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Hepatitis wonder drug inaccessible to patients

Dubious

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IKRAM JUNAIDI — UPDATED about 9 hours ago

ISLAMABAD: Sohail Qadir, 40, had been using injections for years to relieve himself of Hepatitis C. Since his Interferon injection treatment has become ineffective, his doctor has advised him to switch over to new wonder drug molecule Sofosbuvir - brand name Sovaldi.

It is an expensive drug. But the poor man finds himself in a quandary – and like him thousands of other Hepatitis C patients in the country - not so much because of the cost but because of the sole right that the importer of the drug enjoys.

In Pakistan, a month’s supply of Sovaldi costs Rs33,300 and the treatment lasts six months. Though the same costs $26,000 in the U.S., its American manufacturer sells it to Pakistan for just $333 as charity.

Sohail Qadir’s troubles began when he reached Vikor Enterpises in Satellite Town, the only chemist authorised to sell the medicine in Rawalpindi, with his prescription. He was told the drug is sold to only those who produce the prescription written by a certain renowned doctor of the city.

While the medicine brought good news to the 10 million Hepatitis patients in Pakistan, it is said its smuggling out of the country has created problems for the government and the importers. Ironically efforts to curb the smuggling have made access to the medicine difficult.

“I’m told that the private clinic of the designated doctor charges Rs 2,500 for writing the prescription,” said Sohail Qadir.

After the designated chemist flatly turned his request to accept the prescription of his doctor, he said he turned to the Holy Family Hospital. There his beseeching got him the prescription and the medicine.

As I have to take the medicine for six months, I face the same struggle next month,” he said.

Indeed, a large number of Hepatitis C patients, especially those from small towns around Rawalpindi and Islamabad, face the same situation. Most of them prefer the Rs2,500 at the private clinic and get the medicine rather than struggle like Sohail Qadir.

While talking to Dawn, Vikor Enterprises’ employee Yasir Husain said: “We don’t want to put any hurdles in the way of patients but they are required to present prescription from a credible doctor, along with the photocopy of his CNIC. That is why the medicine is being sold by only one distributor,” he said.

“We cannot trust doctors sitting in every street and prescribing medicines. We will have a problem on our hands if the medicine produces (adverse) reaction,” he said.

Dr Waseem Khawaja, gastroenterologist of the Pakistan Institute of Medical Sciences (Pims), was witness to the sole distribution centre advising a patient to bring a prescription from a particular private clinic.

“It is strange that the centre accepts prescriptions written by only those doctors who are ‘registered’ with it. All PMDC registered doctors, especially those who have been treating only patients of Hepatitis, should be allowed to prescribe the medicine,” he said, adding that he tried to but could not contact the managing director of the centre.

“It is the job of the customs to stop smuggling. The medicine should be available at all chemist stores,” he said.

Secretary National Health Services Ayub Sheikh said that smuggling of the medicine would be a loss of foreign exchange to the country.

I will talk to the company that there should be a simple registration process. If distribution centre wants to register doctors it should register many doctors in every city,” he said.

“I will write to the company and instruct them that a patient should be registered once and after that he should get medicine without prescription for next six months,” he added.

Hepatitis wonder drug inaccessible to patients - Pakistan - DAWN.COM

@S.U.R.B. @Emmie @Manticore @chauvunist @Gufi
 
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IKRAM JUNAIDI — UPDATED about 9 hours ago

ISLAMABAD: Sohail Qadir, 40, had been using injections for years to relieve himself of Hepatitis C. Since his Interferon injection treatment has become ineffective, his doctor has advised him to switch over to new wonder drug molecule Sofosbuvir - brand name Sovaldi.

It is an expensive drug. But the poor man finds himself in a quandary – and like him thousands of other Hepatitis C patients in the country - not so much because of the cost but because of the sole right that the importer of the drug enjoys.

In Pakistan, a month’s supply of Sovaldi costs Rs33,300 and the treatment lasts six months. Though the same costs $26,000 in the U.S., its American manufacturer sells it to Pakistan for just $333 as charity.

Sohail Qadir’s troubles began when he reached Vikor Enterpises in Satellite Town, the only chemist authorised to sell the medicine in Rawalpindi, with his prescription. He was told the drug is sold to only those who produce the prescription written by a certain renowned doctor of the city.

While the medicine brought good news to the 10 million Hepatitis patients in Pakistan, it is said its smuggling out of the country has created problems for the government and the importers. Ironically efforts to curb the smuggling have made access to the medicine difficult.

“I’m told that the private clinic of the designated doctor charges Rs 2,500 for writing the prescription,” said Sohail Qadir.

After the designated chemist flatly turned his request to accept the prescription of his doctor, he said he turned to the Holy Family Hospital. There his beseeching got him the prescription and the medicine.

As I have to take the medicine for six months, I face the same struggle next month,” he said.

Indeed, a large number of Hepatitis C patients, especially those from small towns around Rawalpindi and Islamabad, face the same situation. Most of them prefer the Rs2,500 at the private clinic and get the medicine rather than struggle like Sohail Qadir.

While talking to Dawn, Vikor Enterprises’ employee Yasir Husain said: “We don’t want to put any hurdles in the way of patients but they are required to present prescription from a credible doctor, along with the photocopy of his CNIC. That is why the medicine is being sold by only one distributor,” he said.

“We cannot trust doctors sitting in every street and prescribing medicines. We will have a problem on our hands if the medicine produces (adverse) reaction,” he said.

Dr Waseem Khawaja, gastroenterologist of the Pakistan Institute of Medical Sciences (Pims), was witness to the sole distribution centre advising a patient to bring a prescription from a particular private clinic.

“It is strange that the centre accepts prescriptions written by only those doctors who are ‘registered’ with it. All PMDC registered doctors, especially those who have been treating only patients of Hepatitis, should be allowed to prescribe the medicine,” he said, adding that he tried to but could not contact the managing director of the centre.

“It is the job of the customs to stop smuggling. The medicine should be available at all chemist stores,” he said.

Secretary National Health Services Ayub Sheikh said that smuggling of the medicine would be a loss of foreign exchange to the country.

I will talk to the company that there should be a simple registration process. If distribution centre wants to register doctors it should register many doctors in every city,” he said.

“I will write to the company and instruct them that a patient should be registered once and after that he should get medicine without prescription for next six months,” he added.

Hepatitis wonder drug inaccessible to patients - Pakistan - DAWN.COM

@S.U.R.B. @Emmie @Manticore @chauvunist @Gufi

Even without charity Cipla, Gilead, Natco sell 99% cheaper then original in India.
This is a broad day murder.
 
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Our shitty laws support any form of murder of one who cant pay up to save his / her life
This is not law as from report I am interpreting that they have given monopoly in distribution.
They can allow other dealers to simply import from India with very low price & Pakistan already import life saving category drugs from India.
Indian Government hold whole western world to help people get affordable medicine & Pakistani Government can't take a dealer network.
And for Doctor Prescription problem we have also have same rule but we didn't face this problem.
 
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This is not law as from report I am interpreting that they have given monopoly in distribution.
They can allow other dealers to simply import from India with very low price & Pakistan already import life saving category drugs from India.
Indian Government hold whole western world to help people get affordable medicine & Pakistani Government can't take a dealer network.
And for Doctor Prescription problem we have also have same rule but we didn't face this problem.
Read on:

Secretary National Health Services Ayub Sheikh said that smuggling of the medicine would be a loss of foreign exchange to the country.

I will talk to the company that there should be a simple registration process. If distribution centre wants to register doctors it should register many doctors in every city,” he said.

“I will write to the company and instruct them that a patient should be registered once and after that he should get medicine without prescription for next six months,” he added.


Waiting for this to happen!
 
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Why can't we manufacture drugs like these locally?
1) not enough expertise
2) no proper technology
3) no electricity for technology
4) then how will corrupt get a % when they import?
5) R and D section is practically dead in Pakistan
6) Need License
 
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Read on:




Waiting for this to happen!
Whom the companies to decide that ?
Because they are sole distributor of drugs.
In India, companies simply produce the drugs & sold them in open market where anyone can buy without any problem.
In India, prior to liberalization you can't even buy Car without getting permission from fixed quota system from Goi despite you have being tons of money. Our Grand Father purchased Ambassador with more than 2.5 years of waiting & lot of political sifarish.
This is the same system here but there is life saving drug.
 
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Whom the companies to decide that ?
Not sure how!

Prob 1 distributor got the contract and kind of maligned others and also something to do with the smuggling....

This is the same system here but there is life saving drug.
Maybe because it isnt usually the case....This was a weird case wont even call it unique...but reeks of corruption or something fishy!
 
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Not sure how!

Prob 1 distributor got the contract and kind of maligned others and also something to do with the smuggling....
Smuggling would be there if any kind of Ban on them. There are sole distributor of drugs in country who decide who will get the drug.


Maybe because it isnt usually the case....This was a weird case wont even call it unique...but reeks of corruption or something fishy!
Corruption case more likely as this kind of precious life saving drugs distribution is out of mind.
Government of Pakistan should realize that people in Pakistan ( & all South Asia ) are very poor in average & not getting covered with any social health care or insurance program.
They should simply deal on their own in these kind of incidents.
 
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The only thing they realize is how much money is going into their offshore account :unsure:
Not always in the case, as multinational Pharma companies are very powerfull & they influence their respective governments to put pressure on poor countries .
But GoP should realize that some issues could not be compromised. (Like nuclear weapon same could be apply for life saving).
You could see tons of article against India regarding generic drugs despite beneficiary is Africa, Latin America & USA also.
 
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Our shitty laws support any form of murder of one who cant pay up to save his / her life
We should be encouraging generic drugs industry , granted stringent quality control should be implemented and we should get rid of these copyrights. They are just a way to chain us , learn from our neighbour india!!!
 
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Cipla Ltd, the Indian pharma major launched its own branded Sovaldi in India at a price of $300 a month. either Pakistan shall have strong generic industry or it must import such items from India for the betterment of people who can not afford costly treatment

Approximately 150 million people in the world live with chronic hepatitis C infection, most of them in low and middle-income countries so its needs to be made available at affordable prices in all these countries
 
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