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	<title>Comments on: Should Drugs Carry Country-Of-Origin Labeling?</title>
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	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 22:38:13 +0000</pubDate>
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		<title>By: Joy Ramsey</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-335982</link>
		<dc:creator>Joy Ramsey</dc:creator>
		<pubDate>Sat, 03 May 2008 18:26:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-335982</guid>
		<description>The big question here is why don't we just manufacture all drugs in this country and pay the additional cost for safe drugs.  Right now, the departments of our government can't protect us or our animals from consumer terrorism, let alone the kind that blow us up.  We should get back to making things in our country.  It's a matter of national security for so many things that we use or need.  This use to be a great country, for those of you under 35, you don't remember; now it is mediocre and we have the politicians to thank for that.  As voters, we need to clear the deck every election.  One term in the senate, two in the house and you are out.  Maybe someone besides a lawyer will run for office then.</description>
		<content:encoded><![CDATA[<p>The big question here is why don&#8217;t we just manufacture all drugs in this country and pay the additional cost for safe drugs.  Right now, the departments of our government can&#8217;t protect us or our animals from consumer terrorism, let alone the kind that blow us up.  We should get back to making things in our country.  It&#8217;s a matter of national security for so many things that we use or need.  This use to be a great country, for those of you under 35, you don&#8217;t remember; now it is mediocre and we have the politicians to thank for that.  As voters, we need to clear the deck every election.  One term in the senate, two in the house and you are out.  Maybe someone besides a lawyer will run for office then.</p>
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		<title>By: Joe</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-323573</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Wed, 30 Apr 2008 14:23:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-323573</guid>
		<description>JACK (off) said:

"Third, you eat pounds of food a day, and even if you take a lot of meds you’re not ingesting pounds of meds. We don’t put the country of origin on food now."

Actually, we do put the country of origin on foods.  Further, would you rather take a medicine manufactured in Ghana or in the U.S.?  China has a long history of suppling drugs that have none of the (expensive) active ingredient, essentially placebos, which have resulted in death.

Stop defending the drug companies and start looking out for the people.

Baxter already has dirty hands in blood meds.  Back in the 80's they were involved in getting blood samples from prisoners for use in creating clotting drugs for hemophiliacs.  They didn't screen for AIDS and wound up infecting over 4,000 patients with AIDS.</description>
		<content:encoded><![CDATA[<p>JACK (off) said:</p>
<p>&#8220;Third, you eat pounds of food a day, and even if you take a lot of meds you’re not ingesting pounds of meds. We don’t put the country of origin on food now.&#8221;</p>
<p>Actually, we do put the country of origin on foods.  Further, would you rather take a medicine manufactured in Ghana or in the U.S.?  China has a long history of suppling drugs that have none of the (expensive) active ingredient, essentially placebos, which have resulted in death.</p>
<p>Stop defending the drug companies and start looking out for the people.</p>
<p>Baxter already has dirty hands in blood meds.  Back in the 80&#8217;s they were involved in getting blood samples from prisoners for use in creating clotting drugs for hemophiliacs.  They didn&#8217;t screen for AIDS and wound up infecting over 4,000 patients with AIDS.</p>
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		<title>By: billy bob</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-307243</link>
		<dc:creator>billy bob</dc:creator>
		<pubDate>Tue, 22 Apr 2008 16:30:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-307243</guid>
		<description>I think this topic is unrelevant to any thing imporatant so get a a life</description>
		<content:encoded><![CDATA[<p>I think this topic is unrelevant to any thing imporatant so get a a life</p>
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		<title>By: Just A Thought</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-272885</link>
		<dc:creator>Just A Thought</dc:creator>
		<pubDate>Fri, 11 Apr 2008 09:02:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-272885</guid>
		<description>What I wonder about production origin.

When a drug is being submitted to the FDA for approval,  is the application based on studies of that drug manufactured in the country where it will be made?
Or if the drug's production is moved, does the manufacturer have to submit the results of a new clinical trial?
 
Can't humidity and temperature effect things like frailability, shelf life, wet or dry granulation, tablet compression, dry lubrication, etc..
Things that have to do with how excipients are made, held, and used. Things that can alter a drug's dissolution?

Just asking.

I want to know where my drugs come from.</description>
		<content:encoded><![CDATA[<p>What I wonder about production origin.</p>
<p>When a drug is being submitted to the FDA for approval,  is the application based on studies of that drug manufactured in the country where it will be made?<br />
Or if the drug&#8217;s production is moved, does the manufacturer have to submit the results of a new clinical trial?</p>
<p>Can&#8217;t humidity and temperature effect things like frailability, shelf life, wet or dry granulation, tablet compression, dry lubrication, etc..<br />
Things that have to do with how excipients are made, held, and used. Things that can alter a drug&#8217;s dissolution?</p>
<p>Just asking.</p>
<p>I want to know where my drugs come from.</p>
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		<title>By: Kelly</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-272500</link>
		<dc:creator>Kelly</dc:creator>
		<pubDate>Fri, 11 Apr 2008 04:45:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-272500</guid>
		<description>I agree with Dingle and CMC guy - having been in and out of many pharma plants, I have a heiarchy rule of which drugs I am willing to take.  I never use generic.  I'd like very much to know where my APIs come from and I would rule out all made outside of the US or EMEA, if I could.  And I NEVER take a new drug - I have no desire to be part of the Phase 4 clinical study, otherwise known as "unleash it on the public".  The underfunding of FDA is one of the government's biggest crimes against the American people IMO.</description>
		<content:encoded><![CDATA[<p>I agree with Dingle and CMC guy - having been in and out of many pharma plants, I have a heiarchy rule of which drugs I am willing to take.  I never use generic.  I&#8217;d like very much to know where my APIs come from and I would rule out all made outside of the US or EMEA, if I could.  And I NEVER take a new drug - I have no desire to be part of the Phase 4 clinical study, otherwise known as &#8220;unleash it on the public&#8221;.  The underfunding of FDA is one of the government&#8217;s biggest crimes against the American people IMO.</p>
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		<title>By: Steve</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-271741</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Thu, 10 Apr 2008 20:30:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-271741</guid>
		<description>The marking requirements under the FDA Regs. and the Customs Regs. are very different.  FDA requires the product to be labeled with the place of "manufacture" where Customs requires the product to be marked with the country where the last "substantial transformation" took place (when more than one country is involved).  Determining substantial transformation is subject to statutory interpretation and, in some cases, construction.  Ultimately, it means virtually nothing to the average consumer.</description>
		<content:encoded><![CDATA[<p>The marking requirements under the FDA Regs. and the Customs Regs. are very different.  FDA requires the product to be labeled with the place of &#8220;manufacture&#8221; where Customs requires the product to be marked with the country where the last &#8220;substantial transformation&#8221; took place (when more than one country is involved).  Determining substantial transformation is subject to statutory interpretation and, in some cases, construction.  Ultimately, it means virtually nothing to the average consumer.</p>
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		<title>By: Callie Roberts</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-271194</link>
		<dc:creator>Callie Roberts</dc:creator>
		<pubDate>Thu, 10 Apr 2008 14:00:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-271194</guid>
		<description>This is a joke—right? Label what? The active, excipient, dosage, or package. What integrity assurance does a "country of origin" offer, really!. Counterfeiters will be counterfeiters. Didn't we cry about this when GM implored us to buy "made in america" autos?</description>
		<content:encoded><![CDATA[<p>This is a joke—right? Label what? The active, excipient, dosage, or package. What integrity assurance does a &#8220;country of origin&#8221; offer, really!. Counterfeiters will be counterfeiters. Didn&#8217;t we cry about this when GM implored us to buy &#8220;made in america&#8221; autos?</p>
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		<title>By: CMC guy</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-269800</link>
		<dc:creator>CMC guy</dc:creator>
		<pubDate>Wed, 09 Apr 2008 21:03:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-269800</guid>
		<description>I've been to a few pretty scary domestic API manufacturing sites so location is not always a direct gauge of quality, even if they have passed inspections by FDA and multiple clients (extrapolating rationale my take with limited data suggests we should purchase from Swiss).  ICH Q7 probably has helped raise standards overall and level international comparison.  Systems should be in place to trace materials and sponsors do bear responsibilities in assuring materials appropriate but although not an excuse reality is that Quality groups are often stretched thin so focus on late stages with less examination of early/pre-steps.

Are people willing to pay additional for "made in USA" or the increased internal &#38; external (FDA) resources necessary to fully maintain highest levels of quality?</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been to a few pretty scary domestic API manufacturing sites so location is not always a direct gauge of quality, even if they have passed inspections by FDA and multiple clients (extrapolating rationale my take with limited data suggests we should purchase from Swiss).  ICH Q7 probably has helped raise standards overall and level international comparison.  Systems should be in place to trace materials and sponsors do bear responsibilities in assuring materials appropriate but although not an excuse reality is that Quality groups are often stretched thin so focus on late stages with less examination of early/pre-steps.</p>
<p>Are people willing to pay additional for &#8220;made in USA&#8221; or the increased internal &amp; external (FDA) resources necessary to fully maintain highest levels of quality?</p>
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		<title>By: Dingle</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-269370</link>
		<dc:creator>Dingle</dc:creator>
		<pubDate>Wed, 09 Apr 2008 16:53:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-269370</guid>
		<description>I've been to some pretty scary international pharma sites.  If I were taking a drug, I'd like to know where the API was manufactured.  Sometimes I question if the pharma companies truly know, since supply chains are usually complex and sourced from multiple paths.  
Just because Ireland and PR are great for tax (Singapore is better), doesn't The tax haven is often just one or two steps in the chain.  
I'd be a lot more concerned about this if I were taking a generic (and wondering if it were actually a placebo).</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been to some pretty scary international pharma sites.  If I were taking a drug, I&#8217;d like to know where the API was manufactured.  Sometimes I question if the pharma companies truly know, since supply chains are usually complex and sourced from multiple paths.<br />
Just because Ireland and PR are great for tax (Singapore is better), doesn&#8217;t The tax haven is often just one or two steps in the chain.<br />
I&#8217;d be a lot more concerned about this if I were taking a generic (and wondering if it were actually a placebo).</p>
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		<title>By: Bingo</title>
		<link>http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-265867</link>
		<dc:creator>Bingo</dc:creator>
		<pubDate>Tue, 08 Apr 2008 18:58:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/should-drugs-carry-country-of-origin-labeling/#comment-265867</guid>
		<description>The country in which the finished dose is manufactured is very often not the the same as the country in which the active ingredient is made. Active ingredients are made using key intermediates that often have another source country. Which one is the "country of origin" for the purposes labelling? What about products with more than one active ingredient? 

Because cGMP compliance varies widely between facilities within a country, simply knowing the active ingredients come from a certain country tells you relatively little, and knowing the country of origin for the finished dose tells you next to nothing.</description>
		<content:encoded><![CDATA[<p>The country in which the finished dose is manufactured is very often not the the same as the country in which the active ingredient is made. Active ingredients are made using key intermediates that often have another source country. Which one is the &#8220;country of origin&#8221; for the purposes labelling? What about products with more than one active ingredient? </p>
<p>Because cGMP compliance varies widely between facilities within a country, simply knowing the active ingredients come from a certain country tells you relatively little, and knowing the country of origin for the finished dose tells you next to nothing.</p>
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