GENERIC PRESCRIBING

Initiative to prescribed medicines with INN

By: Dr. Toufeeque Ali Ghouri

Aga Khan Maternity & Child Care Center , Hyderabad,Pharmacy.

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

Where we are………. ?

Where we want to be…….?

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

Bioequivalence

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

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 consequenceof prescribing generic

What doc and pt: think ???

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

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 Francehttp://www.ncbi.nlm.nih.gov/pubmed/21925042

STUDIES

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 ….????

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/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+Saturday%2C+15+March+from+10%3A00-12%3A00+GMT+%2806%3A00-08%3A00+EDT%29+for+essential+maintenance

studies