MEDEX Drug Bulletin for Moldova and NIS countries

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MEDEX Drug Bulletin for Moldova and NIS
countries

• Natalia Cebotarenco, PhD
• MEDEX Editor-in Chief
• ISDB General Assembly,
• Selva Negra, Matagalpa, Nicaragua,
• December 1-4, 2008

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MEDEX

• the first Number of independent drug bulletin was
  issued in January 1996.
• MEDEX was a associative member of ISDB since the
  1997,
• and became a full ISDB member since 2006.
• Frequency 6-4 annually,
• Language Russian.
• Format paper and electronic,
• Geographical spread Moldova, Ukraine, Russia,
  Byelorussia, Tajikistan, Uzbekistan, Armenia,
  Kyrgyzstan, Kazakhstan, Azerbaijan.

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MEDEX

• MEDEX is sharing relevant information and
  exchanging experiences in rational drug use and
  safety in medicines among those concerned with
  health and lobbying national policy makers to
  create mechanisms for health improvement in NIS
  countries.

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MEDEX input in ISDB activities

• Declarations of ISDB translation into Russian
• ISDB Declaration on therapeutic advance in the
  use of medicines, Paris, 15-16 November, 2001.
• Berlin Declaration, January, 2005

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Publishied articles in ISDB Newsletter

• Massive efforts against diseases of poverty in
  Moldova, July 2002, page 6-9,
• International conference on patient safety,
  pharmacovigilance and ADR reporting 26-28 May,
  2004, Bricheni, Moldova. July 2004, vol. 18, N
  2, page 6,
• The most popular mistakes when prescribing
  medicines. July 2006, vol 20, N2 , pp-8-9.

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Information about ISDB was distributed through

• Workshop How to read leaflets' of drug
  companies, 1997
• Workshop Why it is so important to issue
  independent drug bulletin. 1999
• Study Tour for DIC from Central Asia Countries,
  2002
• Sessions during the trainings for health care
  providers in Kazakhstan, Tajikistan,
  Turkmenistan, Armenia (2002-2008) and in Ukraine,
  October, 2008.

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Key points of the situation in NIS countries

• Lack of the independent information about
  medicines as for the health care professionals as
  well for the consumers.
• Lack of critical review during the drug
  registration from the drug authorities
• Weak/lack contact and therefore insufficient
  information sharing between drug agencies about
  ADR, counterfeits products etc.

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Key points of the situation in NIS countries

• Pharmacovigilance - Incomplete and Inconsistent
  official information during the registration
  of medicines provided by the pharmaceutical
  companies
• Weak/lack of ADR reporting system
• MEDEX published a few reviews about double
  standard information provided by pharmaceutical
  companies Nimesulid, Azitromycinum, Loperamid.
• The problems are considered not only about ADR,
  but about dosages and duration of treatment
  course, indicators for paediatric use etc.

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Key points of the situation in NIS countries

• Lack of the transparency of Regulatory Agencies
• Financial interest as many medicines are
  registered as much money the drug regulation
  agency will receive.
• International experience, knowledge and practice
  are remaining unknown mainly because of
  insufficient independent sources of drug
  information on appropriate language.

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CoRSUM COALITION FOR RATIONAL AND SAFE USE OF
MEDICINES

• CoRSUM links a wide range of health care
  providers, medicine policy makers, public
  interest NGOs and FBOs, consumers, and networks
  mainly in Newly Independent Sates.
• CoRSUM is working with decision-makers from
  Armenia, Uzbekistan, Moldova, Kazakhstan,
  Tajikistan, Byelorussia, Ukraine and Russia to
  improve the quality of health, to increase access
  to essential medicines and improve their rational
  and safe use.

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CoRSUM values and objectives includes

• Promotion of rational and safe use of medicines
• Facilitating access to independent and unbiased
  information about medicines and medicines
  products
• Information development and dissemination
• Applying research results
• Facilitation of advocacy campaigns
• TB, HIV/AIDS prevention program and access to
  anti-TB and ARVs medicines.
• Consumers education adults and children

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• MEDEX is a key channel for the CoRSUM activities.
  
• www.corsum.info