# \[e-drug\] Re: Patients behaviour when purchasing/obtaining drugs (3)

**URL:** https://talk.edrugplus.org/t/e-drug-re-patients-behaviour-when-purchasing-obtaining-drugs-3/29178
**Category:** e-drug
**Created:** [January 21, 2008, 4:51pm UTC](https://talk.edrugplus.org/t/e-drug-re-patients-behaviour-when-purchasing-obtaining-drugs-3/29178 "2008-01-21T16:51:40Z")
**Posts on this page:** 1
**Page:** 1

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### Author: ![Zhining\_Goh](https://avatars.discourse-cdn.com/v4/letter/z/94ad74/32.png) [@Zhining\_Goh](https://talk.edrugplus.org/u/Zhining_Goh)
#### Post date: [January 21, 2008, 4:51pm UTC](https://talk.edrugplus.org/t/e-drug-re-patients-behaviour-when-purchasing-obtaining-drugs-3/29178/1 "2008-01-21T16:51:40Z")

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Apart from point-of-dispensing education, pharmacists in Singapore have tied  
up with the Consumer Association of Singapore (CASE www.case.org.sg) to  
educate and empower patients on generic products, and to advocate generics  
as a cost-saving solution especially for patients with chronic diseases.  
Joint initiatives have included public forums and publication of drug  
prices.

PSS Works with CASE to Empower Healthcare Consumers  
[http://www.pss.org.sg/main/content/view/490/](http://www.pss.org.sg/main/content/view/490/)

CASE Public Forum - Know Your Medicine, Understand Your Option  
[http://www.pss.org.sg/main/content/view/502/](http://www.pss.org.sg/main/content/view/502/)

Pharmacists have also contributed articles on generic medicines to the CASE  
newsletter as well as to a weekly supplement on healthcare in The Straits  
Times, our national newspaper. Individual institutions too have their own  
initiatives. During my pre-registration training we had to produce posters  
on the topic for a patient carnival at the hospital and were available  
on-site during the event to answer any queries.

There is also discussion now whether to make it compulsory for GPs to  
provide their patients with prescriptions to allow them to choose where they  
would like to buy their medicines from, and whether to get generic or  
branded products. Currently GPs are allowed to sell and dispense drugs from  
their clinics and charge up to S$15 for a prescription when a patient  
requests for one.

Perhaps resistance/receptivity to generic products could be due to the state  
of drug counterfeiting in a country (personal opinion here). This is not a  
big problem in Singapore with our extremely strict laws and requirements.

> From my experience working in public hospitals for the past six years there

isn't much resistance to generic products, especially when many of the  
hospitals would stock one or another, but not both. While we may get  
requests for branded products when they just go off-patent (and we start  
using generics), most consumers eventually accept generics or choose to pay  
more for us to bring in the branded products by special order, or to get  
them from the retail pharmacies.

Due to the permissable differences in bioavailability and pharmacokinetics  
between branded and generic products there will always be those who claim  
that they respond better to a certain brand of a drug compared to others.

The attitude of a patient's healthcare providers (not necessarily  
pharmacists) towards generic drugs may also impact on the way a patient  
regard them.

Zhining Goh

Locum Pharmacist  
Alexandra Hospital, Singapore  
E-mail: \<zhining.goh@gmail.com\>

Immediate-Past Chairperson of Education and Practice  
International Pharmaceutical Students' Federation (IPSF)
