Generic vs. Brand Name Drugs - page 3

yesterday, i had my first reaction to the celexa i take for depression. i've been on this med two years now, and no reactions experienced before now. i just had the rx refilled, and took the first... Read More

  1. by   Nurse Ratched
    This is getting confusing. I could be wrong, but I think we're mixing up the concepts of names and products. Don't drugs have a chemical name and a "brand" name under which they are sold? Then there is a generic name at such time as a generic copy of the drug is permitted when the patent runs out.

    For instance: Omeprazole is the chemical name for the brand drug Prilosec, which now has a generic form - Protonix.

    As far as the Xanax (alprazolam) I believe the small white pills are the 0.25 mg; the peach colored ones are 0.5 mg, and the blue ones are 1 mg. At least that's how they come at our hospital.

    Xanax is a narc and sudden withdrawal would be bad; I highly doubt the pharmacist is randomly substituing placebos. I've only seen the celexa in the oval salmon colored tabs. According to this site http://www.psycom.net/depression.central.drugnames.html there are several other names under which a Celxa equivalent is sold, so I imagine it does appear in different forms.
  2. by   NRSKarenRN
    ATTENTION PLEASE:

    Anytime you get a different colored med than original one prescribed, call the pharmacy STAT to make sure the wrong med hasn't been dispensed. The pharmacy staff keeps a log of which manufacturer dispensed. This advice has saved my husband on many occasions.

    In some states, PA included, pharmacists are allowed and usually encouraged to substitue a generic if one available for Medicaid and many insurance plans. If you require a BRAND NECESSARY med, make sure that is added to your pharmacy computer and that you MUST BE NOTIFIED before generic dispensed.

    Meds that should NOT be switched from Brand to Generic (keep at same type) due to differing bio-availability:

    anticonvulsants
    digitalis
    thyroid meds
    anti-coagulants
    steroids (Solu-Medrol and Solu Cortef NOT the same)

    Hope this helps.
  3. by   live4today
    originally posted by rustyhammer
    i tend to agree with andrewsgranny.
    i think that someone at the pharmacy probably screwed up and gave you the wrong meds (it happens). i'm just hoping it wasn't fertility pills!!
    -russell
    wow........such great comments from everyone. before i answer to any of them.....rustyhammer......i had to respond to yours...... if those pills are fertility pills, and i get prego.......it will definitely be an immaculate conception...then you guys would have to roll out the red carpet for me 'cause i'd be a big time celebrity! now.....if i could still get prego......i wouldn't be laughing....

    now.....in regards to the docs giving placebos??? yes sirs and yes maams......boo-koo years ago, docs and pharmacist were giving patients placebo tabs without their permission. sugar pills do no harm, and they were perfectly within their medical rights to do so due to the rationale behind them. if the placebo pills had any adverse effects on the patients......then...they would be legally liable had they not gotten the patients permission. these pills are often times used in studies with anti-depressants, or new pills on the market depending on what pill it is they need to know the efficacy of with the patients condition.

    the pharmacist i use is of no choice of my own, mind you......we are active duty army........need i say anymore. :chuckle the military is highly well known to use their soldiers and family members as guinea pigs whenever a new drug is ready to hit the market. my oldest daughter was taking dimetapp looooooooonnnnnngggg before it came out on the market. no one had heard of dimetapp "outside" the military. she is almost 32 years of age today, and now dimetapp is sold otc. go figure on that one........ anyone here in the military medic side of the house knows what i am saying is more than true. it's how we must live if we want to be missionarys for this country......right soldiers?
    :chuckle
    Last edit by live4today on Jul 9, '02
  4. by   Rustyhammer
    I wouldn't and DONT doubt it a bit Renee.
    Americans have been guinea pigs with and without their knowledge for years.
    I just hadn't thought about it being so blatant before.
    I hope they don't mess with my Jack Daniels.
    -Russell
  5. by   live4today
    Originally posted by Rustyhammer
    I wouldn't and DONT doubt it a bit Renee.
    Americans have been guinea pigs with and without their knowledge for years.
    I just hadn't thought about it being so blatant before.
    I hope they don't mess with my Jack Daniels.
    -Russell
    Did you say Jack...I mean Jack...I mean Jack Daniels! :chuckle :roll :chuckle Never tasted it myself, but I like a mean Virgin Pina Colada with a whip of strawberry ice cream in it! Yum-yum! :spin:
  6. by   dianthe1013
    Renee:

    I was going to second those who asserted that citalopram is only being retail-marketed right now under the brand name Celexa, but God only knows what the Army has their hands on...

    Donna
    Last edit by dianthe1013 on Jul 10, '02
  7. by   live4today
    Aint that the stone cold truth, Donna! :chuckle
    Tomorrow morning bright and early, I am going to be up close and personal in the Pharmacist face with a bazillion questions about the medication in my little brown bottle. I am going to become well educated on Celexa, so by the time I leave there, I will no what I know to be certain about the entire episode that I went through with that medication...IF indeed that is Celexa in my bottle....mind you. Talk about scary? Wonder what I actually swallowed? Anyway...I'll report back tomorrow afternoon sometime and let you guys know. Thanks for all the support here. I needed it today! God bless...good night...sweet dreams....:kiss
  8. by   KarafromPhilly
    Quick question-- I thought that Prilosec and Protonix were two different drugs. Generic name for Prilosec is omeprazole, for Protonix--??
  9. by   Jen911
    May I suggest a website to identify your tablets? I also take Celexa 20 mg tabs, identified them on this website, oblong tabs, say 20mg on one side, FP on the other... They're Celexa....

    http://www.drugs.com/index.cfm?pageID=1151

    Good luck! (Once again, I'm a day late, and a dollar short on reading the boards..LOL)
  10. by   adrienurse
    Get to know your pharmacist(s). Stick with only one pharmacy that you trust and that has your history, prescriptions on file. Ask lots of questions. Pretend you're not a nurse so they don't think they're off the hook in giving you instructions. Good luck!
  11. by   susanmary
    For many years, I frequented a small local pharmacy who was owned by the pharmacist. Several years ago, I got a prescription for a new med and told him I had a question about the medication. He replied "just read the insert." I never went back. Tried to support the local pharmacy ... but now go to good old CVS where I'm always asked if I have any questions about the medication.
  12. by   OBNURSEHEATHER
    Originally posted by cheerfuldoer
    Now.....in regards to the docs giving placebos??? Yes sirs and Yes maams......boo-koo years ago, Docs and pharmacist were giving patients placebo tabs without their permission. Sugar pills do no harm, and they were perfectly within their medical rights to do so due to the rationale behind them. IF the placebo pills had any adverse effects on the patients......THEN...they would be legally liable had they NOT gotten the patients permission. These pills are often times used in studies with anti-depressants, or new pills on the market depending on what pill it is they need to know the efficacy of with the patients condition.
    I'm sure boo-koo years ago things like this did take place. These activities were then deemed unethical and illegal and aren't done today. You must consent to being in any type of study like this. Even if, by the action of a highly unethical MD and pharmacist, you were given sugar pills.... are you allergic to sugar?

    I think it's more probable that the problem lies with the pharmacist, either a substitution or complete error took place.

    This thread's placebo theme is just beginning to have an X-Files quality to it. Maybe they gave you small pox.

    Heather
    Last edit by OBNURSEHEATHER on Jul 10, '02
  13. by   CATHYW
    I've never had a problem with generic meds, either for myself or my family, or any of my patients.

    I have heard people say that they feel "safer" taking brand name meds.

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