There seems to be a common theme among my hate mail:
well. You’ve hit my hot button.
There are people who are allergic to generic drugs Not the active
ingredient but the binders dye, glycerin, etc.
So are you going to stop counting pills and make up generics yourself?
Hate to break it to you, but 75-90% of the oral tablets are made up of the same binders. The only difference might be the dye, but how many generic lisinoprils are there? How many generic metformins are there? How many generic drug companies are there that all make the same product (Watson, Teva, QT, Endo, Ranbaxy, Roxane, Upsher, etc). If someone has a true allergy to a “binder”, then most likely they are going to have a problem with the trade name medication. Getting an “upset stomach with everything except brand name” sounds pretty psychosomatic to me.
did you ever stop to think about the patients who have trouble with certain
generics? Please don’t give that crap about how all generics are the same
as brand name. We in the medical community know that some generics don’t
work as well. It’s a good thing you aren’t running the world because if
you were someone would have already shot you.
Problems such as with the binders? The same binders that all other tablet manufacturers use? Plain (non XR/ER) tablet making really isnt rocket science. They all pretty much are done the same way for the lowest dollar. Clinically, how would you determine if a generic isn’t working as well as a brand name? Maybe the patient skipped days (you dont know that, you dont have their refill records). Maybe the patient doesn’t take his/her medication just so they can get you to write a DAW-1 on their next Rx. With the exception of drugs with a narrow therapeutic index, how can you really tell that Lisinopril isnt doing its job (or the patient just wants trade name and refuses to take the generic). If you find a generic that doesnt agree with the patient for some reason, switch to another one by another company. When it comes right down to it, and the cards are laid out on the table, the reasons why generics “dont work” is because “the doctor said so” (fueled by drug rep kickbacks) or purely psychosomatic reasons. Ive seen it with every single brand -> generic switch to date.
Amazing how generics magically work when insurance companies stop paying for the brand name and the patient is slapped with a $300 bill for the trade name medication they so eagerly bitch for.