QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?

Drug quality in modern market is discussed. There is an increase of a number of drugs that don’t meet to the quality requirements.Most of them are produced by Russian manufacturers, which number has also increased recently. According to official data 6-10%of all medicines are counterfeit. Quality re...

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Main Author: V. V. Iakusevich
Format: Article
Language:English
Published: Столичная издательская компания 2016-01-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1051
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author V. V. Iakusevich
author_facet V. V. Iakusevich
author_sort V. V. Iakusevich
collection DOAJ
description Drug quality in modern market is discussed. There is an increase of a number of drugs that don’t meet to the quality requirements.Most of them are produced by Russian manufacturers, which number has also increased recently. According to official data 6-10%of all medicines are counterfeit. Quality reduction is also connected with a huge number (80%) of reproduced drugs (generics). Considerable part among generics doesn’t pass required evaluation of equivalence with original product. Approved deviations (according to Russian regulative rules) in pharmacological equivalence may reach 5%, and in pharmacokinetic equivalence -25%. Evidences of pharmacodynamic (therapeutic) equivalence are not required at all. At the same time, author advocates the production of qualitative generics that can providemodern and accessible treatment. Generic quality should be confirmed by randomized studies with cross-over designed comparison with original drug in parallel groups. The examples of the generics with such evidences are demonstrated. The requirements to the data about drugs are given to help the physician to make a right independent estimation of its quality.
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institution Kabale University
issn 1819-6446
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language English
publishDate 2016-01-01
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-652b296250134b7f9371a5d71ea338e22025-08-23T10:00:25ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-0124414610.20996/1819-6446-2006-2-4-41-461050QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?V. V. Iakusevich0Yaroslavl state medical academyDrug quality in modern market is discussed. There is an increase of a number of drugs that don’t meet to the quality requirements.Most of them are produced by Russian manufacturers, which number has also increased recently. According to official data 6-10%of all medicines are counterfeit. Quality reduction is also connected with a huge number (80%) of reproduced drugs (generics). Considerable part among generics doesn’t pass required evaluation of equivalence with original product. Approved deviations (according to Russian regulative rules) in pharmacological equivalence may reach 5%, and in pharmacokinetic equivalence -25%. Evidences of pharmacodynamic (therapeutic) equivalence are not required at all. At the same time, author advocates the production of qualitative generics that can providemodern and accessible treatment. Generic quality should be confirmed by randomized studies with cross-over designed comparison with original drug in parallel groups. The examples of the generics with such evidences are demonstrated. The requirements to the data about drugs are given to help the physician to make a right independent estimation of its quality.https://www.rpcardio.online/jour/article/view/1051bioequivalencetherapeutic equivalencereproduced (generic) drugoriginal drugcounterfeit drug
spellingShingle V. V. Iakusevich
QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
Рациональная фармакотерапия в кардиологии
bioequivalence
therapeutic equivalence
reproduced (generic) drug
original drug
counterfeit drug
title QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
title_full QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
title_fullStr QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
title_full_unstemmed QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
title_short QUALITATIVE DRUG: WHAT SHOULD IT LOOK LIKE?
title_sort qualitative drug what should it look like
topic bioequivalence
therapeutic equivalence
reproduced (generic) drug
original drug
counterfeit drug
url https://www.rpcardio.online/jour/article/view/1051
work_keys_str_mv AT vviakusevich qualitativedrugwhatshoulditlooklike