The generic drug myth

Full story: Baltimore Sun

It's a drag when you suffer from depression. And it's really a drag when the medication you've been treating your depression with effectively for years suddenly leaves you feeling anxious, nauseated or even ...
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1 - 9 of 9 Comments Last updated Jan 30, 2014
dave

Greeley, CO

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#1
Dec 20, 2007
 
Unfortunately, she is absolutely right. Similar does not mean same. The milligrams delivered by the pill can be different too, and it is NOT up to the pharmacist to tell you.
Andrea Cooper

Towson, MD

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#2
Dec 20, 2007
 
I can't agree with the writer more, and further suggest that pharmacists and physicians tell patients what they could experience with a generic version of a longterm medication. Although most of us have taken generic forms of various medications successfully, there are instances, as described by Ms. Wax, where the consumer ultimately pays dearly for savings by insurance companies.
In my case, my doctor warned me that reports were surfacing that generic versions of one of my medications, Wellbutrin, were causing lots of side effects, and she wrote the RX to be filled as written (brand name only). This was a good move on her part, but I was faced with an astronimical copay ($170 rather than $10). Not wanting to risk serious complications, I forked it over. But, it was at great financial hardship.
As patients, we need to keep on our toes about the medications we take; but the medical community, and certainly medical insurers need to step up to the plate and increase vigilance as well. As a patient advocate with the American Pain Foundation, I urge everyone to ask their doctors, before leaving the office with that RX, whether it's a generic, and whether there have been any reports about problems with generic-based products.
chubs

Wheaton, IL

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#3
Dec 21, 2007
 
Definately agree. I went from LoEstrin (brand of bc) to the generic equivalent and had side effects like you wouldnt' believe. I made them put "brand only" on my chart.
quinnscommentary dot com

Newark, NJ

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#4
Dec 31, 2007
 
The matter is quite simple, if a person believes that a generic is not clinicaly equal (for them) then they should take the brand drug. However, that does not mean that everyone else in the group that makes up the experience to set premiums (or more likely the large employer self-insured plan) should pay that additional cost.
And a bit on the cynical side, depressed individuals reporting that an alternative drug is not working as well as what had made them feel good, perhaps not 100% objective.
Thomas L Jones

Bowie, MD

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#5
Jan 6, 2008
 
I have taken generic drugs for many years with generally excellent results. I take sertraline (Zoloft) and budeprion (Wellbutrin). Note that the "perps" of brand-name drugs have an economic incentive to circulate anti-generic drugs propaganda.

Thomas Jones
cristian negureanu

Romania

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#6
Jan 6, 2008
 
GOOGLE : The Heart - Kidneys Theory and the Psychology of the Future ( www.ufodigest.com )
Theresa

Washington, DC

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#7
Jan 12, 2008
 
I have taken generic equivalents of various drugs for years without difficulty, and heartily support the role of generic medications in the health care delivery/finance arena. However, about 6 weeks after I changed from branded Wellbutrin XL to the Teva generic, all of my symptoms had returned. Within a week of changing back I felt better. Given the risks associated to my personal and professional wellbeing, I am not willing to repeat the experiment. As a result, I am also paying significantly more for my medication. I agree that perhaps my "preference" for the brand shouldn't be a reason for my prescription plan to pay more. However, since my plan offers lower copays for brands when there is no generic equivalent, I do think there's a dichotomy. For me, there is not a generic equivalent of this drug.

Perhaps quinnscommentary's cynical side has concerns about folks being treated for depression being objective about symptoms. When I'm being treated, I'm quite rational. Rational enough to practice as a medical doctor and also hold a PhD in pharmacology. If that means that the crazies are running the looney bin, so be it.
Isai

UK

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#8
Sep 24, 2013
 
I have ordered 2 times from this website PILLSMEDSHOP. COM . I called yesterday the customer care and asked for a discount as i was about to order twice the regular amount.
Havivah

UK

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#10
Jan 30, 2014
 
I've been on Effexor from http://goo.gl/kHgRdx only one week but am cautiously very optimistic. Prior to this I was on citalopram but still feeling very low and sleeping poorly, feeling like I needed to be in bed 12-16 hours a day. Now I am waking naturally after only 8 hours sleep and finding it much easier to concentrate at work. I can hardly believe it is working so quickly but I feel so much better. I've had no side effects.

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