Generic vs. Brand Name Drugs

Nurses General Nursing

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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 pill yesterday. i noticed the med is a salmon pink color, not white, as it usually is, so my guess is they gave me a generic drug.....or a "placebo". :rolleyes: within one hour of taking the medication, i had the same reaction i get with asa...i'm highly allergic to asa and a bunch of other drugs. i quickly swallowed two benadryl capsules (a total of 50 mg) and in less than 45 minutes, i felt tons better....just drugged too much, so slept til ten this a.m. i called my doc...she called back this morning...told me to take the medication to the pharmacist to have them recheck the dosage and the drug for generic qualities, and call her back so she can enter a new rx for me that would be the brand drug itself, and not a generic one. now...i am waiting for hubby to exit his classroom (he's a medical instructor), so i can get him to come get me since i'm still droggy on benadryl...not to mention i had to take allegra and flonase this a.m. for allergy control. now i'm really wiped out. so...here i sit at the puter with my groggy self typing away to you all about my rx reaction.

my question is: have any of you ever had an allergic reaction to a medication and found out you were given the generic brand instead of the brand name drug itself? how many of you have found in practicing nursing that patients often react negatively to generic drugs vs. the brand name drugs? thanks for your input, gals and guys.

Cheerfuldoer, I had a patient who took scheduled doses of Vicodin at home for chronic pain. The hospital doesnt have Vicodin so I gave her Lortabs. She got sick every time. Said it always happens with generic.

Speaking of Pharmacists, our insurance company is pretty well forcing us to use a MAIL ORDER pharmacy. They do it by requiring a written prescription for each and every refill, unless you get a 3 month supply mail order. How dangerous and cheezy can you get?

Specializes in Community Health Nurse.
originally posted by obnurseheather

perhaps i'm just speaking out of my a** here, but wouldn't it be highly unethical to be changing around a patients meds who hadn't previously consented to being part of a blind study?

heather

you'd think so, heather, but that's exactly what they do...docs i mean.....i remember giving patients placebo pills that they had no idea they were taking. the docs ordered them all the time. go figure huh? :D

they've also been doing that to me with the celexa. i had a feeling i was taking placebos at times in my first several months of taking the celexa, but i just laughed it off because i knew why docs were having patients take them. once they found out i was a registered nurse, i've been getting the real things every month all the time.......unless they've found a way to fool even nurses now. :chuckle

Specializes in Geriatrics/Oncology/Psych/College Health.

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.

Specializes in Vents, Telemetry, Home Care, Home infusion.

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.

Specializes in Community Health Nurse.
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......:rotfl: 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! :rotfl: now.....if i could still get prego......i wouldn't be laughing....:chair:

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? :rolleyes: :chuckle

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

Specializes in Community Health Nurse.
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! :lol2:

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 :)

Specializes in Community Health Nurse.

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. :eek: Talk about scary? Wonder what I actually swallowed? :confused: 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

Specializes in cardiac ICU.

Quick question-- I thought that Prilosec and Protonix were two different drugs. Generic name for Prilosec is omeprazole, for Protonix--??

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)

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!

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