1. GENERIC PRESCRIBING
Initiative to prescribed medicines with INN
By: Dr. Toufeeque Ali Ghouri
Aga Khan Maternity &
Child Care Center ,
Hyderabad,
Pharmacy.

2. Initiative to prescribed medicines with INN
(international non- proprietary name)
What is Bioequivalence
To glance the Benefits of prescribing generic
When not to prescribe generic or brand name
OBJECTIVE

3. Where we are………. ?

4. Where we want to be…….?

5. Pharmaceutical equivalents whose rate and extent of
absorption are not statistically different when
administered to patients.
Bioequivalence

6. Generic Drugs are significantly less expensive than brand
name drugs (patent medicine ) , but are equally as
effective e.g CEFIGET = CEFESPAN
Prescribing by generic name is considered good
prescribing practice and minimizes the risk of confusion to
patients, and other healthcare professionals.
A large percentage of prescriptions are not filled due to
the cost and sometimes patients don’t take the full dosage
of their prescription in order to stretch out the amount of
it.
Advantages

7. Prescribe generics, as this will enable the pharmacist to
dispense any suitable preparation available in Pharmacy ,
avoiding expense and delay in medication process ,will result in :
pt: satisfication
Improving our quality services
Decreasing of wasting of time i.e on PHONE CALLS etc.
Patient adherence with our organization.
Will solve the problem of space in pharmacy, inventory
mangment.
Generic prescribing will increase the revenue of pharmacy so we
will to gather take a part in supporting of over all revenue of
AKM-CCC.
Expected consequence
of prescribing generic

8. What doc and pt: think ???

9. These include:-
if the medicine has a narrow therapeutic index i.e
warfarin, valporic acid , phenytoin and topiramate
Where modified release preparations are not
interchangeable.
Where administration devices (e.g. inhaler or self
injection) have different instructions for use
Where the product is a biological rather than a
chemical entity i.e Vaccine .
When dnt need to switch brand

10. The UK now has one of the highest rates of generic
prescribing in the world (83% in the community in
England in 2008).
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2949903/
Very few drugs are written as generics on medical
forms at discharge in France
http://www.ncbi.nlm.nih.gov/pubmed/21925042
STUDIES

11. In Pakistan the use of medicines by generic i.e. up to
35%; even less than Bangladesh and Indonesia which
accounts 78% and 59% respectively.
http://www.ukessays.com/essays/health-and-social-care/generic medicines-in-pakistan-health-and-
social-care-essay.php
At present Pakistan is spending only 1.2% of GDP on
pharmaceuticals and despite more than 40000
registered brands in the country.
What about pak ….????

12. A study was carried out to assess the generic prescribing pattern
among medical doctors in Ahmadu Bello University (ABU) Teaching
Hospital, Zaria, Nigeria.
Result
The results further showed that out of the 77,889
prescriptions scrutinized, 48,451 (62.2%) were written using generic
names only while 29,438 (37.8%) were prescribed using proprietary
names.
 Refefnce:
http://onlinelibrary.wiley.com/doi/10.1002/pds.2630020605/ab
stract?systemMessage=Wiley+Online+Library+will+be+disrupted+Satur
day%2C+15+March+from+10%3A00-12%3A00+GMT+%2806%3A00-
08%3A00+EDT%29+for+essential+maintenance
studies