{"id":7736,"date":"2015-07-11T17:18:00","date_gmt":"2015-07-11T15:18:00","guid":{"rendered":"https:\/\/faus-moliner.com\/ca\/substitution-of-medicinal-products-and-individual-rights-of-patients-2\/"},"modified":"2016-03-04T20:40:16","modified_gmt":"2016-03-04T18:40:16","slug":"substitution-of-medicinal-products-and-individual-rights-of-patients-2","status":"publish","type":"post","link":"https:\/\/faus-moliner.com\/ca\/substitution-of-medicinal-products-and-individual-rights-of-patients-2\/","title":{"rendered":"Sustituci\u00f3n de medicamentos y derechos individuales de los pacientes"},"content":{"rendered":"<p><strong>Antecedentes<\/strong><\/p>\n<p>El caso que comentamos es conocido: un m\u00e9dico de un paciente afectado de Parkinson lleg\u00f3 a la conclusi\u00f3n de que el gen\u00e9rico que el paciente recib\u00eda en la farmacia no ten\u00eda el mismo efecto, en ese caso concreto, que el medicamento de marca. La sustituci\u00f3n se llevaba a cabo de forma legalmente correcta dado que cuando se produc\u00eda el medicamento de marca ten\u00eda un precio superior al del gen\u00e9rico, de modo que la farmacia ven\u00eda obligada a dispensar el gen\u00e9rico. En esta situaci\u00f3n, el m\u00e9dico anim\u00f3 al paciente a comprar el medicamento de marca y a reclamar posteriormente el reembolso de gastos.<\/p>\n<p><strong>La Ley y los derechos individuales<\/strong><\/p>\n<p>El Tribunal que analiza el caso resolvi\u00f3 a favor del paciente, basando su decisi\u00f3n en la necesidad de proteger sus derechos individuales. Lo decisivo para resolver la cuesti\u00f3n litigiosa, dice el Tribunal, no es si la farmacia estaba obligada a dispensar el gen\u00e9rico a causa de su menor precio; sino si el paciente ten\u00eda derecho a ver protegida su salud con la dispensaci\u00f3n del medicamento que le hab\u00eda prescrito el Servicio de Neurolog\u00eda que le trataba.<\/p>\n<p>La protecci\u00f3n del derecho individual del paciente, seg\u00fan el Tribunal, tiene cabida en el art\u00edculo 85 de la Ley 29\/2006 que regula la prescripci\u00f3n, la dispensaci\u00f3n y la sustituci\u00f3n; porque seg\u00fan este art\u00edculo el principio que debe imperar por encima de cualquier otro es que la prescripci\u00f3n se haga en la forma m\u00e1s apropiada para el beneficio de los pacientes.<\/p>\n<p>El Tribunal no olvida que la misma norma a\u00f1ade que ha de buscarse la protecci\u00f3n de la sostenibilidad del sistema y reconoce que, por este motivo, la prescripci\u00f3n y dispensaci\u00f3n de la marca s\u00f3lo tiene cobertura legal si el medicamento de marca est\u00e1 incluido en el sistema de precios de referencia o tiene un precio no superior al m\u00e1s bajo dentro de su agrupaci\u00f3n homog\u00e9nea.<\/p>\n<p>Ahora bien, dice la sentencia, esta regla sobre prescripci\u00f3n y dispensaci\u00f3n de los medicamentos de marca puede ser obviada en el caso de medicamentos considerados como no sustituibles, y para determinar si un medicamento es sustituible o no es posible e incluso necesario acudir a la situaci\u00f3n individual de cada paciente. Si un paciente tratado con un medicamento de marca sufre un empeoramiento en su situaci\u00f3n cuando empieza a ser tratado con el gen\u00e9rico, ambos productos deben ser considerados, en cuanto a ese paciente concreto, como no sustituibles.<\/p>\n<p><strong>Selecci\u00f3n y Sustituci\u00f3n de biol\u00f3gicos<\/strong><\/p>\n<p>Las ideas que expresa esta sentencia aportan luz al debate sobre la sustituci\u00f3n en el caso de pacientes tratados con medicamentos biol\u00f3gicos. En el caso de estos productos, donde la prescripci\u00f3n por marca es obligatoria, y donde la farmacovigilancia exige identificaci\u00f3n de la marca y del lote del producto administrado al paciente, la sustituci\u00f3n sin consentimiento del paciente y del m\u00e9dico prescriptor no s\u00f3lo es ilegal sino que atenta contra los derechos individuales del paciente reconocidos en la Constituci\u00f3n. Lo mismo cabe decir de cualquier medida que selecci\u00f3n que suponga institucionalizar o generalizar la sustituci\u00f3n o que obligue a los prescriptores a tratar a los nuevos pacientes con un medicamento biol\u00f3gico en detrimento de otro. El criterio del m\u00e9dico, y el derecho del paciente a ser informado y a poder escoger entre las alternativas disponibles debe prevalecer en todos los casos, especialmente en \u00e9ste.<\/p>\n<div class=\"clear\"><\/div>\n<div class=\"gdlr-space\" style=\"margin-top: 40px;\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Antecedentes El caso que comentamos es conocido: un m\u00e9dico de un paciente afectado de Parkinson lleg\u00f3 a la conclusi\u00f3n de que el gen\u00e9rico que el paciente recib\u00eda en la farmacia no ten\u00eda el mismo efecto, en ese caso concreto, que el medicamento de marca. La sustituci\u00f3n se llevaba a cabo de forma legalmente correcta dado&#8230; <\/p>\n<div class=\"clear\"><\/div>\n<p><a href=\"https:\/\/faus-moliner.com\/ca\/substitution-of-medicinal-products-and-individual-rights-of-patients-2\/\" class=\"excerpt-read-more\">M\u00e9s informaci\u00f3<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[305,339,272,393],"tags":[],"coauthors":[486],"class_list":["post-7736","post","type-post","status-publish","format-standard","hentry","category-biosimilars-ca","category-biosimilars-dret-farmaceutic-i-life-sciences-ca","category-capsulas-ca","category-generics-ca"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sustituci\u00f3n de medicamentos y derechos individuales de los pacientes - Faus Moliner<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/faus-moliner.com\/ca\/substitution-of-medicinal-products-and-individual-rights-of-patients-2\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sustituci\u00f3n de medicamentos y derechos individuales de los pacientes - Faus Moliner\" \/>\n<meta property=\"og:description\" content=\"Antecedentes El caso que comentamos es conocido: un m\u00e9dico de un paciente afectado de Parkinson lleg\u00f3 a la conclusi\u00f3n de que el gen\u00e9rico que el paciente recib\u00eda en la farmacia no ten\u00eda el mismo efecto, en ese caso concreto, que el medicamento de marca. 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