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Unease Grows Among U.s. Doctors Over Indian Drug Quality

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http://uk.reuters.com/article/2014/03/18/uk-usa-india-genericdrugs-insight-idUKBREA2H06Z20140318

Some U.S. doctors are becoming concerned about the quality of generic drugs supplied by Indian manufacturers following a flurry of recalls and import bans by the Food and Drug Administration.

India supplies about 40 percent of generic and over-the-counter drugs used in the United States, making it the second-biggest supplier after Canada.

In recent months, the FDA, citing quality control problems ranging from data manipulation to sanitation, has banned the importation of products from Ranbaxy Laboratories Ltd, Wockhardt Ltd and, most recently, Sun Pharmaceutical Industries Ltd.

"I'm just beginning to realize the gravity of the problem," said Dr. Steven Nissen, head of cardiology at the Cleveland Clinic. "It's terrible and it is starting to get a lot of traction among physicians."

And I'm guessing these drugs are sold at a premium in the US? Substandard and overpriced.

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http://uk.reuters.com/article/2014/03/18/uk-usa-india-genericdrugs-insight-idUKBREA2H06Z20140318

And I'm guessing these drugs are sold at a premium in the US? Substandard and overpriced.

Doubtful.

The reason they would want to ban these is that they arent overpriced (enough)

They have re-importation bans on american made drugs for the same 'reasons'

Which is nice, isnt it? American pharma companies saying 'we supply substandard drugs to the rest of the world'

Of course, they are lying, the drugs are made in the same factories, on the same production lines. But Its profitable to rip american consumers off.

Yank doctors and health insurers have also been trying to ban patients fed up with being ripped off from going to Mexico for surgery, despite patient surveys saying the care they get in Mexico is better than in the US.

The US healthcare lobby is one sick, sick entity.

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For once I'd love to see an accurate portrayal of doctors and their medicines in film, it seems like an extremely evil industry that is always represented as the opposite.

Or an NHS version of House, where the patient goes to his GP with mysterious symptoms and is told the NHS doesnt treat that kind of thing.

He then goes to A&E where he gets seen 5mins before he hits the KPI, then contracts MRSA and dies. The hospital covers it up when 3 analysts figure out a way of excluding the death from their monthly performance stats.

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http://uk.reuters.com/article/2014/03/18/uk-usa-india-genericdrugs-insight-idUKBREA2H06Z20140318

And I'm guessing these drugs are sold at a premium in the US? Substandard and overpriced.

The generic market for drugs is generally quite competitive (and there's not really any significant price discrepancy between this country and the US for these) at least for drugs with a reasonable demand. Because profit margins on generics are pretty slim, it tends to be the big Indian manufacturers that take the majority of the market share.

QA issues for pharmaceuticals are generally uncommon, but I did notice that they were a more common for generics, probably because the manufacturers are competing only on price.

Certainly in India, counterfeit pharmaceuticals are a huge problem, and it's not too uncommon for a hospital to notice that some patients aren't getting better, investigate and find that they've basically bought in a batch of a fake drug with forged paperwork. Pharmacists that import drugs from India, regularly find the same problem, that the drugs are simply fake and not what they are supposed to be.

The FDA actually isn't particularly big-pharma friendly, but they like enforcing the "low-hanging fruit", stuff which is easy to investigate and easy to prove (stuff like the factory not complying with cleanliness regulations, or inadequate calibration/check records, etc.)

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