BASIC INFORMATION: •DEFINTIONS •EPIDEMIOLOGY •PATHOGENESIS •TREATMENT OPTIONS •AFFORDABILITY •AVAILABILITY •PRESCRIBING TREND COST COMPARISON OF DRUGS: Drug Name Price in PAK Price in IND Price in BNG Price in U.K Price in U.A.E Price in U.S.A Cyclophosphamide 0.98$ 0.80$ 5.98$ 9.66$ 4.36$ 1.6$ Methotrexate 11.54$ 0.81$ 1.47$ 4.8$ 13.75$ 1.6$ 5 - Fluorouracil 0.65$ 0.27$ 0.86$ 3.1$ 2.81$ 1.11$ Capecitabine 20.52$ 1.34$ 3.07$ 26.55$ 4.93$ 2.37$ Gemicitabine 13.64$ 15.06$ 11.67$ 32.4$ 93.52$ 40.76$ Cisplatin 5.70$ 4.51$ 7.17$ 5.86$ 6.53$ 22.29$ Carboplatin 5.70$ 10.54$ 5.06$ 22.86$ 29.67$ 126$ Vinorelbine 68.14$ 65.54$ 14.93$ 43.98$ 386$ 36.20$ Paclitaxel 73.27$ 7.66$ 0.008$ 246$ 220$ 15$ Docetaxel 162.81$ 113$ 237.72$ 154.71$ 1450$ 116$ Doxorubicin 19.49$ 10.84$ 11.37$ 456.13$ 736.69$ 213$ Epirubicin 20.35$ 27.11$ 34.54$ 38.16$ 107.81$ 22.19$ Eribulin N/A 546$ N/A 361$ 907.83 1116$ Ixabepilone N/A 407$ N/A N/A 4656$ 1146$ Tamoxifene 3.96$ 4.45$ 3.60$ 1.62$ 0.7$ 0.77$ Toremifene N/A 0.68$ N/A 0.96$ 2.1$ 40.5$ Fluvestrant 55.70$ 1.36$ N/A 26.20$ N/A 9.81$ Letrozole 16.28$ 0.37$ 0.45$ 3.03$ 8.23$ 1.07$ Exemestane 23.20$ 0.58$ 38$ 2.96$ 4.76$ 2.87$ Goserelin 89.60$ 391.62$ N/A 235$ 262.44$ 523.30$ Trastuzumab 1058.29$ 290.50$ 0.008$ 407.40$ 3359$ 150$ Bevacizumab 234.45$ 406.60$ 239.44$ 242$ 627$ 840$ Lapatinib 766.06$ 6.03$ 4.29$ 11.49$ 3553$ 30.28$ • NOTE: ALL THE DRUG PRICES WERE FIRST FOUND IN THE RESPECTIVE CURRENCY OF EACH COUNTRY AND THE CONVERTED INTO U.S DOLLAR ($) ACCORDING TO THE LATEST STOCK EXCHANGE RATE. MOST EXPENSIVE MEDICINE ARE IN PAKISTAN AND THE LEAST EXPENSIVE ARE IN INDIA. CONVERSION RATES USED: Currency Conversion Rates Used (10/7/18) Currencies Converted U.S Dollar 122.84 Pakistan Rupees 74.07 Indian Rupees 83.50 Bangladeshi Taka 3.67 United Arab Emirates Dirham 0.76 British Pound Sterling 1 U.S Dollar REFERENCE : 1. 2. AVAILABILITY OF ANTICANCER MEDICINES IN PUBLIC AND PRIVATE SECTORS, AND THEIR AFFORDABILITY BY LOW, MIDDLE AND HIGHINCOME CLASS PATIENTS IN PAKISTAN MUHAMMAD REHAN SARWAR , SADIA IFTIKHAR AND ANUM SAQIB. MANY OTHER SOURCES.