Annexure 1 – Telemedicine Practice Guidelines

Common over-the counter medications such as

• Antipyretics:Paracetamol
• CoughSupplements:Lozenges,
• Cough/ Common-cold medications (such as combinations of Acetylcysteine, Ammonium Chloride, Guaifensen, Ambroxol, Bromhexene, Dextromethorphan)
• ORS Packets
• SyrupZinc
• Supplements: Iron & Folic Acid tablets, Vitamin D, Calcium supplements

Medications notified by Government of India in case from time to time on an Emergency basis such as

• Chloroquine for Malaria control for a specific endemic region, when notified by Government

Section 3.7.4 – Telemedicine Practice Guidelines

“It will comprise those medicines which are safe to be prescribed through any mode of tele-consultation. In essence they would comprise of

• Medicines which are used for common conditions and are often available ‘over the counter’. For instance, these medicines would include, paracetamol, ORS solutions, cough lozenges etc
• Medicines that may be deemed necessary during public health emergencies.”

Annexure 1 – Telemedicine Practice Guidelines

First Consult Medications (Diagnosis done on video mode of consultation) such as

• Ointments/Lotionforskinailments:OintmentsClotrimazole,Mupirocin,CalamineLotion,
• Benzyl Benzoate Lotion, etc.
• Local Ophthalmological drops such as: Ciprofloxacillin for Conjunctivitis, etc.
• Local Ear Drops such as: Clotrimazole ear drops, drops for ear wax etc.
• Follow-upconsultforabovemedications

Follow-up medications for chronic illnesses for ‘re-fill’ (on any mode of consultation) such as medications for

• Hypertension: Enalapril, Atenolol, etc.
• Diabetes:Metformin,Glibenclamide, etc.
• Asthma: Salmetrol inhaler, etc.

Section 3.7.4 – Telemedicine Practice Guidelines

“These medications are those which can be prescribed during the first consult which is a video consultation and are being re-prescribed for re-fill, in case of follow-up.

• This would be an inclusion list, containing relatively safe medicines with low potential for abuse Is a list of medication which RMP can prescribe in a patient who is undergoing follow-up consult, as a refill.”

Public notice by Medical Council of India, dated 18.04.2020

“Following medicines shall be added to the List A of Medicine List after the existing entries:

• Drugs used in Psychiatry practice such as Phenobarbitone, Clobazam, Clonazepam as first consult as well as follow up.”

Annexure 1 – Telemedicine Practice Guidelines

On follow-up, medications prescribed as ‘Add-on’ to ongoing chronic medications to optimize management such as for hypertension: Eg, add-on of Thiazide diuretic with Atenolol

• Diabetes: Addition of Sitagliptin to Metformin

Section 3.7.4 – Telemedicine Practice Guidelines

“Is a list of medication which RMP can prescribe in a patient who is undergoing follow-up consultation in addition to those which have been prescribed during in-person consult for the same medical condition.”

Section 3.7.4 – Telemedicine Practice Guidelines

An RMP providing consultation via telemedicine cannot prescribe medicines in this list. These medicine have a high potential of abuse and could harm the patient or the society at large if used improperly

• Medicines listed in Schedule X of Drug and Cosmetic Act and Rules or any Narcotic and Psychotropic substance listed in the Narcotic Drugs and Psychotropic Substances, Act, 1985