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Related Concept Videos

Drug Products: Biologics, Biosimilars and Interchangeables01:28

Drug Products: Biologics, Biosimilars and Interchangeables

Biologics, derived from living sources such as humans, animals, or microorganisms, represent a significant category of pharmaceuticals. These complex molecules, developed through advanced biotechnological methods or purified from natural sources, include essential medical treatments like insulin and growth hormones. The complexity of biologics arises from their large molecular structures and the intricate processes required for their production, making them distinct from conventional...
Bioequivalence: Overview01:16

Bioequivalence: Overview

Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
Pharmaceutical Equivalents01:26

Pharmaceutical Equivalents

As defined by regulatory standards, pharmaceutical equivalents require generic drug products to have identical dosage forms and chemically identical active pharmaceutical ingredients (APIs). They must adhere to compendial or applicable standards for potency, content uniformity, disintegration times, and dissolution rates. In the case of modified-release dosage forms, variations in drug content are permissible as long as the delivered amount remains consistent with the innovator drug product.
Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence01:19

Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence

Pharmaceutical products contain more than just the active drug; they also contain various excipients such as binders, solubilizers, stabilizers, preservatives, and other elements. In some cases, impurities or contaminants might be present. Traditionally, quality control in pharmaceuticals has primarily focused on the analysis of the active drug, often overlooking the impact of these additional components. The recent issue with heparin contamination by over-sulfated chondroitin sulfate, a...
Bioequivalence of Drugs: Drugs with Multiple Indications01:09

Bioequivalence of Drugs: Drugs with Multiple Indications

The concept of therapeutic equivalence (TE) in drugs with multiple indications is complex. A generic drug may be therapeutically equivalent to a brand-name product for one specific indication, but this doesn't necessarily mean it's equivalent for all other indications. Evidence of TE in one patient group and bioequivalence shown in healthy volunteers can support—but not confirm—TE for other indications. However, definitive proof requires individual clinical studies for each indication due to...
Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence01:22

Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence

Generic intravenous (IV) drugs are considered bioequivalent to their branded counterparts due to their 100% bioavailability upon administration. However, variations in stability among different drug products can significantly influence their therapeutic performance, even if they are pharmaceutically equivalent.Cefuroxime, a prophylactic antimicrobial, is often used as a single-dose IV injection for patients undergoing coronary artery bypass grafting surgery. A 3 g dose typically provides...

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Updated: Jul 6, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
05:10

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System

Published on: December 11, 2016

[Generic drugs: quality, efficacy, safety and interchangeability].

Doris Tschabitscher1, Peter Platzer, Christoph Baumgärtel

  • 1Osterreichische Agentur für Gesundheit und Ernährungssicherheit, Wien, Austria.

Wiener Klinische Wochenschrift
|March 7, 2008
PubMed
Summary

Generic drugs are rigorously evaluated for quality and efficacy, ensuring they are therapeutically equivalent to innovator products. While generally interchangeable, critical dose drugs require careful consideration for substitution.

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Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
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Area of Science:

  • Pharmaceutical Science
  • Regulatory Affairs

Context:

  • Debate surrounding the quality and interchangeability of generic drugs.
  • Physician and patient concerns regarding generic drug efficacy and safety.

Purpose:

  • To explain European Union legislation governing generic drug approval.
  • To clarify the role of bioequivalence in ensuring therapeutic equivalence.

Summary:

  • European Union regulations mandate that generic drugs demonstrate bioequivalence, proving essential similarity to innovator products.
  • Bioequivalence, assessed via pharmacokinetic parameters, is accepted as a surrogate for clinical efficacy and safety.
  • Most generic drugs are suitable for routine substitution, but critical dose medications warrant caution.

Impact:

  • Provides assurance regarding the quality and therapeutic equivalence of generic medications.
  • Informs healthcare professionals and patients about the regulatory framework for generic drugs.
  • Highlights specific drug classes requiring careful consideration during generic substitution.