Dispense as written.... - page 2

Ugh!!! Anyone else have a problem with this? My husband takes Levoxyl for his hypothyroidism. Our doctor was adamant that he stick with this namebrand, he didn't want the namebrands changed. He... Read More

  1. by   P_RN
    Sanakruz, where did that info come from?

    http://www.pharmacistsletter.com/ple...tion=PL&rtid=9
  2. by   sanakruz
    Thank you for that p.
    I got the info from all 3 of the docs at my clinic and a PharmD from Lilly also acknowledged that this is the case with prozac- After I mentioned to her that clients were complaining about generic fluoxetine not working....
  3. by   frannybee
    Didn't know those stats but have a lot of experience with pts saying that they can only tolerate Brand x of warfarin because the others just don't work as well, or work *too* well and their INR gets outta control.
  4. by   deespoohbear
    Originally posted by frannybee
    Didn't know those stats but have a lot of experience with pts saying that they can only tolerate Brand x of warfarin because the others just don't work as well, or work *too* well and their INR gets outta control.

    Our pharmacy only stocks Coumadin. No generics. I have heard of others say that generics don't work for them either with some drugs.

    Sanakruz-Of course of PharmD from Lilly is going to say the generic prozac isn't as effective as the brandname. He knows who is paying his salary....
  5. by   sanakruz
    And a local pharmacist would not switch our patients to generic clozapine from brand name clozaril for fear that they would lose ground (decompensate). The doc had ok'd the switch to save$$$, but the pharmacist was so concerned, I got the order changed!

    My thoughts after reading that little blerb is -it does depend on the drug- So I'm thinking human thyroid hormones can be tricky enough.....? DAW
  6. by   deespoohbear
    Yes I do think it depends on the drug. I am not familar with clozaril so I can't speak from experience with that one. I have heard that some doctors don't like their patients to be changed from one brand to another when it comes to thyroid meds and to Coumadin. I am not sure about other drugs.
  7. by   kids
    Just curious (OK, and nosey): did they charge you the generic or the brand price?
  8. by   OBNURSEHEATHER
    Good question Nancy! I surely would have noticed the price difference when they rung me up!

    (then again, I'm one of those people that carts about half a dozen impulse items up to the pharmacy counter with me and smiles and says "can I pay for this here too?!)
  9. by   dianthe1013
    Usually, a doc will advise to stick with a brand name on drugs with a low therapeutic index - i.e., levothyroxine, warfarin, etc. There's not much room for variance on those, usually.

    Donna
  10. by   deespoohbear
    The price was the same. Levothyroid and Levoxyl are both brand names for levothyroxine. Our doctor just doesn't want the brands switched since my hubby started on Levoxyl. Maybe I didn't state it clearly in my original post...the script didn't get filled with a generic form....just a different brand name...:imbar
  11. by   Mimi Wheeze
    My levoxyl bottle says it is generic for synthroid....(?)

    Is is really true that generics have to only be 80% effective?
  12. by   deespoohbear
    Originally posted by Mimi Wheeze
    My levoxyl bottle says it is generic for synthroid....(?)

    Is is really true that generics have to only be 80% effective?
    Do your pills look like this? (Levoxyl comes in different colors depending on the dosage)



    This is what the brand name for Levoxyl looks like. Like little bow ties. Levothroid is round-also in different colors and has the dosage imprinted on one side and some kind of almost triangular marking on the other. That is also a brand name. Synthroid is another brand name. Levothyroxine is the generic name for all three. Our doctor didn't want my husband switching from one brand to another once he started on one brand.
  13. by   NurseGirlKaren
    For some reason, I remember specifically from nursing school that one brand should not be substituted for the other for levothyroxine in particular. I don't remember why that is.

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