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pfizer egypt asserts rights, courts
doctors
launched in the us market five years ago and legalized
in egypt in 1999, viagra has become one of the most recognized brand
names in the market. but for many egyptians, the price of the renowned
male-impotence drug is too steep. with many patients seeking
and finding cheaper fixes, the drugs licensed manufacturer,
pfizer egypt, is pushing for protection of its exclusive manufacturing
rights.
counterfeit versions of viagra are undercutting sales
of the authentic version by more than 75 percent, according to pfizer
egypt officials. pfizer egypt manager ahmed el hakim said that while
pfizer had hoped for annual sales of £e 50 million in egypt,
monthly profits now hang limply at around £e 1 million. counterfeit
tablets, he said, had swallowed up the missing market share.
pfizer egypt had counted on a monopoly over impotence
medications, as its global pharmaceutical mother company pfizer
inc. holds the patent for viagra, the first such drug to be approved
in the market. last summer, however, the health ministry announced
that 12 local companies were gearing up to produce generic versions
a factor that would reduce the retail price per pill from
around £e 27 to less than £e 10.
pfizer egypt maintained that it had exclusive rights
over production and sale of the drug, and that other manufacturers
would be breaking international agreements (as well as a new egyptian
law) protecting intellectual property rights.
while pfizer may be right from a legal standpoint,
recent statements from the company tend to blur the distinction
between counterfeits and generics.
whereas generic versions of viagra contain the same
active compound sildenafil as the pfizer version,
counterfeit types frequently contain little or no sildenafil. and
while generic brands like the indian-made vega have a roughly similar
look to viagra, outright counterfeits thoroughly mimic pfizers
famous blue, diamond-shaped tablet.
according to el hakim, counterfeits traced to producers
in china and india are smuggled into egypt on a vast scale. since
they are not subject to safety and quality standards, these fake
pharmaceuticals can endanger the health of patients who use them,
he said.
police recently seized some 35,000 packages of counterfeit
viagra in cairos working-class district of dar al salam, el
hakim said. meanwhile, a coalition of government and health officials
including the ministry of interior, the ministry of health
& population, anti-counterfeiting experts and medical professionals
is trying to increase public awareness of the potentially
serious health issues involved with counterfeit drugs.
mishaps with fake viagra could also harm pfizer. the
company is backing the national anti-counterfeit campaign in order
to ensure the safety of patients and protect our own international
reputation, el hakim said.
the us food & drug administration (fda) approved
viagra for public distribution in 1998. since then, the agency has
continued to monitor the drug for negative side effects. in accordance
with fda regulations, viagra packages in the united states advise
the drug could be linked to several heart-related side effects.
at the annual conference of the egyptian urological
association (eua) in october, dr. murray maytoum, a scientist from
pfizer worldwide team, presented extensive and
independently gathered clinical evidence about the safety
of viagra, even for patients with heart conditions. prominent international
urologists also insisted that viagra was absolutely safe.
ongoing monitoring by the fda, however, helps to keep
pharmaceutical companies honest. this is what assures the
public of the products safety, said dr. hanafy m. hanafy,
the director of a male-health clinic in harrisburg, pennsylvania,
and a frequent speaker at pfizer-sponsored discussions.
regulations on pharmaceutical sales in egypt need to be stiffened,
he added.
the eua conference, a spectacular five-day affair
in luxor, attracted more than 700 urologists from egypt and nearly
200 from other countries. most of these doctors had their expenses
paid by pfizer egypt, which was the events main sponsor. the
conference dealt with a wide range of urology-related issues.
eua president dr. ismail khalaf said that large-scale
gatherings of the medical profession all over the world depend
on funding from major pharmaceutical companies. khalaf said
there was no conflict between corporate sponsorship and scientific
integrity.
according to dr. mostafa elhilali, an internationally
recognized urologist based in canada, conflicts of interest are
possible, especially with sponsorship of doctors research
projects. but this risk can be offset by strict rules about transparency.
in north america and europe, doctors presenting research papers
are required to clearly state all the sources of their funding,
said elhilali, who heads the mcgill university urology clinic.
he agreed, however, that advanced medical research
would be impossible without support from companies.
lobna ibrahim
with reporting by neil macdonald, who attended the eua conference
at the invitation of pfizer egypt
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