diwali and drugs – lessons from drug sales in india

as, you know, possibly from watching The Colbert Report, it’s dwali. as stephan and wikipedia note, diwali is the festival of lights or lamps. 

being in india – or at least chennai – however, one might be hard-pressed to think that it was not the festival of sound (also, sweet pongal).  firecrackers – or ‘crackers’ – play a large role. at all hours. regardless of any noise ordinances. regardless of whether my parents thought i was under assault when talking to me on the phone. seriously, if you know a war vet that still jumps at loud noises, please avoid indian cities during diwali. dr. dischord and the awful dynne would be so pleased.

so it was (ok, and because of a hard mattress) that i went out in search of sleeping pills. up till that point, i had not needed to actually purchase drugs in india. since part of my background is in private drug sellers, i was fairly confident i would be able to get something that would get me through the exploding nights of the rest of diwali. the private drug-retail market in india is fairly infamous for being unregulated – or, ‘the free-est market’ as (many) people thought was a funny joke. imagine my surprise, then, when at drug shop after drug shop, sellers heard my request, smiled sheepishly, asked for my presciption and, when i could not produce one, refused to sell the pills to me.

 i finally found one shop at which the vendor, after looking around furtively, cut off some pills for a blister pack, stuck them in a little paper bag, and sent me off. i didn’t actually know what i had been given, so worked to reconstruct the letters visible on the back of the blister pack with my dad over the phone (no internet in chennai apt – this was 2007). i had some sort of anti-anxiety meds.

i tried asking around after that as to why my mission had been much more difficult than expected. the few non-‘i don’t know’ answers i got had nothing to do with fear of state regulation of pharmaceuticals but, rather, social censure. socially, people seemed to link sleeping pills, anti-depressents, and similar drugs with attempting to commit suicide. it was the community backlash from potentially being implicated in abetting a suicide attempt to which drug vendors were responding.

besides trying a few other times to buy sleeping pills and having difficulity, i haven’t researched this issue with any particular diligence. but, if true, it may suggest ways to work on getting drug vendors to behave appropriately, even if the formal regulatory system isn’t likely to catch up any time soon.

Fake drugs for all!

“Most Americans don’t question the integrity of the drugs they rely on. They view drug counterfeiting, if they are aware of it at all, as a problem for developing countries. But the latest incident, which follows the appearance of other fake drugs in the U.S.—including counterfeits of the weight-loss treatment Alli and the influenza treatment Tamiflu—suggests it is a growing risk.”

(More.)