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Final Theisis Naba
Final Theisis Naba
OF APPROPRIATENESS
KLYD M. EMPERADO
()
MARIA REYNAGIE V. OGUE
oguemariareynagie@gmail.com
WENNABETH C. AMANTE
()
Ayungon Science High School Senior High School-Tampocon II, Ayungon
ABSTRACT
This study entails having the different aspects that affect the branded and
generic paracetamol in terms of appropriateness in Tampocon II, AYungon,
Negros Oriental for the year 2019-2020. The description method was of research
was applied in this study using quantitative analysis, simple percentage,
weighted mean, and Pearson Product-Moment Coefficient of Correlation. Based
on the profile of the respondents, with the majority of63words
2
OF APPROPRIATENESS
Age: _20-30 yrs. Old _30-40 yrs. Old _40-50 yrs. Old
_50-60 yrs. Old
Occupation: _Self-Employed _Government Employed
_Non-Government Employed
Directions: Read the items carefully. Put a check to each question that was
supported by follow up questions given. Answer it honestly.
4-Always (A)
3-Often (O)
2-Sometimes(S)
1-Never (N)
I.Purchasability Aspect 4 3 2 1
Often purchase branded paracetamol because:
II.Adequacy Aspect
I prefer to take branded paracetamol because:
2. Of its popularity.
3. It is applicable to everyone.
3
III.Applicability Aspect 4 3 2 1
I prefer to take Paracetamolbecause:
2. Of its popularity.
3. It is applicable to everyone.
IV.Effectivity Aspect
In terms of effectiveness, I prefer to take Branded paracetamol
because:
V.Costliness Aspect
I prefer to take Branded Paracetamol because:
1. It is affordable.
THE PROBLEM
Statement of the Problem
1.1 age;
2.1 purchasability;
2.2 adequacy;
2.3 applicability;
2.5 costliness
Hypothesis
To find out whether or not significant relationships exist within the aspects
aforementioned aspects.
of diseases.
researchers to provide affordable and effective medicine that will target certain
diseases.
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pharmaceuticals to dispense the right medicines and inform other consumers the
Pharmacology. The study will work as a pattern for their innovations and
developments to produce effective and quality medicines using state of the act
CHAPTER 1
THE PROBLEM AND ITS SCOPE
INTRODUCTION
Many people are concerned because Generic drugs are substantially cheaper
than the Branded drugs. They wonder if the quality and effectiveness have been
1
As stated by Gupta R. et. al. (2019), the cost of prescription drugs in the
policy makers.This has been among the highest in the world that US is more
efficiently studied about. Some medications that are used as treatment requires a
lot of money. A lot of country is evidently having an absence of its effectivity and
2
However, there are concerns over the efficacy and equivalence of
3
In Malaysia, where there is no Medicine Price Control Policy, it is not
(Ahmad N. et. al. 2017) The vicinity in Malaysia has this policy that doesn’t
consoles other medicines either branded or generic drugs and it is fruitful to the
consumers.
8
4
Time and again the importance of generic prescribing has been
two concepts to be understood here, one is generic vs. patented drugs and the
Although, the article talks about the Indian scenario but it can be extrapolated to
5
Non-proprietary name is the name for the active ingredient in the
brand names.
6
It is a well-known fact that generic drugs are “drugs that are usually
without a license from the innovator company and marketed after the expiry date
of the patent or other exclusive rights” (WHO, 2013) The good quality
bioequivalence studies will help to ensure the safety, efficacy, and potency of a
generic drug. When it is said that doctors should prescribe generic drugs, it
means that they should prescribe drugs manufactured by other companies after
the expiry of the patent of the parent drug of the innovator company. Very often,
non-proprietary name. All generic drugs have a brand name as well as a non-
proprietary name but all drugs having a non-proprietary name (generic name)
The patent for paracetamol expired in 2007 after which numerous generic
versions have been developed and sold under various “brand names.” If one
the pharmacist to select and dispense a particular brand, which may either be the
costliest brand at ₹ 3.64 (0.06 $) per 500 mg tablet or it could be the cheapest
(MedGuide India, 2013). A simpler and better alternative for cost reduction would
7
This may not be applicable in government drug stores where usually only
generic names is justified because if brand names are used and that particular
brand is not available in the drug store, the pharmacist will have to refer drug
indexes like CIMS etc. (CIMS—Current Index of Medical Specialties) to find out
the ingredient and then dispense from the available stock. It is another way to
give the customers needs, the drugstore will provide the medicine that is efficient
to their health. This will lead to waste of time and may also lead to errors in case
8
In other countries like the United States of America or the United
and hence their cost awareness becomes crucial. But in India, the concept of
community pharmacists doesn't exist and hence the onus for cost reduction, from
the point of view of drug selection, lies with the doctors. Although, when
prescribing the cheapest brand of the drug and include the generic name of the
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drug in parenthesis, in case that particular brand is not available. With this, the
doctor/physician will know what to purchase and its cost through various brands
in a particular drug. It may sound time consuming but in today's internet age,
Some of the patients misinterpreted the two kinds of drugs. Although the
active ingredients are the same the excipients (inactive ingredients) may differ.
These drugs may have reactions that an illness could actually cure or not.
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The lack of knowledge is the main barrier for attitudes of doctors. Health
professionals play the most influential role for the substitution of a branded drugs
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The generic name is the one doctors are trained to use.(Sambrook 2019)
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Buying such medicine like paracetamol, there will always a difference in
pricing in terms of its brands. Use of generic medicines has been increasing in
recent years primarily as a cost saving measure in health care provision (et. al.
Dunnes S. 2013).
costliness and purchasability but unfortunately. The effectiveness of its drugs has
Some of the Filipinos are tend to self-medicate and over-counter drugs are
one of the drugs that may their life in danger. These drugs are usually available
in sari-sari stores. This will be intended to over dose when its not properly in use.
11
12
Branding of a tablet appears to have conferred a treatment benefit in the
less effective if they contained no active ingredients (et. al. Fassek 2016).
Generic dugs are also called “innovator drugs”, initially marketed as new
chemical entities while Generic drugs are copies of Branded drugs. Although the
active ingredient is the same the excipients may differ. This is only important in
rare cases when a patient has an allergy or sensitivity to one of the excipients.
Some pharmacist does not give directly those medicine that may contains
allergic reaction or having active substances like the antibiotics they sell only if
the customers has the same recent and valid doctor’s prescription.
Oriental. The residence shall response about Branded and Generic drugs as to
Theoretical Background
Medicines Act of 2008" It is the policy of the State to protect public health and,
8
According to Bolos 2017, despite the affordability of these medicines, it
contains the same active ingredients and therefore products provided that they
have passed the safety and quality requirements of the Philippines Food and
Drugs Administration (FDA). Aside from the safety of the consumers, the drugs
should be passed the FDA approved after releasing the product to the market.
drugs have a significant effect on cost savings for health care consumers. The
generic drugs accounted for more than 63% of total prescriptions filled in the
United States. Although generics are used to fill the majority of prescriptions, the
actual costs associated with these medications are less than 13% compared to
their branded counterparts. While direct cost savings are a significant advantage
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for generic drug products, studies have also shown improvements in indirect
associated with the use of a more cost-effective drug. the generic industry has its
products and review the approval process. Furthermore, There are several
aspects that could affect their perceptions towards Branded and Generic Drugs;
uses is that generic drugs are copies of brand-name drugs known for, and they
have the same dosage, intended uses, effects, risks, safety and strength as the
original drugs. In other words, their pharmacological effects are the same as
substantially cheaper than the brand-name versions. They wonder if the quality
The FDA (Food and Drug Administration) requires that generic drugs be as safe
have not had the expenses of developing and marketing a new drug. When a
company brings a new drug onto the market, the firm has already spent
drug. A patent is granted that gives the company that developed the drug an
As the patent nears expiration, manufacturers can apply to the FDA for
permission to make and sell generic versions of the drug; and without the startup
costs for development of the drug, other companies can afford to make and sell it
more cheaply. When multiple companies begin producing and selling a drug, the
competition among them can also drive the price down even further.
inferior in quality to brand name drugs. The FDA applies the same standards for
all drug manufacturing facilities, and many companies manufacture both brand-
name and generic drugs. The FDA estimates that 50% of generic drug
Another common misbelief is that generic drugs take longer to work. The
FDA requires that generic drugs work as fast and as effectively as the original
brand-name products.
paracetamol the total clearance and clearance by glucuronidation did not change
with age although there was a reduction in clearance by sulphation and renal
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menstruation, pain and fever. Paracetamol when taken within therapeutic levels
of liver function are delayed for at least 3 days, and initially the prognosis can
relation to the time after ingestion.( Boyd, E.M. and Bereczky, G.M., 2016)
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similar to that found in a pioneer drug application, with the exception of safety
and efficacy. After 1962, the FDA established a new mechanism of proving
safety and efficacy by allowing the "literature-based" New Drug Application. This
Over the next several years, the Kefauver-Harris Drug Amendments were
challenged, most notably in Upjohn v. Finch in 1970, in which the courts upheld
the amendments by ruling that evidence of drug safety and efficacy cannot be
Respondents
Aspects
Purchasability
Adequacy
Applicability
Effectivity and
Costliness
Tabulated Results
Summary/Conclusion
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RESEARCH METHODOLOGY
Method
collecting the indispensable data through the use of questionnaires as the main
instrument of this study. The instrument was adopted from the complimentary
Branded drugs or Generic drugs are applicable and efficient. The researchers
also make a triangulation that allows approaching the research objectives from
different viewpoints.
in the schema.
The study will find out what was formulated based on the findings of the
study to address the knowledge and consciousness in the said Barangay. The
specifically those people don't know what they want to engage in different types
of medicines.
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INPUT PROCESS
Profile of the
Repondents
Descriptive Method of
Age
Occupation Research
Monthly Income
Level of Perception of Data gathering
the following aspects:
Purchasability Tabulation
Applicability
Pearson product
Effectivity moment correlation
Costliness
Is there a significant
aforementioned
Environment
This study will be conducted at Tampocon II Ayungon where there are
46,303 population with 28, 163 hectares at Tampocon II, Ayungon Negros
households and particularly with the ages from 20-60 years above.
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Respondents
The respondents of this study are the ages 20-60 and above, all are
bonafide of Tampocon II, Ayungon, Negros Oriental who has been taken
researcher took a half of the population which is 100. The purposive sampling of
Table 1
Respondents of Study
paracetamol:
Oriental have a total of 1,439 from the ages of 20-60 yrs. old respondents. Using
purposive sampling, the researchers will determine the ages of 20-60 yrs. old.
With a total of 100 respondents, 20% of the population of Tampocon II, Ayungon
Negros Oriental.
Instrument
Instrument Validation
clarifications and addition of words; the first drafts were distributed to the people
After retrieving the drafts, revisions made and ready for the pilot testing.
The people of Barangay Tiguib, Ayungon, Negros Oriental were the pilot testing
researchers with their teacher to check the validation and proofread the test
questionnaires.
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Data Gathering
The researcher made the required preparations for gathering the needed
data.
First, the researchers wrote the letter and sent towards requesting
permission from the office of the Barangay Tampocon II, captain Aurthoro
Carinal, where the research took place definitely in the place of Tampocon II,
questionnaire on January 9, 2020. Lastly, the researchers collect all the answer
Treatment of Data
To acquire quantitative results as bases in interpreting the data gathering,
percentage, the frequency of branded drugs and generic drugs was divided
Scoring Procedures
The four-point Likert Scale was utilized in the scoring procedure. The
Always
Often
Sometimes
Never
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DEFINITION OF TERMS
To have a vivid knowledge of the words that are used in the study.
that contain potent active ingredients in small amounts (thus often referred to as
achieve analgesia, relief from pain. They are distinct from anesthetics, which
acetaminophen.
shortness of breath.
Hemolysis - is the destruction of red blood cells that can occur due to
different causes and leads to the release of hemoglobin into the bloodstream.
Dehydration - is a condition that can occur when the loss of body fluids,
sale.
LEGEND
TAMPOCON II
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Chapter 2
This chapter presents the results of the data gathered. It includes the
This portion shows the profile of the respondents, their personal and
Age
This portion of the study looks into the respondents' Age. The Age is
existence. There are 4 four divided categories under the age which are: 20 to 30
The monthly income is the capital that they earn or receive from their
occupation to sustain their financial needs which meet their demands in time.
The occupation is a job for an individual's income. Through it able to meet the
Table 2
Profile of the Respondents
(N=100)
FREQUENCY PERCENTAGE
VARIABLES
AGE
20-30 30 30%
30-40 16 16%
40-50 24 24%
50-60 30 30%
MONTHLY INCOME
0-10K 80 80%
11-30K 16 16%
40K 4 4%
OCCUPATION
SELF-EMPLOYED 48 48%
As can be shown from Table 2, the majority of the respondents were from
20 years old to 30 years old with a recurrence of 30 or 30%. While there were
16% respondents with the age of 30 years old to 40 years old, 40 years old to 50
years old with a percentage of 24 and get a frequency of 24, besides, aging 50
years old to 60 years old has a frequency of 30 with a percentage of 30%. Two
(2) items from the profile of the respondents under ages 20-60 years old have the
frequency is 100 with a percentage of 100% under the ages of 20-60 years old of
100 respondents.
Regarding the monthly income, ranging from 0 -10,000 pesos which are
These data that were collected was associated with the level of the
There are many aspects to consider, how appropriate are these drugs. As
the questionnaire distributed by the researchers, they showed two (2) kinds of
paracetamol drugs; one is Biogesic paracetamol which costs 6 pesos each, that
is a branded drug, while Flugard paracetamol which only costs 1 peso each, that
is a generic drug.
identify what drugs they must buy, intake or maintain. The following aspects that
the respondents would affect their perception among the two drugs are the
Each table obtains, the aspects as to the level of the perception and
where the Weighted Mean, and Description can be seen. Their ranges were
based on the results found on Table 2 for the validity of the data presented.
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Purchasability Aspect
The aspect of the drugs that influence the respondents’ action on a certain
Table 3.
Purchasability Aspects affecting the respondents Appropriateness of
Branded and Generic Paracetamol.
(N=100)
AVERAGE 4 ALWAYS
Ranges: 3.50 – 4.00 Always (A), 2.50 – 3.49 Often (O), 1.50 - 2.49 Sometimes (S), 1.00 – 1.49
Never (N).
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As shown in Table 3, two (2) out of three (3) items got the ratings of
the drugs they intake, specifically “It is most prescribed by doctors”, followed by "
Branded paracetamol is readily available all the time." had weighted mean of 4
and 3.56 respectively. These data implicate that the people were greatly affected
in the table shown, as they prefer Branded paracetamol. Only (1) one item, “I
don’t trust generic paracetamol.” had a weighted mean of 3.12 with descriptive
rating of Often.
The data also revealed that most of the respondents out of 100 were not
able to take generic paracetamol because they don’t trust generic paracetamol
Generally, the weighted mean acquired for the three (3) items under the
aspects of purchasability was four (4) equivalent to Always. Basically, this rating
aforementioned items.
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Adequacy Aspect
Table 5
Adequacy Aspect Affecting the Respondents Appropriateness of Branded
and Generic Paracetamol Drug
(N=100)
Negros Oriental, on the aspect of adequacy of the paracetamol drugs shows that:
three (3) out of the three (3) items has description of Always, with weighted
mean ranges from 3.68 to 3.54. Two (2) items got the same weighted mean,
3.68. The average rating under this is 3.63, with the description of Always.
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Applicability Aspect
The aspects vary the capability of paracetamol drug while the prescription
everyone.
Table 5
Applicability Aspect Affecting the Respondents Appropriateness of
Branded & Generic Paracetamol Drug
(N=100)
The data above shows the result of the responses of the respondents of
Paracetamol drugs. The result shows that: three (3) out of the three (3) items has
a description of Always with weighted mean ranges from 3.68 to 3.54. Two (2)
items got the same weighted mean with 3.68. The total average under the Aspect
Effectivity Aspect
drug achieves its intended result. Whereas these can be evaluated through real
practice.
Table 6
Effectivity Aspect Affecting the Respondents Appropriateness of Branded
and Generic Paracetamol Drug
(N=100)
In terms of effectiveness, I
choose to take paracetamol
because:
The data above shows the result of the responses of the respondents of
Paracetamol drugs. The result shows that: two (2) out of three (3) items has the
description of Always with weighted mean ranges to 4 and 3.74, one (1) item
took the weighted mean of 2.92 with the description of Often. The general
average under Aspect of Effectivity is 3.55, with the general description result
of Always.
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Costliness Aspect
These aspects define the quality possessed by the paracetamol drugs with
Table 7
Costliness Aspect Affecting the Respondents Appropriateness of Branded
and Generic Paracetamol Drug
N=100
3.9 ALWAYS
It is effective.
The data shows the results on the responses of the Tampocon II,
The result shows that: two (2) out of three (3) items got the rating of Often, with
weighted mean of 3.08 and 3.14, one (1) item got the description of Always with
a weighted mean of 3.9. The total average under the Aspect of Costliness is 3.44
Table 8 shows the summary of data on the aspects that had gone under
the study.
Table 8.
Summary on the Aforementioned Aspects of the Efficiency of
Branded and Generic Paracetamol
(N=100)
Purchasability 4 ALWAYS 1
As can be seen in the table, three (3) aspects gain the weighted means of
4, 3.63, and 3.55 with the same description of Always. The aspects of adequacy
and costliness tied up their description often, with different weighted means of
3.45 and 3,4. As the table projected, all aspects get the total weighted mean
These are four (4) aspects, Aspect of purchasability, Aspect of Adequacy, Aspect
Oriental.
44
Chapter 3
the study. The flow of the discussion is based on the different aspects considered
in this study.
2020.
FINDINGS
the age bracket of 20-30 and 50-60 years old got the same percentage which is
Tampocon II, the Purchasability Aspect got a weighted mean of 4 and with the
equivalent to ALWAYS.
The result shows that whether or not there were significant relationships, it
was found out that all of the five aspects showed significant relationships with the
appropriateness of paracetamol.
branded or generic paracetamol and the consumers' monthly income, the result
withstands positively.
CONCLUSIONS
but has delayed effects. (The aforementioned aspects has a great effect to the…
moderately?)
46
RECOMMENDATION
The fact that most of the respondents had a very high perspective
also used to treat pain and fever. This development has been designed for the
equality of the two paracetamol not just in high pricing but with the appearances
APPENDIX A
Permission Letter
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Negros Oriental
District of Ayungon
Tampocon II, Ayungon, Negros Oriental
Sir:
We are the students of Ayungon Science High School- Senior High School will
conduct a study entitled; "Branded Drugs compared to Generic Drugs". This is in
partial fulfillment of the requirements in Grade 12 Senior High School, Research.
In connection to this, we would like to ask your permission from your barangay to
conduct a survey that will help our study to 176 randomly selected individuals
from the population of Tampocon II, with the age of 20-60 years old and above
residents.
We are hoping for your kind consideration. Thank you and God bless.
Respectfully yours,
Klyd M. Emperado
The Researcher
ARTHURO CARINAL
Barangay Captain of Tampocon II
Wennabeth C. Amante
The Researcher