Why do doctors love to have their patients wait?

[dr. d]

there's a reason why we see a lot of TGP and Generika

mas marami pa ring pila sa mercury drug.
heh heh.

[ice15]

mas marami pa ring pila sa mercury drug.
heh heh.

agree... pero I have friends who own franchises of TGP, Generika and Uptown Meds, business will not survive if maliit ang income.

[shadow]

Sinisiraan kasi ng mga doctors mga generic medicines. Gusto nila branded bilhin para meron sila pang abroad.


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[Miles_on]

there's a reason why we see a lot of TGP and Generika

Hindi lahat ng generic OK though. Yes, on paper, they are the equivalent of their branded counterparts... but aside from settled generic manufacturers like Unilab, Myra Pharmaceuticals and a few more, I don't patronize them. There have been many stories of maintenance medication (particularly of drugs made in a country that I won't mention here) not working... despite the patient religiously taking them as prescribed.

It's like small local diagnostic labs vs. hospital laboratories. Technically, they're the same, but while hospital labs are more expensive, big hospitals can field better equipment.

The good thing with these generic medicines is that they give people, particularly the cash strapped, a choice though.

[dr. d]

Sinisiraan kasi ng mga doctors mga generic medicines. Gusto nila branded bilhin para meron sila pang abroad.


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hindi naman lahat.
there are always exceptions.
and i like to imagine, there are more exceptions here, than non-exceptions.

also,
some drugs are sole-membership in their class, i.e., there is no other choice.
thus, while some may suspect collusion, the truth is, there is no other drug to collude for or against.

drug reps also have a usefulness.
they advise the physician, that the new drug they first heard about in their last medical convention, is now available in the local market. it's not collusion; it's introduction.

but there is collusion. in any industry.

[_Cathy_]

Sinisiraan kasi ng mga doctors mga generic medicines. Gusto nila branded bilhin para meron sila pang abroad.

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Mom ko public health ang advocacy so when the Generics campaign first came out in the 90s (or late 80s?) she was really pushing for it, even our family. My Lola (Dad's Mother) got mad with my Mom on why she would encourage my Dad to take generics for his hypertension My lola always wants the best for her only son I never take generic drugs esp those that are free from the government. Sa Makati masipag sila mamigay nyan but none of us take it

Example mefenamic acid na generic wala effect sakin, pero Ponstan SF effective

Hindi lahat ng generic OK though. Yes, on paper, they are the equivalent of their branded counterparts... but aside from settled generic manufacturers like Unilab, Myra Pharmaceuticals and a few more, I don't patronize them. There have been many stories of maintenance medication (particularly of drugs made in a country that I won't mention here) not working... despite the patient religiously taking them as prescribed.

It's like small local diagnostic labs vs. hospital laboratories. Technically, they're the same, but while hospital labs are more expensive, big hospitals can field better equipment.

The good thing with these generic medicines is that they give people, particularly the cash strapped, a choice though.

Sa US akala ko maganda generic drugs nila pero when I had palpitations the last time I was in the US, my cardio (online consult) prescribed a medicine for me (forgot) Since my Tita was a nurse in the US, nagawan niya paraan to get me generics for free. Wala naman effect. When I got home to PH, I bought the brand my cardio got me and then I got better.

[dr. d]

caveat:
"there are fake brand names, just as there are fake generics."
my meds are generics if i can help it.
and yes, "placebo effect" exists.

independent diagnostic labs versus hospital labs.
if i were an independent diagnostic lab manager, i'd be very careful, as i'm a stand-alone. i have no pader to lean against, during downswings.
if i were a hospital laboratory manager, i'd also be very careful, as i do not want to be the cause of the hospital's downswing.
once word gets around, it is very difficult to get rid of it.

[shadow]

Mom ko public health ang advocacy so when the Generics campaign first came out in the 90s (or late 80s?) she was really pushing for it, even our family. My Lola (Dad's Mother) got mad with my Mom on why she would encourage my Dad to take generics for his hypertension My lola always wants the best for her only son I never take generic drugs esp those that are free from the government. Sa Makati masipag sila mamigay nyan but none of us take it

Example mefenamic acid na generic wala effect sakin, pero Ponstan SF effective



Sa US akala ko maganda generic drugs nila pero when I had palpitations the last time I was in the US, my cardio (online consult) prescribed a medicine for me (forgot) Since my Tita was a nurse in the US, nagawan niya paraan to get me generics for free. Wala naman effect. When I got home to PH, I bought the brand my cardio got me and then I got better.

Malaki kasi ginastos nila sa marketing.

For example neozep forte, wala diffeence sa bio flu same unilab gumawa.

But since nasanay na tao na pang sipon ang neozep kaya they came out with bioflu para ma capture din nila market ng nagka flu. It's one and the same.

Hinde na nila pwese i-market na pang flu pala ang neozep forte.

Last week lanf while waiting for my turn sa mercury magbasabasa ako ng mga naka display.

Yun buscopan venus na for cramps during period eh same lang pala nun buscopan plus yata yun. Marketing nanaman paraeron exclusive for women pero same lang pala doon sa isang buscopan plus.

While sa generic sinirian lang talaga ng mga big pharma yan...affected sila eh.

Pag meron na generic yun gamot nila baguhin lang nila miligram. Yun exclusice pa sa kanila puro prescribe ng doctor na for example 1mg then pag mron na generic baguhin na nila gawa na sila 1.25mg or 1.5mg then mga doctor yun naman reseta dahil meron na generic na 1mg. Glorifies medreps. [emoji23]


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[Miles_on]

^^^

Shadow, nasaniban ka ba ng kaluluwa ni Kags? You sound just like him right now...

[dr. d]

Malaki kasi ginastos nila sa marketing.

For example neozep forte, wala diffeence sa bio flu same unilab gumawa.

But since nasanay na tao na pang sipon ang neozep kaya they came out with bioflu para ma capture din nila market ng nagka flu. It's one and the same.

Hinde na nila pwese i-market na pang flu pala ang neozep forte.

Last week lanf while waiting for my turn sa mercury magbasabasa ako ng mga naka display.

Yun buscopan venus na for cramps during period eh same lang pala nun buscopan plus yata yun. Marketing nanaman paraeron exclusive for women pero same lang pala doon sa isang buscopan plus.

While sa generic sinirian lang talaga ng mga big pharma yan...affected sila eh.

Pag meron na generic yun gamot nila baguhin lang nila miligram. Yun exclusice pa sa kanila puro prescribe ng doctor na for example 1mg then pag mron na generic baguhin na nila gawa na sila 1.25mg or 1.5mg then mga doctor yun naman reseta dahil meron na generic na 1mg. Glorifies medreps. [emoji23]


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would you have strong belief in a medication that is advertised as a panacea (a cure-all) for multiple ills?
or would you tend more to believe in a medication advertised for flue, and another medication for sip-on?
yep, that's advertising!

[Mask Rider Blac]

Sa office namin, hindi ma-reimburse ang gamot kung brand name ang nakasulat sa prescription. Dapat generic name lang. Pero option na ni patient kung branded ang gusto niyang bilhin.

[shadow]

Dapat sinama na nila sa batas yun bawal isulat sa baba ng generic name sa prescription yun preferred brand ng mga doctor.

Generic lang isulat tapos bahala na patient pagdating sa pharmacy kugn ano gusto niya.

Wala eh automatic ngayon sa mercury pag bigay ng prescription yun brand name na sinulat ng doctor sa ilalim ng generic ang ibibigay ng pharmacist.


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[dr. d]

if some physician genuinely believes that not all brands are created equal,
who are we to say he's wrong?

i wonder,
do pharmacies keep accurate tabs on what brands the physicians prescribe?
how do the drug companies know who patronize them?

[H1Tman]

Dapat sinama na nila sa batas yun bawal isulat sa baba ng generic name sa prescription yun preferred brand ng mga doctor.

Generic lang isulat tapos bahala na patient pagdating sa pharmacy kugn ano gusto niya.

Wala eh automatic ngayon sa mercury pag bigay ng prescription yun brand name na sinulat ng doctor sa ilalim ng generic ang ibibigay ng pharmacist.


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Kaya nakasulat yung generic name para may choice ang patient, especially yung walang pera pambili ng branded.

[shadow]

Kaya nakasulat yung generic name para may choice ang patient, especially yung walang pera pambili ng branded.

Dapat generic lang talaga isulat but mga doctors sinusulat pa rin sa baba ng generic naka parenthesis yun brand na preferred nila.


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[_Cathy_]

^^^

Shadow, nasaniban ka ba ng kaluluwa ni Kags? You sound just like him right now...

Oo nga HAHAHA

Kaya nakasulat yung generic name para may choice ang patient, especially yung walang pera pambili ng branded.

correct

Dapat generic lang talaga isulat but mga doctors sinusulat pa rin sa baba ng generic naka parenthesis yun brand na preferred nila.

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Have you even taken generic medicine? I've tried it at wala talagang effect, iba pa rin talaga branded.

[Walter]

As with most things ... you get what you pay for ...

[Verbl Kint]

Generalizations are dangerous, particularly in the absence of the scientific method.

Example:

Basta Toyota siguradong di ka madadaya.
Pag yung emissions test galing Japan, siguradong maasahan.

Basta generic drugs, mababa ang kalidad.
Pero pag branded siguradong maasahan.

Ok ang gamot galing Unilab, kahit Marcos cronies may-ari at nakaw sa bayan ang pinangpuhunan.

[dr. d]

other "dangerous" generalizations...

basta gradweyt nang XXX, magaling. basta gradweyt nang non-XXX, 'di magaling.
there are always exceptions, folks. and considerably more than one may imagine.
and i am a strong believer in murphy's law.

[Ry_Tower]

Generalizations are dangerous, particularly in the absence of the scientific method.

Example:

Basta Toyota siguradong di ka madadaya.
Pag yung emissions test galing Japan, siguradong maasahan.

Basta generic drugs, mababa ang kalidad.
Pero pag branded siguradong maasahan.

Ok ang gamot galing Unilab, kahit Marcos cronies may-ari at nakaw sa bayan ang pinangpuhunan.

Fully agree on this. Meron nga dito, buti ngayon wala na, master sa ganyan. Basta siya nagsabi parang Holy Words eh.