SINCE World War II, medical science has progressed to some stage where competitive medications are around for treat precisely the same ailment in numerous people. This is simply not pretty much brands (the industry trade issue) but generic drugs (the industry scientific issue). With this report, we shall go through the various factors that decide your selection of a particular drug.
Safety: These sub-criteria must be considered underneath the criterion of safety:
* Acute therapeutic index: When the patient’s condition is acute, how effective is often a particular drug even when it’s got certain side-effects as long as the acuteness of the condition is lowered? Example: narcotic pain-killers are very effective in healing pain but feature the possibility side-effect of addiction.
* Long-term safety: directory might be safe in short-term treatment, so how safe it can be in long-term treatment? Example: antibiotics are acceptable in short-term treatment, but tend to have undesirable effects in the event of prolonged use.
* Drug-drug interaction risk: Drugs are chemicals, and lots of chemicals react to produce a different chemical, which has an effect which could harm the person or aggravate his/her condition. Example: A tricyclic anti-depressant and alcohol interact to make a new condition that warrants separate treatment.
Drug-drug interaction risk is of two sorts:
· Pharmacokinetic: In this type of drug-drug interaction, two drugs, independent of each other, have certain effects one or maybe more body processes (e.g., metabolism) that affects the performance of the other. Example: Darvocet-N (propoxyphene and acetaminophen) inhibits the act of a liver enzyme that Lexapro (escitalopram) depends on for the metabolism. This will cause a rise in the side-effects of Lexapro.
· Pharmacodynamic: Here, a couple of drugs actually create the same effect on precisely the same organ, thus increasing the total, added effect. Example: Lexapro has certain side-effects such as drowsiness and fatigue. Darvocet-N also acts similarly on the brain. Thus, the side-effects of the prescription medication is more intense.
Tolerability: A medication might be effective although not tolerable by all patients. Example: Allergies to specific drugs in most people. Short-term and long-term tolerability should be taken into consideration. Efficacy: A medication is just not equally great at all patients. As an example, some patients with depression or anxiety attacks experience relief from escitalopram, but there are numerous that don’t, who therefore should be prescribed some other anti-depressant. The speed of oncoming of therapeutic action is an important factor to be considered too.
Cost: Cost does not always mean the expense of acquiring some medicine alone. It ought to also cover the expense of management of a complication which could arise from using some other drug. Example: Inside a individual that insists on taking alcohol but should be treated for depression is usually administered an SSRI drug as these drugs don’t potentiate the effects of alcohol, whereas another band of anti-depressants (such as tricyclics) might cause a whole new symptom in such patients, which would require a different and expensive treatment. Therefore, it’s safer to prescribe the more costly escitalopram rather than cheaper tricyclic in this patients.
Simplicity of treatment: The best mode of administration is preferred. If you have a choice between a shot and oral administration, the second is preferred if the efficacy of the modes is comparable. Or, local application is chosen over the oral route where possible; e.g., antibiotic management of eye infections. Dosage and frequency of administration too are a key factor to make a decision simple treatment.
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