POZ Community Forums
Meds, Mind, Body & Benefits => Questions About Treatment & Side Effects => Topic started by: buginme2 on August 27, 2012, 07:26:47 pm
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And it will from here on out be called Stribild. I liked Quad better.
http://www.reuters.com/article/2012/08/27/us-gilead-hiv-idUSBRE87Q16620120827
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I actually have an appointment in two days to meet with my ID doc...I'm curious to hear what his thoughts are on this drug. Thanks for sharing the link. ;D
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Stribild? Indeed a strange name. Not that I got a problem with strange but still.
Is there any news on the (over)pricing?
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[rant=looselyrelated]
Just what we need, another drug name to learn/remember. It drives me nuts. Most hiv meds have two, if not three and sometimes four, different names.
Here everyone usually uses the brand name. My doctor always uses the generic name so I have to learn both to be able to converse here and with him as well - because he can never remember the brand name. Arrgh!
I don't know about the rest of you, but when I first started learning about the meds one of the things I found the most daunting was remembering the multiple names of each drug. I still get them mixed up at times and often have to double-check to be 100% sure. Did I mention that it drives me NUTS?
Around ten years ago when I was first trying to learn all the names, I put them on some index cards I found lying around. One side was the generic and abbreviated name (ie ABC or 3TC) and the other side was the brand name. Ugh. Hiv med flash cards. How geeky is that? :-\
And now that we're getting more and more multi-drug, multi-class pills, we get people referring to their component parts by their brand names or their generic names - and sometimes a combination of both.
And don't get me started on all the additional generic brand names like Viraday (generic Atripla).
No wonder newbies get confused.
[/rant]
I agree that it's an odd name (maybe that will help me remember it) - because of the bild, it makes me think a German-speaker came up with it. Sounds Germanic to me, anyway.
What was wrong with Quad? ???
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Trying using my method; it really works. My combination is 2 white ones, 1 blue one and 1 pink one. ;D
Wolfie
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Stribild, odd name...
Price seems to be around 28 - 29K USD / year although not yet officially announced.
http://www.nytimes.com/2012/08/28/business/fda-approves-once-a-day-pill-for-hiv.html
Is it too much? From what I understand this is the free market price. Gilead will subsidize for ADAP and Ryan White and transfer formulas for generic pills to manufacturers in developing countries. "Stril".... :P
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I always thought they'd go with something like Quadravir.
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The should name it Haris Pilton.
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I was kind of hoping they would name it "Four-play"
Captures the quad and still a little quirky -
Also, fits nicely onto an index card.... for Ann's benefit ;)
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Remember, back in the day-- people would have given their left arms for even one effective med -- of any name. It's nice to be living in a time when we get to complain about all the names to remember. Just sayin..........
Mike
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Bocker says:
"Remember, back in the day-- people would have given their left arms for even one effective med -- of any name. It's nice to be living in a time when we get to complain about all the names to remember. Just sayin.........."
No I do not remember because I was too young at that time. I also do not remember when woman were not aloud to vote, when many innocent people died in WW2, when the black plague wiped out millions, when black people couldn't ride at the front of the bus. There are sadly an infinite number of instances of human suffering that I do not want to remember but I certainly do not want to forget.
Just Saying
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You have insurance companies that are happy to cough up the +36% dollars over the price of Atripla for the same clinical effect? hmmmm
As a UK commentator said "Quad is a formulation of four compounds, all developed by Gilead: elvitegravir, cobicistat, tenofovir and FTC. It is a once-daily treatment, and can be taken with or without caviar."
- matt
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From a clinical view.
I would be interesting to know whats going in the R&D departments of the big pharmas. Diagnosed today(maybe even folks with resistance now can go on Stribild) and it is a good chance you can go on with a once-a-day regimen, most reach undetectable fairly quick, CD4 goes up and people get on with their lives. How much better can the meds, as we know them today, get?
Just looking at the insert of any drugs and there will be warnings about possible side effects and adverse reactions. I just doubt there will be ARVs more effective than what we have today. Im not neglecting that people have issues but even without HIV health problems can and will arise.
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Bocker says:
"Remember, back in the day-- people would have given their left arms for even one effective med -- of any name. It's nice to be living in a time when we get to complain about all the names to remember. Just sayin.........."
No I do not remember because I was too young at that time. I also do not remember when woman were not aloud to vote, when many innocent people died in WW2, when the black plague wiped out millions, when black people couldn't ride at the front of the bus. There are sadly an infinite number of instances of human suffering that I do not want to remember but I certainly do not want to forget.
Just Saying
I think you misunderstood what a fellow LTS meant by his comment. It is a great thing to worry about all the names of the numerous effective medications as they were NONE when we were given the horrific news of a short life expectancy.
Not sure why you took exception to his comment and your reply had a snarky ring to it.
just sayin.
Wolfie
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From a clinical view.
I would be interesting to know whats going in the R&D departments of the big pharmas. Diagnosed today(maybe even folks with resistance now can go on Stribild) and it is a good chance you can go on with a once-a-day regimen, most reach undetectable fairly quick, CD4 goes up and people get on with their lives. How much better can the meds, as we know them today, get?
Just looking at the insert of any drugs and there will be warnings about possible side effects and adverse reactions. I just doubt there will be ARVs more effective than what we have today. Im not neglecting that people have issues but even without HIV health problems can and will arise.
Agreed -- meds are very good and I am very thankful. However, only 1 in 4 in the US are "under control", and fewer globaly. There are still folks that have challenges afording the meds, with the daily regimen, etc. Hopefuly we continue to see advances - like a longer acting (weekly, monthly) and less expensive alternatives.
JM
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You have insurance companies that are happy to cough up the +36% dollars over the price of Atripla for the same clinical effect? hmmmm
As a UK commentator said "Quad is a formulation of four compounds, all developed by Gilead: elvitegravir, cobicistat, tenofovir and FTC. It is a once-daily treatment, and can be taken with or without caviar."
- matt
Ha! Loved it!
The US is run by corporations. Of course they will adopt this, regardless of the price. Too bad for the rest of the world.
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Remember, back in the day-- people would have given their left arms for even one effective med -- of any name. It's nice to be living in a time when we get to complain about all the names to remember. Just sayin..........
Mike
I totally agree. I'm grateful that we have all these meds, even if it does come with the frustration of having so many different names for single meds as well as for combo (one pill) meds. It's something we now have the luxury of grousing about and even poking a little fun at.
However, in no way does that disrespect the memory, the history of this pandemic. Because that's what I felt like you were "Just sayin........."
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However, in no way does that disrespect the memory, the history of this pandemic. Because that's what I felt like you were "Just sayin........."
Oh no Ann -- I was not saying that at all. Although, in hindsight, I can see how that was one way to take it. I was merely pointing out that we are in a far better place when remembering the drug names is actually an issue.
Hugs,
Mike
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Thanks Mike. I did read the just sayin as sarcasm - bloody internet. I'm glad that wasn't your intent.
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Btw this is the article (http://i-base.info/gilead-greed-quad/) with the caviar comment.
I share their criticism about Gilead's pricing.
Quad's medical benefits over other existing medications is small and doesn't justify a +30% price tag (over Atripla).
The other benefits of Quad are merely convenience (doesn't have to be taken with a 400kcal meal...)
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I think a world-wide boycott of
Quadravir Quadrophenia ...er... Stribild would fix Gilead's wagon. Wonder how difficult it would be to get doctors to not prescribe it?
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I pay (or rather Medicare pays) $46,311.24 per year for my HIV (only) medications. What's the yearly cost of this new drug versus Atripla? $29,000 versus (?) $20,000
Such quibbling!
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I pay (or rather Medicare pays) $46,311.24 per year for my HIV (only) medications. What's the yearly cost of this new drug versus Atripla? $29,000 versus (?) $20,000
Such quibbling!
Maybe the NHS gets Atripla a lot cheaper than people can elsewhere. From the article linked to above;
"The annual wholesale list price for Quad is expected to be close to $28,500 (approximately Ģ18,000). The list price for Atripla in the UK is just over Ģ7,500 (British National Formulary)."
Looks like a substantial difference from this side of the pond.
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Looks like a substantial difference from this side of the pond.
Well, yeah -- of course it looks like that on "that side of the pond". It's subsidized by US insurance customers.
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Well, yeah -- of course it looks like that on "that side of the pond". It's subsidized by US insurance customers.
Been drinking the kool-aid, dear?
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Been drinking the kool-aid, dear?
So if the US had a NHS style price structure for pharmaceuticals how would effect the prices the UK pays?
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So if the US had a NHS style price structure for pharmaceuticals how would effect the prices the UK pays?
It wouldn't make a difference.
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It wouldn't make a difference.
link, please
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Atripla US annual wholesale cost $21,000, UK in your money $11-12,000 (Ģ7,500). There is no link. The pricing systems are different. We pay less for the same drugs as you and pharma still makes a decent profit. Since the Quad has no special resistance busting qualities and costs a shed load more than other as-good-as 1 x day options I expect to see very few people on it in the UK.
- matt
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I donīt know how big pharmas work... Viraday (eq. to Atripla) is around USD 360 for 30 tablets here and the 2 Indian tablets regime our health system give us should be much cheaper because they donīt buy Viraday because of its cost, my doc says...
Side effects seem the same........
For me, Iīm good with 2 tablets once a day...
I understand pharma corps earn money, but it has not to be done with a high cost for the states or for the people... Many problem we have with insurance (and work, and getting money from the bank and so on...) are because of these prices and sometimes, I think it is better to be living in a middle or low income state, with a responible health policy than in the "First World"
Are those prices fair???
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Drug companies could lower the prices they charge in the United States. Understand, doing so would cause prices to rise for the rest of the world. Low drug prices in the UK, Europe, and the third world are offset by high prices here.
Your welcome.