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- 2025-12-18 02:12:33
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- Aftermath of Revlimid of primary benefit multiple myeloma
- by Whang, byung-woo Apr 28, 2022 06:06am
- As Revlimid (Lenalidomide Hemihydrate) based chemotherapy enters the benefit, changes in RRMM prescription patterns are inevitable. Kyprolis-centered KRd therapy (Carfilzomib+Revlimid+Dexamethasone) and Ninlaro-centered IRd therapy ( As both Ixazomib+Revlimid+Dexamethasone) contain Revlimid, there are concerns at the clinical site about how to take follow-up prescriptions. Revlimid's benefit has been reimbursed for RVd therapy (Lenalidomide + Bortezomib + Dexamethasone) and R2 therapy (Lenalidomide + Lituximab) since April. RVd therapy was recommended as the primary treatment for multiple myeloma in the NCCN and ESMO guidelines, but benefits were not applied until April in Korea. For this reason, clinical sites have expressed opinions on the need for benefits of RVd therapy and R2 therapy. As RVd therapy becomes available for primary treatment, discussions on the use of KRd therapy and IRd therapy, which were prescribed in RRMM, continue In the case of multiple myeloma, there is a possibility of continuous recurrence, so it is prescribed by taking a different combination of treatments that can be used for each order. It was impossible to prescribe IRd therapy if KRd therapy was used in the past, so a treatment strategy was used to use KD therapy in the next order of treatment after using IRd therapy at the discretion of the medical staff. Experts believe that as RVd therapy is used for primary treatment, the use of KRd therapy and IRd therapy containing Revlimid will also be reduced. Professor Kim Seok-jin of the Department of Hematology and Oncology at Samsung Medical Center said, "If RVd is used as the primary treatment, KRd and IRd will inevitably be affected." "This benefit is meaningful," he explained. It is not that IRd therapy cannot be used when RVd therapy is used in primary treatment and KRd therapy on which Rd therapy is based. After diagnosis, multiple myeloma is divided into a "transplant target group" and a "non-transplant target group" depending on whether hematopoietic stem cell transplantation is possible, and Takeda explains that patients can be treated with the same benefit as now after recurrence even if VRD is applied as the primary treatment. The prerequisite is that VRd therapy is transplanted after 6 cycles and recurrence after maintaining the reaction for more than 6 months. In the case of non-transplantation groups, the use of VRD as Until Progression as primary treatment makes it difficult to apply both R-based treatments, including IRd and KRd, which are currently available for benefit prescriptions, in the second. #Will it be established as KRd/IRd therapy maintenance therapy in non-transplant patients? Then, how many patients can use KRd and IRd therapy according to the entry of RVd therapy into primary treatment? Lee Je-joong, a professor of hematology at Hwasun Chonnam National University Hospital, said, "In the group of patients who can be transplanted, RVd is performed for about four cycles and most of them react, so most of the patients can use both KRd and IRd as secondary therapy. In terms of the total number of patients with multiple myeloma, 55% of them can be transplanted, and 90% of them will be able to use KRd and IRd therapy." There is no significant difference from the previous one in patients who can be transplanted, but experts predict that it will be Kd therapy for Cypriot and maintenance therapy for ninjas as it is difficult to use KRd and IRd in secondary treatment for non-transplant patients. Both options are continuously confirmed through current research to expand indications and confirm their efficacy. Kd therapy has the result of extending the survival period compared to Vd therapy by another 12 months in RRMM patients who previously received one treatment, including elderly patients, who are the main patients with multiple myeloma. Since May last year, Kyprolis has obtained additional indications for the dose of Kd once a week in the treatment of RRMM patients, and the fact that both Kd once a week and twice a week are covered by insurance benefits is also expected to have a positive effect. In addition to IRd therapy, Ninlaro has indications for maintenance therapy for patients who received autologous hematopoietic stem cell transplants and those who did not receive them in March and September last year, respectively. However, in the case of maintenance therapy, it was not reimbursed.
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- The KPA establishes an emergency TFT
- by Apr 20, 2022 06:05am
- As the presidential transition committee is expected to include the permission of non-face-to-face medical treatment in its national agenda and fully review the revision of the law, the KPA has begun to come up with measures. The Chairman Choi Kwang-hoon formed a TFT related to non-face-to-face treatment and convened his first meeting today (19th). Through TFT, the company plans to set up a mid- to long-term plan for non-face-to-face treatment. Chairman Choi had already expressed concern about the government's push for telemedicine earlier this month. "The problems caused by non-face-to-face treatment in the pharmacist society will disappear after the MOHW's notice of temporary non-face-to-face treatment is completed, but the new government's policy will not disappear. Chairman Choi said through Dailypharm on the 19th, "We planned a TFT to respond to non-face-to-face treatment, and we will have our first meeting today," adding, "The TFT name and mid- to long-term plans will be established here." First of all, the KPA has a conservative position on non-face-to-face treatment The KPA said, "We express strong regret over Yoon's attempt to legislate temporary non-face-to-face treatment, and urge him to actively abolish the current temporary non-face-to-face treatment permit notice. We urge experts to pay attention to the opinions of health care groups so that public health rights can be prioritized over industrial development, and we will take all measures to prevent acts that destroy the health care system." Front-line pharmacists also cannot understand the transition committee's non-face-to-face treatment innovation startup meeting. "We don't know how the KPA is responding with any will. However, it is not understandable that the Youth Communication TF of the Presidential Transition Committee will hold a meeting with private companies and solve this part due to job problems, it is something that the KPA should strongly block." Another executive of the Pharmaceutical Association also said, "In the end, dispensing pharmacies in the form of dispensing factories will be created nationwide. Discussions and countermeasures should be made at the medical organization level."
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- Non-face-to-face tx companies are appealing for regulations
- by Jung, Heung-Jun Apr 20, 2022 06:05am
- Non-face-to-face treatment companies are appealing for regulatory improvement ahead of the abolition of social distancing and easing the level of infectious diseases. Pharmacists are protesting that the reason for non-face-to-face is disappearing and that they should take steps to temporarily terminate the permit as scheduled. According to the Korea Chamber of Commerce and Industry on the 18th, the most frequent complaint among requests for improved regulations in the health and medical sectors was non-face-to-face treatment. In February, the Korea Chamber of Commerce and Industry and the Ministry of Trade, Industry and Energy temporarily approved the "non-face-to-face treatment counseling service for overseas citizens" through regulatory sandbox deliberation. The two approved companies are Blue Ant and Gooddoc. Companies have urged regulations to improve for the continuous operation of non-face-to-face treatment services, which are limited to "temporary permission." An official from the Korea Chamber of Commerce and Industry said, "It is temporarily allowed, but there are many opinions to request improvement because it can be terminated if the infectious disease level is lowered," adding, "The MOHW does not have a regulatory sandbox, so there are many companies requesting non-face-to-face treatment." If the infectious disease level is adjusted from the existing first grade to the second grade, it is highly likely that the crisis alert will be lowered, which is a serious stage. Since the government has decided to operate non-face-to-face treatment only at the serious stage, it will be completely converted to face-to-face treatment at the end of the serious stage. The industry has insisted on continuous requests for improvement, but related discussions have not yet been made. Discussions between the government and stakeholders are expected to take place soon because they have announced guidelines for easing quarantine for the purpose of With COVID-19. There were many opinions that front-line pharmacists should stop non-face-to-face treatment by temporarily abolishing the notice of permission as scheduled, but some also suggested that non-face-to-face treatment will be maintained. Pharmacist A in Seoul said, "The medical community seems to have changed its attitude a lot. If non-face-to-face treatment is maintained as it is, it seems to be preparing with a focus on what authority to take," he said. He worried, "The more cumulative patients the more difficult it will be to prevent." Another pharmacist said, "The reason why we allowed it in the first place was because of concerns that the number of confirmed patients could increase while visiting clinics and pharmacies. Now, there is no reason to maintain it in a situation where confirmed patients go directly," he said.
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- Immunity products fare better “targeting the long COVID mkt
- by Apr 19, 2022 05:52am
- The OTC drug trend at pharmacies is changing. Compared to February and March when the Omicron variant had wielded power over the country and sales at pharmacies increased due to a surge in demand for antipyretic analgesics and sore throat treatments, etc., sales of products related to long-term effects of COVID-19 are now increasing due to more and more people complaining about COVID-19 aftereffects. Purchase and requests for general OTC drugs at pharmacies for coughs, chest pain, loss of appetite, fatigue, lethargy, and nutritional supplements have increased among patients who overcame COVID-19. Pharmacist A said, “With the COVID-19 wave subsiding, sales from prescriptions for confirmed patients and sales of OTC drugs have decreased significantly. The number of prescriptions for confirmed patients has drastically decreased to 1/5-1/6, and the number of customers purchasing related OTC drugs has also decreased significantly. These days, more and more patients visit pharmacies to buy drugs or consult about their COVID-19 aftereffects. The number of new confirmed cases has decreased to 47,743 on the 17th, with the number of patients treated at home falling under a million as of midnight on the 18th to 742,367. Pharmacist A said, “Since many patients complain about continued sore throat or coughs, OTD drugs such as Yonggaksan, Troche products, and herbal medicines are relatively popular.” An official from a pharmaceutical company that produces herbal medicines said, “Sales of our products surged in February and March due to COVID-19 sore throat symptoms and continue to stay strong in April. I think the interest in herbal medicine has increased due to the need for long-term intake.” Also, pharmacist A explained that inquiries and counseling on nutritional supplements or nutritional tonics also continue with some younger and many older people complaining of fatigue, lethargy, and sleep disorders, Pharmacist B said, just like some clinics and oriental clinics have recently increased focus on COVID-19 recovery treatments, there are differences in products recommended by age and various products ranging from nutritional tonics and arginine that can provide instant symptom recovery to comprehensive nutritional supplements that can be taken long-term are being sold at the pharmacy." B continued, “Since the aftereffects experienced by patients vary greatly, patients with more severe symptoms purchase more expensive products such as Gongjin-dans and Kyungo-gos. We have also been recommended health functional foods related to long COVID symptom relief to our customers.” Also, YouTube videos related to long COVID are recording more views recently. From instructions on taking high-dose vitamins to specific videos that recommend products directly purchased from overseas, lots of drugs and health functional foods are being presented as being good for COVID-19 after-effects in the media, and pharmacists voicing that “it is important to properly know about each drug for proper intake.” Pharmacist Ji-Hyan Lee recently said in YTN Radio's ‘Wise Radio Life’ corner, "Being infected with COVID-19 is like catching a big fire. Even if it is incinerated, fire residues and debris remain. You have to take care of yourself for at least 3 months, and above all, it is important not to overwork and pace yourself well.” Pharmacist C said, “Symptoms such as cough and phlegm can improve relatively quickly, but recovery from dizziness or lethargy can be slow or difficult. Therefore, it is important to raise your immunity on a daily basis, and manage your hygiene and immunity as well as tend to your lifestyle and dietary habits.”
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- Gov discusses presenting regulatory sandboxes for ER OTC
- by Jung, Heung-Jun Apr 18, 2022 05:57am
- The Ministry of Trade, Industry and Energy conducted an opinion survey of government departments on regulatory sandbox agendas related to safety medicines (medications that are urgently used for mild symptoms among general drugs and can be used by patients themselves). If discussions on special regulations on safety medicines begin following teleconference vending machine, repercussions are expected in the pharmacist society. The Ministry of Trade, Industry and Energy's Regulatory Sandbox team conducted an opinion inquiry last month with the Ministry of Health and Welfare, which is in charge. If the final agenda is confirmed as a result of the opinion inquiry, the discussion is expected to take place through the Special Regulatory Review Committee. An official from the Ministry of Trade, Industry and Energy said on the 14th, "We conducted an opinion inquiry at the end of March regarding safety and emergency medicine. We have not yet been able to confirm the details of the case. The Ministry of Health and Welfare also said, "It is true that discussions on the introduction of regulatory sandboxes on the issue of deregulation of safety leapfrogs have begun," and that nothing has been decided yet. The convenience store industry has continuously demanded the expansion of safety medicine items. Discussions have not progressed so far, but they are sticking their heads out through regulatory sandboxes again. Currently, the issues required by the industry are considered to be ▲ Expansion of safety medicine items ▲ Release of 24-hour operating conditions ▲ Delivery of safety medicine services. Although it is conditional on 24-hour operation to handle safety emergency medicine, there have been calls in the industry to remove restrictions as more convenience stores have shortened operating hours due to COVID-19. In response, the pharmaceutical association has insisted that convenience stores that are not operating 24 hours a day should be stopped. There is also a demand to allow safety medicine delivery services. Kinetet, which includes Naver, Kakao, Nexon, Netflix, and Woowa Brothers Corp, also delivered the plan to the presidential transition committee of Yoon Seok-yeol. According to a government official, it is highly likely that it will be an agenda for review of special regulatory cases if opinions are inquired by the ministries in charge Meanwhile, in February, the Ministry of Trade, Industry and Energy deliberated and resolved 14 agendas, including non-face-to-face medical counseling services for overseas Koreans.
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- Lagevrio prescriptions exceed 2,000… Paxlovid's up 25.6%
- by Kang, Shin-Kook Apr 05, 2022 05:58am
- The number of oral COVID-19 treatment Largevrio’s prescriptions has exceeded 2,000 in only 5 days since it was supplied to pharmacies in Korea. Also, the number of total Paxlovid prescriptions has exceeded 150,000 courses. According to the Korea Disease Control and Prevention Agency on the 1st, a total of 150,321 prescriptions were made from January 14th to the 31st of this month. This is a 25.6% increase from 118,738 prescriptions made the previous week (week of March 24th). By subjects of Paxlovid use, ▲121,676 were at-home treatment cases, ▲1,312 residential treatment center cases, ▲1,312 Infectious Disease Hospital cases, ▲1,052 others (military camp support, etc.) The more newly introduced Largevrio was prescribed 2,110 times. Among those, 1,835 were used at home, followed by 261 at Infectious Disease Hospitals and 14 at residential treatment centers. 100,969 courses of Paxlovid and 98,690 courses of Lagevrio remain in stock in Korea. The courses of Paxlovid left in stock in reach region are as follows: ▲Seoul 11,231 ▲Busan 3,987 ▲Daegu 2,542 ▲Incheon 3,685 ▲Gwangju 1,455 ▲Daejeon 1,271 ▲Ulsan 1,077 ▲Sejong 164 ▲Gyeongi-do 10,449 ▲Gangwon-do 2,679 ▲Chungcheongbuk-do 1,891 ▲Chungcheongnam-do 2,623 ▲Jelloabuk-do 1,998 ▲ Jelloanam-do 2,693 ▲Gyeongsangbuk-do 2,268 ▲Gyeongsangnam-do 3565 ▲Jeju-do 971 ▲Central 46,420 The courses of Lagevrio left in stock in each region are as follows: ▲Seoul 5,267 ▲Busan 1,779 ▲Daegu 874 ▲Incheon 1,552 ▲Gwangju 461 ▲Daejeon 693 ▲Ulsan 359 ▲Sejong 187 ▲Gyeongi-do 4,806 ▲Gangwon-do 1,230 ▲Chungcheongbuk-do 1,259 ▲Chungcheongnam-do 1,590 ▲Jelloabuk-do 755 ▲Jelloanam-do 1,276 ▲Gyeongsangbuk-do 1,089 ▲Gyeongsangnam-do 1,262 Jeju-do 345 ▲Central 73,906. Meanwhile, 460,000 courses among the 1,004,000 courses of oral COVID-19 drugs procured by the government will be introduced within this month. 184,000 courses have been already introduced to Korea in March, and the other 276,000 courses are to arrive within April.
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- Only Paxlovid's prescription continues instead of Lagevrio
- by Jung, Heung-Jun Mar 29, 2022 05:54am
- Lagevrio, a Merck coronavirus PO treatment, has been supplied to pharmacies since the 26th, but has not yet been prescribed. According to pharmacies on the 28th, no code has been registered in the billing program. Pharmacy A in Seoul said, "In the case of clinics, prescriptions will only be possible if they are prescribed by hand," adding, "There is no prescription of Lagevrio yet." Other pharmacies received 20 supplies, but there was no prescription over the weekend, so Lagevrio's inventory remained the same. Another pharmacy B in Seoul said, "Only Paxlovid was prescribed over the weekend, and there was no prescription of Lagevrio. It will be prescribed little by little this week." As Paxlovid is relatively effective and is supplied first, the follow-up treatment, Lagevrio, is expected to play a complementary role. Paxlovid should be used to be taken in patients with liver disease and kidney disease. Lagevrio has fewer restrictions on taking than Paxlovid, but pregnant women or children and adolescents under the age of 18 are excluded from the medication. Pharmacy C in Gyeonggi do is expected Lagevrio to be used complementarily only for patients who do not have or cannot use Paxlovid." In this regard, the government also stipulates that Paxlovid should be prescribed first, but patients with limited medication or difficulty using other treatments can be prescribed Lagevrio.
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- Butterfly effect caused by brand name purchase
- by Kim JiEun Mar 23, 2022 05:50am
- From Rx drugs to OTC drugs, front-line pharmacies have recently had much time since the outbreak of COVID-19. Some say that pharmacy sales are also the biggest boom since the division of labor. Obviously, sales of generic drugs for certain diseases in most pharmacies have increased. However, pharmacists point out that there are concerns about the current situation as sales increase due to increased OTC sales. From Rx to OTC Pharmacists are most concerned about the increased demand for OTC centered on consumers' specific brand name. Due to the incident that began with Director Jeong Eun-Kyeong's remarks, patients visited various pharmacies, so there was no stock of Tylenol. Nine months have passed since the outbreak in June last year, inventory of Tylenol has not been available at front-line pharmacies. Cold drugs Coldaewon, Theraflu, Cough syrup, Eunkyosan Ext., Pueraria Root have driven consumer demand. Due to the influence of SNS or online, demand has increased because a list of essential OTC drugs for COVID-19 home treatment has been shared on SNS or online. An official from a pharmacy chain said, "These days, consumers tend to stick to certain products or ingredients regardless of their diseases because they have such a strong belief in information they have encountered through the Internet or SNS." The official said, "In a series of situations, starting with the Tylenol crisis, followed by Coldaewon, Theraflu, Cough syrup, Eunkyosan Ext., and Pueraria Root, patients' unilateral nominations are prioritized over pharmacists' consultation and choice. I can recommend drugs depending on the patient's personal disease or condition through consultation with a pharmacist, but such an opportunity has disappeared." Accelerated cold-drug out of stock Butterfly effect brought about by demand for product name Some analysts say that the rapid influx of demand for certain generic drugs in the early stages of home treatment is the beginning of the current massive shortage of generic drugs related to colds. The demand for certain cold medicines has driven pharmacists to become anxious to secure inventory. They say that certain products are not easily purchased at pharmacies, stimulating consumer anxiety, leading to excessive demand for cold medicine. Pharmacists said that if the pharmacist had been able to choose and recommend products to suit the patient's symptoms or needs at a time when demand for cold medicine soared, the cold medicine shortage could have been less situation or delayed. A pharmacist in Seoul said, "Currently, there is generally no stock of products to sell when patients visit cold medicines, effects, or oriental medicine. Of course, demand has soared and this is the root cause of the cold medicine shortage crisis. However, it is true that it accelerated the shortage because it preferred certain products and certain ingredients." Pharmacist Lee said, "If the pharmacist had been able to combine or distribute drugs based on ingredients according to the patient's personal situation or disease, the current situation could have been further delayed." Pharmacist Lee added, "As demand is focused on Rx drugs and this leads to sold out, it has caused excessive demand due to anxiety."
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- Paxlovid shortage to be resolved with Molnupiravir approval?
- by Jung, Heung-Jun Mar 21, 2022 05:55am
- The shortage of Paxlovid at pharmacies is expected to be partially resolved with the government's emergency approval of Merck (MDS)’s oral COVID-19 treatment ‘molnupiravir.’ On the 18th, the Central Disease Control Headquarters had announced that 88,276 courses of Paxlovid remain in stock in Korea. Also, with the grant of RAT(rapid antigen test)-based confirmation of COVID-19, the average daily prescription of Paxlovid increased over twofold from 2,404 in the second week to 5,184 in the third week of this month. With more than 300,000 new confirmed cases occurring steadily, the domestic inventory of Paxlovid is expected to be exhausted by the end of this month. The government is planning to introduce additional courses of Paxlovid in Korea soon, but many base pharmacies are already out of stock and unable to dispense the drug. Pharmacy A at Seoul said, “The amount and period of Paxlovid shipments aren’t constant, but we receive around 100 courses per shipment, and this doesn’t last a week at the current prescription rate. We have none in stock right now.” It is expected that the government seems to be working to expand treatment options through the emergency approval of molnupiravir. The government had previously conducted a review on the emergency use of the drug in November last year but had withheld approval due to poor preventive effects. Although the MFDS did not disclose the specific schedule for approval, the government did express its intention to start the review. If so, the drug is expected to be approved this month at the earliest. The Korean government had previously signed an advance purchase agreement with Merck for 242,000 courses of its drug. If the drug is approved under the emergency approval process, the drug is expected to be distributed through the existing base pharmacies because a real-time demand monitoring system has been well established in the pharmacies and is easily manageable by the local government. Pharmacy A said, “We have received no news about molnupiravir yet, but since there are already enough base pharmacies, I don’t think the government will separately designate more for the drug.” However, as the method of administration and eligible sublets differ for the two drugs, additional education and guidance will be provided for the use of molnupiravir. Both drugs are taken twice a day for 5 days, but the total amount of capsules taken differs, 30 for Paxlovid and 40 for molupiravir. Also, the kind of side effects that arise and the subjects allowed for use differ. Earlier, the Korea Pharmaceutical Association had prepared a medication guide for patients using Paxlovid. Therefore, a medication guide for molnupiravir is also expected to be prepared after its approval and indication are finalized.
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- Defective tablets of Lipitor were found
- by Kim JiEun Feb 08, 2022 05:54am
- (left) A case of powder mixing in 90 tablets of 20 mg of Lipitor at the end of last year, and (right) a broken drug was recently found in the same product Defective drugs have been found one after another in Lipitor, one of the most frequent prescription drugs, requiring caution when preparing. According to a pharmacist in Seoul on the 3rd, a defective tablet was recently found in a bottle of Lipitor again following November last year. The pharmacist said he found a suspicious substance while charging the drug to ATC in November last year. A broken tablet came out of the medicine container, and the manufacturing number of the drug in which the problem was found is 100005333068. The pharmacist said he could not confirm whether the number of tablets was insufficient due to other drugs that had already been charged, as he found in the process of filling ATC with drugs. The pharmacist estimated that foreign substances were mixed during the manufacturing process. The problem is that more than two months after this happened, defects were found again in the same product recently. One of the tablets was broken into half. The pharmacist saw that the tablet was broken during the distribution process and looked at the medicine container again, but did not find any remnants of the broken tablet. The manufacturing number of the packaging, where the defective drug was found this time, is 180164582867. The pharmacist said, "I think the powder was mixed before the drug was made into tablets," adding, "As defective drugs were found one after another in the same drug, I thought it was necessary to check whether there was a problem in the manufacturing process." This pharmacist said, "It's famous original medicine". He added that he doesn't readily understand that such a defective drug is found. Pfizer said a precise confirmation process is needed for related content. As related information has been received, the government plans to take action through a pharmacy to confirm the drug in question. A company official said, "There have been no cases of defective drugs such as powder mixing or tablet damage in Lipitor, especially similar cases in related lot numbers," adding, "We need to collect related drugs and check them accurately." In the case of refining damage, we regularly check whether the amount set during the production process meets the set acceptance standards such as the presence or absence of refining abnormalities, but it is possible that we have not been able to completely distinguish the damage control during the packaging stage, in the case of powder mixing cases, additional confirmation is needed, he added.
