Why ranitidine was banned and what is the harm from it. We were not prohibited from it

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He was not banned. The Americans banned it at home. With us, he slowly bends himself.

Over the past few years, regulatory authorities have begun to find nitrosamines in drugs. These are chemicals that can cause cancer over time. We remembered these nitrosamines in the topic about food additives in sausage.

So it turned out that drug manufacturers allow the admixture of these nitrosamines in some drugs. When it came to modern heart medications, these medications were treated more gently. Manufacturers were given time to figure out where nitrosamines came from in the drugs, and how to reduce their amount.

Some drugs were banned, then allowed again. This was because not every heart drug can simply be taken and banned. People without it will die out much faster than from some imaginary cancer.

That is, I draw your attention to the fact that people were allowed to eat these drugs with nitrosamines. Because the drugs were very good, and the harm from nitrosamines is only statistical.

It seems that in the case of heart medications, the manufacturer allowed nitric acid solvent or something to get into the tablets. That is, it was not a medicine that was poisonous, but the technological process was crude.

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Previously, they simply did not know how to find such quantities of nitrosamines in medicines. And now there are new methods. The amount of nitrosamines in the tablets was comparable to some kind of kebab. It is clear that kebabs do not die right there on the spot, but if you eat burnt meat every day, you can someday get bowel cancer.

Ranitidine

In the case of ranitidine, it is generally unclear. Those nitrogen-based solvents were not used in the production of ranitidine. It looks like the manufacturer was simply allowing contamination from their equipment.

Well, like, when you read the label of a chocolate bar, they write that there may be traces of some wrong nut in the chocolate. Something like the fact that these traces could have been brought in by a draft from the neighboring shop of the chocolate factory.

Here is the same story with ranitidine. There should be no chemical in it, and ranitidine itself is not poisonous, but during the production process, a harmful chemical was brought into it from somewhere. It is not so poisonous that we fell from this pill and kicked our legs. It's just that over time, it can provoke the appearance of cancer.

It is also bad that if such a dirty ranitidine is stored at temperatures above 25 degrees, then the amount of nitrosamines in it gradually increases. I just want to take this ranitidine directly and throw it away, without waiting for an increase in the concentration of the toxin.

And so they did. Since ranitidine is an old drug that can be replaced by a million other more modern drugs, the Americans stupidly banned it. They did not say that ranitidine is poisonous. They said that only a few batches of this drug contain nitrosamines, which should not be there at all. And they immediately added that if the drug manufacturers prove that they no longer do such dirty tricks, then they will be allowed to stamp ranitidine again.

By the way, famotidine remained from the same group. It is more modern and nothing like that was found in it.

Our story is simpler. Roszdravnadzor simply wrote a letter addressing domestic producers of ranitidine. So that they check what they pack in their production. They checked and it turned out that they were packing the Indian substance of ranitidine, contaminated with nitrosamines. Well, gradually the manufacturers abandoned this ranitidine. Just in case. You can't buy it now.

That is, our own Drug Registry is full of this ranitidine. Nobody forbade him. It's just that Roszdravnadzor has shamed the producers with hints, and they have saluted and abandoned ranitidine. In order not to tease Roszdravnadzor once again.

In short, science has gotten to the point where we now notice things that we didn’t notice before. Adventure on your head.

In practice, heart medications were not prohibited. And ranitidine was banned in the sense that if a person bought it without a prescription, then the way does not drink, but throws it away. Those who are prescribed by a doctor should not throw anything away, but should ask the attending physician again. This is not poison. These are normal medicines. It's just that in this form, they are not very suitable for constant reception. The doctor will think and decide something. May decide to take some medications and leave. Unless, of course, the manufacturers were reinsured and did not throw everything out of the warehouses.

Available?

Read my other articles on how to store and dispose of drugs correctly. Here are these nice colored links below:

Where to dispose of unnecessary pills
For patientsMay 16, 2019
How to store medicines correctly
For patientsNovember 4th
How many years can medicines be stored: maybe even 20
For patients13 August 2020
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