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MEDICAMENTOS GENÉRICOS INTERCAMBIABLES VS FÁRMACOS DE PATENTE , QUE OPINAN?

A todos mis colegas del area de la salud que participan en este portal :

Que opinan sobre la "eficacia y eficiencia terapetica" de los medicamentos genéricos intercambibles ? Que factores tomas en cuenta a la hora de prescribirlos ? Creen ustedes que sea "lo mismo pero mas barato" como es anunciado comercialmente entre la población?

Recientemente en Mexico estos medicamentos entrarán en un proceso de evaluacion de calidad ya que muchos de los medicamentos que existen en nuestro mercado alrededor de 40 mil , se registraron para poder ser comercializados hace mas de 40 años y nunca mas se volvió a corroborar su capacidad terapéutica .

Me gustaria compartir opiniones con medicos de otros paises de America Latina sobre este tema y conocer como se regula en sus sistemas de salud este aspecto.

En mi opinion es importante estar bien informados de que los fármacos que estamos recetando a nuestros pacientes sean seguros en cuanto a su bioequivalencia y provengan de laboratorios con un buen control de calidad .

Elaborar una receta implica la condición del paciente, factores sociales , económicos , la respuesta que esperamos de tal o cual medicamento , la individualización de nuestro paciente y los riesgos que conlleva su administración........pero que opciones tenemos ante situaciones dificiles?

Espero sus comentarios y formar un debate sobre este tema.

Saludos a todos!

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please place also an english or russian version of this message here.

sincere

Dr. Shahid Bokhari
Here is my attempt at translation (please feel free to correct any mistakes that I have made):

To all my colleagues in health who participate in this portal:

What opinion do you have on the "therapeutic efficacy and efficiency" of generic medicines? What factors do you take into account when you're prescribing them? Do you believe that it is the same but less expensive as is told commercially to the general population?

Recently, in Mexico, these medications will enter a process of quality evaluation since already many of the drugs that are in our market, about 40,000, were registered to be commercialized more than 40 years ago but their therapeutic ability was never proven.

I would like to share opinions with doctors of other Latin American countries on this topic and to know how your health systems regulate this aspect of health.

In my opinion it is important to be well informated on the medicines that we prescribe to our patients are safe regarding their bioequivalencies and come from laboratories with good quality control.

Coming up with a prescription involves the patient's conditions, social factors, economic statusm the response we expecte from this or that medication, the individualization (?) of our patient and the risks of administration [of a drug]... but what options do we have for the difficult situations?

I look forward to your comments and to start a debate on this theme.
In the U.S., the FDA regulates drug safety. They have some information on their page
http://www.fda.gov/cder/index.html, then click on "Drugs." Here are some articles in Spanish http://www.fda.gov/oc/spanish/#drugs_ind

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