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Health Line Figure, Islamabad (2025)

14/08/2025

Shout out to my newest followers! Excited to have you onboard! Abdulwahab Ghori, Ishfaque Ahmed, Muhammad Zubair Naeem, Hanif Khan, Adyee Pharmacist, Noorul Wahab, Muhammad Sagheer, Muhammad Qasim, Muhammad Khurshid, Malik Rab Nawaz Haider, Aamir Shehzad, Abdullah Sadiq Khan, Shabir Ahmad, Ajmal Khan, Ijaz Ahmad, Human Brain, Zafar Abbas, Ali Ali, Shahab Khan, Ahmed Faraz, Ayesha Manzoor, DrSalim Salim, Khan Hospital, Marc Jnr, Tanveer Ahmad, Salman Ahmad

10/08/2025

🎉 Just completed level 3 and am so excited to continue growing as a creator on Facebook!

07/08/2025

Drugs for increasing oxygen and their potential use in doping:
Blood oxygenation is a fundamental factor in optimising muscular activity. Enhancement of oxygen delivery to tissues is associated with a substantial improvement in athletic performance, particularly in endurance sports. Progress in medical research has led to the identification of new chemicals for the treatment of severe anaemia. Effective and promising molecules have been created and sometimes used for doping purposes. The aim of this review is to present methods, and drugs, known to be (or that might be) used by athletes to increase oxygen transport in an attempt to improve endurance capacity. These methods and drugs include: (i) blood transfusion; (ii) endogenous stimulation of red blood cell production at altitude, or using hypoxic rooms, erythropoietins (EPOs), EPO gene therapy or EPO mimetics; (iii) allosteric effectors of haemoglobin; and (iv) blood substitutes such as modified haemoglobin solutions and perfluorochemicals. Often, new chemicals are used before safety tests have been completed and athletes are taking great health risks. Such new chemicals have also created the need for new instrumental strategies in doping control laboratories, but not all of these chemicals are detectable. Further progress in analytical research is necessary.

07/08/2025

🚨 Regulatory Collapse: The Failure of Drug Inspectors in Pakistan’s Pharmaceutical Sector

Pakistan’s pharmaceutical landscape is plagued by widespread mismanagement, and one of the most alarming contributors is the ineffectiveness of Drug Inspectors. Tasked with ensuring compliance, safety, and ethical standards, many Drug Inspectors have failed to uphold their responsibilities leading to dangerous consequences for public health.
⚠️ Key Issues in Oversight and Enforcement
1. Regulatory Lapses and Absence of Inspectors
Transparency International Pakistan revealed that only two Federal Inspectors of Drugs (FIDs) are operational nationwide, despite over 700 Drug Manufacturing License holders and 500 alternative medicine manufacturers.
The non-appointment of new FIDs for over two years has left the sector largely unmonitored, enabling unchecked violations of the Drug Act 2012.
2. Pharmacies and Medical Stores Operating Without Pharmacists
Over 95% of pharmacies and medical stores in Pakistan operate without qualified pharmacists, turning them into unregulated outlets run by untrained staff.
This leads to fatal medication errors, improper dispensing, and the sale of expired or substandard drugs.
3. Medicine Depots and Procurement Scandals
In KP, a Rs. 1.368 billion medicine procurement scandal resulted in the dismissal of 10 health department officers, including Drug Inspectors, for purchasing substandard medicines and making illegal payments.
The inquiry revealed serious financial irregularities, ineffective monitoring, and deliberate violations of procurement rules.
4. Storage and Handling Violations
A survey found that 97% of pharmacies fail to store medicines properly, lacking refrigeration, temperature control, and basic safety protocols.
Improper storage compromises drug efficacy and poses serious risks to patients.
🧪 Consequences of Mismanagement
Rise in counterfeit and substandard medicines
Artificial shortages and price manipulation
Increased mortality due to medication errors
Loss of public trust in healthcare institutions
🛠️ Recommendations for Reform
Immediate appointment of qualified Drug Inspectors across all provinces.
Mandatory staffing of pharmacies with licensed pharmacists.
Strict enforcement of storage and dispensing regulations.
Transparent procurement processes with digital tracking and accountability.
Public reporting systems for adverse drug reactions and regulatory violations.
📢 Final Thought
The failure of Drug Inspectors is not just a bureaucratic lapse it’s a public health emergency. Without urgent reforms and accountability, Pakistan’s pharmaceutical sector will continue to endanger lives and erode trust. Regulatory bodies must act decisively to restore integrity, safety, and transparency in medicine distribution and oversight.
By Dr. Duke
Your caring Health Line Figure

07/08/2025

Lack of coordination between pharmacy doctors (PharmDs) and MBBS doctors in Pakistan, and how it contributes to irrational prescribing practices:
⚠️ Lack of Interprofessional Coordination: A Root Cause of Irrational Prescriptions in Pakistan

In Pakistan’s healthcare system, irrational drug use has become a persistent and dangerous issue. One of the key drivers behind this is the lack of coordination between MBBS doctors and pharmacy professionals, which undermines the quality, safety, and cost-effectiveness of patient care.

🧩 The Problem: Fragmented Healthcare Collaboration

Despite both MBBS doctors and PharmDs being integral to patient care, their roles often operate in silos:
MBBS doctors typically lead diagnosis and treatment decisions.
Pharmacy doctors (PharmDs) are trained to optimize drug therapy, monitor adverse effects, and ensure rational use of medicines.
However, in Pakistan, interprofessional collaboration is rare, and pharmacists are often excluded from clinical decision-making. This disconnect leads to:
Overprescription of antibiotics and injections
Polypharmacy (prescribing too many drugs)
Use of expensive or non-essential medications
Increased risk of adverse drug reactions and drug interactions
📊 Evidence of Irrational Prescribing
A study from Aga Khan University found excessive drug use in Pakistan compared to other LMICs, with poor enforcement of essential drug lists and weak community pharmacy systems.
Research from Quaid-i-Azam University revealed that polypharmacy and inappropriate prescribing were rampant among geriatric patients, with 85.6% of prescriptions involving multiple drugs.
A systematic review from the University of Lahore highlighted that clinical pharmacy is underdeveloped, and many essential drugs are unavailable while irrational ones flood the market.
🏛️ Historical and Structural Barriers
According to Paradigm Shift, Pakistan’s healthcare system is shaped by a colonial-era medical hierarchy, where physicians are placed at the top and other professionals, including pharmacists, are undervalued. This entrenched superiority complex discourages collaboration and undermines holistic care.
🔄 What Needs to Change
To address irrational prescribing, Pakistan must:
Integrate clinical pharmacists into hospital and outpatient care teams.
Establish interdisciplinary protocols for prescribing and drug monitoring.
Educate MBBS students on the value of pharmacy collaboration.
Strengthen regulatory frameworks to enforce rational drug use and limit pharmaceutical industry influence.
💡 Final Thought
Healthcare is not a solo act—it’s a symphony of disciplines working in harmony. Until MBBS doctors and pharmacy professionals coordinate effectively, patients will continue to suffer from preventable medication errors and suboptimal treatment. Reforming this dynamic is not just a professional necessity—it’s a moral imperative.
By Dr. Duke
Your caring Health Line Figure

07/08/2025

A Cry of a common woman
💔 Disparity in Compassion: The Silent Struggle of the Common Woman with Breast Cancer
In a society that prides itself on education, empathy, and progress, the silence surrounding the suffering of ordinary women diagnosed with breast cancer is deafening. Every day, countless women—mothers, sisters, wives, daughters—receive life-altering diagnoses. Yet their pain remains largely invisible, eclipsed by the spotlight reserved for the privileged few.
When a well-known doctor or public figure is diagnosed, the response is swift and loud: social media floods with prayers, awareness campaigns surge, and communities rally in support. But when a woman from a modest background faces the same battle, her struggle is often met with indifference. Why?

⚖️ The Roots of Discrimination
Class Bias: Our society tends to equate visibility with value. The suffering of someone in the public eye is seen as more "newsworthy" than that of a woman who lives quietly, works tirelessly, and asks for nothing.
Social Media Echo Chambers: Platforms amplify voices that already have reach. A prominent figure’s illness becomes a trending topic, while the common woman’s story never leaves her neighborhood.
Healthcare Inequity: Access to early detection, quality treatment, and emotional support is often reserved for those with financial means or professional connections.
Cultural Silence: In many communities, breast cancer is still shrouded in stigma. Women are discouraged from speaking out, fearing shame or abandonment.
💡 Why This Must Change
A common woman is no less than anyone else. She is the backbone of families, the nurturer of generations, and the silent warrior who endures pain without applause. Her life matters. Her health matters. Her story deserves to be heard.

She is a mother—raising children with love and sacrifice.
She is a sister—sharing burdens and dreams.
She is a wife—standing beside her partner through thick and thin.
- She is a human being—worthy of dignity, care, and compassion.
🌍 What We Must Do
Amplify Every Voice: Share stories of ordinary women battling breast cancer. Let their courage inspire others.
Demand Equal Support: Advocate for healthcare systems that treat all patients with equal urgency and respect.
Break the Silence: Encourage open conversations about breast cancer in every community, regardless of class or background.
Educate Without Bias: Medical professionals and educators must lead with empathy, ensuring that awareness campaigns reach every corner of society.
❤️ Final Thought
True progress is not measured by how loudly we support the privileged, but by how deeply we care for the forgotten. The common woman deserves not just treatment—but recognition, respect, and solidarity. Let us be the voice that speaks for her when the world remains silent.
From the pen 🖊️ of Dr.Duke®
Your caring
Health Line Figure

07/08/2025

🛑 Rising Trend of Financial Scams on Social Media: A Call for Vigilance
In recent years, social media platforms such as Facebook, Instagram, and WhatsApp have become powerful tools for communication, community building, and fundraising. However, alongside their benefits, these platforms have also witnessed a disturbing rise in fraudulent financial appeals(specially females ). Increasingly, individuals—often educated and articulate—are leveraging emotional narratives to seek sympathy and collect money from unsuspecting users.
📈 The Growing Phenomenon
Many users have encountered posts claiming urgent financial need due to medical emergencies, educational expenses, or family crises. These appeals often include photos, documents, and emotionally charged language. While some cases are genuine, a significant number are orchestrated scams designed to exploit public goodwill.
What’s particularly alarming is the involvement of educated individuals who use their credibility and communication skills to make their appeals appear authentic. In some cases, entire groups collaborate to produce fake documents, such as:
Fabricated hospital bills
Forged identity cards
False police reports
Edited photographs and videos

These scams not only deceive donors but also divert resources away from those truly in need.
⚠️ Risks and Consequences
Financial loss: Donors may lose significant amounts of money.
Erosion of trust: Genuine cases may be overlooked due to growing skepticism.
Legal implications: Sharing or supporting fraudulent campaigns can lead to legal trouble.
Emotional manipulation: Victims often feel betrayed and emotionally drained.
✅ Guidelines for Safe Giving
To protect yourself and others, consider the following precautions before offering financial help:
1. Verify the Identity
Ask for official identification and cross-check with public records if possible.
Confirm the person’s background through mutual contacts or community references.
2. Authenticate Documents
Scrutinize medical bills, certificates, and other documents for signs of tampering.
Contact the issuing institution (hospital, school, police station) directly to confirm authenticity.
3. Use Trusted Platforms
Prefer verified crowdfunding websites that vet campaigns and provide transparency.
Avoid sending money directly through informal channels like personal bank transfers or mobile wallets.
4. Look for Consistency
Check if the same story has been posted across multiple groups or accounts.
Be wary of recycled images or identical narratives with different names.
5. Report Suspicious Activity
Notify group admins or platform moderators about questionable posts.
Encourage others to be cautious and share awareness messages.
🛡️ Building a Responsible Digital Community
As digital citizens, it is our collective responsibility to foster a culture of transparency and accountability. By staying alert and educating others, we can ensure that help reaches those who genuinely need it and prevent exploitation of public empathy.
Let us remain compassionate—but also cautious. Generosity should be guided by wisdom, not blind trust.
Your caring
Health Line Figure

05/08/2025

We know Vi**ra is the best drug to treat erectile dysfunction in men and prolong sexual activity .
But there is lot more to Vi**ra than increasing sexual performance.

Here are 21 untold fact about Vi**ra Pharmacist's 😊

1 Vi**ra can cause Gastrointestinal complaints (nausea, diarrhea, indigestion and stomach pain.

2 Very Severe and Rare
Vi**ra can cause Priapism a condition called priapism.
Priapism occurs when an er****on lasts for hours despite the lack of stimulation.
If the er****on lasts more than 4 hours or is painful, permanent tissue damage may occur.

3 Avoid taking Anti-Hypertensive drugs like Lisinopril together with Sildenafil popularly know as Vi**ra, It can simultaneously cause a massive drop in blood pressure and trigger a heart attack.

Especially in Elderly Patients.

4 Vi**ra can cause Changes or complete loss of vision - may affect one or both eyes (this is rare).

5 Vi**ra can cause Swelling of hands, ankles and feet.

6 Vi**ra can cause Hearing loss or ringing in the ears.

7 Avoid taking vi**ra if you taking a drug called Nitrate
When nitrates and Vi**ra are combined, it can cause a large and rapid drop in blood pressure.
This can easily lead to fainting, extreme dizziness, or even cause a heart attack or stroke in some people.

8 Don’t take Vi**ra if you have hypertension (High B.P)

9 Avoid vi**ra if you have heart problems.

10 Though the research is still in its initial stages, it concurred that Vi**ra can be used to treat cancer. In cancer treatment, Vi**ra helps reduce cancerous tumours.

11 Vi**ra does not cause heart attacks, but older men may die from a heart attack due to the excess stress on the body.

12 When Vi**ra is used in the right manner, it can treat heart disease, especially congestive heart failure. Vi**ra also helps the heart to boost its pumping ability in the body.

13 Athletics used different kinds of steroid and performance enhancing natural remedies, but it is also known that Vi**ra is used by athletes to boost performance.

14 Vi**ra can also help older couples conceive. Vi**ra improves erectile dysfunction in men and also improves the uterus lining and increases your chances of conception.

15 Vi**ra can help improve memory. Some research also shows, that it can be used to treat Alzheimer’s.

16 Vi**ra in combination with other drugs can be used to treat prostate cancer. It is also beneficial for treating stomach and ovarian cancers.

17 It is used in premature babies who need help with breathing; the brand name for the baby medicine is Revatio.

18 Vi**ra can’t be used in women.

19 Avoid Combining Vi**ra and other sexual stimulating drugs i.e Tadalafi (Cialis,Honnhill,Tadalis)

20 Talk to your pharmacist/ doctor if you are taking a medicine used to treat ulcer and fungal infections (ketoconazole,itraconazole, Cimetidine).

21. Always speak with your pharmacist before taking any drugs and please don’t forget to follow this page for more drug related Facts.

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