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    Are all generics the same?
    Thomas L Schwartz, MD posted:
    In the USA I think generics have to be within 15% of the original brand name drug. This means every different generic (there are often several for each drug and depedning which is cheaper is what your pharmacy will buy annually).
    An example- If you take 10mg or generic prozac/fluoxetine now, It might be possible that your first generic was 15% stronger than brand name PROZAC or 11.5mg. What if your pharmacy switches you to another generic that is different size and color and is made by another generic manufacturer? This new generic may be 15% weaker than brand PROZAC or 8.5mg.. Sometimes patients feel that even different generics are inferior or superior. This might be perception and placebo or You could be sensitive to a possible 15-30% fluctuation in dose.
    If you really like your original generic then Call your pharmacy and ask who made the generic you were on (ie Teva, Geneva etc, are some of the generic companies) and ask the pharmacist if they can get you that specific generic back, if not call all the other pharmacies in town and see who has it in stock and change pharmacies... Every year you may have to do this.
    The other option if you feel you were switched to a lighter generic is to ask you doc to raise the dose a little.
    Also, by in large generics are pretty comparable and do well as the brandnames.
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    33 of 45 found this helpful
    kazaburns responded:
    Thankyou Dr. Schwartz, could you comment on my post.
    Caprice_WebMD_Staff replied to kazaburns's response:
    Hi Kaza,

    Dr. Schwartz doesn't look in here every day (usually a few times a week), volunteering his time and responding to a few discussions each time. So we thank you for your patience.

    I'm guessing you mean this discussion of yours ?
    lizz120 responded:
    There are many generics now that come in blister packs & are very difficult to open for people with arthritis. I have asked the pharmacy to give me a choice & they say that there is nothing they can do. Are there any suggestions?
    BRavan replied to lizz120's response:

    My husband had this exact problem with some of his meds. Actually if you ask the pharmacist to place these medicines in a bottle; they have to. They will open every blister pack for you and put the prescription in a labeled bottle; with the exception of those medications that have to be used immediately after opening due to light, air, etc. So next time you go to the drug store; just ask them to open each pill and place it in a labeled bottle for you. You'd be surprised at how often pharmacist are asked to do this.

    Hope this helps you.
    Lena412 responded:
    no geneic are diffrent then the real thing.Thats why they are cheaper.Insurance company would rather pay for the cheaper pills.So they are made diffrently
    loopybjm replied to Lena412's response:
    Posted by loopybjm--pharmacists sometimes tell you the brand name and the generic form are the same but my body responds negatively to most generics. Usually within a few days I have to go off them because they make me sick--various bad side effects start cropping up. There are fillers and certain dyes in different meds that create havoc with some people. I guess I'm one of them unfortunately. So go with your doctor's advice and your gut feeling on how you feel after changing to a new prescription.
    oak45 responded:
    My experience does not support your comments. I have taken Celexa for many years and have tried on numerous occasions to switch to the generic. It never works.
    I have tried varying doses and for whatever reason it is not the same. I kept thinking that it was all in my head. But trust me, I have 115 reasons to want to take the generic. Insurance will not cover the name brand so every month I shell out $115 compared to $2 if I could take the generic.
    An_202962 responded:
    Generics are required to be from 80% to 120% of the original name brand. It's possible to get generics that are too weak and you need more or too strong and you need less. If you're using generics and they aren't quite working right, TALK TO YOUR DOCTOR/THERAPIST. They can make the adjustment for you.
    MsJoanna responded:
    There are some generics that have reputations for being qu9ite a bit different from "the real thing." In the non-psycotropic drug class one that comes to mind is the thyroid hormone levoxyl. For senoirs this can become a problem because medicare does not cover the non-generic and some do not respond to the generic. For non-senoirs with private insurance, your doctor can require the insurance company to to cover the name brand. If the insurance company balks, he/she must first appeal to the human resource head and then to the state insurance controller. A drug more on this site may be using would be BuSpar, used for anxiety.

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