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Author Topic: Thailand to manufacture generic Sustiva (Efavirenz)  (Read 947 times)

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Offline terrymoore

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Thailand to manufacture generic Sustiva (Efavirenz)
« on: November 26, 2018, 11:12:22 pm »
https://www.bangkokpost.com/lifestyle/family-and-health/1583078/A-major-milestone#cxrecs_s
I guess this is good news. Also some stats on HIV in Thailand for those interested.

Offline Loa111

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #1 on: November 27, 2018, 01:19:14 pm »
Interesting. Good to see Thailand making treatment progress.
From the stats point of view, there must be a huge number of people both Thai & perhaps Westerns living there who have contracted the virus but do not know it. Perhaps even higher than the 25% figure that seems to be used as a bench mark for people who are positive but do not know it. Particularly within the tourist areas such as Pattaya etc.
Not to mentioned, perhaps tourists who pick it up & perhaps bring new strains there and do not even know it. Having spent over a decade there, I'd say not too many bar workers get tested, and if they do it would be rarely.

Offline Gladragsguy

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #2 on: November 27, 2018, 10:45:19 pm »
It has actually been produced for years here now.  This just  makes it internationally approved and allows them to sell it globally. It is about $6.00 a bottle here. There already is cheaper generic EFAVIRENZ available here at about $4.00 a bottle. But as it is also seems to be the first Thai generic to pass this qualification, congratulations Thailand.

Offline terrymoore

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #3 on: November 28, 2018, 09:11:34 am »
Interesting. Good to see Thailand making treatment progress.
From the stats point of view, there must be a huge number of people both Thai & perhaps Westerns living there who have contracted the virus but do not know it. Perhaps even higher than the 25% figure that seems to be used as a bench mark for people who are positive but do not know it. Particularly within the tourist areas such as Pattaya etc.
Not to mentioned, perhaps tourists who pick it up & perhaps bring new strains there and do not even know it. Having spent over a decade there, I'd say not too many bar workers get tested, and if they do it would be rarely.
Perhaps. Perhaps not. We can only rely on documented research and not "gut feeling". Remember, there are many "Pattaya areas" around the world and the same "unknowns" exist everywhere. Regardless, so far, i would say the stats are good.

Offline wardp

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Diagnosed 20,July 2017. Cd4 289, 21% vld .3,462 Started atripla 4 Aug 2017 5oct 2017 cd4 384 21%, vl ud less than 20. Switch to complera 4 Nov 2017 switched to stribild 15 the Nov. Switched to truvada efavirence 200mgx2 14 Dec 2017, 2 Feb 2018, us cd4  466, 25%  CD 8 ,595, 32%..1 may 2018
switched  to instgra truvada.7th june switched to truvada  nevirapine stavudine. .21 june switched to truvada nevirapine. X 2 a day...9 aug 2018 ud. 2n Nov 2018 CD 4. 455..22.70% 13th Nov switched  to lamivir and nevirapine  due to kidney issues...jan 10,2019 UD..may 13 2019 ud  cd4 482 28%

Offline wardp

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #5 on: November 29, 2018, 10:55:59 am »
Diagnosed 20,July 2017. Cd4 289, 21% vld .3,462 Started atripla 4 Aug 2017 5oct 2017 cd4 384 21%, vl ud less than 20. Switch to complera 4 Nov 2017 switched to stribild 15 the Nov. Switched to truvada efavirence 200mgx2 14 Dec 2017, 2 Feb 2018, us cd4  466, 25%  CD 8 ,595, 32%..1 may 2018
switched  to instgra truvada.7th june switched to truvada  nevirapine stavudine. .21 june switched to truvada nevirapine. X 2 a day...9 aug 2018 ud. 2n Nov 2018 CD 4. 455..22.70% 13th Nov switched  to lamivir and nevirapine  due to kidney issues...jan 10,2019 UD..may 13 2019 ud  cd4 482 28%

Offline Jim Allen

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #6 on: November 30, 2018, 03:27:33 am »
https://www.bangkokpost.com/lifestyle/family-and-health/1583078/A-major-milestone#cxrecs_s
I guess this is good news. Also some stats on HIV in Thailand for those interested.

Good stuff and thanks for sharing
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Offline Cosmicdancer

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Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #7 on: December 01, 2018, 01:21:52 pm »
Is their version 600 mg's as well?  I recall reading that researchers had done a clinical trial and found that using Sustiva at a lower dosage of 400 mg's was just as effective in Atripla, with fewer side effects, but have not heard anything since about whether it will ever be reformulated. I was on Atripla for about 7 years but was glad to switch to something with no side effects eventually. 
Summer, 2007 - &$#@?
November, 2007 - Tested poz, 300,000 vl, 560 cd4
Feb, 2008 - 57,000 vl, 520 cd4, started Atripla
2/2008 - 5/2015 - undetectable on Atripla
May, 2015 - UD, switched to Complera
September, 2015 - UD, 980 cd4, switched to Stribild (Complera interacted with acid reflux medication)
January, 2016 - Stribild, UD, 950 cd4
June, 2016 - UD, 929 cd4

Offline MitchMiller

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  • Posts: 609
Re: Thailand to manufacture generic Sustiva (Efavirenz)
« Reply #8 on: December 08, 2018, 12:18:55 am »
Cosmic dancer:  Symfi-Lo is the reformulation.  However, it uses lamivudine instead of emtricitabine.

 


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