THUC GENERIC

Bc s Nguyn Vn c, Bc s Chuyn Khoa Ni Thng "Bc s, hi trc nh thuc h a ti thuc Tylenol, do ny h a ti thuc c tn l hoc acetaminophen, hnh dng khc, m mi v cng hi khc. Khng bit thuc ny c phi l Tylenol?" Acetaminophen l thuc generic, tng t vi Tylenol, do mt hng thuc khc ch to. Tylenol l thuc mang tn thng mi (brand name) chng ta tng quen bit, v trong Tylenol cha cht acetaminophen c tc dng chng au nhc, nng st. (Chng ta , rt nhiu thuc tr cm, cm trn thng trng c cha cht acetaminophen.) Ngoi Tylenol, rt nhiu thuc brand name khc hin cng c dng generic, r hn thuc brand name, mt s r hn thuc brand name rt nhiu. Thuc men M mc nht th gii, v nn y t M ngy cng t . C thuc 3-4 la mt vin (nh thuc chng au nhc Celebrex, thuc

tr cao m Lipitor, thuc cao p huyt Diovan), c thuc n 18-20 la mt vin (nh thuc cng dng Viagra, thuc tr nm Lamisil, thuc cha vim gan B Baraclude), v nhng thuc ny cha c dng generic. Trong thi bui kinh t kh khn, cha bit ngy no mi c c sng sa tr li, thuc generic ngy cng tr thnh quan trng. Khng c bo him, MediCal, Medicare, n chc mc bn, mua thuc bng tin mt, tt nhin chng ta u mun mua thuc nh tin hn, v c cng tc dng. Cn bo him, MediCal hay Medicare, h cng khuyn khch cc bc s dng thuc generic thay v thuc brand name. Cc nh thuc cho bit, by gi, nu bc s bin toa thuc generic cho ngi bnh, nh thuc s c Medicare chi tr cho cao hn l nu bc s bin toa thuc brand name cho ngi bnh. Nhiu bo him thng xuyn gi th nhc nh cc bc s nn dng thuc generic. Vo nm trc, gn 60% cc thuc cho bi Medicare l thuc generic. Bo him cng th, vo nm 2006, 52.6% cc thuc h cho dng l generic. Cc con s ny chc ngy cng tng ln, v nhiu thuc brand name by gi bt u c dng generic r hn, v tnh hnh kinh t ti chnh kh khn, mi ni u cn tit kim.

Th thuc generic c an ton v hu hiu nh thuc brand name thnh danh nhiu nm? Thc ra, thuc generic c xem l bn sao ca mt thuc brand name n thi hn ht bn quyn. Theo lut php Hoa K, sau mt thi gian, mt hng thuc s mt c quyn ch mt thuc trc gi ch h mi c quyn ch, thi gian ny thng khong 20 nm. Cc cng ty chuyn ch v phn phi thuc generic lc c th xin FDA (Food and Drug Administration, C Qun Kim Sot Thc v Dc Phm Hoa K) cho php h c quyn ch mt thuc tng t, c cng cng thc khoa hc nh thuc brand name. Nhiu khi chnh hng thuc trc ch thuc brand name by gi li xin FDA cho h ch lun thuc generic, bn trn c hai th trng, thuc thnh danh brand name cho nhng ai vn quen dng thuc ny, khng mun i, v thuc generic c mc an ton, hu hiu ngang vi thuc brand name nhng vi gi nh hn, cho nhng ngi hiu gi tr thuc generic. Hin c hng ngn n xin ch thuc generic, FDA cha gii quyt c, v khng nhn lc. C th ni, c quan FDA ca Hoa K l c quan kim sot thuc men kh khn nht th gii. Nhiu thuc bn u chu h cho dng t lu, song M, vn cha c php lu hnh. Mun c FDA chp thun cho ch thuc generic, mt hng thuc phi chng minh c sn phm ca h dng cng mt cht thuc hot ng y

nh trong thuc brand name, thuc cng c tc dng sinh ha tng t, tc vo mu cng nh ra khi mu nhanh chng v hon ton nh thuc brand name. V nh vy, thuc s c cng dng tr liu khng khc thuc brand name. V mt an ton, chng ta khng phi lo ngi thuc generic km an ton hn thuc brand name. Trong tin trnh ch to thuc, FDA p dng lut l kim sot thuc generic y nh vi thuc brand name, v c khi thuc generic c tung ra th trng, FDA vn tip tc theo di thuc, xem c an ton cho ngi dng n hay khng. Cho n nay, FDA cho bit, v mt cc phn ng ph do thuc gy ra, FDA khng tm thy c g khc bit gia cc thuc generic v cc thuc brand name. Cn sao thuc generic c hnh dng, mu sc, mi v khc vi thuc brand name. Thuc brand name thng c hnh dng, mu sc hp dn bt mt, d qung co, chiu d ngi dng thuc, v hng thuc p dng cc cu phng chm "nh sch th mt, bt sch ngon cm", "con ln c bo ci lng mi ngon". (Vin thuc bt mt chc b vo ming thm ngon d ung hn?)

Thuc generic, theo lut, lm g th lm, khng c quyn bt chc y chang hnh dng, mu sc ca thuc brand name. Thuc brand name v thuc generic cng dng cc cht m (inactive ingredients) khc nhau, nn mi v c th khc nhau. Nhng xin nh, hnh dng, mu sc, mi v ca thuc khng nh hng g n tc dng ca thuc. kt lun, vi nguyn tc sng "mt ng tit kim l mt ng kim c" (one dollar saved is one dollar earned), chng ta c th yn tm dng cc thuc generic, nh tin hn song c tc dng y ht thuc brand name. Nu bo him, MediCal, Medicare khng cn cho chng ta dng thuc brand name na, ch cho dng thuc generic, xin ng bun, v h c l do rt chnh ng ca h: ti sao khng tit kim, dng thuc nh tin hn m hiu qu vn th. ng tin ca ai th cng l ng tin, chng ta bit tit kim tin ti th cng nn tit kim ng tin ca bo him, MediCal, Medicare!