Posted by atypical on July 19, 2009, at 1:02:25
In reply to Re: Nortriptyline Generic or Brand Favorites?, posted by linkadge on July 14, 2009, at 19:46:01
> I personally don't see how this is possible.
>
> Nortriptyline is nortriptyline. The molecule is identical whoever manufactures it. With some generics I can see an argument that it is less bioequivilant than another. With nortriptyline there is a blood test to determine what level the drug is at. If a doctor uses a blood test, he can find a blood level that works, then it really shouldn't matter what brand is given as long as the drug level is the same.
>
> My 2 cents.
>
> LinkadgeI agree with your point about blood levels. If the blood level of nortriptyline is at a certain therapeutic level, shouldn't it not matter if it's generic or not? I took Danbury Pharmaceutical's version and had blood levels done. I disagree with what you say later on about difference between generic and brand. For me, as just one example, the case was clear. When I switched to generic sertraline from Zoloft, relapse. Increasing the dose didn't do much. There was no other factor.
poster:atypical
thread:906750
URL: http://www.dr-bob.org/babble/20090709/msgs/907450.html