For generic drug to be bioequivalent to its innovator 23 4 23
259 Sen Gil Puyat, Makati, 1203 Metro Manila brand or other generics, the 90% confidence intervals for (+63)2 8843-0300 loc. 102 the ratio of each pharmacokinetics parameters (i.e. Cmax and AUC), must lie within the range of 90–110%. 11. A generic medicine is usually manufactured 41 0 9 without a license from the innovator company, but Views, Knowledge, and Preferences of Community Pharmacists marketed after expiry of patent or other exclusivity in Makati City Regarding Generic Medicines: A Cross-Sectional Survey rights. (Adapted questionnaire used in an article entitled 12. When two pharmaceutical products are 19 5 26 Knowledge, Attitudes and Practices of Community Pharmacists bioequivalent, it means that the Cmax and AUC ratios on Generic Medicines in Palestine: A Cross-Sectional Study by Jarrar et al.) estimated for each formulation can vary by −20 to +25%. 13. Generic medicine is inferior quality to branded 14 36 0 branded medicine. TALLY SHEET (50 RESPONDENTS) 14. Generic medicines are less expensive compared to 50 0 0 branded medicines. Knowledge of Respondents on Generic Medicines 15. Where there is a generic substitution policy (The 41 0 9 Read the statements carefully and identify whether they are True or False. Generics Act of 1988 and Universally Accessible and Put a check “√” in the appropriate box. Affordable Quality Medicines Act of 2008), the community pharmacists are allowed to dispense a TRUE FALS I DON’T different brand of the drug, but may or may not refer E KNOW back to the prescriber depending on the jurisdiction/law. 1. The term generic medicine is a drug product marketed 16. If a generic medicine is bioequivalent to a branded 50 0 0 50 0 0 medicine, it means that it is also therapeutically under the drugs non-proprietary approved name or a product marketed under a different brand name equivalent. (proprietary) name. 2. A generic medicine must be the same in dosage form 50 0 0 (e.g. tablet, capsule, syrup…etc.) as the branded Views of Respondents on Generic Medicines medicine. Put a check “√” in the appropriate box that suites your opinion. 3. A generic medicine must contain the same 50 0 0 dose/strength as the branded medicine. Strongly Agree Neutral Disagree Strongly 4. A generic medicine must contain the same active agree disagree 50 0 0 1. I support generic substitution for ingredient as the branded medicine. 5 45 0 0 0 5. Generic medicines have the same safety and effectivity brand name drugs in all cases where 32 14 4 a generic is available. property as the branded medicines. 6. Generic medicines have the same quality as the 2. I find it easier to recall a 37 4 9 0 0 5 26 19 medicine’s therapeutic class using branded medicines. 7. Generic products must be bioequivalent to the generic names rather than brand 44 0 6 names. innovator brand before they can be approved to be marketed in many developed and some developing 3. Wider use of generic medicines 5 36 9 0 0 countries. will mean that less money will be 8. Product quality data are NOT required before a generic spent for research and development 5 39 6 of new pharmaceuticals. product can be registered in such countries that require bioequivalent data. 4. I believe that generic medicines 28 22 0 0 0 9. Provided that a generic product conforms to are as safe, effective and of quality 50 0 0 as the branded medicines. bioequivalence and product quality requirements, it is assumed that its efficacy, quality and safety are similar to 5. Wider use of generic medicines 17 33 0 0 0 the original branded product. will result in decrease in health care Views, Knowledge, and Preferences of Community Pharmacists in Makati City Regarding Generic Medicines; A Cross-Sectional Survey Doctor of Pharmacy 2018-2020 expenditure by the government of prescribing physician when Philippines. substituting certain categories of 6. I prefer dispensing generic 35 9 6 0 0 drugs, such as those with narrow medicines because it costs lesser therapeutic index. than the branded medicines. 17. In general, I would not dispense 0 0 0 39 11 7. Switching a patient from 21 0 0 18 11 generic medicine to my patients. branded medicine to a generic medicine may change the outcome Influencing Factors that affects the Respondent’s Views on Generic Medicines of the drug therapy. Check “√” all that apply. 8. Therapeutic failure is a serious 9 12 0 24 5 problem with most generic Factors: Important Neutral Unimportant products. Influencing Influencing 9. All products approved as generic 19 31 0 0 0 Reputation of the manufacturer (recall 41 9 0 drugs by the health authorities in record) the Philippines can be considered Consumer’s Experiences 24 26 0 therapeutically equivalent to their Frequency of Product complaint branded counterparts. 44 6 0 10. The price difference between Professional Judgement 5 45 0 5 45 0 0 0 generic and branded drugs is often Problem reports in media/journals 46 4 0 so great that I feel I must dispense Information available on brand 38 12 0 prescriptions with generic substitution substitution. Personal Experience 23 27 0 11. Patients should be given enough 15 35 0 0 0 Appearance of the product and packaging 33 17 0 explanations about the reasons for choosing generic medicines for them. Influencing Factors that affects the Respondent’s Preferences in Dispensing 12. Community pharmacists must Generic Medicines 50 0 0 0 0 apply the policies stated in The Check “√” all that apply. Generics Act of 1988 and Universally Accessible and Factors: Important Neutral Unimportant Affordable Quality Medicines Act of influencing influencing 2008) Cost to the costumer 50 0 0 13. The intensity of promotional 26 24 0 0 0 Having no other choice 50 0 0 activities by medical Consumer preference/demand 50 0 0 representatives plays an important Availability of stock 50 0 0 role in dispensing generics. Costumer’s appearance 9 23 18 Costumer’s preference/demand 50 0 0 14. Community pharmacists should 5 30 15 0 0 be allowed to perform generic Cost-effectiveness of generic medicines 42 8 0 substitution without consulting the Proven bioequivalence to original brand 33 17 0 prescribing physician. medicines 15. Community pharmacists must 0 4 23 18 5 Personal faith on the product 41 9 0 consult the prescribing physician Substitution agreement with the prescriber 33 17 0 when performing generic Data or information about proven 41 9 0 substitution. bioequivalence to the branded medicine 16. Community pharmacists should 19 31 0 0 0 Availability of policies, laws and regulations 41 9 0 only be required to consult the
Views, Knowledge, and Preferences of Community Pharmacists
in Makati City Regarding Generic Medicines; A Cross-Sectional Survey Doctor of Pharmacy 2018-2020