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Generics_eva kovacova 22_a

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    Generics_eva kovacova 22_a Generics_eva kovacova 22_a Presentation Transcript

    • Eva Kováčová, 22 VL
      30.3.2011
      GENERIC SUBSTITUTIONS USED IN PRESCRIPTION
    • What is generic substitution?
      a version of the drug with the same active ingredient
      It is not always identical
      20 yrs after the original is on the market
      Strict observance of bioequivalence
      Might be less effective or experience different side-effects
      may disrupt the management of a chronic disease
    • Automatic generic substitution
      prescription only of active substance
      patient decides between various drugs with the same active ingredient
      prescription without branding
      part of a new deal on drug pricing
    • Example
      Klacid 500 (active substance: claritromycine)
      14 pills cost 10,97 €.
      Generics for Klacid 500:
      Klaritromycin Mylan 500 mg 1,89
      Clarithromycin-Teva 500 mg 1,99
      Klabax 500 mg 1,99 €
      Klerimed 500 mg 2,01 €
      Fromilid 500 2,11 €
      Lekoklar 500 mg 2,11€
      Clarithromycin - Ratiopharm 500 mg 2,29 8.68 €
    • Slovak legislative
      §38b; paragraph 6 , law no 140/1998 set of laws
      Generic can be subscribed with specifying:
      The route of administration
      Drug form and size
      Dosage
      This possibility is many times ignored.
      Change planned on Nov 2011
    • PROs
      typically 20% to 90% less expensive than the brand-name original
      App. 46 mil. € /year of savings for the Slovak goverment
      Bringing economic sense to pharmaceutical care
      In difficult cases can doctors prohibit the generic substitution
    • CONs
      For a patient:
      credibility and level of education of a doctor and pharmacist
      SLK (Slovak Medical Chamber)
      public discussion
      clearly defined liability
      Disturbment ofsensitive relationship between doctor and patient
      Trusting in the complex medical care
    • Statistics/facts
      In year 2009 any allergic reaction on excipient drug was reported
      The most trustworthy medical professions:
      pharmacist (85%), doctors (84%), nurses (82%)
      Pharmacology on medical faculties vs Pharmacology on pharmaceutical faculties
      Clinical pharmacology
    • Thought...
      According to the actual rating of clientelism is Slovakia on 138th place out of 139 evaluated countries.
      What is ours opinion?
    • Literature used
      http://www.genericsubstitution.com/
      http://en.wikipedia.org/wiki/Automatic_Generic_Substitution
      http://www.health.gov.sk/?tlacove-spravy&sprava=efektivnost-v-liekovej-politike-zasadne-kroky-k-reforme-liekovej-politiky
      http://www.egagenerics.com/
      http://www.slek.sk/ganet/slek/slek_portal.nsf/wdoc/d5abe3cc20bb4ec2c12577d7007343c0/$FILE/LL10_2010www.pdf
      http://www.sukl.sk/buxus/docs/Inspekcia/Legislativa/Zakon_140_oktober_2006.pdf
      http://www.generika.sk/statistika.htm
    • Thank you for your attention.
       ewinka 2011