Finally had to put in my 2 cents.
This is what I have been told by my epileptologist, and more then one
neurologist. The importance of brand vs. name is what you START on. If
you start on generic your therapeutic levels will be based on the
efficacy of the generic. FI you start on name brand the efficacy will
based on the name brand.
So it the generic is available when you first go on a drug, take it,
since your levels will be based on that not the name brand.
If you do choose to change to the generic do not do so without
consulting your epileplogist. ONLY change if you have control, because
if you do have a seizure you know the exact dosage of the brand to go
back to if you choose. (this is the same as if weening off or changing
drugs when you have control).
Get your drugs from a national chain pharmacy, not a local pharmacist.
The national chains (I use Walgreens) are likely to have long term
contracts with suppliers, which means a change in generics is less
likely to happen, though not gauranteed.
Kelly
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