You are correct.
I am not a Pharmacist.
I have worn a badge for years.
My reply was clear that I took exception to your remarks about Pharmacists.
And as far as cakes, chocloate or otherwise...
~~~~~~~~~~~~
--- In epilepsy@yahoogroup
>
>
> That is correct, Pat, I am not a pharmacist. And apparently, neither are
> you. My "assumptions and speculations about Pharmacists"
> with my "remarks about Pharmacists switching from one generic
> company to another" are based on the notes I took from what I had
> recorded while attending a Seizure and Epilepsy Program presentations.
> And with the speaker being a neuropsychologist, who brought this to
> everyone's attention who attended, plus the information that's
> being discussed in numerous articles and individual stories concerning
> people with epilepsy, apparently there is a difference between `name
> brand antiepileptic medications' and `generic antiepileptic
> medications'
>
> I agree that most consumers are adept at pursuing their prescriptions
> prior to submitting them, as well as consumers checking their pill
> bottles before they exit the store to ensure that they paid for the
> correct product. I also agree and continuously understand that meds are
> approved by the high standards of the FDA, along with my understanding
> that most major insurance companies will only pay for generics.
> Congratulations on your Dad being a Pharmacist for over 45 years.
> However, with everything you said in your reply, nothing answers the
> question "Is there a difference within the bioavailability of the
> name brand antiepileptic medications and the generic antiepileptic
> medications, even if the generics have the same name but are
> manufactured by different pharmaceutical suppliers?"
>
> Here's some more information that was mentioned during the same
> Seizure and Epilepsy Program presentations. The chemical that does the
> work in the name brand antiepileptic medications and the matching
> generic antiepileptic medications, are the same drugs. For example, the
> chemical in Tegretol that does the work is called carbamazepine. In the
> generic Tegretol, the chemical that does the work is carbamazepine. Do
> you hear any difference in the chemical that's used for either of
> these drugs? No. In Depakote, the chemical that does the work is sodium
> valproic. In generic Depakote the chemical that does the work is sodium
> valproic. Do you hear any difference in the chemical that's used for
> either of these drugs? No. In Dilantin, the chemical does the work is
> Phenytoin. In generic Dilantin the chemical that does the work is
> Phenytoin. Do you hear any difference in the chemical that's used
> for either of these drugs? No. There is absolutely no difference with
> the name of the chemical that does the work, in either the name brand or
> the generic brand antiepileptic medication. So the person's body is
> getting the same chemical.
>
> Now let me use another example, and this is going to be one I've
> thought of myself, concerning `Chocolate Cakes'. Let's say a
> person goes to a grocery store and sees a variety of Chocolate Cake
> mixes. For starters, those chocolate cake mixes would not be on the
> store shelves unless they had been approved by the Health Department.
> Out of all of the chocolate cake mixes, several have been manufactured
> by different name brand companies, and there are a few other chocolate
> cake mixes that were manufactured by separate generic companies. The
> prices for the name brand chocolate cake mixes are most likely going to
> cost a bit more than the generics. However, for each of those individual
> chocolate cake mixes, each one will most likely contain the same
> ingredients of flour, sugar, cocoa, baking soda, and possibly some salt.
> Some of the ingredients that might need to be added could be eggs,
> butter or margarine, milk, oil, and or water. If we follow the
> instructions in order to make each chocolate cake separately, and then
> complete the baking process, a few of the chocolate cakes might appear
> to be similar to one another, but a few other chocolate cakes might look
> a bit different. Either way, no matter how you look at the cakes,
> they're all still going to be called chocolate cakes.
>
> Now, what do you suppose the likelihood is going to be for each of those
> individual chocolate cake mixes containing the exact same amount of
> flour, the exact same amount of sugar, the exact same amount of cocoa,
> and the exact same amount of baking soda? Highly unlikely. A couple of
> the chocolate cake mixes might contain the exact same amount of one or
> more certain ingredients. But I seriously doubt that every one of those
> chocolate cakes mixes are going to have the exact same amount of
> matching ingredients.
>
> All of the individual chocolate cakes might look the same just by
> looking at them, and the FDA and certain insurance companies may add
> icing to the cake simply because they either don't understand,
> don't care, and or really don't want to get too involved; What
> matters most, is what's inside. What did it take, and exactly how
> much of that did it take, in order to make each one of those individual
> chocolate cakes? Then the next important question could be, for everyone
> who reads this reply, do you suppose everyone would be able to handle a
> same sized individual slice of every one of those chocolate cakes,
> without having any problems? My guess is that most people might be able
> to do this without having any problems, but there may also be just a few
> people who might experience some type of allergic reaction and/or side
> effect they cannot withstand.
>
> Prior to creating this reply, I came across an article that was recently
> placed online, and after I read over the article, there were several
> lines that stood out. The first was, "...in the case of many
> neurological disorders, especially epilepsy, switching from a brand name
> to a generic or between generics can be extremely dangerous";
> "...variants can mean the difference between a normal, seizure free
> life and dealing with the risk of breakthrough seizure's, brain
> damage and even death."; and lastly, "No cost is too great when
> it comes to your health." That article is titled, `In the Case
> of Epilepsy, Generic Drugs and Random Product Substitution are Not
> Always "Good Medicine"', and it's currently at,
> http://www.engelpub
> <http://www.engelpub
>
>
>
> [Non-text portions of this message have been removed]
>
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