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Administer dietary supplements according to the law: Doctors will now prescribe dietary supplements

Date: July 17, 2024 Time: 16:45:12

Initially, a dietary supplement is not a drug, it is a food additive that was supposed to enrich food with missing components. First of all, these are vitamins, minerals and probiotics.

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The government has submitted to the State Duma a bill that will limit the sale of dietary supplements (dietary supplements) in our country. At the state level they want to prescribe what dietary supplements really are. Regulate its use, to the point that doctors prescribe supplements. It is planned to ban advertising of dietary supplements and retail sales on Internet platforms of those “pills” that do not pass quality control. If the law is approved, it will come into force on September 1, 2024. And the clause on the ban on advertising and supervision of online sales – from March 2025. Will this help put order in free sales? and unsupervised distribution of “healthy” products (sometimes not at all beneficial to health), asked Nikolai Bespalov, pharmaceutical market analyst and development director of RNC Pharma on Komsomolskaya Pravda.


Why order doctors to prescribe dietary supplements if clinics are already overloaded? Or do you also want to prescribe supplements?

Most likely, these are only general recommendations for groups of dietary supplements, such as probiotics, vitamins of a certain group, minerals or mineral complexes, our expert believes.

– Your doctor may recommend these dietary supplements orally, based on your own experience and preference. Or a person will make the choice for him in the pharmacy, focusing on the pharmacist’s recommendations, says Nikolai Bespalov. – In fact, doctors even now secretly, without a prescription, give such recommendations. So, at the legislative level, this is more of an attempt to regulate what is already happening.

– There are scandals abroad that powerful medicinal substances are found in dietary supplements that, by definition, should not be there. Furthermore, the doses of these substances are often off-normal and cannot be compared to the real medications we buy with a prescription. But imported dietary supplements are also sold here. Does anyone control its composition and effectiveness?

– There are currently no tests on dietary supplements to determine their composition. The only thing that is controlled is the absence in the pills of a certain set of poisonous, toxic and harmful components, such as heavy metals. Nobody analyzes everything else. And no one is interested in knowing if this product is effective,” says the expert.

And this is not a coincidence. Initially, a dietary supplement is not a drug, it is a food additive that was supposed to enrich food with missing components. First of all, these are vitamins, minerals and probiotics.

– And these are just dietary supplements with a fairly clear composition. For example, probiotics (cultures of bacteria that are beneficial to humans and are associated with improving the functioning of the stomach, intestines and immune system – editor’s note) are found in dietary supplements in a certain amount. And this can really be verified. Yes, and you can also calculate the effect that taking probiotics will produce. Vitamins and minerals have a clear formula, which means you can check it in the capsule or pill you are trying. But there are dietary supplements that contain, for example, extracts of plant and animal origin. What needs to be checked? An extract of some herb or animal organs can itself be a product with many components and it is not entirely clear what effect it will have on the human body, says Nikolai Bespalov.


As for the stories that medicinal active ingredients were found in dietary supplements that should not have been there, this is pure profit seeking. “Heart” supplements contain a diuretic, which is not so bad (although a person can take diuretics themselves, on the recommendation of a doctor). A recent study showed that all the most common cardiac medications were mixed there in varying proportions and in completely unpredictable quantities.

“The dietary supplement market grew and grew and became a market for ‘light’ drugs,” says our expert. – And of course, this is wrong.

First of all, these dietary supplements are more potent than simple “herbal ants.” The user feels the effect and comes looking for a new bottle (unless, of course, he or she ended up in a hospital bed due to an incomprehensible overdose). Second, dietary supplement manufacturers have not yet had to spend money conducting expensive, large-scale clinical studies like drug developers. Well, why apply for registration of a pill if it can be sold as a supplement anywhere and advertised in any way? And money, as you know, does not smell.

The bill assumes that all dietary supplements will now be labeled. Those who do not pass the test and it is not clear how they ended up on sale, without clear documents, will be banned and their points of sale on the Internet will be closed.

“Unfortunately, this will most likely be difficult to implement in practice,” says Nikolai Bespalov. – There is a whole layer of consumers who consciously consume medications that they buy unofficially. Both on Internet platforms and they smuggle it themselves from abroad and ask friends and family to send it. There are similar unofficial sales of medications, but this is a more regulated “white” market than the sale of dietary supplements. I think it is possible to pass a law, but achieving its implementation will be very, very difficult.

– What do you think is the most useful thing about this bill?

– If work continues on the labeling of dietary supplements. So that people clearly understand what a medicine is and what a food supplement is. And so that doctors can also tell you what effect the dietary supplement can have and what you should not expect.


At the ENDO 2024 congress of endocrinologists, they presented a report on dietary supplements that people use “in commercial quantities,” writes toxicologist Alexey Vodovozov on his Telegram channel. It turned out that the patients, whose average age was 52 years, used dietary supplements to independently treat arthritis pain. For six months they took “joint” supplements until they stopped, because they didn’t even feel good, but bad.

The doctors discovered that the patients had an excess of corticosteroids (steroid hormones, editor’s note), which no one had prescribed for them. It turned out that the steroids were secretly mixed with dietary joint supplements along with anti-inflammatory and antipyretic medications.

* This website provides news content gathered from various internet sources. It is crucial to understand that we are not responsible for the accuracy, completeness, or reliability of the information presented Read More

Puck Henry
Puck Henry
Puck Henry is an editor for ePrimefeed covering all types of news.

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