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Technical Definitions of "Fake" 8 years 4 months ago #3748

  • klhilde
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First some bit of explanation. I'm new to this mod thing and it appears I inadvertently used my powers to reply on a locked thread. :ohmy:

A member pointed it out and he's right .... If I'm going to take a strong, technical position that is possibly contentious, it should be on a thread that is open for debate ..... so I've moved it here with a minor edit.
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I think Rachel should be held up there in high regard right along with Greg Jefferys and Dr. Freeman.
Rachel is saving peoples lives.

That said, I think there needs to be pointed out some technical definitions as to the term "Fake Drugs."
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Three categories of Fake Drugs

1) Any drug that does not have the active ingredients.

2) A drug that has not been approved for manufacture/sale in a particular jurisdiction.
a) Legitimate manufacturer but without approval for this specific drug.
b) Legitimate drug but illegitimate manufacturer.
c) Neither the drug nor the manufacturer are government approved.

3) Falsely branded drug
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In the case Rachel has brought to our attention, we clearly know that definition 3 applies.
Further it is reasonable to assume that 2c also applies.

But having read the Russian forum, I am not so sure that definition 1 applies. The Russian forum was aware of Mesochem long before Greg's blog appeared and Mesochem's name seems to have spread much further in the areas of the forum's influence than either Greg's blog or this site have among English readers so far. On one of the Russian forums I've seen ad postings for people smuggling Mesochem product into Ukraine. Looks like they're doing about a 50% markup. And I assume they're doing the same in Russia and Belarus. So if they decide to take the additional step of putting the drug into capsules before sale, I can see that they'd want to identify the source of the APIs. Yes it's false branding, and yes it's unapproved manufacture .... Maybe, maybe it doesn't actually have the active ingredients either ...

But that's exactly the problem with supply chain integrity isn't it? There's no way to know, so you better have confidence in your supply chain.

As for the story about the fake drugs in Pakistan, my suspicion is that it's also a case of definition 2c.
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Technical Definitions of "Fake" 8 years 4 months ago #3760

  • Gaj
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Hi klhilde,

Agree with you regarding the need to discuss how we define or at least discuss "fake" drugs and the impacts of that for both this site and others seeking sources of supply for treatment.

In the case of the Mesochem branded product you refer to, I would call it as fake regardless of whether it contains Daclatasvir or not.

My point here being that whether the perpetrators have the best intentions in the world or not, by copying the manufacture's labelling/logos they are misrepresenting or misleading their customers and doing it intentionally. And there are far better ways to assure customers of supply chain integrity such as those modelled by the Fixhepc buyers club.

Why does it matter?

Well, I would assume Rachel will be following this up with other groups that her company has supplied. Hopefully she puts a satisfactory stop to it. Failure to succeed at this and/or ongoing incidents would have the potential to impact who her company is prepared to supply as they will wish to protect their name as a trusted supplier to the large players in the field. And this could mean additional middle men, higher costs and probably considerably reduced access to everyone.

Rachel's request that Dr James not post pictures of the offending item is also correct in my view as it starves the net of opportunities for confusion of customers or outright fraud by scammers.

Which brings me to how we handle the issue of supply chain integrity and "fake" drugs on this site which I will do in more general terms below:

While in some ways the site could be seen as a support vehicle for the buyers club and its members, the reality is that as a site for hepers with uncensored input, links and a language translator we have a vast and growing international audience who can and will use us to access treatment either via the club if they meet the legal requirements or via links and contacts that we can and do provide. Some of this access and sourcing may come via unorthodox means as you say so we need to be mindful of the following:

Not all of these members/guests will have strong English language skills and some could easily be misled by posts, pictures or links on here that they may believe to be genuine just because of being on this site. For this reason I suggest that we all need to be very clear in our posts that the information we are posting/commenting on/linking to/etc. is not approved and verified by the site as having supply chain integrity unless we are absolutely certain that this is the case. So yes, as you say, it is all about supply chain integrity and I think we need to keep restating this for the benefit of new participants rather than assuming they will "get it" immediately.

Perhaps to assist with this process the mods and founders may like to have a discussion re setting up a locked "verified & approved" section placed prominently in the index section of the forum with appropriate warnings that anything outside this area needs to be viewed as "unsupported"?

Regardless of this and even if the above is implemented, please everyone, give your posts some thought as to whether they could be mistaken for an endorsement of something whether by a newcomer or someone who's first language isn't English. (Yes, I know we have a language translator, and like all of them........it's rubbish for real meaning!)

Hope this helps and look forward to hearing others thoughts.

G
G3a since '78 - Dx '12 - F4 (2xHCC)
24wk Tx - PEG/Riba/Dac 2013 relapsed
24wk Tx - Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx - 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 - 22/06/17 UND
SRV12 - 27/07/17 UND
SVR24 - 26/10/17 UND
:cheer: :cheer: :cheer:
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