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Generics_eva kovacova 22_a

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  • 1. Eva Kováčová, 22 VL
    30.3.2011
    GENERIC SUBSTITUTIONS USED IN PRESCRIPTION
  • 2. 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
  • 3. 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
  • 4. 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 €
  • 5. 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
  • 6.
  • 7. 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
  • 8. 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
  • 9. 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
  • 10. Thought...
    According to the actual rating of clientelism is Slovakia on 138th place out of 139 evaluated countries.
    What is ours opinion?
  • 11. 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
  • 12. Thank you for your attention.
     ewinka 2011