Ruth Livingstone wrote:
>(It is also possible for a pharmacist to be more
> supportive and to actually make an effort to supply palatable generics.)
It is, and usually we do. Unfortunately in a very few places the GPs and
pharmacy work in a state of mutual antagonism.
When I first discovered gp-uk there was a message in which a GP wrote
something to the effect that if a patient complained about a generic they
passed the blame fully onto the pharmacist, and that it wasn't the GPs
problem if the pharmacist supplied second rate generics.
I would suggest that this sort of attitude is hardly likely to make for a
good working relationship. All generics are licensed medicines, all are made
to a standard. Sometimes they are made in the same factory that makes the
branded version.
Yes there are differences, and yes we do react to them. (Patients complain
of the taste of some generic GTN sprays, so we avoid those makes. There is a
generic beclomethasone aqueous nasal spray that patients have complained
causes a stinging sensation so we avoid that make.) Unfortunately can't know
which to avoid till we've tried them on patients.
Regards
Jeff
Jeff Green
-Community Locum and Consultant Pharmacist-
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