Ko generic zvinodhaka zvakanaka sema brand-zita mishonga here?
Zvinodhaka Zvinodhaka Pane misiyano mitatu mikuru: Mutengo, zvigadzirwa zvisina basa, uye chitarisikoBrand zita vs. generic zvinodhaka | Biosimilar vs. generic zvinodhaka | Nguva yekusarudza yakajairwa | Nguva yekusarudza brand
Une musoro unopisa zvekuti unonanga kuchitoro chemishonga uchitsvaga zororo. Sarudzo dzinotyisa. Unofanirwa here kusarudza ye-over-the-counter generic ibuprofen , kana kuenda neyakakurumbira zita-zita vhezheni saAdvil kana Motrin? Unofanirwa here kubvunza wako wekuchengetedza hutano kuti anyore Lipitor, kana ariatorvastatin zvakangofanana?Iwo mazita ezita anotsigirwa nevakuru, vanobudirira vanogadzira zvinodhaka nemasayendisiti akabhadharwa zvakanaka. Zvigadzirwa zvavo zvemushonga zvinofanirwa kuve zvakakwirira pane zvigadzirwa zvakajairika zvezvitoro, handiti? Asi mutengo urikukupa kumbomira. Mamwe emazita emazita anodhura zvakapetwa zvakapetwa zvakapetwa kaviri semagetsi. Ndeupi waunofanira kusarudza?
Zvinoenderana ne US Chikafu uye Dhivhosi Kutonga (FDA), zvakajairika zvinodhaka zvinogadzirwa kuti zvifanane neyave atotengeswa echiratidzo-zita mushonga mune muyero fomu, chengetedzo, simba, nzira yekutungamira, mhando, mashandiro maitiro, uye chinangwa chakashandiswa. Mishonga yegeneric ine zvimwe zvinoshanda zvakafanana nemazita ezita, uye nekudaro ane mabhenefiti akafanana, njodzi, uye mhedzisiro. Muna 2016, zvinyorwa zvekutsvaga nezve 90% yemishonga yakatemwa munyika ino yaive yemagetsi.
Ko generic zvinodhaka zvakanaka se zita rezita mishonga?
Ehe, vanodaro nyanzvi. Muchokwadi, imwe kudzidza kutarisa vanhu vanopfuura mazana matatu nemazana mashanu vakaona kuti avo vakatora generic vhezheni yemishonga yemishonga yezvisingaperi mamiriro senge chirwere cheshuga , BP , uye kuora mwoyo yaive nemhedzisiro yemakiriniki ichienzaniswa nevaya vakatora zvigadzirwa zvemazita.
Kudhura hakureve zvemhando yepamusoro, anodaro Jawad N. Saleh, Pharm.D., Kiriniki maneja wemishonga yemishonga ku Chipatara cheSpecial Surgery muNew York City. Mishonga yegeneric inochengeterwa kune imwechete yepamusoro mhando yekugadzira semazita ezita remishonga.
Vasati vaunza mushonga wegeneral kumusika, iyo FDA inoda kuti vagadziri vezvinodhaka vatumire izvo zvinonzi an pfupiso mushonga mutsva wekushandisa (ANDA). Kana mushonga wezita nyowani unogadzirwa, mugadziri wawo anofanira kuratidza kune iyo FDA kuti yakachengeteka uye inoshanda, anotsanangura Brittany Riley, Chiremba. , purofesa wehukama hwehukama paMarshall University Chikoro cheFarmacy muHuntington, West Virginia. Maitiro ekubvumidzwa akapfupikiswa pamishonga inowanzoitwa, nekuti iyo generic drug kambani inongofanirwa kuona kuti mushonga une chinhu chimwe chete chinoshanda, simba, fomu reyero, uye nzira yekutungamira. Mune mamwe mazwi, inofanirwa kuratidza kuti yakaenzana kune iyo zita-zita zvinodhaka. Zvigadzirwa zvekugadzira zvakajairwa zvinofanirwa kupasa zvakaenzana zvemhando seyezita-zita rinogadzira michero.
Ndeupi musiyano uripo pakati pezita-zita nemishonga inowanzoitwa?
Chaizvoizvo, kune matatu: mutengo, zvisingaite zvigadzirwa, uye chitarisiko.
Mutengo
Sekureva kwe FDA, mishonga yegeneric inogona kutenga inosvika 85% isingasviki pane avo mazita ezita akafanana. Mutengo wepasi wakakonzerwa nenyaya yekuti vagadziri ve generic havafanirwe kuita ese anodhura emakiriniki miedzo inoratidza kuchengetedzeka uye kugona izvo vanogadzira mazita ezita vanofanirwa kupa vasati vawana mvumo yeDAA. Uyezve, vagadziri vemishonga inowanzoitwa havabhadhare mari hombe yekumaka uye kushambadzira kwechigadzirwa.
Brand-zita zvinodhaka zviri pasi patent kweanenge makore makumi maviri. Mushure menguva iyoyo, vagadziri vanorasikirwa nekusarudzika kwavo kwairi. Panguva iyoyo, makambani mazhinji anogona kuunza generic mushonga kumusika, nekudaro ichigadzira kwakawanda mutengo wemakwikwi.
Mimwe mishonga yakakurumbira yemageneric nemazita-mazita anoenderana ndeaya:
| Enzanisa nemitengo yezita rakakurumbira-zita maringe nema generic zvinodhaka | ||
|---|---|---|
| Zita rekushandisa | Generic zita | Mutengo |
| Ambien | yakura | Enzanisa mitengo |
| Ativan | lorazepam | Enzanisa mitengo |
| Flonase | fluticasone | Enzanisa mitengo |
| Glucophage | metformin | Enzanisa mitengo |
| Prilosec | omeprazole | Enzanisa mitengo |
| Proventil | albuterol | Enzanisa mitengo |
| Wellbutrin | bupropion | Enzanisa mitengo |
| Xanax | alprazolam | Enzanisa mitengo |
Zvishandiso zvisina basa
Zvishandiso zvisina basa ndiwo madhayi, zvinodzivirira, uye vagadziri vekuzadza vanoshandisa mumishonga yavo. Havana chero kukosha kwekurapa. Zvinoreva, hazvikanganisa mashandisiro anoita mushonga kurapwa kwauri kuitora. Uye, ivo vanogona kusiyanisa pakati pegeneric uye brand mishonga.
Chitarisiko
Kutenda kumitemo yekutengesa uye kunetsekana kwekumaka, majeniki anofanirwa kutaridzika akasiyana nevamwe vavo vemazita ezita. Vanogona kunge vari vara rakasiyana kana kuve nekumwe kunhuhwirira. Asi misiyano iyi haizokanganisa mashandiro emushonga.
Ndeupi musiyano uripo pakati pebiosimilar uye generic zvinodhaka?
Kuti unzwisise kuti chii chinonzi biosimilar drug, unofanira kutanga watonzwisisa chinonzi biologic drug. Biologics mishonga inogadzirwa neiyo ine zvipenyu (funga mapuroteni, masero, DNA, kana zvikamu zveropa). Mishonga yekudzivirira uye mamwe marapirwo emahomoni mienzaniso yezvinodhaka zvebiologic.
Kusiyana nemishonga inowanzoitwa, iyo inofanirwa kunge iine zviyeuchidzo zvakafanana nezita rezita, biosimilar zvinodhaka ndizvo zvinonzi neFDA zvakanyanya kufanana neyakagamuchirwa FDA biologic drug (inonzi chigadzirwa chigadzirwa). Asi vanogona kunge vaine misiyano midiki. Mune mamwe mazwi, kusiyana nemajeniki, iwo haana kufanana nemushonga wavanoteedzerwa. Semuenzaniso, Cyltezo (adalimumab-adbm) yakagamuchirwa neDFA senge biosimilar yeHumira (adalimumab) kurapa rheumatoid arthritis.
Biosimilar inofanirwa kuzvibata nenzira isingareve zvine musoro kubva kune iyo zita-zita zita mushonga, anotsanangura Dr. Riley. Asi nekuda kwenzira inogadzirwa nayo mishonga yezvinhu zvipenyu [kubva kuzvinhu zvipenyu], zvingave zvakaoma kugadzira chokwadi [chemakemikari akafanana] kwavari. Naizvozvo, iyo FDA yakagadzira iyo biosimilar nzira, iyo inobatsira kudzikisa mutengo unobatana nema biologic vamiririri, ayo anowanzo kuve anodhura mishonga. Ivo vakafanana nemageneral, mukuti iwo anowanzo kuve asingadhuri pane avo bioologic vamwe.
Sei uchifanira kusarudza zvinodhaka zvakajairika?
Kunyangwe iwe ukasarudza generic kana zita-zita zita chinodhaka zvingangodzika pamutengo, inishuwarenzi yehutano kufukidzwa, uye wega kana prescriber sarudzo
Mutengo
Sezvambotaurwa pamusoro apa, zvinodhaka zvakajairika zvinogona kunge zvisinganyanye kudhura pane avo mazita ezita akafanana. Semuenzaniso, zita rekuti Ambien rinogona kuita madhora mazana matanhatu emadhora pamwedzi wega wega, nepo generic zolpidem inogona kuita ingangoita madhora makumi matanhatu pachiyero chimwe chete. NeSingleCare, unogona kuwana yakaderera mutengo kutenderedza $ 30!
Inishuwarenzi kufukidza
Nekuti zvinodhaka zvakajairika zvinodhura, zvirongwa zveinishuwarenzi zvinonyanya kukodzera kuzvifukidza. Izvi zvinoreva kuti yako copay ichave inodhura kana wako mupi wezvehutano akaraira mushonga wegeneral panzvimbo pezita rezita. Mune imwe ongororo ichangoburwa, vaongorori vakafananidza Medicare Chikamu D kufukidza kweanopfuura 1,300 generic uye brand zvinodhaka uye vakawana izvo 84% yemapango akafukidzwa chete kune akajairwa madhiragi nepo 0.9% ichingovharidzirwa mazita ezita (15% akafukidza ese ari maviri). Kana mutengo iri nyaya, usazeze kubvunza wako mupi wezvehutano kana imwe generic imwe iripo.
Zvemunhu / prescriber zvaunofarira
Mitemo yeHurumende inogona kusiyana, asi kana iwe uchida kuchengetedza mari, ita kuti unyorese wako aratidze kutsiva kunotenderwa pane zvakanyorwa kana kunyorera tsamba ine zita regeneric. Kana paine generic iripo, wemishonga anozadza tsamba yako neiyo generic. Iwe unogona kugara uchibvunza wemishonga mishonga yako isati yazara, kana iwe uine mibvunzo pamutengo uye kuwanikwa kweimwe generic dzimwe nzira.
Kana generic ringave risiri zano rakanaka
Kazhinji yenguva, marita-zita madhiragi uye dzimwe nzira dzakajairika dzinochinjika. Kune akati wandei akasarudzika makesi uko kugadzira switch kunogona kukanganisa hutano hwako. Mumwe muenzaniso, anodaro Dr. Saleh, mushonga wekubata. Kuchinja kubva pazita-zita antiseizure mishonga kune imwe generic kunogona kukonzera kurasikirwa kwekutora kubata. Generic zvinodhaka zve mamwe mamiriro eziso haigone kuburitsa mhedzisiro muvarwere.
Asi, kazhinji, kuchinjira kune generic zvine musoro kana paine imwe uye iwe wakasununguka kugadzira chinja. Taura nemupi wako wezvehutano nezve izvo zvakanaka sarudzo kwauri. Kana iri sarudzo pakati pekusatora mishonga nekuda kwemutengo, uye generic, iyo generic ndiyo iri pachena sarudzo chaiyo.
Sezvo mageniki akaenzana nemishonga yemazita ezita, kuchinjira kune zvakajairwa pese panowanikwa inogona kuva nzira yakanaka yekudzikisa mutengo kumurwere, chemishonga, kana kuchipatara, anodaro Dr. Saleh.
Zvekuwedzera zvakanyanya kuchengetedza, tsvaga singlecare.com kuti uone kuti ungachengeta zvakadii pane generic vhezheni yemushonga wako.
