PHARMACOECONOMIC STUDY OF VARIOUS BRANDS OF ANTI-EPILEPTIC DRUGS AVAILABLE CURRENTLY IN INDIA
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i2.50310Keywords:
Anti-epileptic drugs, Cost variation, Pharmacoeconomics, Cost ratioAbstract
Objectives: (a) Compiling a comprehensive list of the available dosage forms and strengths of various antiepileptic drugs marketed in India. (b) Calculating the percentage cost variation of individual drug formulations produced by different pharmaceutical companies. (c) Evaluating the percentage cost variation of these drugs.
Methods: The cost of an exact drug (cost per 10 tablets) in the same strength and amount of forms being manufactured by different companies were got from the latest editions of “Current Index of Medical Specialties” and “Indian Drug Review.” The percentage price difference and cost ratio for each formulation were intended.
Result: Among single drugs, the highest price variation was found in the drug pregabalin available in the form of capsules (75 mg and 150 mg), and a cost ratio of 6.64 and 5.87 was calculated which was significant. Among combination drugs, tablet Na valproate+valproic acid with the cost ratio of 1.91 was found to be the highest.
Conclusion: Our study shows that there is very high price variation in some of the brands of anti-epileptic drugs. Generic prescribing should be promoted in the whole country by creating awareness and implementing proper regulatory guidelines.
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References
Wagle L, Swammy KM, Kempegowda MB. Cost variation study of antiepileptic drugs available in India. Asian J Pharm Clin Res 2016;9:64-8.
Sai NP, Vedavathi H. Cost analysis study of price variation among the various brands of antiepileptics available in India. Int J Basic Clin Pharmacol 2017;6:422-6. doi: 10.18203/2319-2003.ijbcp20170342
Shukla AK, Mehani R. Cost analysis of antiepileptic drugs available in India. Int J Basic Clin Pharmacol 2017;5:1636-40. doi: 10.18203/2319- 2003.ijbcp20162485
Kandra N, Rajesh B. Cost variation analysis of different brands of oral anti-epileptic drugs available in India. Int J Basic Clin Pharmacol 2021;10:948-53. doi: 10.18203/2319-2003.ijbcp20212923
Ho PM, Bryson CL, Rumsfeld JS. Medication adherence: Its importance in cardiovascular outcomes. Circulation 2009;119:3028-35. doi: 10.1161/CIRCULATIONAHA.108.768986, PMID 19528344
Akila L, Rani RJ. Cost analysis of different brands of antianginal drugs available in India. Int J Basic Clin Pharmacol 2016;4:860-3. doi: 10.18203/2319-2003.ijbcp20150856
Mojtabai R, Olfson M. Medication costs, adherence, and health outcomes among medicare beneficiaries. Health Aff (Millwood) 2003;22:220-9. doi: 10.1377/hlthaff.22.4.220, PMID 12889771
Wertheimer AI. The defined daily dose system (DDD) for drug utilization review. Hosp Pharm 1986;21:233-4, 239-41, 258. PMID 10317694
Kopciuch D, Fliciński J, Steinborn B, Winczewska-Wiktor A, Paczkowska A, Zaprutko T, et al. Pharmacoeconomics aspects of antiepileptic drugs in pediatric patients with epilepsy. Int J Environ Res Public Health 2022;19:7517. doi: 10.3390/ijerph19127517, PMID 35742766
Lallan HN, Borde MK, Ray IM, Deshmukh YA. Cost variation study of antidiabetics: Indian scenario. Indian J Appl Res 2014;4:420-1.
World Health Organization. Defined Daily dose Approach to Economic Evaluation of Drug Therapy. Geneva: WHO Health Economics and Health Sector Reform Document WHO/HE/HSR; 2007. p. 1-176.
Gupta RK, Reddy PS. A calm look on cost analysis of different brands of anti-epileptic drugs. J MGIMS 2011;16:64-6.
Eaddy MT, Cook CL, O’Day K, Burch SP, Cantrell CR. How patient cost-sharing trends affect adherence and outcomes: A literature review. P T 2012;37:45-55. PMID 22346336
Allisabanavar SA, Reddy NS. Cost variation analysis of various brands of anti-epileptic drugs currently available in Indian pharmaceutical market. Int J Basic Clin Pharmacol 2017;6:1666. doi: 10.18203/2319- 2003.ijbcp20172727
Rataboli PV, Garg A. Confusing brand names: Nightmare of medical profession. J Postgrad Med 2005;51:13-6. PMID 15793332
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