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Medical Forum / Diseases and Disorders / Herpes / December 2004

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Generic Valtrex (Valvirex) Anyone used?

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Big Jimbo - 20 Sep 2004 18:14 GMT
I have run across Generic Valtrex being sold as
Valvirex for 30-40% less than Valtrex. Has anyone used
this? I had thought the patent hadn't run out on Valtrex yet so I am
somewhat skeptical.

Valvirex is supposedly manufactured by Gutis which is
a foreign manufacturer.
M.L.S. - 21 Sep 2004 23:13 GMT
>I have run across Generic Valtrex being sold as
>Valvirex for 30-40% less than Valtrex. Has anyone used
>this? I had thought the patent hadn't run out on Valtrex yet so I am
>somewhat skeptical.

>Valvirex is supposedly manufactured by Gutis which is
> a foreign manufacturer.

It might be that some company has taken it upon themselves to
manufacture the generic in some place beyond U.S. patent laws.

A quick search doesn't turn up anything terribly negative other than
the generic warning to let the buyer beware.  Someone willing to
violate a patent may also lack other scruples.

I'll keep looking though...

Mike
Tim Fitzmaurice - 22 Sep 2004 08:09 GMT
> >I have run across Generic Valtrex being sold as
> >Valvirex for 30-40% less than Valtrex. Has anyone used
> >this? I had thought the patent hadn't run out on Valtrex yet so I am
> >somewhat skeptical.

The Valacyclovir patents start runnning out in 2009 according GSK...

> >Valvirex is supposedly manufactured by Gutis which is
> > a foreign manufacturer.

Costa Rican as far as I can see....

> It might be that some company has taken it upon themselves to
> manufacture the generic in some place beyond U.S. patent laws.

...and beyond the Berne convention as well. This sort of thing was pretty
common when patents were all locally dealt with you know. The
multinationals simply filed simulataneously in many territories (and still
do to some extent for safety)

Anyone have any idea if Costa Rica is signatory to the Berne.

The other option is a license so GSK can retool a production plant or two
yet still make money. Cannot find mention of that on the GSK website
though.

> > A quick search doesn't turn up anything terribly negative other than
> the generic warning to let the buyer beware.  Someone willing to
> violate a patent may also lack other scruples.

Technical point, if the makers are operating outside of territories the
patents protect, they are not violating anything. The people moving the
pills into or within protected areas I assume would be a different matter
if there's no license.

There are a fair number of pharmacies online that operate outside of
common patent protected areas and sell on - all have blurb somewhere
attempting to indemnify them against other coutnries laws and saying any
IP/prescrption etc laws are yours to deal with. Goes back to the buyer
beware line since while the transaction may be legal and above board in
the coutnry of origin a lot of rules may kick in as the stuff moves.

However without any solid data Im guessing a lot here.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
M.L.S. - 21 Sep 2004 23:20 GMT
>I have run across Generic Valtrex being sold as
>Valvirex for 30-40% less than Valtrex. Has anyone used
>this? I had thought the patent hadn't run out on Valtrex yet so I am
>somewhat skeptical.

>Valvirex is supposedly manufactured by Gutis which is
> a foreign manufacturer.

I dropped a question in the GlaxoSmithKlineWellcomeWhatever email
box, and will eagerly await a reply.

Take care,

Mike
M.L.S. - 25 Sep 2004 14:57 GMT
>>I have run across Generic Valtrex being sold as
>>Valvirex for 30-40% less than Valtrex. Has anyone used
>>this? I had thought the patent hadn't run out on Valtrex yet so I am
>>somewhat skeptical.

>>Valvirex is supposedly manufactured by Gutis which is
>> a foreign manufacturer.

>I dropped a question in the GlaxoSmithKlineWellcomeWhatever email
>box, and will eagerly await a reply.

No one ever writes me back.  (sigh)

            ;-)

Mike
Gyrodog - 23 Nov 2004 18:51 GMT
Yes. It's crap. Dosn't seem to do any harm, but was totally ineffective for
me. If you really want to try it, I'll send you some of what I have since I
won't be using it. Maybe it will work for you, but it did not for me.
Angela S. - 02 Dec 2004 12:57 GMT
You are taking a BIG chance making this announcement on a public newsgroup..

Happy Holidays,

Angela :)

www.yoshi2me.com

> Yes. It's crap. Dosn't seem to do any harm, but was totally ineffective
> for
> me. If you really want to try it, I'll send you some of what I have since
> I
> won't be using it. Maybe it will work for you, but it did not for me.
janedoe - 04 Dec 2004 06:21 GMT
Gyrrodog's info was a helpful post- in conjunction w/ Mike's patent info...
and may have saved me $$.

I felt safer ordering something online that was a well established generic
(as opposed to a pirated product, which is what "Valvirex by mfg by Gutis"
sounds like... I could be wrong and it may still be efficacious. But it
may not be, in which case I would be delaying treatment).

I ended up getting what I believe is a bona fide acyclovir generic
manufactured my a known corporation. The image matches the one in the PDR
and the imprinted number matches the mfg's number. And best of all, its
working.
M.L.S. - 05 Dec 2004 16:50 GMT
>Gyrrodog's info was a helpful post- in conjunction w/ Mike's patent info...
>and may have saved me $$.

>I felt safer ordering something online that was a well established generic
>(as opposed to a pirated product, which is what "Valvirex by mfg by Gutis"
>sounds like... I could be wrong and it may still be efficacious. But it
>may not be, in which case I would be delaying treatment).

>I ended up getting what I believe is a bona fide acyclovir generic
>manufactured my a known corporation. The image matches the one in the PDR
>and the imprinted number matches the mfg's number. And best of all, its
>working.

Glaxo never did write me back.  

Gutis is undoubtedly an established manufacturer of pharmeceuticals
in Central America, though, apparently, one not feeling a need to
respect Glaxo's patents.

The most generous view of Gutis's production of Valvirex would be
that intellectual property as embodied in such esoteria as patents,
isn't really property at all, and that no rights are being violated.

The more skeptical view is that of a company willing to profit from
the work of others without compensating those others.  For the
people in the markets that Gutis mainly serves, the niceties of U.S.
patent law are irrelevant, though other niceties, such as those of
quality control, may also be not as strictly observed.

In any event, if Valvirex is available here in the states, it is
probably illegally so.  And I'm not sure that the price difference
between that and Acyclovir is so great as to compensate for the
possible negatives.  Certainly, one would have a hard time eliciting
compensation for any injuries or non-performance of the smuggled
substance.  

Mike
janedoe - 30 Nov 2004 20:46 GMT
Thanks everyone for this thread!

Gyrodog- I am wondering if you have tried the real valtrex and compared
the results?

I just bought a bunch of generic acyclovir (Aciclovir by La Sante) before
I read this. I can only hope I am not going to be scammed...
Angela S. - 02 Dec 2004 12:56 GMT
Acyclovir is just as good as Valtrex. The only thing about Acyclovir is that
sometimes you have to take it more.. (ie: the prescription instructions are
different) and it doesn't absorb into your body as quickly as the Valtrex.
Otherwise.. it's ok to take Acyclovir instead if cost is a factor OR you
don't have insurance. Another thing you can think about are the patient
assistance programs that Glaxo offers people that would prefer to take
Valtrex. I have a link or two on my site here:
http://www.yoshi2me.com/herpes-hpv-links.html

Happy Holidays!!

Angela :)

>I have run across Generic Valtrex being sold as
> Valvirex for 30-40% less than Valtrex. Has anyone used
[quoted text clipped - 3 lines]
> Valvirex is supposedly manufactured by Gutis which is
> a foreign manufacturer.
janedoe - 04 Dec 2004 06:33 GMT
Thanks for the info.

Slight correction- since valtrex is a prodrug (precursor to acyclovir), it
actually takes longer for it to hit the bloodstream than acyclovir. It
actually gets metabolized into acyclovir, which is the active form of the
drug. This (structural difference) is also what allows it to be taken less
often because it is present in the bloodstream for a longer duration of
time.
Tim Fitzmaurice - 04 Dec 2004 23:12 GMT
> Thanks for the info.
>
> Slight correction- since valtrex is a prodrug (precursor to acyclovir), it
> actually takes longer for it to hit the bloodstream than acyclovir. It

Im not 100% sure its that simple, there is a conversion step but its not
the only issue involved in getting oral drug into the blood. Oral
Valacyclovir is described as  being pharmacokinetically as good as iv ACV
by several  papers which would put it ahead of oral ACV. The thing  is
more bioavailable than ACV so it may get picked up much faster and if the
liver conversion is not rate limiting  (its certainly very efficient)
then you will still get enough active drug  faster into the bloodstream as
the faster pickup overrides any slowdown from conversion in comparison to
oral ACV. Both have to get through gut and liver to the general
circulation so the liver sees it all.

Kimberlin et al in Am J Obstet Gynecol (1998) vol 179, p 846 state there
is no difference in time to peak concentration, or elimination half life,
and the higher higher VACV peaks seems to suggest its getting picked up
quicker....thats in pregancy so it spossible (though Id be surprised) the
rates are different....

Everything else I read annoying says VACV is taken up and converted fast,
or words to that effect without giving numbers....I'll have to try digging
a bit later see if I can find them - its a bit late here right now...but
everythin lists better area under curves and higher peaks for VACV...with
similar halflives that should mean its getting in as fast or faster...

AH found a Hoglund paper that has iv ACV going to peak twice as fast as
oral VACV using about double the VACV as the iv ACV to cover the loss
from bioavailabilty to compare them, equal amounts of oral ACV are about
half as bioavilable as VACV which would make them run pretty much side by
side for equal dosing by mouth all else being equal.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
janedoe - 05 Dec 2004 03:04 GMT
You may be right. I apologize if I was hasty. You bring up an interesting
point for those interested in the finer pharmacokinetic details (which
includes me, though I wish I had less of a personal vested interest in
this--- read: coping mechanism)

Would you agree that the most important thing in terms of viral supression
is to maintain a high enough plasma concentration of acyclovir (via
valacyclovir or acyclovir)?

Thanks for your info.
Angela S. - 05 Dec 2004 03:14 GMT
Personally, it doesn't matter which one you use (ie: Valtrex and/or
Acyclovir) as long as you figure out which one works best for you. I found
out through a series of tests out of Valtrex, Acyclovir and Famvir the
Valtrex worked much better and the flare ups went away faster. But, that's
just me. Everybody is different. Each person has to figure out what works
best for them.

Merry CHRISTmas!!

Angela :-)

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> You may be right. I apologize if I was hasty. You bring up an interesting
> point for those interested in the finer pharmacokinetic details (which
[quoted text clipped - 6 lines]
>
> Thanks for your info.
Tim Fitzmaurice - 09 Dec 2004 14:25 GMT
> Would you agree that the most important thing in terms of viral supression
> is to maintain a high enough plasma concentration of acyclovir (via
> valacyclovir or acyclovir)?

Yes, thats really the main aim of both the nucleoside prodrugs on the
market (thats Famvir/famciclovir and Valtrex/valacyclovir [Zelitrex in a
few places I think]). They get more into the body per given dose so it
takes longer for the released active drug to drop below the minimum
effective plasma level (ACV in valacyclovir's case, PCV in famciclovir's).
Less frequent dosing, stronger peak response etc....

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
 
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