Thanks Obama! Switch to generic drugs then. If you think you will be getting non-generic drugs in a government-run healthcare, you are dearly mistaken.
✪⍟✪ Thurs GMT✪⍟✪
- Thread starter Westy
- Start date
As I understand it, doctors in Medicare have the ability to override generic if the generic doesn't work. It doesn't work for me, which is why I am on brand name.
And my epilepsy is considered a protected "illness", as I would have a pre-existing condition otherwise. I can't get insurance on my own without the ACA.
Last edited:
Then the generic isn't an equivalent and therefor isn't the same drug. One of the reasons generic drugs are cheaper is that when it is filed with the FDA they do not have to go through the same level of clinical trials. They do have to prove that it is an equivalent, ie chemically identical active ingredients, same biological reactions, same metabolites etc. If the generic doesn't work for you, it is likely there is a placebo effect happening somewhere, or someone is pushing a similar, but not equivalent medication.
Having seizures with it vs. no without it is a very large placebo effect then. Same dosage on both and I have minor seizures on the generic. Similar, but not equivalent.
As Westy says, generic and brand name are not necessarily the same drug.So you want the best of both worlds, with none of the negatives.
All I can say is:
No, I am saying that they are the same drug if it is filed as an equivalent generic under the FDA. The manufacturing processes can be different, non active ingredients can be different, but at the end of the day it is the same shit.
\\\Medicine!
That's what I was referring to. Active ingredient is the same, but other stuff can be different. I didn't know I was on brand name to start with then generic, as the insurance company just changed it (and I just took it, didn't really track the drug name). I started having auras, which are very minor seizures. When my dr switched to another option, which was the brand name, they went away. Not sure why, but there was a difference.
Speaking of "fuck for profit health care":
Had breakfast with a Flight Attendant based here whose been out for sometime with stage 4 colon cancer. She wasn't even initially expected to still be alive at this point but some aggressive chemo and surgery has halted the growth of her tumors, at least for now, which of course, is "good". But the horror stories she had about dealing with our mutual employers so-called benefits department brought back some really bad memories and feelings for me from my accident. I just can not get over how some pencil necked fuckwad can sit in an office at corporate and have no problem trying to push her, or me, or any of the other number of employees with similar stories off the pay roles, deny care, or even fail to just engage in basic communication about potentially life altering/threatening/federally mandated care decisions. God damn it makes me angry.
Also, rode my bike down to the coffee shop, nice ride, good weather. Went down pretty hard on a patch of ice and got a pretty good patch of road rash on my knee and elbow. The ride home was fairly painful. Hit my head hard enough I probably ought to look at new helmets.
Dr Westy, did you go to hollywood upstairs medical college?
No, but I have worked in the pharma industry where I spend 90% of my dealing with FDA regulations.
what functional group?
i've spent a little bit of time in pharma, both innovator and generic.
With the current entrenched mega-healthcare companies I think that single-payer is a pipe dream. Which is too bad...
What I see, and this is personal experience for myself, and for those housed at my place of employment, is that the pharmacy is not exactly always offering you/the patient a genereric for the medication you need, but a generic substitute that would in theory have the same effect.
Final packaging of an IV antibiotic. It was a novel product with an expired patent. Being the final step in the manufacturing process, we were responsible for all the final regulatory crap, even though all we did was put powder in glass vial.
Think of it like buying Dasani water vs Fiji water, same shit, different package, different price.
Definitely better than yours.
Had our awareness level raised regarding shell-game operations violating terms and conditions product allowances. We do alot of proprietary volume, and also have exclusive and semi-exclusive distribution. Amazeballs how far some business-types will push the rules applied just to make cents on the dollar.
No, its more like dasani vs creek water. Different product, different drug. Read... Substitute generic. Not a genereric for the name brand, but what is a different drug in a generic that in theory has the same effect and in reality does not work right at all.
We have people that come in that are balanced on their meds, doc will not pay for what they are already on, so they substitute something different. It's never pretty, specially when they are messing with anti psycotics
When I pick up meds for my glucose I ALWAYS ask, " is this what was prescribed?". Is this a generic for what was prescribed? ".
It's scary how many times I am told " No, its something different, its what insurance approved.". Then the battle starts
It's scary how many times I am told " No, its something different, its what insurance approved.". Then the battle starts
http://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/understandinggenericdrugs/ucm167991.htm
Generics will vary from brand names about as much as the brand name will vary from batch to batch in regards to chemistry.
I am pretty sure you are missing what I am saying.... Itbis becoming more and more normal to use a substitute medication. Ie two completely different meds. As two totally different formulations with the same intended outcome
That makes sense.
I suspect I may be in the same boat. I am on a biologic for arthritis, expensive stuff. The alternative is low doses of what is a cheap chemotherapy drug that causes liver and lung damage over time. Company got new health insurer, got a call from them yesterday. I suspect they don't want to cover the expensive stuff that isn't going to slowly kill me.
Yeah that's what I was trying to get across.
It happened to the wife when lil man was born too. She was prescribed lovenox injections twice daily for a month. Pharmacy filled with heparin at four injections daily. Response was..."its the same, just different dosage...". Needless to say they are very different, lovenox is about 300 a shot and I think the heparin was 35 for the month
It happened to the wife when lil man was born too. She was prescribed lovenox injections twice daily for a month. Pharmacy filled with heparin at four injections daily. Response was..."its the same, just different dosage...". Needless to say they are very different, lovenox is about 300 a shot and I think the heparin was 35 for the month