGY

ENT

OPHTALMOLOGY

HEPATO-GASTRO

IMMUNOSTIMULANTS

RENAL ELIMINATION

SEDATIVE PLANTS

VEINOTONICS

FIEVRE

MISCELLANEOUS

BIOSTIM cream CYSTINE BAILLEUL B6 tablets; DERMO 6 cutaneous solution; LOBAMINE CYSTEINE capsules; OXYPEROL; PULVO 47 powder for skin application; PULVO 47 NEOMYCIN powder for skin application; Septivon 0.5% cutaneous solution; SOLUBACTER 1% solution For local application

Granions COPPER; Oligosol MAGNESIUM; Granions Selenium; Oligosol CU-AU-AG; Oligosol COPPER; Oligosol LITHIUM; Oligosol MANGANESE; Granions MAGNESIUM; Oligosol ZN-NI-CO

IMUDON tablets to suck INSADOL tablets INSADOL 2.5 PERCENT oral solution

ACETYLCYSTEINE; ambroxol tablets; ambroxol oral solution; Bisolvon tablets; BRONCHODERMINE ointment; BRONCHODERMINE suppositories child BRONCHODERMINE baby suppositories; BRONCHODERMINE adult suppositories; BRONCHOKOD infants and children; BRONCHOKOD SUGAR infants and children; BRONCHOKOD SUGAR adults BRONCHOKOD adults BRONCHOPULMONARY Lactol aDULT 5% syrup BRONCHORECTINE IN CITRAL adult suppository; BRONCHORECTINE IN CITRAL baby suppository; BRONCHORECTINE IN CITRAL suppository child BRONKIREX SUGAR 2% BRONKIREX SUGAR 5% Carbocisteine ​​5% syrup Carbocisteine ​​5% Sugar Free syrup; Carbocisteine ​​2% SUGAR syrup children and infants; Carbocisteine ​​2% syrup children and infants; COQUELUSEDAL adult suppository; COQUELUSEDAL baby suppository; COQUELUSEDAL suppository child DIMOTAPP EXPECTORANT syrup adult; EDIREL 300mg sachets; EDIREL 300mg capsules; EXOMUC 100mg granules for oral solution; EXOMUC 200mg granules for oral solution; FLUDITEC 2% CHILD iNFANT syrup FLUIMICIL 100mg granules for oral solution; FLUIMICIL 200mg granules for oral solution; FLUISEDAL WITHOUT PROMETHAZINE syrup liquid GOMENOL inhalation; GUETHURAL; HEXAPNEUMINE infant suppositories; MUCOLATOR 200mg powder bag; Mucomyst 2% powder for oral solution; Mucomyst 200mg effervescent tablets; Mucomyst 200mg powder bag; Mucomyst 200mg powder for oral suspension; MUCOSPIRE 200mg granules for oral solution; MUCOTHIOL 100mg tablets; MUCOTHIOL 150mg oral powder sachets-doses MUCOTHIOL 200mg tablets; MUXOL tablets; MUXOL 0.3% oral solution; NEO-Codion infant syrup, suppositories OZOTHINE adults; OZOTHINE babies suppositories suppositories OZOTHINE children; OZOTHINE syrup OZOTHINE diprophylline adult suppositories; OZOTHINE diprophylline tablets, suppositories OZOTHINE diprophylline children; Rhinathiol 2% syrup Rhinathiol 5% syrup; Solmucol 100mg granules for oral solution; Solmucol 2.5% oral solution; Solmucol 200mg granules for oral solution 30mg tablets SURBRONC; SURBRONC 60mg granules for oral solution; SURBRONC 0.6% oral solution; TERPONE babies suppositories suppositories children TERPONE ; TERPONE adult suppositories; TERPONE syrup TUSSILENE SUGAR adults TUSSILENE syrup adults TUSSILENE syrup children VECTRINE 300mg sachets; VECTRINE 300mg capsules

Antiphlogistine paste; BALM AROMA; ATEPADENE; dazen 10,000 IU tablets; INONGAN cream NEURIPLEGE cream SRILANE 5% cream UTEPLEX bulbs drinkable

ACTISOUFRE nasal or oral solution; BRONCHODERMINE ointment, suppository BRONCHODERMINE child BRONCHODERMINE baby suppositories; BRONCHODERMINE adult suppositories; Calyptol inhaling emulsion inhalation; Collu-Hextril 0.2 PERCENT mouthwash; COLLUNOVAR 0.11% mouthwash; Eludril mouthwash; GOMENOL SOLUBLE solution aerosol; HEXALYSE lozenges; HEXAPNEUMINE tablets; HEXASPRAY mouthwash; LOCABIOTAL; LYSOPAINE lozenges; MAXILASE 3000UI tablets; MAXILASE 200 IU syrup MEGAMYLASE 200 IU syrup MEGAMYLASE 3000UI tablets; NECYRANE spray solution SODIUM PROPIONATE CHIBRET solution ear drops RIBAMYLASE 200UI syrup RIBAMYLASE 3000UI tablets STILLARGOL 2% solution for nasal instillation VASELINE GOMENOLEE 5% ointment

ANGIOPHTAL drops; DIFRAREL E tablets; OPHTALMINE eye drop; SODIUM PROPIONATE; STILLARGOL 1% eye drops; STILLARGOL 5% eye drops, eye drops VITARUTINE

ACTICARBINE; AMYLODIASTASE; ARGININE VEYRON injection; ARGININE VEYRON oral solution; BACILOR capsules; BACILOR powder for oral suspension; BEDELIX oral powder bag; BIFIDIGENE oral powder in sachet; CANTABILINE; Carbolevure adults CEBERA children Carbolevure children Carbosylane; Carbosylane children CEBERA; CITROCHOLINE oral solution; DESINTEX CHOLINE phials; DESINTEX cHILD granules; DESINTEX phials; DESINTEX tablets; FLAVIASTASE; HEPARGITOL; KARAYAL granules; LACTEOL FORT 170 mg capsules; Legalon; LYO-BIFIDUS oral powder in sachets; MODANE tablets, oral solution NIVABETOL; ORNITAINE phials; PEPSANE capsules; PEPSANE oral gel; Polycarbon capsules; POLY-KARAYA granules; ROMARINEX oral solution; TIADILON capsules; ULTRA-Yeast capsules; Zymoplex

BIOSTIM tablets adults BIOSTIM tablets children IMOCUR ENFANT RIBOMUNYL granules for oral solution RIBOMUNYL tablets RIBOMUNYL solution for inhalation

BOP, CANOL CHOPHYTOL tablets CHOPHYTOL oral solution HEPANEPHROL PILOSURYL oral solution

ANTINERVEUX LESOURD; BIOCARDE drinkable drops; CARDIOCALM; Euphytose; passiflorine oral solution; SPASMINE children suppositories; SPASMINE tablets; SYMPANEUROL; SYMPATHYL tablets, oral solution SYMPAVAGOL; TRANQUITAL; VAGOSTABYL

Cyclase; CEMAFLAVONE drinkable ampoule; CIRKAN; Climaxol phials; CYCLO 3 FORT capsules; CYCLO 3 FORT phials; CYCLING 3 cream CYCLOREL; Daflon; Dicynone 250mg injection; Dicynone 250mg tablets; Dicynone 500mg tablets; DIFRAREL 100mg tablets; DIO 300mg tablets; DIO 600mg tablets; DIOSMIL 150mg tablets; DIOSMIL 300mg tablets; diosmin 300mg sachets; diosmin 300mg tablets; diosmin 600mg sachets; diosmin 600mg tablets; DIOVENOR 300mg tablets; DIOVENOR 600mg tablets; DIOVENOR 600mg sachets; Doxium; ENDIUM 300mg tablets; ENDIUM 600mg tablets; ENDIUM 300mg sachets; Endotelon 50mg; Endotelon 150 mg; ESBERIVEN FORT tablets; ESBERIVEN FORT phials; ETIOVEN; flavan; FLEBOSMIL Ge 300mg tablets; FLEBOSMIL Ge 300mg sachets; FLEBOSMIL Ge 600mg tablets; Ginkor FORT capsules; Ginkor FORT granules for solution drinkable; HIRUCREME; HISTOFLUINE drinkable drops; INTERCYTON capsules; MEDIVEINE 300mg tablets; MEDIVEINE 600mg tablets; MEDIVEINE 600mg sachets; NIGRANTYL tablets, oral OPO-VEINOGENE; RELVENE 1000mg sachets; RELVENE 4% oral solution; RELVENE 2% local gel; RHEOFLUX 3500mg sachets ; RHEOFLUX 3500mg phials; SQUAD capsules; TITANOREINE A LIDOCAINE cream troxerutin 3500mg powder bag; oral VASCOCITROL; Veinamitol sachets; Veinamitol phials; VEINEVA Ge 600mg; compressed VEINOBIASE effervescent; VEINOTONYL; VELITEN; VENIRENE 300mg tablets; VENIRENE 600mg tablets

ALGORHINOL suppositories, ALGOTROPYL suppositories, EFFERALGAN VIT C

EFFORTIL tablets; EFFORTIL drops; FENUGRENE tablets, oral solution FENUGRENE; HEPTAMYL tablets; HEPTAMYL drinkable drops; PHOSOFORME oral solution; TROPHYSAN solution for infusion