Generic vs Brand

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ELderLy
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 5/12/2009 4:05 PM (GMT -7)   
 First of all, been away from forum for awhile, my heart goes out to those in bad situations and chronic pain. I had alot of catching up today here.
 I myself have been miserable since beginning of this month. Couldnt figure it out so i visited with my PM doc this evening. My first question was is there a difference between brands? Certainly, especially with generics. For a year now ive been taking Watson 10/325,s for breakthru, five a day. Start of May, i switched phamacies for a change, i thought it would make it easier that the wife and i have same. When i got my monthly scripts, they took me from watson to Mallies on the 10/325,s. The result was ive been in more pain than ive been in than a long time. Seems that in the generic form, the amount of narcotic,s  in the pill is so varied from batch to batch. It can be somewhere between 80 to 100 in the generic and a definite 100 percent in the brand. The generic is not strictly regulated, less narcotic and sell same amount of pills equals easy money. If anywhere when the govt wants to go after some manufacturer thats where they could do some good for the people who need it for pain and try to save a few bucks buying generic, but then again they need to get what they are paying for saving money or not. It should be constant, same amount, no shortcuts for it is WE who feel the difference in the pocketbook and our quality of life. I know the age old arguement of everyone is different, the reception, effect of medicine varies from person to person. Well, if a company does not fully comply with the said amount of ingredients, it is us to whom it matters. Vent. Now im stuck with nearly half months supply and look forward to next months scripts, brand.
  Hope things get better for alot of you, you are all in my prayers.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/12/2009 4:16 PM (GMT -7)   
Elderly,
Yes, it is frustrating that so much variability can be present in generics. They can vary plus or minus 20% of the active ingredient, so it can be between 80-120%. There are some standards that even generics have to meet, but that's why they're cheaper. Yet some of the manufacturers of the same generic can vary, and that's worth asking your pharmacy about - what manufacturer they use. Especially if one manufacturer you find makes a superior generic.

I fear we're only going to be forced more and more to use generics by our insurances, but most of mine have been relatively ok. Relativey.

Go ahead and vent!

PaLady

modelmaker
Regular Member


Date Joined Feb 2009
Total Posts : 168
   Posted 5/13/2009 1:16 PM (GMT -7)   
Elderly,

I too have noticed a significant variation in the way some generics work on CP. I have not noticed the variation so much in any one brand as I do from one generic brand to another generic of the same med. Percocet and oxycodone are good examples. Of the generics for Percocet I think Watson works the best for me. For oxycodone I have never had the brand, but have had several generics. The best would be Endo and the worst Mallincrodt (sp?). That's just my personal experience. The problem with this kind of evaluation is that there are so many other variables it is hard to be totally objective. I guess you would have to line up the pills and do a blind study to make it better.

Modelmaker
Degenerative disc disease, 4 back surgeries, fused from L2-S1, instrumentation. Being treated for chronic pain. Oxycodone 30 mg. IR. Candidate for SCS in the future.


Piercings
Regular Member


Date Joined Aug 2008
Total Posts : 326
   Posted 5/13/2009 4:24 PM (GMT -7)   
I've noticed a difference between different generic manufacturers and brand name. Even though I go to the same pharmacy all the time, I don't like the generic they carry. Sadly, it costs me an extra $35 per month to go with the name bran OxyContin, but it's worth it to me because I know that I'm not going to be clock watching so much till the next dose as I do when I'm taking the generics.

Sometimes that extra $35 is a lot on the budget, but it's also the difference between whether I'm able to work a full day or not. So it makes up for itself by my being at work more.

Lindaloo
Veteran Member


Date Joined Sep 2006
Total Posts : 1713
   Posted 5/13/2009 7:55 PM (GMT -7)   
It's funny that you should post this thread because I was just wondering about this topic myself and I am going to my pain specialist in the morning and I will ask her about this. I take percocet and I buy the generic. I just noticed that the endocet I got from last month work much better than the watson that I got filled for this month. I have had to take the watson every three hours, but the endocet every four hours. What is up here? Do I have to take the brand name percocet and pay full brand price now??

I think I will ask for a brand name percocet prescription tomorrow and see if that covers my pain better than the generic. I will gladly pay the difference if I find it to be the case--as much pain as I have been in.

Lindaloo
Moderator Chronic Pain
 
Believe in yourself.  Be kind to fellow humans and animals.  Take time to smell the flowers and the coffee.
And by all means, when you are down, ask me for help.  I will be there.
 
Linda


Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 5/13/2009 8:13 PM (GMT -7)   
Thanks for the heads up, it might explain why some of my meds work better and I have to stays on top
of the script every month as the pharmacy likes to use generic and once you leave the store with a
script there is no way to give it back..so folks check out your meds before leaving a pharmacy..
thank you this was a very good topic..
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd,
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PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/13/2009 8:31 PM (GMT -7)   
Lindaloo,
Can you find a pharmacy that uses only the endocet as its supplier? I know sometimes they change, but a lot of pharmacies stick with the same manufacturer at least for awhile.

Good luck!

PaLady

angel8
Regular Member


Date Joined Apr 2009
Total Posts : 109
   Posted 5/15/2009 3:45 AM (GMT -7)   

Elderly, it seems Mallincroft has always turned out inferior meds according to thsoe who take them on a regular basis. That isnt just the Hydro's it runs into the percs and many others.

I recall a study done on methadone versus methadose a few years back before they changed to the little long tabs they now make.

The methadose seemed to cause alot of problems in folks who took them and it was found that not only did they contain only 8.1mgs of actual methadone they were chalked full of simple glucose and talc? Now the problems were that this was not a widely known fact and those folks who were diabetic and borderline hyperglycemic were pushing their glucose to the limits making for more insulin and or floating readings of testing. I often wondered how the methadone tabs could be so different in size back then as methadose was 4 times larger then the brand,that told the story.

The methadose used to cause me severe headaches at the end of the day and it never happened on the methadone. It seemed that the added glucose even though I was not diabetic was enough in higher doses to push me into hyperglycemia in turn causing h/a.

Once they did away with methadose and went to making the little "coffin" like pills I had no problems and the last testing I saw re:the actual chemical components of it were as close as they could get to brand and there is no difference in price between the two.

I imagine somewhere on the internet if you can go indepth enough you will find somewhere someone who has actually done such a test on other meds and there in lies your answers as to how and why it doesnt work the same.

Sometimes it isnt what they actually leave out but more of what they add to it.


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 5/15/2009 5:32 AM (GMT -7)   
I switched to Endocets when I first saw my PM doctor. He said they seem to work better on his patients and he was so right! I never knew there was a difference a pharmacy I used on occasion said there was no difference. But I can tell you there is. My regular pharmacist told me about the generic requirements. I love my pharmacy they make sure you get the best quality but then hes still a small town pharmacy......
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD


Lindaloo
Veteran Member


Date Joined Sep 2006
Total Posts : 1713
   Posted 5/16/2009 5:48 PM (GMT -7)   
Thanks PaLady for the advice. This month I am getting brand percocet to see if there is a difference still. If there is, I will pay for the brand pills. I need my pain controlled. If not a big difference then I will ask my pharmacy to stock the endocet for me, cause there is definitely a difference between endocet and watson brand.

Good thread!! Thanks!!

Lindaloo
Moderator Chronic Pain
 
Believe in yourself.  Be kind to fellow humans and animals.  Take time to smell the flowers and the coffee.
And by all means, when you are down, ask me for help.  I will be there.
 
Linda


modelmaker
Regular Member


Date Joined Feb 2009
Total Posts : 168
   Posted 5/16/2009 7:11 PM (GMT -7)   
Angel8 and all,

I agree on Mallincrodt (sp?). I was given their oxycodones when there was the big shortage. Nobody else had any. Now that the supply is back, my pharmacy has changed supplier. I'm not sure which mfgr these are but they are not Mallincrodts. The new ones are much better.

Modelmaker
Degenerative disc disease, 4 back surgeries, fused from L2-S1, instrumentation. Being treated for chronic pain. Oxycodone 30 mg. IR. Candidate for SCS in the future.


modelmaker
Regular Member


Date Joined Feb 2009
Total Posts : 168
   Posted 5/17/2009 1:47 PM (GMT -7)   
Also, on the topic of generics, it seems the big chain drug stores and those in the supermarket chains have the manufacturers of the generics they sell dictated to them by the corporate buying offices. Usually the cheapest cost to them. The pharmacy manager in these types of stores is often limited in what he can order for that reason. Even if you ask for a specific generic manufacturer you may not be able to get it. It's well worth discussing this with them so you know where you stand. I am fortunate in that I have found a pharmacy not associated with a big chain (unusual in large cities) and he can function independantly. On the othe hand, it is a bit of a drive to get there. We are working out a delivery program for the regular monthly stuff.

Modelmaker
Degenerative disc disease, 4 back surgeries, fused from L2-S1, instrumentation. Being treated for chronic pain. Oxycodone 30 mg. IR. Candidate for SCS in the future.

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