[Questionnaire survey on the change of asthmatic response, adverse events and product usability due to drug switching between name-brand and generic tulobuterol tapes].
Aggravation of asthmatic response (asthmatic attack, 2 cases) and adverse events (tremor, 1 case) due to a switch from a brand-name tulobuterol tape to a generic tape were recently reported. These changes disappeared after reformulation from generic to the brand-name tape. To investigate this issue, we conducted a questionnaire survey on changes of asthmatic response, adverse events and product usability due to a switch between tulobuterol tapes. We identified 44 cases (18 from doctors, 26 from pharmacists) in which changes of asthmatic response or adverse events had occurred due to a switch between tulobuterol tapes. Aggravation of asthmatic response had occurred in 30 cases and adverse events in 21 cases due to switch from brand-name tulobuterol tape to generic tape. As regards change of product usability, we obtained 96 relevant responses (18 from doctors, 78 cases pharmacists), and the major response was that generic tulobuterol tape peeled off the skin more easily than did the brand-name tape (60 cases). These results suggest that changes of asthmatic response, adverse events and product usability should be carefully monitored when switching tulobuterol tapes.
Graduate School of Pharmaceutical Sciences, The University of Tokyo, Japan.
Taro
T
Izumi
Satoko
S
Hori
Hiroki
H
Satoh
Akiko
A
Miki
Yasufumi
Y
Sawada
D000368:Aged; D001249:Asthma / Q000188:drug therapy*; D002675:Child, Preschool; D057915:Drug Substitution / Q000009:adverse effects*; D004363:Drug Utilization / Q000706:statistics & numerical data*; D016568:Drugs, Generic / Q000008:administration & dosage* / Q000009:adverse effects* / Q000493:pharmacokinetics; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010539:Permeability; D010595:Pharmacists / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data; D012867:Skin / Q000378:metabolism; D011795:Surveys and Questionnaires; D013726:Terbutaline / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000493:pharmacokinetics; D057968:Transdermal Patch
D016568:Drugs, Generic; C010809:tulobuterol; D013726:Terbutaline