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Sufficient supplies of anti-virals available

kiwibird

Editor, Senior Moderator
Clinics not keen on stocking up Tamiflu
By SHAUN HO and CHEW WAN YING

PETALING JAYA: Private clinics are hesitant to stock up on the A (H1N1) anti-viral drug, Tamiflu, due to its high cost and inconsistent guidelines from the Health Ministry.

According to a survey carried out by The Star among 12 private clinics here, eight did not have the supply and did not intend to place orders with suppliers.

?The Government is inconsistent in giving guidelines regarding the prescription of drugs,? said a doctor in Jalan Bangsar in Kuala Lumpur.

Yesterday, Health Minister Datuk Seri Liow Tiong Lai directed all public and private hospitals to administer immediate treatment to patients with flu-like symptoms and with high fever that persisted for more than 48 hours.

Prescription should be made based on the doctor?s discretion and on a case-by-case basis, said the doctor who did not want to be named.

?If we indeed follow the latest guidelines, the supply will run out soon. It will be harder for us to restock, as there is a limited supply nationwide,? he said.

Most of the nation?s supply had been taken up by government hospitals, said another private medical practitioner in Cheras who wished to remain anonymous.

?The Government is not releasing sufficient quantities of the drug to private hospitals. We are left on our own to source for the drugs.

?On the ground, there is no supply at all for private clinics,
? he said.

He added that the Government should focus on preventive measures rather than the cure, as the virus can build up resistance to the drug over time.

?The Government is not making people, especially school and college students, wear masks,? he said.

Another doctor from Bukit Sentosa said that maintaining the standard of hygiene was more important.

He said he had observed a shortage while sourcing the drug for his clinic.

?I have not seen genuine Tamiflu made by Roche in Malaysia. What we have are generic drugs,? he said, adding that he was not adhering strictly to the ministry?s guidelines.

?I only prescribe to confirmed cases.?

Some cited the drug?s high price, ranging between RM140 and RM220 for 10 tablets, as a leading factor in deterring them from purchasing it.

?The loss would be too high to bear if nobody buys the drug,? said Dr Raman Nathan of Klinik Sentosa at Taman Putra Ampang.
 
Sufficient supplies of anti-virals

Sufficient supplies of anti-virals

Sufficient supply of for H1N1 flu shots

2009-08-24 18:54

KUALA LUMPUR: The supply of antiviral medicine for treatment of Influenza A (H1N1) is sufficient to meet the needs of patients in government hospitals and clinics, as well as those in private hospitals, vice-president of the Malaysian Organisation of Pharmaceutical Industries (MOPI) Leonard Ariff Abd Shatar said Monday.

He said there would be no shortage of the antiviral medicine, including Tamiflu (oseltamivir phosphate), which was used in the treatment of influenza.

"I don't believe there will be a shortage. I think the combination of local manufacturers and the stockpile from the government will be sufficient to treat people in Malaysia," he said when met by Bernama.

He said the supply of the antiviral oseltamivir, especially to private hospitals and clinics, was currently provided by three manufacturers, namely Chemical Company of Malaysia Bhd (CCM), Royce Pharma Manufacturing Sdn Bhd and Ranbaxy (M) Sdn Bhd.

On measures taken by the government to overcome the spread of H1N1, Leonard said he was satisfied as the government had made early preparations, including having a stockpile of the antiviral since three years ago.

Meanwhile, Datuk Dr Rahman Ismail, the managing director of Alriz Sdn Bhd, a medicine supplier, assured private clinics and hospitals which were registered under a H1N1 campaign for clinics which was launched by Health Minister Datuk Seri Liow Tiong recently, of prompt delivery of the antiviral medicine.

In the Klang Valley areas, delivery could be made within 24 hours, while in other areas in the peninsula and in Sabah and Sarawak, they would get their supply in a week, he added.

The campaign was jointly organised by Alriz Sdn Bhd and Ranbaxy Malaysia Sdn Bhd. The companies are offering private hospitals and clinics registered under the campaign RM80 a box for the antiviral oseltamivir. The normal price is RM180 per box.

So far, 147 private hospitals and clinics have registered under the programme, he added.

They comprised 39 in Selangor, Kuala Lumpur (29), Melaka (5), Kedah (13), Perak (11), Johor (13), Negeri Sembilan (9), Pahang (3), Penang (19), Sabah (3) and Terengganu (1).

Dr Rahman said hospitals and clinics which were registered under the programme would be monitored to ensure the antiviral medicine was not sold at a higher price.

He said patients should lodge complaints should they be made to pay more when they went to get their antiviral injection at the participating hospitals or clinics. (Bernama)
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