Definition
     Generics become equivalent medicines
     What the law says
     The concept of bioequivalence
     Why it costs less
     At the pharmacy:          the option of substitution
     The role of the doctor in prescribing
     The role of the pharmacist in          dispensing medicine
     Glossary

The concept of bioequivalence

Two medicinal products are defined as bioequivalent when their bioavailability, i.e. the quantity of active ingredient that is released into the bloodstream, and the rate at which it is released are equivalent.

In practice, the concept of equivalent medicine is based on the assumption that, in the same subject, equal active substance plasma concentrations over time will produce an equal concentration of the substance at the site of action and, therefore, an equal therapeutic effect.

This is why the Agenzia Italiana del Farmaco (AIFA - Italian Medicines Agency) grants authorisation to produce and market an equivalent medicine on condition that the quality of the product is documented and that its bioequivalence to the original medicine is demonstrated.