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September 2007 Volume 8, Issue 9 via RxPost.net
Thursday, September 20 Forward this newsletter to a friend www.pharmacychoice.com/newsletter
Featured Article: Common Misconceptions about Bioequivalence and Bioavailability
This CE program focuses on addressing special considerations and misconceptions regarding bioavailability, bioequivalence and interchangeability of generic drugs. As stated in the Annual Report of Retail Pharmacy: Generics, (Chain Drug Review, August 20th), the market for branded and unbranded generics grew by 23% in 2006 and now accounts for at least 63% of all prescriptions dispensed. Although generics typically cost 30% to 80% less than their brand name counterparts and can save consumers billions of dollars annually, as pharmacists we must be fully aware of how dosage forms and patient variables can affect drug stability, dissolution capacity and absorption. As the drug experts, it is our responsibility to distinguish the difference between bioequivalence and bioavailability and be able to recognize problems know and/or purported to arise with bioequivalence and generic substitution. It is also incumbent upon us as health professionals, to understand critical patient and disease factors which can affect bioavailability for optimal product selection.

Some of the most common factors known to affect bioavailability are:
  • Idiosyncratic differences in a patient's ability to absorb, metabolize and eliminate specific drug formulations
  • PH of the gastro-intestinal tract
  • Gastric emptying rate
  • Intestinal motility
  • GI tract perfusion
  • Age, sex and weight
  • Disease status and
  • Drug-drug and drug-food interactions
In addition to these factors, the bioavailability of such drugs as Phenytoin, H2 antagonists and Tizanidine is known to differ according to the dosage form dispensed. Still other drugs such as warfarin and fluroquinolones can be significantly affected by food-drug interactions leading to the potential for pharmacokinetic variability in bioequivalence and bioavailability. Ultimately, this variability could result in a sub-therapeutic clinical outcomes and/or adverse affects.

To learn more about this and other excellent online CE programs for pharmacists and allied health professionals, please log onto RxSchool.com

ACPEArcMesa Educators is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This home study web activity has been assigned a maximum of 1.0 contact hours (0.10 CEU's) and assigned the ACPE UPN: 200-999-06-022-H01

To receive CE credit for this course, please log onto
URL: www.rxschool.com
Email: info@rxschool.com


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Disclaimer: The information contained in this newsletter is intended as an educational aid only. All Treatments or procedures are intended to serve as an information resource for pharmacists, physicians or other competent healthcare professionals performing the consultation or evaluation of patients and must be interpreted in view of all attendant circumstances, indications and contraindications. The use of any of these products or information is at your sole risk. These products are provided "as is" and "as available" for use, without warranties of any kind, either express or implied. PC makes no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, PC makes no representation or warranties as to the opinions or other service or data you may access, download or use as a result of use of the PC products. All implied warranties of merchantability and fitness for a particular purpose or use are hereby excluded. PC does not assume any responsibility or risk for your use of the PC products or information.