Featured Research

from universities, journals, and other organizations

Risks In Ordering Drugs By Internet On The Rise

Date:
July 20, 2008
Source:
University of Maryland Baltimore
Summary:
Consumers are facing a growing risk of getting counterfeit drugs because of rising Internet sales of medical drugs, projected to reach upwards of $75 billion by 2010. A new report calls for stronger enforcement legislation than current proposals in Congress.

A report from the University of Maryland School of Pharmacy concludes that consumers are facing a growing risk of getting counterfeit drugs because of rising Internet sales of medical drugs, projected to reach upwards of $75 billion by 2010. The report calls for stronger enforcement legislation than current proposals in Congress.

Counterfeit drugs get into the U.S. through different sources, but those through illegitimate Internet sites are of special concern, says report author Francis Palumbo, PhD, executive director of the School’s Center on Drugs and Public Policy at the University of Maryland, Baltimore.

“When consumers buy from those, it is definitely buyer beware. They are often not licensed anywhere we are aware of,” says Palumbo. He says the U.S. Food and Drug Administration (FDA) “has been pulling its hair out over the years trying to deal with rogue Internet sites, the terminology they [FDA] use.”

The report, “Policy Implications of Drug Importation,” published in the journal Clinical Therapeutics, tracks the growing “challenge” to U.S. drug regulators and pharmaceutical companies from the growth of imported drugs. The report also addresses the national debate over drug importation policies.

Personal drug importing used to be just a way for patients to continue therapy with medications that were not available in the U.S. and when all other options were exhausted, the report says. But the practice has changed because of pressure of high costs of branded drugs in this country and the desire of patients to find cheaper alternatives.

During the past 10 years, many people have been importing prescription drugs that were available for purchase in the U.S. and justifying the foreign purchases on the FDA’s policy of personal use exemption. “The policy was never intended to allow this practice to be institutionalized,” the report says. And it concludes that both FDA and U.S. Customs officials can’t handle the volume entering the country.

Blatantly ignoring historical policies on personal importing of drugs not sold in this country leaves the FDA “in a quandary,” the report states. The FDA, though, recognizes that there are many reputable Internet pharmacies, in the U.S. and licensed by states, that offer convenience, wide selections, and privacy, according to the agency’s Web site. Those pharmacies also provide easy access to medications for disabled patients “for whom a trip to the pharmacy can be difficult.”

The FDA also cooperates with other countries to try to stem the tide of illegal Internet sites that ship drugs to the U.S. See: http://www.fda.gov/buyonline/. Ilisa Bernstein, PharmD, FDA’s director of pharmacy affairs, says, “When we do hear about an incident…,we follow up. But to stop it entirely would be difficult.”

Another concern, says Palumbo, is that unlicensed and unregulated drugs may find their way into pharmacies. “We are trying to keep the wolf away from the door and yet there are ways counterfeiters can inject their products into the drug distribution system in the U.S. and may end up in some pharmacies. These are often introduced through the conduit of some secondary wholesalers.” He adds that many secondary distributors are “very legitimate”; they buy products from other wholesalers.

More than 50 percent of Internet drug outlets, which conceal an actual address, have counterfeit drugs, according to the World Health Organization. Counterfeit drug sales are increasing at nearly twice the rate of legitimate drug sales and may expand to a $75 billion industry globally by 2010, according to the nonprofit Center for Medicine in the Public Interest.

Meanwhile some states have taken steps including legislation to “tighten up distribution,” Palumbo said. “There is still a long way to go with this wholesaler issue,” he continues. And because there are some 6,000 pharmaceutical wholesalers operating in the U.S., “there are places where there is vulnerability, where counterfeit products might move beyond the stream of commerce.”

Within the U.S., counterfeiting of drugs is likely “quite low,” he says. Internet sales are generally from foreign pharmacies that may not primarily serve the citizens of their country—enabling them to avoid the standards their government requires for drug manufacturing and safety, concluded a 2004 report by the U.S. Department of Health and Human Services.

Also, some pharmacy chains have decided to work only through primary wholesalers and required them to have accreditation from organizations such as the National Association of Boards of Pharmacy (NABP), and other qualifications, to show that they have not purchased from questionable sources. Palumbo says, “This is a major step forward.”

Bernstein says recent FDA studies show is that 50 percent of people buying online get generic drugs "which tells us people are perhaps bypassing their doctors. That is very dangerous.”


Story Source:

The above story is based on materials provided by University of Maryland Baltimore. Note: Materials may be edited for content and length.


Cite This Page:

University of Maryland Baltimore. "Risks In Ordering Drugs By Internet On The Rise." ScienceDaily. ScienceDaily, 20 July 2008. <www.sciencedaily.com/releases/2008/07/080717221157.htm>.
University of Maryland Baltimore. (2008, July 20). Risks In Ordering Drugs By Internet On The Rise. ScienceDaily. Retrieved July 23, 2014 from www.sciencedaily.com/releases/2008/07/080717221157.htm
University of Maryland Baltimore. "Risks In Ordering Drugs By Internet On The Rise." ScienceDaily. www.sciencedaily.com/releases/2008/07/080717221157.htm (accessed July 23, 2014).

Share This




More Health & Medicine News

Wednesday, July 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Stone Fruit Listeria Scare Causes Sweeping Recall

Stone Fruit Listeria Scare Causes Sweeping Recall

Newsy (July 22, 2014) The Wawona Packing Company has issued a voluntary recall on the stone fruit it distributes due to a possible Listeria outbreak. Video provided by Newsy
Powered by NewsLook.com
Huge Schizophrenia Study Finds Dozens Of New Genetic Causes

Huge Schizophrenia Study Finds Dozens Of New Genetic Causes

Newsy (July 22, 2014) The 83 new genetic markers could open dozens of new avenues for schizophrenia treatment research. Video provided by Newsy
Powered by NewsLook.com
CDC Head Concerned About a Post-Antibiotic Era

CDC Head Concerned About a Post-Antibiotic Era

AP (July 22, 2014) Sounding alarms about the growing threat of antibiotic resistance, CDC Director Tom Frieden warned Tuesday if the global community does not confront the problem soon, the world will be living in a devastating post-antibiotic era. (July 22) Video provided by AP
Powered by NewsLook.com
Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins