Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Fixed Dose Drug Combinations–Are They Pharmacoeconomically Sound? Findings and Implications Especially for Lower- and Middle-Income Countries Publisher Pubmed



Godman B1, 2, 3, 4 ; Mccabe H5 ; Leong TD6 ; Mueller D7, 8 ; Martin AP9, 10 ; Hoxha I11 ; Mwita JC12 ; Rwegerera GM13 ; Massele A14 ; De Oliveira Costa J15, 16, 17 ; Do Nascimento RCRM1, 17 ; De Lemos LLP15, 16 ; Tachkov K18 ; Milushewa P19 Show All Authors
Authors
  1. Godman B1, 2, 3, 4
  2. Mccabe H5
  3. Leong TD6
  4. Mueller D7, 8
  5. Martin AP9, 10
  6. Hoxha I11
  7. Mwita JC12
  8. Rwegerera GM13
  9. Massele A14
  10. De Oliveira Costa J15, 16, 17
  11. Do Nascimento RCRM1, 17
  12. De Lemos LLP15, 16
  13. Tachkov K18
  14. Milushewa P19
  15. Patrick O20, 21
  16. Niba LL20, 22
  17. Laius O23
  18. Sefah I24
  19. Abdulsalim S25
  20. Soleymani F26, 27
  21. Guantai AN28
  22. Achieng L29
  23. Oluka M29
  24. Jakupi A30
  25. Logviss K31
  26. Azmi Hassali M4
  27. Kibuule D32
  28. Kalemeera F32
  29. Mubita M32
  30. Fadare J33, 34
  31. Ogunleye OO35, 36
  32. Saleem Z37
  33. Hussain S38
  34. Bochenek T39
  35. Mardare I40
  36. Alrasheedy AA41
  37. Furst J42
  38. Tomek D43
  39. Markovicpekovic V44
  40. Rampamba EM2, 45
  41. Alfadl A42, 46
  42. Amu AA47
  43. Matsebula Z48
  44. Thi Phuong TN49
  45. Thanh BN49
  46. Kalungia AC50
  47. Zaranyika T51
  48. Masuka N52
  49. Olaru ID53, 54
  50. Wale J55
  51. Hill R56
  52. Kurdi A1, 57
  53. Timoney A1, 58
  54. Campbell S59, 60
  55. Meyer JC2

Source: Expert Review of Pharmacoeconomics and Outcomes Research Published:2020


Abstract

Introduction: There are positive aspects regarding the prescribing of fixed dose combinations (FDCs) versus prescribing the medicines separately. However, these have to be balanced against concerns including increased costs and their irrationality in some cases. Consequently, there is a need to review their value among lower- and middle-income countries (LMICs) which have the greatest prevalence of both infectious and noninfectious diseases and issues of affordability. Areas covered: Review of potential advantages, disadvantages, cost-effectiveness, and availability of FDCs in high priority disease areas in LMICs and possible initiatives to enhance the prescribing of valued FDCs and limit their use where there are concerns with their value. Expert commentary: FDCs are valued across LMICs. Advantages include potentially improved response rates, reduced adverse reactions, increased adherence rates, and reduced costs. Concerns include increased chances of drug:drug interactions, reduced effectiveness, potential for imprecise diagnoses and higher unjustified prices. Overall certain FDCs including those for malaria, tuberculosis, and hypertension are valued and listed in the country’s essential medicine lists, with initiatives needed to enhance their prescribing where currently low prescribing rates. Proposed initiatives include robust clinical and economic data to address the current paucity of pharmacoeconomic data. Irrational FDCs persists in some countries which are being addressed. © 2020, © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Other Related Docs
12. Factors Influencing Prescribing Decisions of Physicians: A Review, Ethiopian journal of health sciences (2018)
13. Pharmaceutical Policies: Effects of Financial Incentives for Prescribers, Cochrane Database of Systematic Reviews (2015)