‘Made in India,’ Faked in China

[Jade]

Ok suppose I am willing to accept your claims at face value, you'd still have to establish these two statements as fact.


1) doctors proscribe branded drugs more than generics
(I don't know how it works in India but, doctors only write proscriptions, it is up the patient to decide on brand name or generic)



2) because those drugs are proscribed by doctors, hence they must do more damage if they are fake.
(and this I just don't really understand how it works)

Most doctors in world prescribe by drug name than by drug composition.

Most doctors prescribe drugs name from reputed companies, hence a fake drugs, under the name of reputed company, produced by fake companies do more harm

 

[CardSharp]

Most doctors in world prescribe by drug name than by drug composition.

A patient in Canada has the choice when they go the pharmacy of buying a generic or brand name even if the doctor wrote the trade name of the drug instead of the scientific. (and personally I have never seen this happen, especially when if they don't know the name of the drug, they consult the handbook that lists by scientific name)

Most doctors prescribe drugs name from reputed companies, hence a fake drugs, under the name of reputed company, produced by fake companies do more harm

Prove

1) Most doctors prescribe drugs name from reputed companies
2) a fake drugs, under the name of reputed company, produced by fake companies do more harm.

 

[Jade]

A patient in Canada has the choice when they go the pharmacy of buying a generic or brand name even if the doctor wrote the trade name of the drug instead of the scientific. (and personally I have never seen this happen, especially when if they don't know the name of the drug, they consult the handbook that lists by scientific name)



Prove

1) Most doctors prescribe drugs name from reputed companies
2) a fake drugs, under the name of reputed company, produced by fake companies do more harm.

If what you are say is true, then Pharma markets should be perfect markets;however, that is not case. you find few big companies almost occupying major market share. And, moreover, if doctors prescribe by scientific names, there is no incentive on the company's part to spend billions of dollars in promotions and R&D

 

[Jade]

Prove

1) Most doctors prescribe drugs name from reputed companies
2) a fake drugs, under the name of reputed company, produced by fake companies do more harm.

1)Big companies have better market power, and products from reputed companies are trusted more by markets easily.
2)It is easier to identify a fake drug from a fake company, then fake drug produced under a reputed name by fake company

 

[CardSharp]

http://www.defence.pk/forums/world-affairs/78453-fake-drugs-big-business-india.html

Legit generic drug producers participating in counterfeiting.

 

[TenjikuKensei]

1) Most doctors prescribe drugs name from reputed companies

I cannot prove it, But Afaik this was the case in Lanka as well.Ill have to second Jade on this. Doctors do write down the specific names. Sometimes they also list a generic..but more often than not they explicitly mention the brand/company.

One of the plausible reasons for this is that many brand name companies send doctors a lot of free samples....hoping business is sent their way...

 

[ganimi kawa]

Prove

1) Most doctors prescribe drugs name from reputed companies
2) a fake drugs, under the name of reputed company, produced by fake companies do more harm.

As a practicing paediatrician I can vouch for these two facts, FWIW.

This is how the health industry works in majority of countries ( a notable exception may be Cuba).

I'll contact my MD Pharma friend and see if there are any studies being conducted on this.. May be we will get a documentary evidance.

 

[CardSharp]

As a practicing paediatrician I can vouch for these two facts, FWIW.

This is how the health industry works in majority of countries ( a notable exception may be Cuba).

I'll contact my MD Pharma friend and see if there are any studies being conducted on this.. May be we will get a documentary evidance.

Thanks for taking an interest. It would nice to get a knowledgeable view on this. Frankly the point of contention here is not whether doctors use the trade name or the scientific name but this

It is not about 75% vs. 6%, but the effect it has in realty. A faked “branded drug” has multifold effect then a faked drug from unknown source, because most drugs are prescribed by doctors and they prescribe branded drugs

I fail to understand the logic behind how fake drugs under a brand name, is more harmful than fake drugs under a unknown brand.


and can you shed some light on any of the fact written here?

The problem in China is that the drugs are faked as made from reputable drug companies, whereas in India, most fake drugs are produced by fake companies under their own brand name and there in lies the difference

Namely

1) The problem in China is that the drugs are faked as made from reputable drug companies

2) In India, most fake drugs are produced by fake companies under their own brand name.

 

[Bang Galore]

I fail to understand the logic behind how fake drugs under a brand name, is more harmful than fake drugs under a unknown brand.
....
Namely

1) The problem in China is that the drugs are faked as made from reputable drug companies

2) In India, most fake drugs are produced by fake companies under their own brand name.

That's because doctors do look at the company that is manufacturing a drug before prescribing. Smaller drug companies have to work that much harder to establish themselves with the doctors. It follows that a fake drug under a mainstream brand name would end up in more people's gut (simply because more doctors are likely to be prescribing it)than an unknown one which might end up with a patient only through a dishonest chemist directly selling it. Most Chemists would be wary of giving unknown drugs because the patient is likely to hold them responsible if it doesn't work.

 

[Jade]

That's because doctors do look at the company that is manufacturing a drug before prescribing. Smaller drug companies have to work that much harder to establish themselves with the doctors. It follows that a fake drug under a mainstream brand name would end up in more people's gut (simply because more doctors are likely to be prescribing it)than an unknown one which might end up with a patient only through a dishonest chemist directly selling it. Most Chemists would be wary of giving unknown drugs because the patient is likely to hold them responsible if it doesn't work.

Moreover, bigger companies have better distribution network hence available in most places, so can be mixed easily with fake drugs under mainstream names...which is not the case for unknown companies

 

[Jade]

@CS

Tylenol is a brand from J&J; however the scientific name is acetaminophen. If you observe, doctors prescribe the drug by Tylenol, moreover, some variants of Tylenol also contains diphenhydramin, so it would easy for doctor to prescribe Tylenol, then by naming each of the drug compositions

Also as you are in North America, you must have observe the campaigns run J&J on Tylenol. In fact research done by Frost & Sullivan have shown that doctors prescribe Tylenol four times more often than the other acetaminophen brands from other companies combined

Now what would happen if a fake drug enters the market by the name Tylenol...it would end in more people's gut than it would by any other name

 

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