Posted by linkadge on July 22, 2009, at 7:34:50
In reply to Re: Nortriptyline Generic or Brand Favorites? » linkadge, posted by bleauberry on July 19, 2009, at 17:40:29
Of course *anything* is possible. What I am saying is that I personally don't think it is likely that generics are responsbile (in large) for what some patients propose.
I mean really, patients start to complain that they were fine on the brand name then all of a sudden they get symptoms which are (a) not their original symptoms (b) not symptoms of withdrawl (c) not symptoms of increased dose - you start to wonder. The claims are often just too outlandish.
I think the greatest cause of relapse is generalized medication poopout or loss of placebo effect.
Med poopout is remarkably common. It is very common for people to be taking the same dose of the same brand of the same AD and it just stops working as well.
Nobody likes to believe meds can poop out. It is easier just to try and blame it on the inferiority of a generic.
Its just like vitamins (my gosh). This therapist I was seeing (a health nut), tried to tell me (without any form of scientific justification) that my (generic synthetic) b vitamins were less bioavailable than his (brand name synthetic) b vitamins. They're synthetic water soluble b vitamins!! Its all the same!!
Linkadge
poster:linkadge
thread:906750
URL: http://www.dr-bob.org/babble/20090721/msgs/907905.html