Truth in a pill

Authors

  • Shambo S. Samajdar Diabetes and Allergy-Asthma Therapeutics Specialty Clinic, Kolkata, West Bengal, India
  • Shravan Venkatraman Department of Clinical Pharmacology, JIPMER, Puducherry, India
  • Shashank Joshi Joshi Clinic, Mumbai, Maharashtra, India
  • Kaushik Biswas Department of Endocrinology, Medica Superspeciality Hospital, Kolkata, West Bengal, India
  • Bharat Saboo Department of Diabetology, Prayas Diabetic Centre, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20241004

Keywords:

Innovator, Generic, Bioavailability, Bioequivalent, BA/BE study

Abstract

In 1937, the elixir sulphanilamide disaster was one of the mass poisonings. It occurs due to the presence of the diluent diethylene glycol in the elixir preparation of sulphanilamide. Because of its therapeutic use, around 100 patients died. In response to the calamity, Federal Food, Drug and Cosmetic Act was passed in the year 1938 by U.S congress and this ensured the proof of safety before the drug comes to market. The similar incident occurred for thalidomide in late 1950s and early 1960s when the drug was used for the treatment of nausea in pregnant women and resulted in children with birth defects. The development of drugs is a complex and costly process and it takes around 10-15 years for the drug to develop. Because of these reasons, the development of generic drugs is essential and this review will deal about the use of generic drugs and also its advantages with limitations.

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References

Swaters D, van Veen A, van Meurs W, Turner JE, Ritskes-Hoitinga M. A History of Regulatory Animal Testing: What Can We Learn? Altern Lab Anim. 2022;50(5):322-9.

Ridings JE. The thalidomide disaster, lessons from the past. Methods Mol Biol. 2013;947:575-86.

Al-Jazairi AS, Bhareth S, Eqtefan IS, Al-Suwayeh SA. Brand and generic medications: are they interchangeable? Ann Saudi Med. 2008;28(1):33-41.

Joshi SS, Shetty YC, Karande S. Generic drugs - The Indian scenario. J Postgrad Med. 2019;65(2):67-9.

Chow SC. Bioavailability and Bioequivalence in Drug Development. Wiley Interdiscip Rev Comput Stat. 2014;6(4):304-12.

Jiang W, Makhlouf F, Schuirmann DJ, Zhang X, Zheng N, Conner D, et al. A Bioequivalence Approach for Generic Narrow Therapeutic Index Drugs: Evaluation of the Reference-Scaled Approach and Variability Comparison Criterion. AAPS J. 2015;17(4):891-901.

BPAC-Better Medicine. Available at: https://bpac.org.nz/bpj/2009/generics/docs/bpjse_generics_bio_pages_ 4-8.pdf. Accessed on 12 September 2023.

Larregieu CA, Benet LZ. Drug discovery and regulatory considerations for improving in silico and in vitro predictions that use Caco-2 as a surrogate for human intestinal permeability measurements. AAPS J. 2013;15(2):483-97.

Benet LZ. The role of BCS (biopharmaceutics classification system) and BDDCS (biopharmaceutics drug disposition classification system) in drug development. J Pharm Sci. 2013;102(1):34-42.

Benet LZ, Larregieu CA. The FDA should eliminate the ambiguities in the current BCS biowaiver guidance and make public the drugs for which BCS biowaivers have been granted. Clin Pharmacol Ther. 2010;88(3):405-7.

Carswell JM, Gordon JH, Popovsky E, Hale A, Brown RS. Generic and brand-name L-thyroxine are not bioequivalent for children with severe congenital hypothyroidism. J Clin Endocrinol Metab. 2013;98(2):610-7.

Narayanaswamy A, Neog A, Baskaran M, George R, Lingam V, Desai C, et al. A randomized, crossover, open label pilot study to evaluate the efficacy and safety of Xalatan in comparison with generic Latanoprost (Latoprost) in subjects with primary open angle glaucoma or ocular hypertension. Indian J Ophthalmol. 2007;55(2):127-31.

Abou Dalle I, Kantarjian H, Burger J, Estrov Z, Ohanian M, Verstovsek S, et al. Efficacy and safety of generic imatinib after switching from original imatinib in patients treated for chronic myeloid leukemia in the United States. Cancer Med. 2019;8(15):6559-65.

Sehgal IS, Vinay K, Dhooria S, Muthu V, Prasad KT, Aggarwal AN, et al. Efficacy of generic forms of itraconazole capsule in treating subjects with chronic pulmonary aspergillosis. Mycoses. 2023;66(7):576-84.

Blier P. Brand versus generic medications: the money, the patient and the research. J Psychiatry Neurosci. 2003;28(3):167-8.

Samajdar SS, Mukherjee S, Sarkar S, Sen S, Tripathi SK, Joshi SR. Availability of different branded generic vildagliptin after off-patenting: An observation from India. J Diabetol. 2023;14(4):236-38.

Tyrer JH, Eadie MJ, Sutherland JM, Hooper WD. Outbreak of anticonvulsant intoxication in an Australian city. Br Med J. 1970;4(5730):271-3.

Dunne S, Shannon B, Dunne C, Cullen W. A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study. BMC Pharmacol Toxicol. 2013;14:1.

Richard Preston Mason, Robert F. Jacob, Seth A. Gerard. Atorvastatin Generics Obtained from Multiple Sources Worldwide Contain a Methylated Impurity that Reduces Their HMG-CoA Reductase Inhibitory Effects. J Clin Lipidol. 2013;7(3):287.

Dhillon S. Dapagliflozin: A Review in Type 2 Diabetes. Drugs. 2019;79(10):1135-46.

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Published

2024-04-25

How to Cite

Samajdar, S. S., Venkatraman, S., Joshi, S., Biswas, K., & Saboo, B. (2024). Truth in a pill. International Journal of Basic & Clinical Pharmacology, 13(3), 408–412. https://doi.org/10.18203/2319-2003.ijbcp20241004

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Section

Review Articles