The study of the domestic market of antiviral drugs for the pharmacotherapy of complicated influenza in Ukraine
DOI:
https://doi.org/10.24959/nphj.26.207Keywords:
complicated form of influenza; antiviral drugs; neuraminidase inhibitors; economic availability; import dependence.Abstract
Aim. To study the domestic market of antiviral drugs – neuraminidase inhibitors, which are recommended by the clinical treatment protocols for the pharmacotherapy of patients with complicated forms of influenza; to determine their cost aspects and accessibility for the patient.
Materials and methods. The normative and legislative acts and sources of scientific literature on the pharmaceutical component of the treatment of complicated forms of influenza using antiviral drugs, neuraminidase inhibitors (ATC code J05A H), in Ukraine were reviewed. The pharmaceutical market of Ukraine was analyzed in terms of the availability and accessibility of this group of drugs to the population.
Results. Among acute respiratory viral infections, influenza is a key disease among the population in terms of the number of reported cases, severe complications and disability. Severe forms of influenza require inpatient treatment of patients using antiviral drugs. According to the clinical treatment protocol and the WHO recommendations, it is recommended to use neuraminidase inhibitors (J05A H), including Oseltamivir, Zanamivir, Laninavir and Piramivir with the activity against various strains of the influenza virus, for the pharmacotherapy of complicated forms of influenza. Neuraminidase inhibitors are represented in the domestic pharmaceutical market of Ukraine by 15 trade names of foreign manufacturers, which indicates complete import dependence and requires the development and introduction of domestic antiviral drugs into production.
Conclusions. Severe forms of influenza can lead to significant complications of the patient’s disease, and, therefore, the use of neuraminidase inhibitors should prevent the occurrence of severe pathological changes in the patient’s body. The most affordable drug for the patient is Oseltamivir, 75 mg, No. 10 manufactured by Strides India, the course of treatment for which in 2026 will be 5 % of the patient’s minimum wage.
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