OT: Generic Meds and Walmart?
- Thread starter Whoson1st
- Start date
Hache Man
"Seven Days Without Gambling Makes One Weak"
Re: OT: Generic Meds and Walmart?
Good question Whoson1st
My prescrption plan is $7/$14 so I always pay the extra for the name brand, even though the generic may be just as good in many cases.
Will be interesting to hear from someone who truly knows exactly how good generics are overall compared to name brands.....
Good question Whoson1st
My prescrption plan is $7/$14 so I always pay the extra for the name brand, even though the generic may be just as good in many cases.
Will be interesting to hear from someone who truly knows exactly how good generics are overall compared to name brands.....
Re: OT: Generic Meds and Walmart?
Thanks.
I just have a Serious problem understanding (with medicines--which are chemicals) how there could be so much difference in price, without the quality being compromised.
Thanks.
I just have a Serious problem understanding (with medicines--which are chemicals) how there could be so much difference in price, without the quality being compromised.
Re: OT: Generic Meds and Walmart?
comps-agree; I guess.
Would (all thinks being equal--education, time in profession, etc etc) a drugest at Walmart be paid the same salary as a druggest at Eckart or other drug chain?
As for as asking my doctor--HE has a HUGE sign in his office which say "Generics save you money." So his feeling are apparent without asking!
comps-agree; I guess.
Would (all thinks being equal--education, time in profession, etc etc) a drugest at Walmart be paid the same salary as a druggest at Eckart or other drug chain?
As for as asking my doctor--HE has a HUGE sign in his office which say "Generics save you money." So his feeling are apparent without asking!
kelp0027
EOG Dedicated
Re: OT: Generic Meds and Walmart?
..
.By fda decree; a generic has to be within 20% active metabolite in the bloodstream; as compared to brand name medication..>>
So>>>>>........
Theoretically ; brand name med with a blood level of 100 could be replaced by generic #1 with a level of 80; and also by generic #2 which has a level of 120..>>
..
Now; if you compare 80 with 120; ; the 120 is 80 +40 =120 or 50% stronger..>>yet they are both legal generics..>>
This is one reason why switching generics can cause therapeutic differences..
It is Not recommended that you use a generic cardiac anti-arrhythmic medication; or switch generics .
gl
Overall; though; the Wal-Mart $4.00/month of certain generics is a real blessing; and a great way to get meds..
Many generics are as good/ or better than the newer brand name meds..
gl
:+clueless
..
.By fda decree; a generic has to be within 20% active metabolite in the bloodstream; as compared to brand name medication..>>
So>>>>>........
Theoretically ; brand name med with a blood level of 100 could be replaced by generic #1 with a level of 80; and also by generic #2 which has a level of 120..>>
..
Now; if you compare 80 with 120; ; the 120 is 80 +40 =120 or 50% stronger..>>yet they are both legal generics..>>
This is one reason why switching generics can cause therapeutic differences..
It is Not recommended that you use a generic cardiac anti-arrhythmic medication; or switch generics .
gl
Overall; though; the Wal-Mart $4.00/month of certain generics is a real blessing; and a great way to get meds..
Many generics are as good/ or better than the newer brand name meds..
gl
:+clueless
kelp0027
EOG Dedicated
Re: OT: Generic Meds and Walmart?
theoretically; yes; probably not; and there is a wide therapeutic window with lisinopril; an ace inhibitor; fwiw; i take generic lisinopril myself; have had excellent results for years..>>you probably will not have a problem; my best guess; two generics usually are not more than 15-30% different in actual bioequivalence..>>and that shouldn't matter;;>>btw; remember, most people are no where near 100% compliant with taking meds; which is important with hypertensive meds; so if you are close to 100% compliant with different generic lisinoprils; you're probably allright.
won't hurt to get a BP reading every week though
gl
theoretically; yes; probably not; and there is a wide therapeutic window with lisinopril; an ace inhibitor; fwiw; i take generic lisinopril myself; have had excellent results for years..>>you probably will not have a problem; my best guess; two generics usually are not more than 15-30% different in actual bioequivalence..>>and that shouldn't matter;;>>btw; remember, most people are no where near 100% compliant with taking meds; which is important with hypertensive meds; so if you are close to 100% compliant with different generic lisinoprils; you're probably allright.
won't hurt to get a BP reading every week though
gl
Re: OT: Generic Meds and Walmart?
Excellant info and certaintly appreciated!
I NEVER forget/miss a dosage. But have other issues which may impact either the generic from Wal. or Ek.
Doc doubled my dosage from 10mg lisinopril to 20mg almost 2 months ago, I see him again end of April. From my extensive readings on this issue there may not be a perfect medicine to lower my bp; cause of probably lifestyle. I just can't get in my hard head what good it does to have lower bp and not enjoy what I'm eating, etc. One of the biggest issues on the bottle (label) says to "check with doctor before using a salt substitute".... I've never used a salt substitute and don't PUT salt on anything; but I enjoy foods that have sodium/salt allready on them. Where to draw the line is very tough..No more diets for me either.
theoretically; yes; probably not; and there is a wide therapeutic window with lisinopril; an ace inhibitor; fwiw; i take generic lisinopril myself; have had excellent results for years..>>you probably will not have a problem; my best guess; two generics usually are not more than 15-30% different in actual bioequivalence..>>and that shouldn't matter;;>>btw; remember, most people are no where near 100% compliant with taking meds; which is important with hypertensive meds; so if you are close to 100% compliant with different generic lisinoprils; you're probably allright.
won't hurt to get a BP reading every week though
gl
Excellant info and certaintly appreciated!
I NEVER forget/miss a dosage. But have other issues which may impact either the generic from Wal. or Ek.
Doc doubled my dosage from 10mg lisinopril to 20mg almost 2 months ago, I see him again end of April. From my extensive readings on this issue there may not be a perfect medicine to lower my bp; cause of probably lifestyle. I just can't get in my hard head what good it does to have lower bp and not enjoy what I'm eating, etc. One of the biggest issues on the bottle (label) says to "check with doctor before using a salt substitute".... I've never used a salt substitute and don't PUT salt on anything; but I enjoy foods that have sodium/salt allready on them. Where to draw the line is very tough..No more diets for me either.
Rxx
EOG Veteran
Re: OT: Generic Meds and Walmart?
1. What you CAN get in your head by not controlling your blood pressure is a blood clot...which is, of course, the cause of a stroke. Which, will, of course, lead to sudden death or a serious decrease in your ability to eat what you want...because you cant use one side of our body ver well, assuming you survived it. I believe that i read that handicapper Mike Lee (he coined the term "due factor") died of a stroke secondary to uncontrolled blood pressure.
2. The salt substute warning is because the salt involved is potassium chloride. Lisinopril belongs to a family of drugs called ACE inhibitors. These drugs have the potential to cause potassium retention and adding more potassium via a salt substitute can lead to hyperkalemia (high potassium levels...which can be a problem if it gets too high).
As for the comments regarding generic drugs, kelp provided a very accurate portrayal of the variation allowed in the manufacturing process. With most drugs, it really doesnt make a difference. A 10mg dose of lisinopril can, theoretically, contain between 8-12 mg of active ingredient. Whether you get 8 or 12 may seem like a a huge difference mathematically, clinically it probably doesnt mean much. Alternatively, there are drugs, though few (warfarin, levothyroxine, digoxin), where that much variation can have a huge clinical effect. For that reason, i tell my patients that generic drugs are fine, but it is important to get the same brand of generic drug (i.e., made by the same manufacturer).
It is important to know that some generics are actually made by the brand name innovator company and sold under another name. Also, the fact that your lisinipril comes from Walmart or Eckerd doesnt mean anything as they didnt manufacture it. Both stores may or may not sell the same manufacturer's generic version.
Understanding the pricing of prescription drugs is a very complicated subject that often makes little sense to the public or practioner. Believe me, Walmart isnt making money on prescriptions when they sell them to you for $4 for a month supply. they want you there to buy other stuff in the store. The average cost to dispense a prescription is $10-13/Rx, depending on geography.
Also, RPhs in retail make about the same wherever they are employed within a geographical market. A bit more in Calif, less in the midwest and south.
1. What you CAN get in your head by not controlling your blood pressure is a blood clot...which is, of course, the cause of a stroke. Which, will, of course, lead to sudden death or a serious decrease in your ability to eat what you want...because you cant use one side of our body ver well, assuming you survived it. I believe that i read that handicapper Mike Lee (he coined the term "due factor") died of a stroke secondary to uncontrolled blood pressure.
2. The salt substute warning is because the salt involved is potassium chloride. Lisinopril belongs to a family of drugs called ACE inhibitors. These drugs have the potential to cause potassium retention and adding more potassium via a salt substitute can lead to hyperkalemia (high potassium levels...which can be a problem if it gets too high).
As for the comments regarding generic drugs, kelp provided a very accurate portrayal of the variation allowed in the manufacturing process. With most drugs, it really doesnt make a difference. A 10mg dose of lisinopril can, theoretically, contain between 8-12 mg of active ingredient. Whether you get 8 or 12 may seem like a a huge difference mathematically, clinically it probably doesnt mean much. Alternatively, there are drugs, though few (warfarin, levothyroxine, digoxin), where that much variation can have a huge clinical effect. For that reason, i tell my patients that generic drugs are fine, but it is important to get the same brand of generic drug (i.e., made by the same manufacturer).
It is important to know that some generics are actually made by the brand name innovator company and sold under another name. Also, the fact that your lisinipril comes from Walmart or Eckerd doesnt mean anything as they didnt manufacture it. Both stores may or may not sell the same manufacturer's generic version.
Understanding the pricing of prescription drugs is a very complicated subject that often makes little sense to the public or practioner. Believe me, Walmart isnt making money on prescriptions when they sell them to you for $4 for a month supply. they want you there to buy other stuff in the store. The average cost to dispense a prescription is $10-13/Rx, depending on geography.
Also, RPhs in retail make about the same wherever they are employed within a geographical market. A bit more in Calif, less in the midwest and south.
Shortbus
1
Re: OT: Generic Meds and Walmart?
NO. If you're buying the SAME drug made by the SAME company, it doesn't matter where you buy it.
NO. If you're buying the SAME drug made by the SAME company, it doesn't matter where you buy it.
Re: OT: Generic Meds and Walmart?
Kelp-About getting a bp reading every week; I know it seems reccommended; but it would only (in my case) make me worry that much more about it. (Anxiety factor is high) So I wait and see the doctor. It's good to read you've had success with this med. What dosage are you taking now and has it allways been the same?
What really got me worked up was--I took the 10mg dosage for a month with only a couple of points drop. Doctor then doubled the dosage to 20 mg.:+clueless
theoretically; yes; probably not; and there is a wide therapeutic window with lisinopril; an ace inhibitor; fwiw; i take generic lisinopril myself; have had excellent results for years..>>you probably will not have a problem; my best guess; two generics usually are not more than 15-30% different in actual bioequivalence..>>and that shouldn't matter;;>>btw; remember, most people are no where near 100% compliant with taking meds; which is important with hypertensive meds; so if you are close to 100% compliant with different generic lisinoprils; you're probably allright.
won't hurt to get a BP reading every week though
gl
Kelp-About getting a bp reading every week; I know it seems reccommended; but it would only (in my case) make me worry that much more about it. (Anxiety factor is high) So I wait and see the doctor. It's good to read you've had success with this med. What dosage are you taking now and has it allways been the same?
What really got me worked up was--I took the 10mg dosage for a month with only a couple of points drop. Doctor then doubled the dosage to 20 mg.:+clueless
JohnnyDeMarco
EOG Addicted
Re: OT: Generic Meds and Walmart?
first -walmart sells more meds than any place in the world.
second-generics are usually the 100% same.
insurance companies back generics becuz of this.
whosonfirst-good luck ever trying to get off xanax.
first -walmart sells more meds than any place in the world.
second-generics are usually the 100% same.
insurance companies back generics becuz of this.
whosonfirst-good luck ever trying to get off xanax.