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India biggest producer of 'game-changer' hydroxychloroquine drug

Hydroxychloroquine maker faces ingredient crunch
Drug maker Amneal says firm is running low on materials for anti-malarial drug seen as possible coroanvirus treatment.

an hour ago
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Amneal has committed to producing about 20 million hydroxychloroquine tablets by mid-April, but will face challenges making any more after that because of difficulties acquiring active pharmaceutical ingredients from its supplier in Finland, coCEOs Chirag and Chintu Patel said in an interview with Reuters News Agency [File: Craig Lassig/Reuters]

Amneal Pharmaceuticals could soon run out of the raw ingredients to make more of the antimalarial drug hydroxychloroquine that has been touted as a potential treatment for COVID-19 because Finland is keeping the drug for domestic use, according to the generic drugmaker's chief executives.

Amneal has committed to producing about 20 million hydroxychloroquine tablets by mid-April, but will face challenges making any more after that because of difficulties acquiring active pharmaceutical ingredients from its supplier in Finland, coCEOs Chirag and Chintu Patel said in an interview.

"As the demand has increased all across the globe ... the Finnish government has put out an emergency order to prioritize their domestic use for local needs," coCEO Chintu Patel said in the interview on Tuesday.

Hydroxychloroquine is a decades-old drug promoted by many, including United States President Donald Trump, as a potential weapon against COVID-19. It has become a standard of care in areas of the US hit hard by the pandemic, even though doctors prescribing it have no idea whether it works.

Demand for the drug has soared worldwide and some countries, like India, have placed restrictions on its export. Amneal currently manufactures hydroxychloroquine in India and the brothers said the company was working with India to provide an exception to ship its finished product to the US.

Finland has not yet issued any bans or restrictions on drug exports, according to the Finnish medicines agency Fimea.

But even under normal circumstances, Finnish law requires pharmaceutical companies to commit themselves to fulfil national needs first. Because the demand for hydroxychloroquine and its active agents has surged in Finland, Finnish makers have less to export, Fimea said.

"The increased national need may impact the schedules of export deliveries, even if no export restrictions have been issued by the government," Fimea Director Johanna Nystedt said in an email. "Surely every country hopes to obtain more hydroxychloroquine at the moment and therefore its makers' order books are certainly full."

The Finnish government, on the basis of the state of emergency it has issued, is preparing an amendment which if adopted would allow restricting exports of certain medicines.

Orion Corp and its subsidiary Fermion are the two Finnish companies that make hydroxychloroquine and its raw materials. Fermion is Amneal's supplier, according to a source familiar with the matter.

Orion said in a statement that securing its own raw materials from abroad is challenging and it would be pleased if it could deliver more.

"Finnish authorities have far-reaching rights to intervene in the operations of the actors in our field of business. In the exceptional situation Finland's needs have priority," Orion said. "Demand for the agent in question (API) is heavy around the world at the moment but unfortunately we cannot respond to the demand commensurately."

Amneal said it is working to source the raw materials elsewhere and is trying to get its Brookhaven, NY, manufacturing site FDA-approved to make more products, including hydroxychloroquine. Amneal has said it is donating more than 6.5 million of the tablets to New York, Texas, Louisiana and hospitals across the country.

Chintu Patel said he believes the supply issues will ease up in two or three months.

"There are multiple suppliers, but worldwide demand, so people are allocating their inventory and we are in the process of qualifying more than one supplier so we can do what we can to help in this crisis situation," he said.
https://www.aljazeera.com/ajimpact/opec-pact-g20-nations-nail-broader-oil-deal-200409205140736.html

India will have to import more API ingredients from China.
 
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After one angry phone call from Trump to Hindu Extremist Modi, India changed its game... or attitude very quickly.

Well...Except major powers of world, no country can challange US if they are forcing to provide them with certain item...And certainly India can not do it..
 
True but not in case of Hudroxycholoquin. Infact 70% of HCQ API needed around the world are manufactured in india.
:cheers:
As of now apart from HCQ formulation were are also exporting APIs needed for HCQ

Then again, ANI is known to chat rubbish. It's India's equivalent of tabloid click bait. The article three posts previously suggests at least one major manufacturer will have problems sourcing API for hydroxy chloroquine. Perhaps the situation varies with different manufacturers.
 
True but not in case of Hudroxycholoquin. Infact most of HCQ API needed is manufactured in india.

Their is a condition that is causing all the confusion about the API. India does manufacture the API but it must import some key raw materials and intermediates from China, or South Korea, or Italy or Finland. It can not manufacture the API on its own.
 
India biggest producer of 'game-changer' hydroxychloroquine drug; has enough capacity
4 min read . Updated: 07 Apr 2020, 07:05 PM ISTPTI
  • The country has the capacity to quickly ramp up the output of hydroxychloroquine
  • India manufactures 70% of the world's supply of hydroxychloroquine, according to Indian Pharmaceutical Alliance (IPA) secretary-general Sudarshan Jain

NEW DELHI : India is the biggest manufacturer of hydroxychloroquine, the anti-malarial drug that is being touted as 'game-changer' in the fight against COVID-19 and is being aggressively sought by US President Donald Trump.

The country has the capacity to quickly ramp up the output of hydroxychloroquine.

Days after it added the drug to the list of more than two dozen APIs that cannot be exported while officials get a handle on how much will be needed for COVID-19 outbreak in the country, India on Tuesday agreed to lift the ban after Trump sought supplies for the US.

India manufactures 70% of the world's supply of hydroxychloroquine, according toC (IPA) secretary-general Sudarshan Jain.

The country has a production capacity of 40 tonnes of hydroxychloroquine (HCQ) every month, implying 20 crore tablets of 200 mg each. And since the drug is also used to auto-immune diseases like rheumatoid arthritis and lupus, manufacturers have good production capacities that can also be ramped up.

Ipca Laboratories, Zydus Cadila and Wallace Pharmaceuticals are top pharma companies manufacturing HCQ in India.

Jain says the production capacity is sufficient to meet the current demand and if the need arises, the companies are committed to ramping up production.

Recently, the Ministry of Health and Family Welfare had reportedly placed an order for around 10 crore tables of HCQ with Ipca laboratories and Zydus Cadila.

The drug is not manufactured in developed nations such as the US because of non-existent malaria.

Hydroxychloroquine is very similar to chloroquine, one of the oldest and best-known anti-malarial drugs, but with lesser side-effects. It can be bought over the counter and fairly inexpensive.

But its purchase and use has been severely restricted as it was selectively used in the treatment of coronavirus because of its antiviral properties.

India gets the active pharmaceutical ingredient (API) that is used to manufacture HCQ from China and supplies so far have been steady.

As much as 70 per cent of all the APIs needed by India to manufacture drugs come from China.

After Trump stated that the US could "retaliate" if India does not release stocks of the drug, Indian officials said exports of hydroxychloroquine and paracetamol will be allowed depending on availability of stock after meeting domestic requirements and existing orders.

Last month, the US Food and Drug Administration (FDA) partially lifted a three-year-old 'import alert' on Ipca's two plants to import the medicine. Zydus Cadila has also received an order from the US.

Pharma industry officials said the country has enough stock of HCQ and companies were ready to ramp up the capacity to meet domestic requirements as well as exports.

On March 25, India had banned export of HCQ and added it to a list of more than two dozen APIs that can no longer be exported.

India is the largest exporter of the drug.

Officials said India would export the drug on a case-by-case basis after meeting all the domestic requirements.

"The Government has withdrawn the restrictions on 12 products and its formulations. Various scenarios are being assessed and it will be the endeavour to meet both the domestic demand and export obligation for Paracetamol and hydroxychloroquine," Jain said.

The objective is to minimise speculative buying and hoarding in these trying times and ensure balance in the distribution for patients and segments who need them, he added.

In a similar vein, Indian Drug Manufacturers’ Association (IDMA) Executive Director Ashok Kumar Madan said: "India needs around 24 million tablets per year as on date for the three indications --- malaria, lupus, and rheumatoid arthritis, it was being used".

India currently has an annual installed capacity of around 40 metric tonnes of active pharmaceutical ingredients (APIs) of hydroxychloroquine. With this capacity, "we can make around 200 million tablets of 200 mg", he added.

So this indicates that India currently has spare available capacity. Now, "we have to see how much would the country's requirements for the drug would grow for both treatment and prevention of COVID-19. The companies have already started ramping the capacity."

The major API makers for the drug in the country are Zydus, Ipca and Mangalam Drugs. The major formulation makers of hydroxychloroquine are Ipca, Zydus, Wallace Pharmaceuticals, and Cipla, Madan said.

India exported hydroxychloroquine API in April-January 2019-20 period worth USD 1.22 billion. During the same period exports of formulations made from hydroxychloroquine were at USD 5.50 billion.

Indian Council of Medical Research (ICMR) recommended HCQ be used as a preventive medication for COVID-19 high-risk group.

It has also recommended the use of the drug for those involved in the care of 'suspected or confirmed cases of the coronavirus and for asymptomatic household contacts of laboratory-confirmed patients, apart from healthcare workers who are involved in the treatment of COVID-19'.

Ipca is the drug’s top manufacturer globally.

Each COVID-19 patient reportedly needs 14 tablet course and so the 10 crore pills ordered by the government can potentially treat over 71 lakh people.

https://www.livemint.com/science/he...-drug-has-enough-capacity-11586266119087.html
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aka

"We r the biggest reseller of the hydroxychloroquine from China"
 
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