ad

Sunday, 23 April 2017

Generic Vs. Branded drugs ..... Collected messages from facebook and whatsapp


कोई बतायेगा ये जेनेरिक प्रेस्क्रिप्शन वाला फतवा झोलाछाप डॉक्टरों, बंगाली डॉक्टरों,nonallopathic डॉक्टर (जो मॉडर्न मेडिसिन लिखते हैं) और एक टीके में गारंटी से हर्निया,hydrocele,बवाशीर,भगंदर आदि ठीक करने वालों पर भी लागू होगा या शिर्फ़ रजिस्टर्ड मेडिकल प्रैक्टिशनर्स के लिए ही है !!???
.
.
भारत सरकार, स्वयं सभी दवाओं के #निर्माण , #गुणवत्ता , और सभी दवाओं की #कीमत को एक समान निर्धारित करने की #जिम्मेदारी क्यों नहीं ले लेती ???

सभी समस्या अपने आप #समाप्त हो जायेगी...!!!



सभी डॉक्टर्स 6 महीने की छुट्टी पर जाएं ताकि सरकार हमारे लिए आचार संहिता बना सके।
.
.
.
.
सोच रहा हु अधिकारी और नेता लोग सरकारी अस्पताल और सरकारी स्कूल का ही दौरा क्यों करते हे ? और इनमें ही क्यों कमी निकलते हे । कभी सुना है कि आज हवाई अड्डे का दौरा किया या कोर्ट का दौरा किया और जजों को फटकार लगाई ?
.
.
.
.
GENRICS ISSUE
Doctor : Ciprofloxacin, Cifran or Ciplox is the best.
After MCI ruling.
Doctor : Ciprofloxacin
Patient to Chemist : Bhaiya Ciprofloxacin de Dena.
Chemist : Ciplox ya Cifran le lo.. Best hain
Moral : Faces changed but recommendation is the same.. . But it is now chemist who will decide which is the best quality medicine.
.
.
.
.
Its very funny.
Selling alcohol is banned ,but manufacturing is not.
Speeding car is a crime, but making cars which can run faster, is not a crime.
Now, 
Prescription of branded drug is banned, but manufacturing is not.
*Schizophrenic mind of govt*🤔
.
.
.
.
जिसके खानदान में कोसों तक भी कोई एक डाक्टर नही होता वही सबसे ज़्यादा ज्ञान पेलता है
.
.
.
.
1.डॉक्टरी पेशा इस लिए कष्ट में है क्योंकि जबसे यह बना है लोगों के दिमाग़ में ठूंस ठूंस कर भरा है कि यह पुण्य का काम है और डॉक्टर भगवान।अब किसी को सहन नहीं होता कि भगवान अपने काम का मुआवज़ा ले।
2.ऐसे तथाकथित बुद्धिजीवी आपको झोलाछाप डॉक्टरो से ख़ुशी ख़ुशी इलाज करवाते मिल जाएंगे और वहाँ इनका विवेक और ज़ुबान दोनों बंद मिलेंगे।
3.डॉ भी उसी समाज से आते हैं और उसी समाज को झेलने पर मजबूर हैं जहाँ ऐसे बुद्धिजीवी इस बात से बेपरवाह रहते हैं कि पटवारी,तहसीलदार,पुलिस, रेल का बाबू,क्लर्क,मंत्री,विधायक, सिलैक्शन बोर्ड के अधिकारी घूंस के बग़ैर बात नहीं करते और डॉक्टर भी इसे झेलता है।यह सब इनके लिए उचित माना जाता है।
4.यही डॉक्टर यूजी और पीजी में कई अतिरिक्त साल बर्बाद करता है अंधाधुंध और राजनीतिक रेवड़ियों की तरह दिए गए आरक्षण और घोटालों के चलते और मजबूर है कई करोड़ की सीट लेने पर।
5.सब को आधुनिकतम इलाज चाहिए एक छत के नीचे।पैसा कौन देगा?सस्ता कर्ज़ मिलेगा, ज़मीन, बिजली, पानी, फ़ोन,टैक्स?टैक्स हॉलीडे होगा?यहाँ तो एम्बुलेंस भी कमर्शियल सवारी मानी जाती है?
6.वकील एक पेशी के 5 लाख लेने के अधिकारी क्यों और वह भी पता नहीं कब तक
7.मुरथल जैसे ढ़ाबे मे एक रोटी 15/- और दाल फ़्राइड 120/- की क्यों?क्या यह उनकी असली क़ीमत है?एयरपोर्ट पर कॉफ़ी 100 के आस पास क्यों?तब तो किसी की पेशानी पर बल नहीं पड़ते।
7.किसान के यहाँ से चला 5/- का आलू, टमाटर बाज़ार में 50/- क्यों?कौन खा गया/
8.मंत्रियों, अफ़सरों की बेहिसाब,बेनामी संपत्ति क्यों?इतना सन्नाटा क्यों?1000 करोड़ का चारा खाने वाला सज़ायाफ़ता किंगमेकर क्यों महाशय?इनके वेतनमान में 300% उछाल पर बिल्कुल ग़ुस्सा नहीं?
9.किसके हैं डोनेशन वाले कॉलेज?
10.दवा की रिसर्च पर करोड़ों ख़र्च करने वाली कंपनियां क्यों न लाभ लें?कार उद्योग नहीं लेता?शराब, सिगरेट, इलैक्ट्रोनिक उद्योग नहीं लेता?सरकार नहीं लेती?20/- के पैट्रोल की कीमत 60-65/-क्यों?बेस फ़ेयर 1500/-और टिकट का कुल दाम 6000/-क्यों?
11.जैनरिक का राग अलापने वाले सोनी टीवी,ब्रैंडिड कपड़े न लें,Taxila टी वी और पॉपलीन लें।गधे घोड़े में फ़र्क नहीं?
12.स्ट्रैप्टोकाइनेज़ 900/-का और कब लगाना है,इसकी ज़िम्मेदारी किसकी?आप लगा लेंगे?35 साल लगे यहाँ तक आने में?5/-का अल्ट्रा साउंड बताने वाले यह बताएं उस रिपोर्ट को पढ़ने की अक्ल हासिल करने में कितने साल और पैसे लगे,मशीन कहाँ से आई,ख़राब होने पर नई कहाँ से आएगी?
13.अपनी जान पर खेल कर दूसरों की जान बचाने वाले यह जांबाज़,आपकी वजह से अनेक रोग पालने वाले, अकथनीय कष्ट और तनाव झेलने वाले 99% मानवता की सेवा में रत हैं तो पैसा तो लेंगे।आइए ऐड्ज़,हिपेटाइटिस,इबोला,स्वाइन फ़लू,टी बी का सामना करने में इनका साथ दें।आएंगे?नहीं न?
14.महाशय कभी आपने गर्भपात करवाने वाली महिला के परिवार के विरुद्ध आवाज़ उठाई?क्या वह नहीं हिस्सेदार?
15.कमीशन बुरा है नहीं होना चाहिए।कैसे मालूम सभी डॉक्टर लेते हैं?वकील नहीं लेते?वह भी नोबल प्रोफ़ैशन है।टैंडर लेने, बिल पास कराने में सरेआम चल रहा है।फ़िर यहाँ इतना बवेला क्यों?
मतलब इतना है श्रीमन हर अंग में कैंसर है।एक वही अंग जो कुछ बेहतर है आपकी आंख में खटक रहा है।अन्य या तो दिखते नहीं या आपकी हिम्मत नहीं उन पर उंगली उठाने की।
.
.
.
.
.
Generics Vs Branded products.
Copy Paste
Please consider the following Facts before you take a position on Branded Vs Generics medicine. I am associated with medico marketing for almost three Decades thus take responsibility to bring few Facts for your consideration and understanding.
1. To keep a Brand name of any medicine doesn't increase price of the product as it cost nothing extra but The branding company becomes accountable for its effectiveness to the buyers.
2. A significant amount of cost of any medicine is for its proper packaging, storing, assurance of long Stability as per expiry date, Ensuring cold chain or appropriate transportation, Accountability on Quality etc which is assured by Branded medicine of good companies as it require huge manpower and additional cost. Thus its provides value for 💰 money to the consumers. In case of generics, one need to be very sure about such assurance of quality of medicine.
3. Will we be interested to buy a product which does not have best quality or effectiveness assurance? We will always prefer to buy a Branded water bottle, clothes, toothpaste, oil, perfumes, different groceries until we are not very sure on quality assurance of Non-Branded products. Under such circumstances, can a Dr will prefer to take RISK to prescribe any medicine until he is not sure about its effectiveness only because there could be a price difference. 
Who will be accountable for the assured effectiveness?
4. We all know, even celebrities are also try to avoid advertise a product until they are not very sure about its harmless effects to people or society. When Dr is answerable to cure patients which he can only happen with effective medicines. Do we still want Drs to take RISK of our life? by prescribing medicine which he is not sure about quality?
5. In our country, please search in google, Govt has got departments like DPCO ( Drug Price Control Order), NPPA (National Pharmaceutical Pricing Authority) who are authorised to fix MRP (Maximum Retail Price) of all Branded medicine. So how different companies are keeping higher price of their Brands? 
Who is responsible for it? DOCTORS or AUTHORITIES? Why Govt trying to PUSH unsure quality of generics Medicines rather than controlling price of good companies Branded Medicine??? Where quality is assured. How will it help by blaming Doctors?
6. The million dollar question is who are benefited most from Generics medicines? *Please don't miss this information*. 
*In case of Branded medicine, Distribution partners can't get more than 20% margin from MRP, but generics can give them any % of margin. Most of the time Patients are paying at MRP for generics products which is almost similar to Branded products. So if Drs are forced to prescribe Generics medicine, it's the distribution partners are going to be benefited most, may not be the Patients. Remember generics are without assurance of quality of the medicine.
7. Do we know there are lots of medicines are available which are spurious and not much effective or quality is compromised.? Who will take accountability of ineffectiveness of such medicines. Why anyone in India is allowed to manufacture medicine without proper approval of manufacturing facilities to ensure quality.
8. Think of a time & place when we are unable get a doctor, we need him most. How helpless we become to save and do something for our near and dear ones life. Even then we are not respectful to our Doctors who will do everything to keep us better with his knowledge and understanding. (Let's not go by exceptions).
9. How will it be possible for a doctor to prescribe combinations for compliance when multiple generics are in a single pill, during his OPD where dr has to treat good number of patients with limited time. Most of the time patients can't continue therapy due to more number of Pills which is evident from surgery.
10. How long diversion of focus from inaction of the government and underdevelopment of the society as compared to progressive countries, will be converted into softer people like Drs and illogical issues. How long such hypocrisy of Intelligent people will dominate the simple thinking 💭 common man.
May God bless this country. 😳😳😳🙏🙏🙏
Regards. 
Nath
.
.
.
.
.
.
जैनेरिक औषधि युग में
रोगी- डॉ, मेरे मुँह में छाले हो गये हैें, तो मैं क्या लूँ?
डॉक्टर- तो यह लो
1. थिएमाइन मोनोनाईट्रेट 10 मिग्रा
2. राइबोफ्लेविन 10 मिग्रा
3. पाईरोडोक्सिन हाईड्रोक्लोराइड 3 मिग्रा
4. साईनोकोब्लामिन15 माईक्रग्राम
5. निकोटिनामाइड 45 मिग्रा
6. कैल्शियम पैन्टोथिनट 50 मिग्रा
रोगी - हे भगवान ! इतनी सारी दवाईयाँ ??
डॉक्टर- जी हाँ, अब मैं न्यूरोबिओन फोर्ट नहीं लिख सकता हूँ ! जैनेरिक में ही लिखना और बोलना होगा। नई पोलिसी है न???


No automatic alt text available.

.

/
/
/

.
.No automatic alt text available.
.
.
.
.
.
.
सरकारी अधिकारी
केवल सरकारी अस्पतालों में ही इलाज कराए
तब ही व्यवस्थाए सुधर सकती हैं
.
.
.
.
Clarifying the ongoing debate on 
GENERIC medicines.
*********
Before we go in their quality check, let's know what exactly are generic medicines.
There are three types of medicines available in the market : Brands, Brand generics and Generics.
BRAND – This is the name given by a company which has invented a new drug (medicine). So it’s prices are always higher as sometimes a company spends even thousands of crores to invent a new drug. The company will have the sole right to sell this medicine upto 20years.
After this time limit is over, the medicines will be labeled as GENERICS, means anyone can manufacture them. Further of 2types:
BRAND GENERICS​ – After the above mentioned 20 years , any company can manufacture and sell the drug. As they donot spend any money on the research so they can sell it at a cheaper rates. These medicines will be sold by multiple companies by their names and hence have a brand name.
GENERIC drugs – This is the name given to a medicine when it is sold by it’s drug/salt name. There will be no company brand name written over the medicine. As the companies donot spend any money on their marketing , they are cheapest of all .
Now regarding quality, there is no straight answer for that. Theoretically they all should be same but in our country where quality standards are poorly enforced, it is difficult to ensure quality in every medicine. And it is true for both the branded and generic medicines. Majority of the market is captured by branded generics and a small percentage by high end pure Branded medicines and even smaller by pure generics.
Role of doctors –
there are more than 10000 pharma companies manufacturing thousands of medicine brands. And for a doctor it is not possible to test each of those brands weather the medicine is working fine or not. So they choose the medicine brand about which more research is published or which is frequently in use as it’s results are well tested. Moreover the common psychology works everywhere that a better packaged, better marketed and better quality assured thing will be of better quality.
Along with that, the availability of pure generic medicine is very poor. You might not find any in your district at all. Government opened pharmacy shops by the name ‘JAN AUSHDHALYA’, which open only from 9am-5pm, as if patients need medicine only in this time frame. Our team visited three of them and could not find even the basic of the drugs there. So there are very few options left with a doctor. The situation will become just like a government hospital, where you are asked to give all medicines for free but there is no medicine available.
We agree that in very few cases, certain brands are prescribed under some influence but that percentage is very less. If a generic drug is not available what can one prescribe. First make good quality generic drugs available and then we can create some prescription guidelines, else creating strict guidelines without a good supply chain will lead to chocking of the system.
"Should we always choose a Cheaper/Generic alternative to the medicine that we are taking, if available?"
Even though they are made up of same drug/salt but still some differences can come up in their functioning, as different manufacturers might choose different processes and raw materials (both branded and generics). Also the quality standards matters a lot, which are not possible for a doctor to know unless he/she test the different medicines on few patients( certainly it can’t be done as patients are not guinea pigs). This is specially important in medicines which have a very narrow range of action and also in certain sensitive diseases. In certain cases a medicine might work in one patient and might not work in other patient and this holds true even for a costly branded medicine. A doctor will be a better person to assess the patient specific situation. So if you want to buy a cheaper alternative , then tell your doctor that there is a cheaper version available and if he finds that there is no problem changing the medicine , he/she will certainly prescribe it for you .
Final opinion :-
----------------------

Everyone including doctors are just a part of the whole system and without creating transparent quality standards and their enforcement, any legal step taken in haste will be detrimental.