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This is a question False Economies

Sometimes the cheapest option isn't the right one. I fondly remember my neighbours going to a well-known catalogue-based store and buying the cheapest lawnmower they stocked. How we laughed as they realised it had non-rotating wheels and died when presented with grass. Tell us about times you or others have been let down by being a cheapskate.

(, Tue 24 Jun 2014, 12:42)
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Well, modified-release preparations are sometimes different.
Some drugs (e.g. diltiazem for high blood pressure/angina) are available in a lot of different branded modified-release preparations, and the bioavailability varies between them. In cases like that, the prescriber is always supposed to specify the brand to be given. They frequently don't, but that's a different story.

As far as neurological drugs go, it's certainly prudent to approach any change with some caution. However, I've never heard of any problems with patients switching between Tegretol and generic carbamazepine, even the modified-release ones. Similarly with sodium valproate - when Epilim's patent expired, Sanofi made some bleating noises about generics not being equivalent, but they were talking out of their arse.

Some people are still prescribed Tegretol, but most are prescribed carbamazepine, and whether they actually get Tegretol or one of the generics depends on which pharmacy they use. Like I say, I've never heard of or been told of any problems with switching between them.
(, Fri 27 Jun 2014, 7:14, 1 reply)
My body did NOT like carbamazepine at all. Night sweats, hallucinations etc. Lamotrigine FTW.

(, Fri 27 Jun 2014, 7:27, closed)

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