Is My Birth Control Pill Fake? Drug Authenticity - Pharmacology

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Did I buy counterfeit medication?


Hello, I have irregular ovulation, and my doctor advised me to purchase a specific contraceptive pill, Trinordiol, to take.
However, I noticed that the medication I bought at the pharmacy, while having the same packaging as the one I received from the hospital, has two differences upon closer inspection: 1.
The Chinese label descriptions are different: the label on the hospital's medication lists the manufacturer and address in English, while the pharmacy's medication lists them in Chinese.
2.
The drug registration numbers from the health authority are different: the hospital's medication has the registration number 022719, while the pharmacy's medication has the registration number 018740.
I would like to know if the registration numbers for the same medication can differ due to the country of manufacture or other factors? Is the medication I purchased counterfeit?

claire, 30~39 year old female. Ask Date: 2003/08/15

Dr. Zhang Jinteng reply Pharmacology


Hello: In response to your inquiry: According to the information from the Taiwan Food and Drug Administration website, there are indeed two different drug registration numbers for Trinordiol.
After consulting with Wyeth Pharmaceuticals, their response is as follows: ----- Original Message ----- From: "Andrew Kuo" Sent: Tuesday, August 19, 2003 4:20 PM Subject: Subject: Fw: Central Office of the Department of Health, Executive Yuan - [Taiwan e-Hospital] User Inquiry> Dear All,>> All contraceptive products sold by Wyeth in Taiwan are originally produced in Germany.
However, due to changes in the production line at the German facility, the production of contraceptive products has completely ceased since June of this year.
Therefore, new supplies are now imported from Ireland.
Due to regulations requiring a new registration certificate when there is a change in the country of origin, consumers may notice that the same product has different registration numbers during this transition period.
We assure you that the ingredients and efficacy of these two products are completely identical, and as long as they are taken according to the instructions in the package insert, they will achieve the same therapeutic effect as before.> Attached is a document listing all products affected by the change in country of origin, along with images of the differences in appearance.>> All clinics and pharmacies were notified via direct mailing on July 31 (as per the attached document), but for hospitals, representatives and New Beauty Company need to inform the relevant hospitals as required.
The written documentation of the attached files has been sent to various districts; please make good use of it.>>> Best Regards>> Andrew Kuo> OC/ GI/ Dermatology> Assistant Product Manager> TEL: 886-2-8761-6066


Reply Date: 2003/08/15

More Info


When it comes to the authenticity of medications, especially something as crucial as birth control pills like Trinordiol, it is essential to approach the situation with caution and a clear understanding of the factors involved.
Firstly, the differences you noted in the packaging and labeling of the medication you purchased from the pharmacy compared to the one provided by your hospital are significant. The fact that the manufacturing details are presented differently, with one being in English and the other in Chinese, raises a red flag. Additionally, the different drug registration numbers (衛署藥輸字號) suggest that these medications may not be identical, even if they are marketed as the same drug.

In many countries, including the United States, medications are regulated by governmental bodies such as the Food and Drug Administration (FDA). Each medication that is approved for use will have a unique identifier, and any variations in this identifier can indicate that the product is not the same as the one that has been approved. The registration number you mentioned is a critical piece of information; it indicates that the drug has been evaluated and approved for safety and efficacy by the relevant health authority. If the numbers differ, it could mean that the medication you purchased is either a different formulation or, in the worst-case scenario, counterfeit.

To answer your question directly: Yes, the same medication can have different registration numbers if it is manufactured in different countries or by different companies. However, this does not automatically mean that the drug is fake. It is possible that the medication you received is a legitimate product from a different manufacturer, but it is essential to verify this.

Here are some steps you can take to ensure the authenticity of your medication:
1. Consult Your Doctor or Pharmacist: The first step is to discuss your concerns with your healthcare provider or pharmacist. They can provide insights into the specific medication you are taking and whether it is safe and effective.

2. Check the Packaging: Look for any signs of tampering or irregularities in the packaging. Authentic medications typically have high-quality packaging with clear labeling.

3. Contact the Manufacturer: If you have the contact information for the manufacturer listed on the packaging, reach out to them directly to verify the product's authenticity.

4. Report Concerns: If you suspect that you have received counterfeit medication, report it to your local health authority or regulatory body. They can investigate the matter further.

5. Consider the Source: Always purchase medications from reputable pharmacies or healthcare providers. Avoid buying medications from unverified online sources or street vendors.

6. Educate Yourself: Familiarize yourself with the common signs of counterfeit medications. Resources are available from health authorities that can help you identify legitimate products.

In conclusion, while the differences in packaging and registration numbers are concerning, they do not definitively indicate that the medication is fake. It is crucial to take proactive steps to verify the authenticity of your medication and ensure your health and safety. Always prioritize consulting with healthcare professionals when in doubt about any medication you are taking.

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