...anyone know where I can get it? It says UDG in the C&D but I tried them and they denied all knowledge.....
...anyone know where I can get it? It says UDG in the C&D but I tried them and they denied all knowledge.....
I would go for the generic, just because its a Pfizer line.
But in view of recent stories in the press
Sebomin reaction causes patient death
it would be very wise to get a new script off the GP first, IMHO
Sadly, the script is Vibramycin as the patient "didn't get on with" a generic sometime back (long term script) - I've already tried that one!
Think it was discontinued at the beginning of this year.
Vibramycin 50mg caps were discontinued by Pfizer on 31/01/2009. The only Vibramycin product still available is Vibramycin-D 100mg dispersible tabs.
Perhaps if your patient tries a litter harder to be more friendly and respectful towards the generic, they will learn to 'get on' better in future
Bobbin
might be nice if the patient knew which manufacturer of the generic was they had (fat chance of that!) then it might be possible to isolate if it was a reaction to a dye or additive specific to one or a few brands.
in a perfect world, of course...![]()
“It's not worth doing something unless you were doing something that someone, somewhere, would much rather you weren't doing.”
Terry Pratchett
It is quite possible that the patient did not 'get along' with the generic for psychological reasons. If something is perceived to be 'cheap', many people will assume that it must be inferior. In this situation, any symptom which the patient experiences is assumed to be a side effect. In other cases, people actually make themselves ill by worrying about how a different brand might cause problems.
Although some people are indeed allergic to specific colourings and other excipients, many who believe themselves to be allergic are probably not. Other patients are apparently allergic to the foreign writing found on PIs.
In my experience, often, their only allergy is to putting their hands in their pockets. I once completely cured a potentially fatal asthma attack with the words ' Twenty pounds please'.
In a case like this, is there no way the current UK system will allow a substitution of eg Bymycin? If a pharmacist cannot make a simple decision on substitution like this one, then surely that compromises patient care, and must be addressed immediately, by whatever means. Ethics dictate a patient should never be refused prescribed medication.
If a pharmacist cannot be trusted to dispense an allowable, bioequivalent product, albeit under a different name, then what was the point of a University degree? What's the difference between a bun and another bun?...who bloody baked it??
Fleeg.