The Forums › Forums › Medication › Concerta › Pharmacies keep trying to push me on to the Generic. › Re: Pharmacies keep trying to push me on to the Generic.
Anonymous
Without question, there are enormous clinical differences for some people. Unfortunately, Canada and the US are taking two opposing positions on the importance of testing multiphasic drugs to determine the ACTUAL difference between proprietary and generic drug formulations. Here is a link to a very recent (abstract of an) article on the issue:
http://www.ncbi.nlm.nih.gov/pubmed/21849209
“It is suggested that without applying an additional metric such as partial AUC, some multiphasic MR drug products might falsely be assumed to be therapeutically equivalent and unexpected clinical effects may occur.” I’m a clinician and have had patients deteriorate to pre-treatment levels when generic versions have been substituted.
(Here in Ontario) if your doctor forgets to add “no subs” on the script, have the pharmacy call to clarify. Also, if your doctor uses an electronic medical record (EMR), they can preset the system so that the ‘no subs’ indication is automated on the prescription at each renewal. At the end of the day, for the things we’re not good at…. we need to delegate to others.
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