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YEAR 2013 VOL 2 u COUNTERFEIT MEDICINE

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u ELECTRONIC MEDICAL AUTOMATION SUPPLY SYSEM………………..6-8

Pharmacy Bulletin

Frequently Asked Questions: How safe are your Medicines / Cosmetics?

Counterfeit Medicine

What is counterfeit medicine? Counterfeit medicine that has identi-cal names and shapes resembling those medicine that are tested and approved safe to be consumed.

Counterfeit vs Genuine Medicine

Genuine medicine are produced from manufacturers that are accred-ited with GMP (Good Manufactur-ing Practices). Genuine medicine consist of 3 main criteria: SAFE, EFFECTIVE and QUALITY.

What are the types of Fake Medi-cine?

1. Relabeling of medicine that is:

• Expired, Spoilt and Not suitable for use anymore

• Its active compound liquefied

• Contains impurities in its active compound

• Active compound that has been switched

2. Labeling of counterfeit medicine that does not contain any active compound How do you identify Counterfeit Medicine? The medicine that you consume might be fake IF: • It does not give the right indica-

tion that is supposed to • It causes abnormal, different or

unexpected results • Medicine package that is not

tightly closed • Label that is not clear and the

information is incomplete • Shapes and taste that is different

from the genuine medicine

The efforts of MOH Malaysia in protecting the public from dan-gerous & counterfeit medicines have been accorded international recognition with the presentation o f t he “ G lo ba l A n t i -Counterfeiting Award 2013” in the public sector category by the Global Ant i-Counterfeit ing Group Network, an international anti-counterfeit organization based in London, UK. The award was presented in conjunc-tion with the World Anti-Counterfeiting Day organized by Union des Fabricans in Paris, France on the 28th of May 2013.

Reference: Pharmaceutical Services Divi-sion, Ministry of Health Malaysia. Avail-able fron: URL: www.pharmacy.gov.my

Editorial Board:

Advisor:

Dr Rusdi bin Abdul Rahman

Editors:

Lee Mei Lin

Low Li Ying

Lai Poay Yen

Tan Huey Shyan

Nadiah Mokhtar

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Why is counterfeit medicine harmful? • It can cause undesirable side

effects or allergies that may exacerbate the disease

• No healing effects if the active compounds are wrongly used or insufficient

• If the medicine is antibiotic which contains active com-pound / insufficient dosage, it can cause an antibiotic resis-tance and the resistance may spread to others

• Wrong and dangerous active compound can cause harmful effects, such as death

How to avoid buying counterfeit medicine?

• Know your medicine • Purchase your medicine from

the registered pharmacy • Do not purchase any medicine

from any unauthorized shops / stalls

• Be careful when buying medi-cine which has suspicious packaging

• Review and read the product label and information leaflet

• Ensure that you buy medicine that is REGISTERED with MOH with numbered MAL and genuine HOLOGRAM MEDITAG

Traditional Products The traditional products listed were found to contain chemicals, including prohibited scheduled poisons in Poison Act 1952. The use of these traditional products may lead to adverse events in these consumers.

No Product Name Registration No. Poison Found

1 Senna Plus Capsule 400mg MAL06100615T Sibutramine

2 357 Nasal Spray MAL06021239T Dexamethasone

3 Amberine Capsule MAL06021239T Metformin dan Sibutramine

4 Goji Plus capsule MAL08051654TC Thiosildenafil (Analog Sildenafil)

5 Vng400 MAL20081810TE Noracetildenafil 6 Promax Capsule MAL08082464TC Thiodimethylsildenafil

7 Vegrow Capsule MAL08111900TC Thiodimethylsildenafil

8 Nchk Pil Zhi Ke MAL06030949T Dextromethorphan

9 Jcare-Su MAL07090966TC Glibenclamide

10 Jcare-In MAL07124653TC Glibenclamide

11 Herbaios-Zuekertec Capsule MAL08091522T Glibenclamide dan Metformin

12 Chi Kat Pills MAL07090990T Ephedrine

13 Mistura Zhike MAL08042248T Glibenclamide dan Metformin

Reference: Pharmacy Enforcement Division, Pharmaceutical Services Division, Department of Health, Malacca state, updated on 2012

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The traditional products listed were found to be not registered with the Ministry of Health Malaysia and they contain chemicals including prohibited scheduled poisons in Poison Act 1952.

Unregistered traditional products adulterated with sex stimulant

No Product Name Poison Found

1 Kapsul Lelaki Kuat Sildenafil

2 Bio maca Plus Sildenafil

3 Yi Zhi Yang Sildenafil

4 Diem Capsule Tadalafil

5 Cosa Grande Platinum Tadalafil

Unregistered traditional products adulterated with slimming agents

1 Lami Sibutramine

Unregistered traditional products adulterated with steroid

No Product Name Poison Found 1 Makjun Taufiq Dua Istimewa Dexamethasone

2 Makjun Dua Istimewa Dexamethasone

3 Ginseng Jin Fui Wan Dexamethasone

4 Maajun Tenaga Herba Ubi jaga Dexamethasone

5 Jamu tradisional Jaya Asli (Anti Asam Urat) Dexamethasone

6 Red Brand Ginseng Plus Zheng Fei capsule Dexamethasone

7 Pil Resdong Dexamethasone

8 Ren Sem Tu Chin Chin Kuo Pil Dexamethasone

9 Makju Syafiq 3 istimewa Dexamethasone

10 Reepo Dexamethasone

11 Penawar Sendi Tulang Dexamethasone

Unregistered traditional products adulterated with antihistamine

No Product Name Poison Found

1 Pil Zhen Zhu Bai Fong Wan Chlorpheniramine

2 Qian Tong Dan Chlorpheniramine

3 Raja Ubat Resdung Dexchlorpheniramine

4 Coral Plus UA 350mg Chlorpheniramine

Reference: Pharmacy Enforcement Division, Pharmaceutical Services Division, De-partment of Health, Malacca state, updated on 2012

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The food products listed were found to contain chemicals such as prohibited scheduled poisons in Poison Act 1952.

Food Products

Food products adulterated with steroid No Product Name Poison Found

1 Air Ikan Haruan Dexamethasone

Food products adulterated with slimming agents No Product Name Poison Found

1 Obexlim Sibutramine

2 Body Lift Biodex Sibutramine

3 Slimax coffee Sibutramine 4 Beaute Fit Body Con-

tour Sibutramine

5 Body Trimz Sibutramine

Food products adulterated with sex stimulants

No Product Name Poison Found

1 Cade Abang Yes Tadalafil

2 Candigold Hydroxyhomosildenafil

3 Candy 193 Sildenafil

4 Extend Up energy drink

Sildenafil

5 Extremen Hydroxythiohomosilde-nafil

6 Extrewomen Tadalafil

7 Goji Guarana Sildenafil

8 Goji More Aminotadalafil

9 Goji Yumberry Thiosildenafil

10 Guaracafe Sildenafil

11 Hbw Ice lemon Tea Thiosildenafil

12 Hotton Vitality candy Aminotadalafil

13 Le2 O Sildenafil

14 King Cappucino Sildenafil

15 Knight Coffee Acetildenafil

16 Kolekcafe power Plus Sildenafil

17 Kopi Anggok Homosildenafil

18 Kopi Asmara Sildenafil

19 Kopi Bagus AAA Sildenafil

20 Kopi Campuran Kedai kopi Ali Bagus

Sildenafil

Food products adulterated with sex stimulants

No Product Name Poison Found

21 Kopi Pahlawan Thiosildenafil

22 Kopi Super Anggok Sildenafil

23 Kopi Tenaga Tok Lebai Plus

Sildenafil

24 Maca max Hydroxyhomosildenafil

25 Macagin Ginseng Candy Sildenafil

26 Mantalk candy Aminotadalafil

27 Nexus Mxp Thiosildenafil

28 Nightcafe Sildenafil

29 Red Energizer Candy for Men

Aminotadalafil

30 Royal Beverage Magri-fatun

Sildenafil

31 Sasanergy Drink Thiosildenafil

32 Tricajus Thiosildenafil

33 Tri-max Thiodimethylsildenafil

34 True-Sr Sildenafil

35 Vigor candy Sildenafil

36 Vitca-F Hydroxythiohomosilde-nafil

37 Vitca-M Thiosildenafil

38 Winnie Beauty VI Sildenafil

39 Xkl Skyfruit Juice Pre-mix

Acetildenafil

Reference: Pharmacy Enforcement Division, Pharmaceutical Services Division, Department of Health, Malacca state, updated on 2012

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Cosmetic Products The cosmetic product listed were found to contain banned substances including prohibited scheduled poisons in Poison Act 1952. The use of these traditional products may lead to adverse events in these consumers. These products are no longer allowed to be imported / manufactured / distributed / sold in Malaysia. Authori-ties have ordered that all stocks to be removed from the market.

No Product Name Notification No. Poison Found

1 NV Toner Treatment No 1 NOT05010130KE Hydroquinone dan Tretinoin

2 NV Toner Treatment No 2 NOT05010129KE Hydroquinone dan Treitinoin

3 Zara Rejunevation cream NOT04081873KE Hydroquinone

4 Beauty Line Beautitude Multi-Purpose Cream

NOT081201209K Tretinoin

5 Pigmentation Recovery Complex NOT081200745K Tretinoin

6 De putih Night Cream NOT05100878KE Tretinoin

7 BML HB Lotion NOT090701336K Tretinoin dan Hydroquinone

8 Krim Malam Shana NOT090600820K Tretinoin dan Hydroquinone

9 Natasya Gold Krim Herba NOT091100971K Tretinoin dan Hydroquinone

10 Biotox Whitening Hydro Cream NOT007061310K Dexamethasone

11 Yoko Whitening Cream NOT080100330K Tretinoin

12 Sue Beauty Night treatment cream NOT080600138K Tretinoin

13 Sensual Whitening Cream NOT100751321K Mercury

14 Derma-Rx Arbutin-R Cream NOT090601556K Tretinoin dan Hydrochoroquine

15 DS.1 Blemish Control Cream NOT091201931K Azelic acid

16 Ezee Sunblock cream NOT100601213K Mercury

17 Montagne Jeunesse Chocolate Masque NOT090700043K Lead

18 Daily protecting Cream –Joie et Beaute

NOT100778850/ NOT 100602230K

Mercury

19 Yoko Whitening Cream Ginseng & Pearls

NOT100901081K Mercury

20 Yoko Whitening Cream with SPF-15 NOT100901085K Mercury

21 Yoko Yogurt Milk whitening Cream NOT100901088K Mercury

22 Yoko Beauteen Sunflower Whitening Cream NOT100901094K Mercury

23 Yoko Freckle cream NOT100901098K Mercury

24 Yoko whitening Cream NOT100901107K Mercury

25 Yoko whitening Cream Aloe Vera Extract

NOT100903039K Mercury

26 ~H2O + Waterwhite Brightening Night Cream

NOT04102838KE Hydroquinone

Reference: Pharmacy Enforcement Division, Pharmaceutical Services Division, Department of Health, Malacca state, updated on 2012

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What is e-mass? e-MASS (Electronic Medical Automation Supply System) is a system operate by Oratis Services Sdn. Bhd. It serves as an intermediary to facilitate retirees and those who are eligible for medical sup-plies and medical equipment that the Hospital / Government Clinics are not able to provide . Who is eligible? Those eligible are RETIREES:- • Federal Civil Servants • Members of the Parliament • Members of the Administrator • Federal Political Secretary • High Court, Appeal and Federal Judge

Documents that are required: A) Medicine Request : 1. Medical Form 1/09* 2. A valid prescription* B) Medical Equipment Request : 1. Medical Form 1/09* 2. Doctor Verifiction Note* 3. Quotation *one (1) copy only *A valid Medical Form 1/09 and Prescription by a Doctor from Government Hospital/ Clinic only. Retirees are advised to bring along Identity Card/Retirees Card to facilitate the review of eligibility status

List of Retail Pharmacies registered with e-Mass in Malacca

Apex Retail Sdn Bhd Farmasi MJ Sdn Bhd

BP Diagnostic Centre Home-Care Pharmacy Sdn Bhd

Centrecare Pharmacy Nevens Pharmacy

Citymedic Pharmacy (M)Sdn Bhd Pharmedic Pharmacy

Farmasi Aktif Straits Pharmacy Sdn Bhd

Farmasi Alang Sdn Bhd Farmasi Sentosa

Farmasi Ilham Air Keroh Macro Healthcare Sdn Bhd

Farmasi Limbongan

Reference: Oratis Services Sdn Bhd 2013. e-Mass. [Online]. 2013 [cited 2013 Jun 18]. Available from: URL:http://www.oratis.com.my/

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1. Drug application submitted to Oratis Services

2. Drug application submitted to community Pharmacy

3. Flow chart for application of medical equipment

Application Process

Retiree send the drug application by post, fax, email, service counter or online upload to Portal.

Application received will be processed by Oratis Services.

Drugs will be couriered to retiree’s house by ‘Pos Laju’ service within 4 working days.

Retiree bring complete application form to com-munity pharmacy which registered with e-mass.

Pharmacist will review the retiree’s eligibility through the Portal e-mass.

Community pharmacy will supply the drug to retiree on the spot with the eligible subsidy with-out any payment.

Retiree/hospital/vendor will send complete ap-plication form through post, fax, email, service counter or online upload to Portal.

Application received will be processed by Oratis Services.

Purchase order for eligi-ble retiree’s application will be given to vendor within 4 working days.

When receiving the pur-chase order, vendor will send the medical equip-ment to the hospital be-fore the operation date.

Reference: Oratis Services Sdn Bhd 2013. e-Mass. [Online]. 2013 [cited 2013 Jun 18]. Available from: URL:http://www.oratis.com.my/

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Oratis Listing of Claimable Items Under e-Mass as at Oct 2012

A. Supplements

No Active ingredients Remarks

Strictly by Consultant Orthopaedic only:

1 Glucosamine sulphate / hydrochloride

2 Chondroitin sulphate

3 Combination of glucosa-mine & chondroitin

4 Caltrate (all range)

5 Metocal D3 (calcium car-bonate + colecalciferol)

6 Preparation of sodium hya-luronic acid injectables

Strictly by Consultant Nephrologist only:

7 Ketosteril Tab

8 Metocal D3 (calcium car-bonate + colecalciferol)

Strictly by Consultant Ophtamologist only:

9 Vitalux Plus Tab

10 Occuvite Tablet

Other supplements

11 Neurobion Tab Strictly by Consultants only (Pakar Perubatan)

12 Mecobalamine

13 Drugs indicated for Erectile Dysfunction (ED)

Strictly by Consultant Cardi-ologists only (Heart Problem)

If above preparations contains additional combination containing ginseng, omega 3, fish oil, Co-enzyme Q10, Vit A, Vit B, Vit C, lysine, DHA, selenium, tocophenol, or homeopathic ingredients, then the items are not claimable.

B. Transdermal Patches

1 Ketotop plaster Not claimable

2 Acustop cataplasma patch Not claimable

3 Nicotine patch Not claimable

4 Exelon (Rivastigmine), Durogesic (Fentanyl), etc

Claimable

C. Nutritional Supplements

1 All types i.e Ensure, Glucerna, Peptamen, etc are: -Only claimable with KKM approval -Please submit to Oratis: i) Borang 1/09 ii) Prescription iii) Item quotation -Oratis will call/email once KKM approved application (min 4 weeks) -Pharmacy to dispense

D. Medical Device

Orthopaedic Items

1 Walking aid (all types), crutches, walking frame, and all types of support device

Not claimable

2 Glucometer, BP monitoring device

Not claimable

Other Items

1 Stoma care (wafer, pouch, protective powder & stomahesive paste)

Claimable

2 Urine bag Claimable

3 Nebuliser machine Claimable only with Surat Pengesahan Doktor

4 Wheelchair Please get approval from Oratis before supply. -To fax Borang 1/09, pre-scription, item quotation

5 Wound dressing, plaster, bandage (all types)

Not claimable

6 Adult diapers Not claimable

7 Syringes & needles includ-ing insulin needles, No-vofine Needles, etc

Not claimable

E. Others

1 Sterimar nasal spray Not claimable

2 Flanil cream (any prepara-tion containing LMS)

Not claimable

3 Reparil gel & Arnica gel Not claimable

4 Dermatix gel Not claimable

5 Voltaren gel Not claimable

6 Ultracet tablet Not claimable

7 KY jelly Not claimable

8 Emla cream Not claimable

Reference: Oratis Services Sdn Bhd 2013. e-Mass. [Online]. 2013 [cited 2013 Jun 18]. Available from: URL:http://www.oratis.com.my/