{"id":77137,"date":"2024-12-10T21:34:50","date_gmt":"2024-12-10T21:34:50","guid":{"rendered":"https:\/\/www.africa-press.net\/cameroun\/politique\/une-ordonnance-bientot-obligatoire-pour-huit-traitements-anti-rhume"},"modified":"2024-12-10T21:55:06","modified_gmt":"2024-12-10T21:55:06","slug":"une-ordonnance-bientot-obligatoire-pour-huit-traitements-anti-rhume","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/cameroun\/toutes-les-actualites\/une-ordonnance-bientot-obligatoire-pour-huit-traitements-anti-rhume","title":{"rendered":"Une ordonnance bient\u00f4t obligatoire pour huit traitements anti-rhume"},"content":{"rendered":"

Africa-Press – Cameroun. <\/strong><\/span>Les autorite\u0301s sanitaires franc\u0327aises rendent obligatoires a\u0300 partir du 11 de\u0301cembre la pre\u0301sentation d’une ordonnance en pharmacie pour se voir de\u0301livrer huit ce\u0301le\u0300bres traitements anti-rhume largement conside\u0301re\u0301s comme dangereux.<\/p>\n

\u00ab\u00a0Au regard d\u2019une part des tre\u0300s nombreuses contre-indications, pre\u0301cautions d’emploi et des effets inde\u0301sirables connus de la pseudoe\u0301phe\u0301drine et d\u2019autre part du caracte\u0300re be\u0301nin du rhume\u00a0\u00bb, l’Agence nationale de se\u0301curite\u0301 du me\u0301dicament (ANSM) conside\u0300re que \u00ab\u00a0la possibilite\u0301 d\u2019obtenir ces me\u0301dicaments sans avis me\u0301dical fait courir un risque trop important aux patients\u00a0\u00bb, selon une de\u0301cision de\u0301voile\u0301e le 9 de\u0301cembre.<\/p>\n

\u00ab\u00a0Nous demandons aux me\u0301decins prescripteurs de bien e\u0301valuer la balance be\u0301ne\u0301fice\/ risque pour chaque patient avant de lui prescrire un de ces me\u0301dicaments\u00a0\u00bb, a ajoute\u0301 l’ANSM dont la de\u0301cision d’interdiction e\u0301tait attendue.<\/p>\n

En vente libre malgre\u0301 leur dangerosite\u0301<\/b><\/p>\n

Sont concerne\u0301s Actifed Rhume, Actifed Rhume jour et nuit, Dolirhume Parace\u0301tamol et Pseudoe\u0301phe\u0301drine, Dolirhumepro Parace\u0301tamol Pseudoe\u0301phe\u0301drine et Doxylamine, Humex Rhume, Nurofen Rhume, Rhinadvil Rhume, Ibuprofe\u0300ne\/Pseudoe\u0301phe\u0301drine, Rhinadvilcaps Rhume Ibuprofe\u0300ne\/Pseudoe\u0301phe\u0301drine. Ces me\u0301dicaments ont tous en commun de contenir la mole\u0301cule pseudoe\u0301phe\u0301drine. Largement conside\u0301re\u0301s comme dangereux depuis des anne\u0301es, les principaux traitements anti-rhume e\u0301taient toujours en vente libre. A l’approche de l’hiver, les autorite\u0301s sanitaires franc\u0327aises envisageaient de mettre enfin fin a\u0300 ce paradoxe.<\/p>\n

Disponibles sans ordonnance sous forme de comprime\u0301s, ces traitements – aussi vendus par spray nasal sur prescription – visent a\u0300 de\u0301congestionner et de\u0301sencombrer le nez. Ce sont donc les principaux me\u0301dicaments utilise\u0301s contre le rhume. Mais ils font l’objet depuis plusieurs anne\u0301es de nombreuses critiques, a\u0300 commencer par l’ANSM elle-me\u0302me, car ils peuvent provoquer de graves effets secondaires comme des AVC et des infarctus.<\/p>\n

En 2023, l’agence avait pour la premie\u0300re fois de\u0301conseille\u0301 explicitement leur utilisation. Cette de\u0301cision avait, pour un temps, fait de\u0301cliner les ventes de traitements anti-rhume. Mais celles-ci rebondissent depuis septembre.<\/p>\n

Effets rares mais graves<\/b><\/p>\n

\u00ab\u00a0Les mesures de re\u0301duction des risques que nous avons mises en place, telles que l\u2019interdiction de la publicite\u0301 aupre\u0300s du grand public, l’information re\u0301gulie\u0300re sur les dangers lie\u0301s aux vasoconstricteurs oraux, ainsi que la mise a\u0300 disposition de documents pratiques pour les patients et les pharmaciens, n’ont pas suffisamment re\u0301duit la population expose\u0301e au risque de survenue d\u2019effets inde\u0301sirables rares mais graves\u00a0\u00bb, e\u0301crit l’ANSM.<\/p>\n

Pourquoi ne pas avoir interdit plus to\u0302t purement et simplement ces me\u0301dicaments ? Les autorite\u0301s sanitaires franc\u0327aises expliquaient re\u0301gulie\u0300rement avoir les mains lie\u0301es par la re\u0301glementation europe\u0301enne qui soumet le retrait d’une autorisation a\u0300 l’avis de l’Agence europe\u0301enne du me\u0301dicament (EMA).<\/p>\n

Or, celle-ci avait estime\u0301 l’an dernier que les traitements anti-rhume concerne\u0301s ne pre\u0301sentaient pas de risques suffisants pour les interdire, me\u0302me si elle a impose\u0301 de nouvelles contre-indications. Cet avis s’explique par le fait que les effets secondaires graves restent tre\u0300s rares. Ils sont quelques-uns a\u0300 e\u0302tre signale\u0301s chaque anne\u0301e et, en France, aucun de\u0301ce\u0300s n’a e\u0301te\u0301 rapporte\u0301.<\/p>\n

Les autorite\u0301s franc\u0327aises ont fini cependant par trancher en estimant que le risque, me\u0302me faible, e\u0301tait inacceptable au vu du caracte\u0300re be\u0301nin de la maladie traite\u0301e: un simple rhume. Cette position va dans le sens des principales socie\u0301te\u0301s savantes franc\u0327aises (ORL, me\u0301decins ge\u0301ne\u0301ralistes, pharmaciens) qui s’opposent toutes a\u0300 l’usage de ces me\u0301dicaments.<\/p>\n

Elle risque en revanche de froisser les pharmaciens, dont nombre de repre\u0301sentants estiment qu’une telle restriction re\u0301duit injustement l’e\u0301ventail de me\u0301dicaments a\u0300 proposer a\u0300 leurs clients enrhume\u0301s, dans un contexte marque\u0301 par une difficulte\u0301 re\u0301currente a\u0300 obtenir des rendez-vous me\u0301dicaux.<\/p>\n

\u00ab\u00a0C\u0327a va devenir complique\u0301 pour nous de re\u0301pondre aux proble\u0300mes des patients. Les gens n\u2019auront plus de me\u0301decin et nous, on ne pourra plus rien conseiller\u00a0\u00bb, estimait dans le Quotidien du Pharmacien Be\u0301atrice Clairaz-Mahiou, copre\u0301sidente de la Socie\u0301te\u0301 francophone des sciences pharmaceutiques officinales (SFSPO).<\/p>\n

Mais, pour d’autres observateurs, les autorite\u0301s sanitaires ont, au contraire, e\u0301te\u0301 d’ores et de\u0301ja\u0300 trop longues a\u0300 re\u0301agir. \u00ab\u00a0Les soignants ont mieux a\u0300 faire que de passer du temps a\u0300 de\u0301conseiller aux patients un me\u0301dicament qui devrait e\u0302tre retire\u0301 du marche\u0301\u00a0\u00bb, estimait en de\u0301but d’anne\u0301e la revue inde\u0301pendante Prescrire.<\/p>\n

Pour plus d’informations et d’analyses sur la Cameroun<\/span>, suivez Africa-Press<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Cameroun. Les autorite\u0301s sanitaires franc\u0327aises rendent obligatoires a\u0300 partir du 11 de\u0301cembre la pre\u0301sentation d’une ordonnance en pharmacie pour se voir de\u0301livrer huit ce\u0301le\u0300bres traitements anti-rhume largement conside\u0301re\u0301s comme dangereux. \u00ab\u00a0Au regard d\u2019une part des tre\u0300s nombreuses contre-indications, pre\u0301cautions d’emploi et des effets inde\u0301sirables connus de la pseudoe\u0301phe\u0301drine et d\u2019autre part du caracte\u0300re […]<\/p>\n","protected":false},"author":82,"featured_media":77136,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[49],"class_list":["post-77137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-cameroun"],"yoast_head":"\nUne ordonnance bient\u00f4t obligatoire pour huit traitements anti-rhume - 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