Hello,

We know medicines are approved and introduced after long research, so
many clinical trials, so many approvals...etc.etc., but still some
casulities and adversities can be possible during field/real trials and

applications.

It may require too much understandings to know all aspects and factors
related to any medicine, any disease, physiological and psychological
effects--short and long term, any individual patient, cost factors--as
a whole disease, as a whole individual and as a whole short and long
term physiological and psychological effects possible by any medicine.
Since many medicines can produce considerable side, adverse or somewhat

toxic effects... great need to understand everything may be must.

Under above thoughts, I have few questions:-

1. Whether curent prescribers can have so much time and commercial
wokabilty to spare "really must" so much time needed to understand
everything as I indicated above for every patient individually?

2. Can prescribers understand everything equal to research and studying

scientists about any medicine and incorporate that everything while
prescribing?

3. What can be the outcome if 1 & 2  is not practical?

4. In view of every medicines are looked to the level of deep the
bottom of  sea before introduction, what can be more possible--wrong
medicines introduced OR wrong prescriptions?

5. In view of above, should every patient study various medical
informations given on internet or in leaflets attached to any medicines

before getting any treatment? But, can it be possible/practical and
valid?

Just look many variations in basic medicine antacids:-

""Antacid --Alumina, Calcium Carbonate, and Sodium Bicarbonate; Alumina
and Magnesia; Alumina, Magnesia, Calcium Carbonate, and Simethicone;
Alumina, Magnesia, and Magnesium Carbonate; Alumina, Magnesia,
Magnesium Carbonate, and Simethicone ; Alumina, Magnesia, and
Simethicone; Alumina, Magnesium Alginate, and Magnesium Carbonate;
Alumina and Magnesium Carbonate; Alumina, Magnesium Carbonate, and
Simethicone; Alumina, Magnesium Carbonate, and Sodium Bicarbonate;
Alumina and Magnesium Trisilicate; Alumina, Magnesium Trisilicate, and
Sodium Bicarbonate; Alumina and Simethicone; Alumina and Sodium
Bicarbonate; Aluminum Carbonate, Basic ; Aluminum Carbonate, Basic, and
Simethicone ; Aluminum Hydroxide; Calcium Carbonate; Calcium Carbonate
and Magnesia; Calcium Carbonate, Magnesia, and Simethicone; Calcium
Carbonate and Simethicone; Calcium and Magnesium Carbonates;
Magaldrate; Magaldrate and Simethicone; Magnesium Carbonate and Sodium
Bicarbonate; Magnesium Hydroxide; Magnesium Oxide

Antiurolithic (phosphate calculi) -- Aluminum Carbonate, Basic;
Aluminum Hydroxide
Laxative, hyperosmotic, saline --Magnesium Hydroxide; Magnesium Oxide
Antihyperphosphatemic --Aluminum Carbonate, Basic; Aluminum Hydroxide;
Calcium Carbonate
Antihypocalcemic --Calcium Carbonate
Antiurolithic (calcium calculi) --Magnesium Hydroxide
http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202047.html ""

There can be many other effects, possible by presctibing different
antacids eg; effect of digestion so bio-availbilty of many substances,(
iron,Ca, b12 folic acid,Mg, protiens etc.), alkaline effects on
internal and urine pH, constitutional/conditional differences, effects
on different diseases-- specifically, effect of resultant product on
digestive reactions by these, electrolytic/mineral changes etc.

Different antacids can create different type of effects and side
effects which can be just opposite (laxative/hyperosmotic
vs.constipation causing) or quite different from each other except
their antacid effect? These medicines may be prescribed just for
treating excess gastric acid but other effects may be oversighted. I
don't know whether all above factors are normally considered on any
prescription and if it can be practical on regular presctiptions.

Then what??

Best wishes.