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Date Posted: 23:01:47 07/29/06 Sat
Author: repost
Subject: Counterfeit drugs a threat to consumer safety, Pfizer warns

At a time when more people are looking to save money on prescription drugs, their exposure to counterfeit drugs is rising, says Pfizer's head of counterfeit intelligence.

Phony medicines are increasingly making it across U.S. borders, often via Internet sales, and creating a threat to consumer safety, says John Theriault, a former FBI agent who now serves as the vice president of global security for Pfizer Inc. Occasionally, the phony medicines even make it into the legitimate sales stream.

"The Internet is pretty much an unregulated flea market," he said.

The safety of consumers is at risk as global drug counterfeiters become more sophisticated in the manufacturing and marketing of replicas of such blockbuster drugs as Viagra, Lipitor and Norvasc, Theriault said.

They're coming from everywhere, he said.

The World Health Organization estimates global sales of counterfeit medicines at $40 billion this year. The Center for Medicines in the Public Interest in New York predicts that counterfeit drug sales will reach $75 billion globally in 2010.

The reason for the projected increase in the United States: drug costs increasing by double-digits annually at a time when many Americans are becoming responsible for more of their own costs.

It creates a tempting market for criminals who counterfeit drugs, Theriault said. It's forcing Pfizer to add to its global team of investigators. Currently, the world's largest drug maker employs about 15 counterfeit investigators, but Theriault is adding a handful more in the booming counterfeit hubs of China and India.

The U.S. drug supply remains one of the safest in the world, Theriault said. Still, consumers must be vigilant as they shop for low-priced drugs, particularly on the Internet, Theriault said.

Counterfeit drugs are often sold by Web sites that claim to be legitimate pharmacies based in the United States or Canada, Theriault said. But the contents of the drugs vary. Some contain active ingredients, but others contain no active ingredient or even harmful ingredients such as boric acid.

"Congress always asks, 'If this is such a big problem, where are the bodies?'" Theriault said. "But if someone believes they are taking a heart medicine, but it has no active ingredient, we say that is a threat. We're trying to raise awareness so we don't see a lot of dead bodies."

Many times fake drugs look just like the authentic product. But sometimes there are subtle differences that consumers should be on the lookout for, Theriault said.

For example, the shape or color of a medicine may be just slightly different in a counterfeit, so patients should pay attention to make sure the pills all look the same, he said. Packaging colors or printing may differ slightly as well. Or the box may not contain patient safety information.

The message, Theriault said, is: "Know your medicine."

David MacKay, a Winnipeg, Canada-based consultant to Online Canadian Pharmacies, said customers should make sure any online pharmacy they plan to use requires a prescription and has a street address. They should also verify an online pharmacy's license name and number with the state, province or country in which the pharmacy operates.

"At times, the pharmaceutical industry likes to wag its finger at consumers with some scare tactics" to keep Americans purchasing their drugs at home, MacKay said. "Legitimate pharmacies in Canada are just as much interested in safety as they are.

"There are licensed and legitimate Canadian pharmacies that provide perfectly safe medicines," MacKay said.

But consumers need to be aware that when they purchase drugs on Internet sites that say they're based in Canada, it could be that the sites are actually drug warehouses in another country, Theriault said.

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