My Storify
Linda Malone
Category: Global
Posted by: Andrew
Karma: 37 [+/-]
When I read several reviews about online pharmacies I noticed that it doesn't really matter which kind of online pharmacy was used. Licensed or unlicensed both do mistakes which lead to unsatisfied customers. In this article, I will sum up of these common mistakes and how a customer can reduce the risk.

Licensed online pharmacies

Are pharmacies which are a member of a national organization which ensures the safety of the online pharmacy. This safety includes the pharmaceuticals the business processes of processing orders and the working personnel. Especially is that online pharmacy owned and operated by a studied, licensed and approved pharmacist. If all these parameters matching the requirements an online pharmacy is licensed and ready to process order by domestic patients. Before an order can be processed a valid prescription is required and the prices are often equal with prices by local pharmacies.

Common problems of licensed online pharmacies

Licensed online pharmacies are forced to take and process prescriptions. The products listed on these prescriptions must match with the products of the order. If the brands, dosages are different an order has to be solved and manually solved by a customer representative. The same happens if a prescription is not readable due the bad handwriting of the doctor. Another important thing is the assignment of a prescription to an order. The name of the patient and the delivery address must match with the details provided by the prescription. Otherwise a wrong assignment and delivery of medications can happen.

Unlicensed online pharmacies

Are pharmacies which are operated offshore and process orders on an international scale. The most shipments are coming from India and are send directly to the customer. A prescription is not required in the most cases and the prices are often significant lower than prices by local or licensed online pharmacies. But the shipping costs usually higher can up to 30$ per order. This makes this kind of pharmacies suitable for bulk orders or patients without health insurance. It is in general, a better idea to use online pharmacies primarily for bulk orders due to the lower prices the shipping costs and delay are acceptable.

Common problems of unlicensed online pharmacies

Due unlicensed online pharmacies does not process any prescriptions, none of these risks can happen. These online pharmacies are more regular shops with pharmaceuticals in stock. The only more or less common practices are more aggressive advertisements via email, sometimes via phone.

How to find good online pharmacies

It is very hard to measure the performance and reliability of an online pharmacy due to these factors can change over time. Patient A had a good experience while patient B had a bad one. The only way to find the truth is to get as many current reviews and experiences as possible about that particular online pharmacy. Another important feature would be to compare prices in order to find fair priced medications, I found two customer portals which match these two criteria.

The first one PharmacyChecker is dedicated to licensed Canadian online pharmacies. The number of pharmacies is low and the price variances are low as well. Another con is the old design which is not responsive and not proper usable on mobile devices. Anyway if you think that this is the right choice for you click here.

The second one is Drugeo it is dedicated to unlicensed online pharmacies. They have numerous online pharmacies listed which have at least 5 current reviews each. The price comparison engine is very sophisticated and easy to use which makes it easy to find fair offers which are matching the own requirements. Even controlled medicines are listed and comparable. The design is responsive so suitable on numerous devices including smartphones. All in all and interesting website, click here and check it out.

Category: Global
Posted by: Andrew
Karma: 28 [+/-]
After a long period of drought, the pharmaceutical research industry has brought a number of innovative treatments to the market that can prolong life and often have fewer side effects than older treatments. But these drugs are not affordable for most people who need them. Current treatments for hepatitis C and cancer - both conditions spread worldwide - can cost from US $ 30,000 annually more than US $ 120,000.

At the other end of the spectrum, the generic pharmaceutical industry loses interest in producing older medications outside the patent because the market price is reduced to a level that is no longer an incentive to produce it. The result is a poor quality drugs or no drugs at all. Two clear examples of this phenomenon are the benzathinpenicillin, the antibiotic of choice for certain bacterial infections and methotrexate, used to treat arthritis, psoriasis and certain types of cancer. These products are still needed and often prescribed often they are not available in the health care systems.

These recent developments are a double stroke: on the one hand, new drugs are out of reach of even the richest countries on the other hand the older drugs are in great deficiency.
Different prices in different countries

A study published in PLoS Medicine in late May published that the prices of two new drugs for the treatment of hepatitis C vary widely across countries across the world, giving rise to serious concerns about the feasibility of global exposure to hepatitis C The study shows that the cost of all infected with hepatitis C in each of the 30 countries studied range from 10.5% of the total population of drug use to treatment in the Netherlands and 190.5 % in Poland.

Some governments have found national solutions at high prices, such as Australia, where the Pharmaceutical Benefits Scheme is the only sub-trader and buyer of drugs in the country and makes the drugs at fixed prices.

Others are looking for solutions to certain drugs, such as the recent plan of Colombia to allow generics of the drug against cancer imatinib. The current price of the brand drug for one year of treatment per patient is more than double the per capita income of the nation.

Still others have established mechanisms to tackle drug shortages. In the United States, which has experienced an increase in pharmaceutical stocks Regulatory Food and Drug Authority, a process of rapid review of the scarce drugs has been found to encourage companies to continue producing them.

But from the point of view of global public health, the path to the future must be comprehensive and sustainable, if we want to eliminate treatable infectious diseases, they need to increase the non-transferable and chronic diseases and care of the population for aging.
Unknown mechanisms prices

Amidst public outcry, political struggles and articles from the media, no one seems to understand exactly how the prices of medicines. For years, the pharmaceutical research companies have quoted the great investment of time and resources that bring a drug to the market. By preventing expensive medical interventions such as surgery and hospitalization. More recently, they argue that their medications actually save money.

But whatever the argument is used, the price mechanisms for products that are inextricably linked to each other must be more transparent to the health and survival of people so that we, as a global community, design effective solutions.

To this end, the WHO is planning to convene governments, patient groups and stakeholders in the industry to develop a model at fair prices, the drugs needed by patients, and keep companies that are interested in developing new and better therapies and produce generic treatments . This model should be based on approaches to research and development and marketing industry to more transparency; They also need to understand what inputs are in pricing, as well as the obstacles that companies place on the market when launching new products.

Category: General
Posted by: Andrew
Karma: 27 [+/-]
Since some years I noticed that some of my patients complain about generics which do not have the exact same effect(s), like the branded medications. Well, some of my colleagues would say that this can't be true and they are right in the most cases but some exceptions could appear even here.

Every tablet does not contain just the active agent in all cases, several fillers like starch by maize, potato or wheat plus lactose need to be used to give a tablet it's typical shape and weight. Further fillers could be glucose, mannitol, or sorbitol and they could be combined with several food colors. Here is the point where a generic medication can be different from a branded medication. This is completely legal due only the active agent must be equal but it could cause some problems for the patient when for example he or she is lactose intolerant or has other intolerances against other fillers.

So there we have the first reason why generic medications could cause problems for a patient. But theoretically the branded medication could cause similar problems as well, due it uses fillers as well.

Another important point which has to be considered is which generic do you really have in your hands. They are two types of generic medications available. The official ones and the unofficial ones.

An official generic is produced by a license and formulation buyer. This buyer has purchased the license and the formulation for producing and marketing officially from the company which sells the branded medication further called the inventor. In some cases, the inventor gets paid off completely or he gets a small percentage of every produced and sold pill. These generics are equal (except the fillers) and similar save than the branded drug.

But they are the unofficial generics as well. They tend to get to the customer via orders placed on internet pharmacies. Their active agents are not licensed and their formulations are more or less self-made. If they are equal the formulations were bought on shady ways from spoiled employees working on the inventor side. These type of generics are less saver due their active agent is not completely equal with the original active agent.

Now, everybody will ask himself, how to identify which generic is safe and the Food and Drug Administration of the United States has a good solution for that. It is called 'Orange Book' is free to use and can be downloaded here. Simply search with your PDF-Reader for the active agent your generic contains like 'Sildenafil Citrate' and get a list of manufacturers who officially purchased the license and formulation from the specific inventor (in our case Pfizer) and when. So you know which Generics are official and safer to use.

So if you want to buy a generic get the names of the manufacturers out of the 'Orange Book' and ask your pharmacist for these manufacturers and you are on the safer side.

24/10: First Item

Category: General
Posted by: Andrew
Karma: 0 [+/-]
This is the first item in your weblog. Feel free to delete it.