Obat Perangsang Wanita - Eko's face (33) looked grim afternoon. Highlight the blank eyes stare at a poster on the wall of a private hospital pharmacies in the area of South Jakarta.
Eko confusion of having to pay hundreds of thousands of rupiah worth of medicine to heal the pain he suffered herpes. Father of two children if it did not expect to be ditebusnya drug prices at pharmacies can be expensive.
Calibaration have calibaration, patent medicine doctors prescribe it for her illness. Eko does not know if he actually can ask your doctor or pharmacist to substitute generic drugs without a prescription with a brand that is relatively far more affordable price.
"I think a doctor's prescription can not fiddle with another alias diutak death rates for healing of my disease," said private sector employees in areas that Palmerah.
If the cost factor becomes a primary consideration Eko, is not the case with another patient named Anga (34). He claimed no objection to the decision of physicians to prescribe drugs for efficacy patent "ces pleng" that had been believed. If one must choose, still refuses to admit Anga prescribed generic drugs for fear that the pain will last longer.
"I'm a little unsure of generic drugs because rather long recovery. Although more expensive to get out their money, drug patents give me a guarantee of a speedy recovery," said the man who worked as a journalist.
Portrait of the public about drug use in the above is still evidence of distortion of information about generic drugs and patent medicines (originator) in the community. Due to overdo the myths attached to, the public is less confident with generic drugs because the price is cheap, no doubt about the efficacy and prestigious and kemanfaatannya. On the other hand, no little people who struggle to buy medicines because they were very expensive.
According to professor of Pharmacology, University of Indonesia, Prof. Setiawati Arini, PhD, this distortion does not have to happen if people really understand the true information about the generic and originator medicines.
Arini explains, generic drugs can not be doubted because of his usefulness in theory have something in common with the drug originator in terms of active ingredient, dosage, indication and dosage forms.
"Generic drugs are drugs that copy the originator and given a generic name. That way, these drugs provide the same efficacy and safety," he said at a media forum held by Sanofi-Aventis in Jakarta late last March.
Generic drugs, continue Arini, the price is cheaper than patented drugs. But, not because of quality or low efficacy. Cost generic drugs do not require the expensive research and development as well as the originator or patent medicines.
"All it takes is research to create a formulation to be equivalent to the originator so that the drug can be sold at a cheaper price," said the permanent members of the National Commission on Drug Safety and Efficacy Assessment So / Modern Medicine at the Food and Drug Supervisory Agency (BPOM) this.
Patent medicine, light Arini, very fair when it was expensive because the cost needed for his research reached 900 million dollars (nearly USD 900 billion), up 1.8 million billion dollars. In addition, this patent drug exclusivity spelled relatively short. Although patent protection bekisar given between 17 to 20 years, but the opportunity to be marketed as a patent medicine for about five years.
"Therefore it is expensive because it must cover the cost of such development in a relatively short time," he said.
Arini added that Indonesian society is time to change the mindset about generic drugs and patents. Because, in developed countries like the United States, people are getting accustomed to using generic drugs.
Evidence, prescribing generic drugs is constantly increasing from year to year. Data IMS Health National Prescription Audit (NPA) said the prescription of generic drugs in the U.S. that only 19 percent in 1984 has increased rapidly in 2007 to 67 percent.
Misguided
Generic drugs, continue Arini, currently marketed in Indonesia in two types namely by using generic names and the use of trademarks. One type is sold under its generic name is generic logo (OGB), which is a government program. OGB can be identified with the logo of a green circle and white stripes with the words "Generic" in the middle of the circle.
Meanwhile, one other type that is precisely branded generic drugs are not treated as a generic drug. With the packaging more attractive to use a trade name without including the logo, the price of branded drugs are far more expensive than non-branded generic drugs, whereas the same active substance.
Consequently, this phenomenon makes branded generic drugs as if 'positioned' as a patent medicine. Misguided on this branded generic drugs are not inevitable.
Chairman recognized Indonesian Health Consumer Empowerment Foundation (YPKKI), Marius Widjajarta, misguided practice of generic drugs is a problem in health services in Indonesia. Why not, branded generic medicines that abortion is not far different from non-branded medicines sold at a price not rational.
"Some even get to 200 times the original price of generic drugs without a brand," said Marius.
In fact, nearly 70 percent of drugs circulating in Indonesia today is a branded generic drugs. While the rest are drug patents and generic drugs without a brand. Circulation of patent medicine in Indonesia, said Marius, not a lot that is only about 7 percent. This patent medicines example is the cure for HIV / AIDS, cancer drugs and bird flu.
"The others were patent-patenan. What is more cruel, not a few unscrupulous doctors who prescribe branded generics to the patient, but called the drug as a patent medicine. And certainly, it violates the ethics of the medical profession," said Marius.
Tangled yarn
Marius is also a member of Team National Generic Drug Price Rationalization in the Ministry of Health assess the problem of generic drugs is tangled threads that were never finished from year to year.
The complexity of the problem setting of generic drugs in Indonesia is the result of government indecision, in this case the Ministry of Health, to enforce policies about the circulation of branded generic drugs. Prices of generic drugs has actually governed by the Decree of the Minister of Health, but oddly enough, this rule applies only to non-branded generic drugs only.
"This is where threads kusutnya, the wild is branded generic drugs, who refused to submit to that rule. The government in this case DG Pharmaceutical there was no intention to set the price of branded generic drugs," said Marius.
Even if the Minister has made a new rule which requires all doctors in government health care require the prescription of generic drugs, it is believed Marius regulations will not be effective. The role of pharmacists as a profession who are involved directly provide any services in the fields of pharmaceuticals can not be expected.
Agreed with Marius, Chairman of the Indonesian Doctors Association (IDI), Priyo Sidipratomo, muddled marutnya estimate more generic problem is caused due to weak enforcement of pharmaceutical trading rules.
While the medical profession could not entirely be blamed because they often have problems and limitations in the field. Issues prescribing generic drugs, said the shocking, usually arises when physicians are faced with problems of drug stock of vacancies. Because of the rare non-branded generic drugs, the doctor finally switched on branded generic drugs or patent medicines.
But the shocking did not dodge if there were a handful of unscrupulous doctors to act against the ethics of the profession. "The doctors who sponsored it certainly is unethical, contrary to ethics. But that only happens in big cities, in small towns is very rare," he said
One solution that can solve this problem, the shocking details, is the implementation of universal health insurance system as a way out to overcome health care financing in Indonesia.
"In medicine, it can not be cleaned 100 percent, except with health insurance. The good doctor will only be born in good health service system. So basically there should be a good system," he explained.
Patient rights
For the benefit, not to forget the shocking even ordered that the patient is always used to ask for generic prescription drugs at a time came went to the doctor. "Tell it, because this is the right of every patient," he said.
He also assured that in the eyes of the doctors, the image of generic drugs actually never faded. "Views of doctors about generic drugs so far is good. There is no problem in terms of efficacy and usefulness. Even in all government-owned institutions, the doctors are obliged to prescribe generic drugs," said Priyo.