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肝胆相照论坛 论坛 乙肝交流 请问印度产的TENVIR-EM和TENVIR哪种效果好啊? ...
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请问印度产的TENVIR-EM和TENVIR哪种效果好啊? [复制链接]

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发表于 2010-8-23 14:23 |只看该作者
这个只比拉米在苯环上多加个F,其他分子式一样。
应该比拉米作用更强。
排名应该扎西他滨加S(硫)等于拉米夫定加F(氟)等于恩曲他滨
疗效应该是扎西他滨《拉米夫定《恩曲他滨
司他夫定加一个OH(羟基)等于替比夫定加F(氟)等于克拉夫定
这些东西都是根据齐多夫定的分子式,不断合成筛选出来的。分子结构很相似,也就肯定有交叉耐药。

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发表于 2010-8-23 14:27 |只看该作者
原帖由 刘老病毒 于 2010-8-23 14:23 发表
这些东西都是根据齐多夫定的分子式,不断合成筛选出来的。分子结构很相似,也就肯定有交叉耐药。
学习了 。。。。
有一个问题,既然交叉耐药,我感兴趣的是双汰芝,它的意义何在呢?两种会交叉耐药的药混合在一起会提高耐药屏障?
It isn't the mountain ahead that wears you out; it's the grain of sand in your shoe.

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发表于 2010-8-23 15:17 |只看该作者
耐药屏障 不知道.

但是互相对耐药株的抑制是非常好的“天仙配”。
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发表于 2010-8-23 15:22 |只看该作者
既然拉米夫定是齐多夫定派生出来的,那么为什么要齐多夫定+拉米夫定?齐多夫定+施多宁或者齐多夫定+佳息患不是更好吗?
It isn't the mountain ahead that wears you out; it's the grain of sand in your shoe.

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发表于 2010-8-23 16:00 |只看该作者
楼上的问题没有研究和学习过,双夫定片。根据对核苷类药物了解后的个人观点,
1.同为抗逆转录病毒有相加协同作用。
2.拉米为左旋硫代胞苷类核苷,齐多夫定为胸腺嘧啶类核苷,为不完全交叉耐药,就像替比夫定与拉米夫定不完全交叉耐药一样。对齐多夫定耐药的病毒株,在同时对拉米夫定耐药时,可能再次对齐多夫定敏感。拉米夫定联合齐多夫定治疗能延迟对齐多夫定耐药的产生,这是国外研究资料。
只供参考,齐多夫定对肝毒性很大,并且对乙肝病毒效果差(基本无效)是不能用于乙肝治疗的。

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发表于 2010-8-23 16:19 |只看该作者
http://www.pharmacyrxworld.com/buy-Viread.html

为什么GENERIC的VIREAD只要110美金,而GILEAD的要465美金?
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发表于 2010-8-23 16:21 |只看该作者
What is a "Generic" medication/drug?


Generic drugs are carefully regulated medications that have the same medicinal ingredients as the original brand name drug, but which are generally cheaper in price. Nearly 1 in 3 drugs dispensed are "generic". They undergo comparative testing to ensure that they are equal to their "brand" counterparts in:


Active Ingredient (e.g. "Pravastatin" is the active ingredient in brand name Pravachol)
Dosage (e.g. 10 mg of the active ingredient)
Safety (e.g. same or similar side effects, drug interactions)
Strength
Quality
Performance (e.g. 10 mg of a "generic" can be substituted for 10 mg of the "brand" and have the same therapeutic result)
Intended use (e.g. both "generic" and "brand" would be prescribed for the same conditions)

What this means is that "generic" medications can be used as a substitute of their brand equivalents with the same therapeutic results. There are a few exceptions (that are outlined at the end of this page) and as always you should consult your physician before switching from a brand name medications to a generic or vice versa.


What differences are there between generic and brand?


While generics and brand equivalent drugs contain the same active ingredients, they may be different in the following ways:


Color
Shape
Size
Cost
Appearance (e.g. the scoring or markings)


The color, shape and size of the medication come from the fillers that are added to the active ingredients to make the drug. These fillers that are added to the drug have no medical use and are regulated so they do not to change the effectiveness of the final product. A generic drug must contain the same active ingredients and must be equivalent in strength and dosage to the original brand name equivalent. Generic drugs can be more cost effective than purchasing the brand name.


Why do generics cost less than the brand name equivalents?


When a new drug is "invented", the company that discovered it has a patent on it that gives them the exclusive production rights for this medication. Once the patent expires other companies can bring the product to market under their own name. This patent prevents other companies from copying the drug during that time so they can earn back their Research and Development costs through being the exclusive supplier of the product. After the patent expires however, other companies can develop a "generic" version of the product. These versions generally are offered at much lower prices because the companies do not have the same development costs as the original company who developed the medication.

The main thing to realize here though is that the two products are therapeutically equivalent. They may look different, and be called something different, but they are required to be chemically equivalent.


How are Generic drugs tested to ensure quality and efficacy?


The two most generally accepted methods to prove the safety of a generic version of a drug are to either repeat most of the chemistry, animal and human studies originally done, or to show that the drug performs comparably with the original brand name drug. This second option is called a "comparative bioavailability" study. During this type of study, volunteers are given the original drug, and then separately later the generic drug. The rates at which the drug is delivered to the patient (into their blood stream or otherwise absorbed) are measured to ensure they are the same. Because the same active ingredient is used the major concern is just that it delivers the common chemical(s) at the same rate so that they have the same effect.
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发表于 2010-8-23 17:36 |只看该作者
原帖由 zasxz 于 2010-8-23 16:19 发表
http://www.pharmacyrxworld.com/buy-Viread.html

为什么GENERIC的VIREAD只要110美金,而GILEAD的要465美金?

110美元的是韦瑞德和恩曲他滨的合剂,单独的韦瑞德不到100美元。

是仿制药品,而且不含知识产权的成本,就像润众仿制博路定,名正仿制贺维力。仿制药要比原研药便宜很多。
It isn't the mountain ahead that wears you out; it's the grain of sand in your shoe.

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发表于 2010-8-23 18:02 |只看该作者
只要药效是一样的就OK。
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发表于 2010-8-23 18:20 |只看该作者
润众 是王八蛋。一点技术含量没有,还208。我不知道他们送了多少钱给国家药监那些人,给物价的多少钱。留这么大的空间让他们操作
不到100元7片坚决博路定。
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