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Vol 274 No 7344 p424
9 April 2005

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Letters to the Editor

Generics

Generic companies do help pharmacists

From Mr A. W. Acott, MRPharmS

In response to Ian Morgan’s letter (PJ, 2 April, p391), I should like to clarify a few points from the perspective of Alpharma.

With respect to the adoption of International Non-proprietary Names (INNs), readers should be advised that the new INN replaces the British Approved Name (BAN) on the labelling; it does not appear “somewhere on the packet in small letters”. Timescales for adoption of BAN to INN changes are such that the regulatory requirement to apply for labelling changes had a deadline of 1 December 2004. Allowing for the regulatory assessment process (up to three months) and supply chain implementation (up to a further six months), it is possible that some of the new packaging may not yet have filtered into the pharmacy. All Alpharma’s affected products have been updated and will appear in the field shortly if they have not already done so.

We anticipated the potential for disharmony in the nomenclature used in prescribing and dispensing software that Mr Morgan describes and the confusion that this might cause the profession and the consumer. As a result Alpharma has provided its pharmacy customers with preliminary advice since early 2004 on this topic and subsequently pads of tear-off leaflets for pharmacists to give to patients receiving affected Alpharma medicines. Additionally the Medicines and Healthcare products Regulatory Agency and the British National Formulary have, among others, provided guidance.

In designing generic medicines packaging, numerous important factors are taken into consideration. Mr Morgan should be pleased to hear that Alpharma consulted key pharmacy customers and the MHRA on the redesign of its cartons, so as to limit confusion between similar packs as well as optimise the size and position of the box for dispensing labels (with no crucial information obscured). Indeed, we have since had positive feedback about the new livery. It must be accepted, however, that consumers do not want their medicines packaging to be unnecessarily oversized (especially if they receive several packs of each medicine) for storage reasons and this also minimises environmental waste. Pharmacy dispensaries find space is at a premium since the introduction of the patient pack in the 1990s, so a balance must be struck as to what is an appropriate size of carton for each product.

I accept all generics companies are not the same, but hope to convey that Alpharma is a proactive generics company and it welcomes ongoing feedback on the design of its packaging.

Andy Acott
Head of Medicines Development
Alpharma Ltd

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