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Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
Generics_eva kovacova 22_a
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Generics_eva kovacova 22_a

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

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