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Author Topic: Generic Atripla?  (Read 8708 times)

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Offline wishihadacat

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Generic Atripla?
« on: April 07, 2009, 07:03:06 PM »
Has anyone tried generic Atripla? Which on-line pharmacy did you use?
Your name here  X_______________

Offline RapidRod

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Re: Generic Atripla?
« Reply #1 on: April 07, 2009, 07:32:28 PM »
There won't be any generic Atripla until the patents run out in 2017.

Offline wishihadacat

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Re: Generic Atripla?
« Reply #2 on: April 07, 2009, 07:52:20 PM »
There won't be any generic Atripla until the patents run out in 2017.

Agreed, but Teva pharmaceuticals has applied for a generic version, alleging that two of the underlying patents are invalid. Meanwhile, several Canadian pharmacies offer a so-called generic Atripla, but you have to wonder what it really is and whether it's effective.
Your name here  X_______________

Offline Inchlingblue

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Re: Generic Atripla?
« Reply #3 on: April 07, 2009, 08:02:05 PM »
I have not tried it but it's called Viraday and costs VERY little compared to Atripla here. It's the same exact ingredients, produced in India. Many brand name Rx are produced in India so that in itself should not be a problem.

Someone on a different website told me about this pharmacy (link below) but I have not personally used it. I did a search for Viraday and a 30-day supply costs $220., 90-day supply costs $630.

http://www.inhousedrugstore.com/


This other website looks legit, but I can't say firsthand if it is:

www.aids-drugs-online.com
« Last Edit: April 08, 2009, 04:11:48 PM by Inchlingblue »

Offline Ann

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Re: Generic Atripla?
« Reply #4 on: April 08, 2009, 04:53:15 AM »
I'd be VERY wary of buying ANY generic hiv meds online. If I were under a doctor's care in one of the countries who are producing these generics, and I was getting the generics from the hospital pharmacy, then and only then would I trust the generics. Online? Forget it! Too many scam-artists out there.

Just my 2p.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline mecch

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Re: Generic Atripla?
« Reply #5 on: April 08, 2009, 07:19:39 AM »
I am interested in this as a question of politics and economy. If you Googla a bit you can start asking the right questions.

Cipla in India does make generic HIV drugs.  These drugs have been researched to be effective in India. So that means, the patients in the researched received REAL drugs and (but generic) and were closely supervised by physicians (in India).

One of the reasons Cipla can make generic drugs is because India didn't respect international patents. This is increasingly a grey area.  As India becomes an industrialised country, they will have to sign accords, at least in name, if not in action... 

Cipla does "good" in the world by selling its generic HIV drugs quite cheaply abroad. In fact, it is criticised in India itself for OVERPRICING its generic HIV drugs on the Indian market (Indians can pay more than Africans) -- so it is playing the SAME game as big pharma. These are businesses!

And remember, these are drugs made by stealing the intellectual property of European and American pharmaceutical companies - their research, their stockholders, etc. etc.

But remember, still, that cheap generic drugs save lives and everyone knows what is going on and some people look the other way. 

Big western players (pharma and foundations and govt and ngos) have to find a way to please both camps - their own highly profitable pharmas - charging top dollar to governments that can afford to pay - and cutting deals for grey market around the world, and somehow tolerating outright theft of intellectual property.  As long as everyone gets rich enough, and also as long as treatment access continues to expand.  Brazil played hard ball with western Pharma in order to assure it could afford universal HIV treatment for its citizens.

________
Now, consider all that in your decision.

______
So the MOST important questions to ask are.
1)  Can you even get REAL generic drugs (from India) by mail order in your country. This seems AWFULLY risky - who is going to garantee that the Indian HIV drug you order is in fact, the "real" generic drug manufactured by Cipla.  And not garbage?

2)  If you can only afford drugs that are produced in the developing world for that population - what questions should you be asking in YOUR country of your doctors, heathcare advocates, insurance companies, politicians, to avoid this situation. 

If there is no avoiding it, its generic or nothing -- then OK get the generics but go back to question 1 - AND make sure you get "real" generic drugs and that your Western doctor is willing to work with you as a patient on such drugs...   My western doctor isn't happy if I take ANYTHING unknown, because he doesn't have the research and experience with unknown medicine.  It does not seem simple to have access to real generics... unless the government gets involved and certifies their "authenticity" - which they obviously can't do in rich countries.

Good luck
« Last Edit: April 08, 2009, 07:24:10 AM by mecch »
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Ann

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Re: Generic Atripla?
« Reply #6 on: April 08, 2009, 07:48:32 AM »

1)  Can you even get REAL generic drugs (from India) by mail order in your country. This seems AWFULLY risky - who is going to garantee that the Indian HIV drug you order is in fact, the "real" generic drug manufactured by Cipla.  And not garbage?


This is exactly my big concern. It would totally suck if, for example, the generics were composed of the real drugs, but not in a high enough dosage. (In other words, they were skimping on the ingredients.) This could lead to resistance.

Of course I may feel differently if I were actually in the position to have to try and resort to generic drugs of dubious origin, but I don't think I'd risk the possibility of them being bogus.


2)  If you can only afford drugs that are produced in the developing world for that population - what questions should you be asking in YOUR country of your doctors, heathcare advocates, insurance companies, politicians, to avoid this situation. 


See these starting points:

http://www.phimg.org/V2/

http://www.healthcare-now.org/

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline aztecan

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Re: Generic Atripla?
« Reply #7 on: April 08, 2009, 10:34:45 AM »
For your edification, here is a list of FDA approved generic HIV drugs along with the pharma firms producing them.

http://www.fda.gov/oashi/aids/viralsgeneric.html

I remembered two of them, AZT and DDI, but forgot the third D4T.

I suppose DDC would be generic by now if they still produced it.

None of the other generic HIV meds are approved at this time, regardless of where they are produced and most still have active patents.

HUGS,

Mark

"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline FrederickGNP+USA

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Re: Generic Atripla?
« Reply #8 on: April 15, 2009, 09:41:07 AM »
I am not sure about this Viraday drug sounds great , however a lot of folks here are thinking only in western terms for if you are one of the 30 milllion HIV people that don't have excess to insurance, ADAP, Ryan White or other resouces or a country  that doesn't have the systems like the FDA, CDC, City Hospitals, Ryan White, Medicare, or Medicaid than this would be a good plann of action fpr if I was one of the 30 million people with HIV without the above system you bet I would try it, if I had the resources.  For if one is dying of AIDS without hope then this would be a good avenue.

Don't be confused about the Cipra and Pharma for I believe Pharma  has used Cipra many times to make lots of their drugs and maybe even making Brand Atripa and shipping it over hear to the USA and stamping it with Atripa Brand.  It is called out sourcing

Secondly Cipra is not stealing the Intelectual Property ( IP)  from USA for all Indrustrial Countries have agreed in the Doha Rounds that if a country states that they have a National Emergency then a patient can be broken (make sense that people's lifes come before patient laws and over priced life saving drugs) and in part a 2 percent royalty is paid to the patient holder and in this case of Atripla manufacturer a company call Gilead where Dick Chenny and company formed some years ago would have the rights to the 2 percent royalty and not have to lift a hand, just collect a check.  Well they would have to have a team of lawyer to review the paper work so some hands would have to be lifted.

Now is Cipra paying Gilead the royalties, not sure and not my proplem either, the other issues is  supply change and being able to distrube the drug Globaly for that added costs and truly the company with the largest network of supply chain like Abbot, Physer,Gaxlo-Smith Kline,Norvus, Merk that have global warhouses already set up in their distrubution change and such, will be buying this drug too, I believe. The  hopes might be to put a piece of profit for their books for you see Cipra is a manufacturer and other have to figure out how to  get the pill from the manufacturer to the person mouth.  Their are no loyalties wihen it come to making a buck for remember 9 billion NEW US dollars are coming down each year from D.C for the purchase of ARV's for 15 focus countries and many are getting in line to gather some of the money.

The question we should be asking is how much does the drug cost to manufacture and disturbte?, Lets say the drug in mass production cost 25 cents both Brand and Generic.  And lets say Gilead has recouped all of it research money 10 times over.  What is the Fair Price for the retail market?

Great discussion and Love you Gilead lets meet and have lunch to discussion opening up Atripla in Genric and flooding the Global Market with a red, white and bule pill and call it True Atripla..and I suggest 50 cents a pill retail would be fair, well it sounds fair to me.

Peace
Frederick Wright
GNP+USA
a HIV Advocate

"Global Network of Position People committed to building bridges of faith for the betterment of our Global communities"

Offline aztecan

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  • 28 years positive, 56 years a pain in the butt
Re: Generic Atripla?
« Reply #9 on: April 16, 2009, 12:36:34 AM »
The reason Atripla is so expensive is it is a combo of drugs from two different pharmaceutical companies: Bristol Myers/Squibb and Gilead.

Truth is, it would be more cost effective to buy Sustiva and Truvada, which is done by some federal agencies here in the States. Those accessing meds from these agencies cannot obtain Atripla because of its high cost and are instead given Sustiva/Truvada.

I am not sure about this Viraday drug sounds great , however a lot of folks here are thinking only in western terms for if you are one of the 30 milllion HIV people that don't have excess to insurance, ADAP, Ryan White or other resouces or a country  that doesn't have the systems like the FDA, CDC, City Hospitals, Ryan White, Medicare, or Medicaid than this would be a good plann of action fpr if I was one of the 30 million people with HIV without the above system you bet I would try it, if I had the resources.  For if one is dying of AIDS without hope then this would be a good avenue.

Peace
Frederick Wright
GNP+USA
a HIV Advocate

"Global Network of Position People committed to building bridges of faith for the betterment of our Global communities"

I was one of those who didn't have access to the above "benefits" of our Western society because they didn't exist for a number of years after I tested positive.

And, you are right. If the situation persisted today, I would be grabbing at anything I could that I thought might help. It is what we pozzies did from the mid 80s to the early to mid 90s.

HUGS,

Mark

"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline FrederickGNP+USA

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Re: Generic Atripla?
« Reply #10 on: April 16, 2009, 11:49:13 AM »
Mark,

I like to get my hands of some of it and try it out for it would be fun to switch my pills with out my Doctor knowing it and doing a little comparison study with my clinic and labs to see if it is the  real deal.

Has anyone hear had a chance to try Viraday out and has any one in the USA order a supply from the net or know of a country close by like Mexico or Jamica where one can pick up a couple bottles and if so do  Feds frown against us order drugs over the net or reimport a generic drug of this type?

I know the drug company would hate it... hee heee and thanks for the Huggs Mark for this webpage folks can be a little tought on one another.

Frederick
GNP+USA


Offline ravenstud

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Re: Generic Atripla?
« Reply #11 on: May 01, 2009, 02:46:45 PM »
While I can certainly understand the concerns expressed regarding the effacacy of treatment using a generic drug that is untested by the US FDA, on the other hand I can also understand why someone would search for an alternative which is much less costly if their needs are not being met by insurance. The following is a medical study I found on the net, which may answer some of your questions. The lengthiness of the study precludes me for posting it here in its entirely, but you may find the article at the folowing website:

http://www.medscape.com/viewarticle/576914_1

Page one shows the abstract only. You will have to register in order to read the article in full, but registration is free. Perhaps you could show it to your doctor for his/her medical opinion.

Good luck. I'd be curious to learn if the generic works for you.
 

Offline ravenstud

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Re: Generic Atripla?
« Reply #12 on: May 12, 2009, 03:40:09 PM »
I am happy to report that I ordered generic Atripla (known as Viraday, which is made in India by a company called Cipla) from Global Pharmacy Canada, and have received 3 bottles (90 day supply) for $650 + $12 shipping. The bottles I received are printed with the Cipla/Viraday label, so they do not look like they were dispensed from a pharmacy (ie not a pharmacy bottle/label). The bottles came sealed with that metallic seal when the cap is removed, expiration Jan 2011, so I am hopeful they are the real deal.

While they said it would take 12-14 days to ship on top of the 1 week time to process the order, I actually received the package in a little less than 2 weeks from the time I ordered it. The only drawback is they only take Visa, not even Mastercard (you could also mail them a cashiers check or money order, but that would further delay the order). Still it is better than the over $1800 per month I was faced with.

http://www.globalpharmacycanada.com/index.php/Atripla-Efavir./Emtricit./Tenofovir-600/200/300mg-90-Pills/Detailed-product-flyer.html

Now for the all important question: Does it work? After taking the "real thing" for a month (before my limited insurance benefits for prescriptions ran out), my main side effect was a considerable amount of dizziness. After taking the generic for the first time last night, I experienced the same side effects as I did with the American version. I never thought I'd be so happy to feel those side effects again, but I'm taking it as a very good sign that it is indeed the same medicine. It remains to be seen in about 2 months when I repeat bloodwork.

By the way, my doctor authorized me to order the generic in place of the American brand version when I explained to him that I couldn't afford it.

Offline Inchlingblue

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Re: Generic Atripla?
« Reply #13 on: May 12, 2009, 04:18:33 PM »
ravenstud: thanks so much for this info., I for one have been wanting to get the opinion of someone who has actually ordered and tried Viraday. I'm confident it's the same as Atripla, Cipla is a reputable company as far as I know from the limited research I've done.

Not to get into the whole Canadian healthcare thing, it's come up in other threads....I always thought meds were covered under Canada's health care policy, then I heard that it depends on the province and on a person's income etc., I guess anyone who is poor enough is covered no matter what and otherwise you need insurance? 

Offline tes1154

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Re: Generic Atripla?
« Reply #14 on: May 12, 2009, 04:22:50 PM »
I have not used Generic Atripla but In House Pharmacy does supply it at a fraction of the cost at which it is sold for in America.  I have bought other meds from In House and have always been satisfied.  I am a transgendered person and have purchased most of my transition drugs from them.  Most of the drugs I have used were made from Cipla the Indian company referred to in prior posts.

Terri

http://www.inhousepharmacy.com

Offline tes1154

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Re: Generic Atripla?
« Reply #15 on: May 12, 2009, 04:29:52 PM »
These are the HIV drugs they offer.  The cost for a 30 day supply of generic atripla is $220.00

   
AIDS / HIV
 

--------------------------------------------------------------------------------
 
Viraday
(Generic Atripla)
Efavir
(Generic Sustiva)
Duovir-N
Triomune
Duovir
(Generic Combivir)

Offline mecch

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Re: Generic Atripla?
« Reply #16 on: May 14, 2009, 12:55:18 PM »
Ravenstud,
Just say if its none of my/our business, but was just wondering where you live that your insurance would ask you to cover the total cost of real Atripla (1800 a month you say) and there is no other way to get it, (public assistance). So you have to buy generic.  And your doctor signed off on going to generic. 

“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline G-Love

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Re: Generic Atripla?
« Reply #17 on: May 29, 2009, 08:44:35 AM »
I myself have tried one of the sites mentioned. www.aids-drugs-online.com They are a pharmacychecker.com approved site, and if you know anything about pharmacychecker, then they have been checked and audited to be in compliance with North American quality standars.

I can certainly echo ravenstuds experience as well. Proper bottle, sent from a pharmacy, and done under my doctors supervision. I certainly wouldn't hesitate to try considering the experience I've had, and my own financial situation. But that's entirely up to you, and your morals, ethics, risk aversion, and ability to pay.

Offline UserZero

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Re: Generic Atripla?
« Reply #18 on: August 12, 2009, 01:08:37 AM »
Has anyone tried generic Atripla? Which on-line pharmacy did you use?

Have been receiving Viraday from 2 different online pharmacies for over 2 years.  My CD4 has increased to average range and viral load is undetectable.  Would definitely recommend http://www.inhousepharmacy.com/.  It is a UK pharmacy with great customer support.  They offer free airmail delivery with tracking at $165/30 day or $450/90 for days.  They even provide receipts for insurance claims (if your policy allows international prescriptions).

Offline gregftl

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Re: Generic Atripla?
« Reply #19 on: August 13, 2009, 03:18:12 AM »
BTW guys. Cipla produces the most hiv drugs worldwide. They are both approved by the FDA and the World health organization. Here's some info on them:

http://en.wikipedia.org/wiki/Cipla

I'm currently waiting on my generic version of combivir and viramune made by Cipla to come in the mail. I ordered them last week (with approval and prescription from my US doctor)...... from candrugstore.com.

Greg

 


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