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CONSENSUS STATEMENT OF THE CROATIAN SOCIETY FOR NEPHROLOGY, DIALYSIS AND TRANSPLANTATION REGARDING THE USE OF GENERIC IMMUNOSUPPRESSIVE DRUGS
NIKOLINA BAŠIĆ-JUKIĆ
orcid.org/0000-0002-0221-2758
; ZagrebZagreb University Hospital Center, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, University Hospital Center, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
SANJIN RAČKI
; Rijeka University Hospital Center, Department of Nephrology and Dialysis, Rijeka, Croatia
MLADEN KNOTEK
; Merkur University Hospital, Department of Nephrology and Dialysis, Zagreb, Croatia
LJUBICA BUBIĆ-FILIPI
; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb,
IVAN BUBIĆ
; Rijeka University Hospital Center, Department of Nephrology and Dialysis, Rijeka, Croatia
LADA ZIBAR
; Osijek University Hospital Center, Department of Dialysis, Osijek, Croatia
PETAR KES
; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb,
Abstract
The use of generic immunosuppressive drugs may decrease the cost of immunosuppressive medication, although total cost savings are still a matter of debate since patients need close monitoring after conversion from original to the generic formulation. A working group of the Croatian Society of Transplantation was established to develop recommendations on the use of generic immunosuppression in renal transplant recipients based on a review of the available data. Immunosuppressive drugs belong to the ‘narrow therapeutic index’ drugs, with huge pharmacokinetic variations secondary to the impact of food, other drugs, as well as of kidney and liver function. Failure to maintain an appropriate balance of immunosuppression seriously influences graft and patient survival. Published evidence supporting therapeutic equivalence of generic formulations is scarce or completely lacking. Different generic formulations may expose patients to uncontrolled product switching by pharmacists or general practitioners, which is very dangerous for patients, since generic preparations are not required to demonstrate bioequivalence with each other. The Croatian Society for Nephrology, Dialysis and Transplantation is not against the use of generic immunosuppressive drugs, but it requires close supervision of nephrologists and respecting the strict rules of their use. More efforts should be invested in education of primary care physicians as well as of patients to be aware of differences between the original and generic, as well as between different generic formulations.
Keywords
generic; immunosuppression; monitoring; position statement; Croatia
Hrčak ID:
126817
URI
Publication date:
14.9.2014.
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