Warning! Make a Healthy Choice: Brand Name Or Generic Drugs

Submitted by Old Onion Bag

Minister of Health Donville Inniss

We are hearing too many cases of persons (old and young) who use drugs on the Barbados Drugs Formulary and  reporting the medication’s ineffectiveness. Many times on the call in programs, persons relate their experiences with these so called “cheaper equals” generic drugs placed on the formulary, as alternatives to the original brand name drugs. Two weeks ago, on the CBC Sunday program…Of People and Places, Minister of Health Donville Inniss was most pleased to inform the viewing public of the $12 Million his Ministry has saved, since the implementation of a program of cost saving measures,including substituting of brand name drugs with their cheaper generic.

The question must be asked, savings at what social cost and long term cost Mr. Minister? Savings at the expense of  good healthcare to the county’s citizens? How do we measure such savings anyway? How do you place a price on the cost of a life?

Only when illness reaches one’s door steps and see the pain and suffering of a close family member, then one becomes aware, that things are not right.

A country’s health program is far too important an area to be playing Russian roulette Mr. Minister. Have you given thought to the long run effects of using these inferior drugs? Will they not cost the country more in the long run ? The premature death of a young hypertensive worker cut down in the prime of his or her life takes away productive man-hours of the country. Not to mention the possibility of an epidemic outbreak, through the use of non performing drugs, God forbid.

We are lucky so far  to be spared  the possibility of any such calamity as an outbreak of social communicable diseases like Hepatitis B, which could easily wipe out any measly $12 mil savings sought at the expense of giving proper health care. Can we afford to continue taking such risk Mr. Minister ?

0 thoughts on “Warning! Make a Healthy Choice: Brand Name Or Generic Drugs


  1. wha ya dont like for ya self ya should not give to nobody;it’s true saving money at what cost and i mean long term, but i guess everybody cant fly to NY of Miami


  2. Now I’m convinced some of y’all smoking generic brand named CRACK. A generic druig is after the 20 year patent is expired. It is built to the same specs and consistency as the brand name. Most people would not know the difference. It is ALL in their minds.

    Here in the US, the generic is given before the brand name because it’s “cheaper”. But generic cannot pass FDA inspection unless it is EXACTLY like the “brand name”. Maybe these people are getting placebos or weakened OIMITATION substitues. Which are on the market. I believe THAT before I believe generics are “ineffective”.

    *smh. Good gosh man


  3. And what does hepatitis have to do with generic vs. “Brand name”.

    Stop the alarmist crap. Seriously.


  4. MR TEMPLAR YOU ARE TALKING SSSSSSSSSSSSSSSSSSSSSSS! THERE ARE GENERIC DRUGS AND THERE ARE GENERIC DRUGS.

    AFTER THE PERIOD OF THE PATENT IT IS TRUE THAT ATTEMPTS CAN BE MADE TO PRODUCE A COMPOUND ACCORDING TO THE SPECIFICATIONS OF THE DRUG THAT HAST ITS PATENT

    IF YOU HAVE SYNTHESIZED ANY ORGANIC COMPOUNDS YOU WILL KNOW THAT PURIFICATION OF THE COMPOUND IS NOT AS EASY.
    ONLY THE BIG FIRMS WITH SUPER TECHNOLOGY CAN MAKE GREAT GENERICS.
    PLEASE DONT TELL US ABOUT THE DOO DOOD THAT IS PRACTICEDIN THE USA FOR MEDICINE. SOME OF US HAVE EXPERIENCED IT FOR OURSELVES.

    ALSO THERE ARE THOSE OF US WHO REMEMBER THE DAYS PRIOR TO THE INTRODUCTION OF THE DRUG FORMULARLY WHEN HUNDREDS OF BAJANS HAD THIER HYPERTENSION CONTROLLED ON MERCK SHARP AND DOHME METHYDOPA [ALDOMET]. GUESS WHAT HAPPENED WHEN A CERTAIN CARLMET IMMITATION WAS PUT ON THE FORMULARY.

    IF YOU DONT KNOW WHAT YOU ARE TALKING ABOUT PLEASE SHUT UP! THANK YOU

    ALL GENERICS ARE NOT EQUAL JUST AS THERE IS SWEET BREAD AND MY MOTHER’ SWEET BREAD


  5. A generic drug is after the 20 year patent is expired. It is built to the same specs and consistency as the brand name. Most people would not know the difference. It is ALL in their minds.
    **********************************
    Try telling that to the family in Bush Hall who recently lost their mother (income bringer) taking shit Indian ‘soudru’ for drugs.
    Everyone who has tried the switch, can attest to the nonsense you talking.
    You either PAY the pharmacist for proper drugs or suffer the consequences.
    You are out there alone on this one Simeon Templar. ( aka The saint )


  6. @ Self…whimsically (again)

    In such a critical topic as this, is being nasty to each other ‘generic’ or ‘brand name’? And why? David’s reference was helpful.


  7. There is a drug formulary committee and professor fraser used to be on it, i dont know if he is still on it. This committe determines what drugs should be added o the formulary.
    The WHO is very involved in dteremining the usefulness and effectiveness of drugs.

    People die as a result of allergic reaction to drugs, genereic or brand name. And our rection level will differ. i have read that some people die as a result of eating shrimps and that was because of violent reactions. Some people die because of misdiagnosis. I know of a person who recently passed away because the misdiagnosis was an upper tract infection while the person had an heart attack.

    There is no difference between brand name and generic as long as the pharmacobia standard is met.

    It is a pity people like old onion dont understand the difference, but is prepared to shoot from the hip, despite Professor Fraser and others attempt to educate us.

    I am sure that if the genereic drug or barand name drug is not having the desired result, doctorcs can change to another one.

    A little education is too dangerous, but then again if we stoop to the level of those suffereing from ignorance they will beat u at that level because of the experience acquired from years of stupidity.


  8. @Blogger 2012
    You can talk as pretty as you like ….a deluge of people are complaining….there have been many complications and deaths……so plunging up a name like Pro.Frazier…who I am sure if he or any relative member of his needs any drug…it coming from the PRIVATE pharmacy..and it BRAND NAME…. of course !
    Your so called,”stupidly uneducated masses”…who can’t afford are who will fall into Donville’s net (not internet) and will be have to take the chance of placing one bullet in …and spinning the chamber……”with ignorance of course.”


  9. @ Old Onion

    Is there any possibility that internet generic drugs of the kind peddled through the Tom Haughton outfit at Wildy are being sold here? I mean, of fake cancer drugs (if that is what they are) can find their way onto the market, why not also fake beta blockers and the rest? You’ll know the two BFP posts on this.


  10. @ Ross
    When the Minister was on a hatchet job to REDUCE COST..anything could happen. Not to mention… don’t for one moment think these Indian pharmacist were not keeping abreast of what is going on in our little paradise….when a Govt is in chaos…as said in another post these criminals will take the opportunity to slip in anything…hoping it won’t be discovered.For all we know..some rec’d “an aspirin suede” for AIDS.
    Tell me who was checking or are now ? We need random sample checks..and we need them now !


  11. @ Blogger2012 | March 29, 2012 at 5:57 AM |
    “There is no difference between brand name and generic as long as the pharmacobia standard is met.”

    So explain to the average Joe blogger druggie why would a brand name pharmaceutical company continue to market a drug that has lost its 20 year patent protection?
    What would cause a pharmaceutical business to sell its product at a higher price than what the competitive generic product is selling for? This does not make economic sense to me. It sounds similar to a situation where two petrol stations are operating next to each other with the same standard of equipment and facilities to deliver the same fuels made by the same refinery but the one station on the right is selling its petrol at $5.00 a litre whereas the next one is selling at $3.00 a litre? Which one will survive in a 100 car market?
    The gist of the matter is that generic drugs are a cheap imitations of the real things to be sold or made available to those who can’t afford the higher priced or better products. There are “Louis Vuittons” and there are ‘louis vuittons’; there are GUCCI’S” are there are ‘gucci’s’. Those generic drugs given to poor Bajans are mostly made in places like India, Pakistan, China and Central American drug factories where cheap labour, poor quality controls if any and very poor governmental regulation are par for the course are the very reasons why these factories are set up in the first place by the un-patented drug barons in these corrupt and sweat shop locations. The same way the imitation luxury good are produced for the mass market. Ask any boutique owner in Barbados!

    PS: Bush Tea, where art thou? A little pear or bay leaf and ginger might do better than the pseudo generic crap imported to kill off poor black people. What about a little neem from the local “village pharmacy” or blue vervain from your back yard? If the so-called Bible readers were to follow the advice contained therein they would know that their god gave them herbs and plants for the healing of the nation. We must stop using the synthetic varieties to fight diseases caused by poor diet and overabundance of man-made chemicals in our environment.
    The same Indians that are producing these generic drugs for export to Africa and the Caribbean do not take their own medicine but rely on their own ayurvedic medicine.


  12. Perhaps the biggest Toppin when we discuss the efficacy of drugs and affordability is that we don’t discuss lifestyle behaviour in the same breath. Has the trendline for non communicable diseases been increasing?


  13. Well penned again Miller .Long and short of the whole mess..Govt needs to stop the partying and recoup some of the CLICO pensioners money from the “living” and stop offering them CRAP drugs !


  14. i agree with the minister that major savings can be made by using generic drugs instead of brand name. this however only works if the generic drug bought has in what it says it has in otherwise thwe effectiveness is compromised. Quality control is the key here. i use paracetamol instead of the brand name panadol and it works the same, only difference it is a third of the price and three times as big a tabelet to swallow.

    a skeptical barbados drug service customer told me ” generic drugs will bring savings to the government in two ways, 1 it is cheaper to buy and 2 it will kill off all the sick people and so reduce the number of BDS clieents and the amount of drugs required”. i think he was just being negative but who knows.


  15. @ tedd
    a skeptical barbados drug service customer told me ” generic drugs will bring savings to the government in two ways, 1 it is cheaper to buy and 2 it will kill off all the sick people and so reduce the number of BDS clients
    **********************
    For the sake of morals in Bdo’s..I hope # 2 is …not ‘intended’ true.


  16. @ old onion bags

    i dont think #2 is the intention of anyone,
    but i just added it as sick humour. sometimes to exagerate on an issue highlights things that might be glossed over as trivial if we were to stick to the present reality.


  17. BU is grossly misleading on many fronts. The Minister and his team made it abundantly clear that approximately $15 million reduction in expenditure this year over last year relates to the BDS no longer having to pay the dispensing fee on behalf of patients. the remaining $10 million in reduction of expenditure relates to changes in the formulary which removed unneccessary (and sometimes expensive) drugs from the formulary. The Government has not increased the percentage of generic drugs on the drug formulary. The ratio of generic to branded drugs remain approx 70:30 which is about the same as it was under the BLP.

    I work in the system and can tell you that Minister Inniss constantly stressed that he would not be penny wise and pound foolish and really did a thorough analysis of the cost-benefit-analysis of proposals. He also benefitted from the advice of the Drug Formulary team headed by Dr Collette George and including outstanding doctors, pharmacists, pharmacy owners and patient advocates.

    There is absolutely no confirmed evidence that the changes in the drug formulary or the shifting of dispensing fees to where it rightfully belongs has caused death or morbitity to any patient. The reports of adverse reactions to medication is as much reported in branded as it is in generic drugs.

    Had the decisions of Minister Inniss been injurious to patients, I would be the first to condemn him. However, as a professional in the industry, and as a taxpayer, I am happy that he was bold enough to do what was being recommended since 1987 but for narrow political interest was never done.

    Where would the money have come from to sustain the drug service? For all the noise the BLP keeps, please tell me what would they have done differently when faced with the same situation. I am a member of the BLP but will vote for Donville Inniss because he shows strong and decisive leadership where it matters most. BU you have it all wrong. Tell your folks to please name the harmful generic drugs on the formulary today and I will gladly investigate and respond. I will monitor this site for info.


  18. Come on BU. Please name the inferior generic drugs on the formulary. Please provide information on the morbitity or mortality caused by any changes in drug formulary. I await your response. Your comments are reckless and dangerous and will probably make some folks refuse to take medication that they really should be taking. also, please note that all drugs purchased by BDS are purchased from reputable companies in Barbados like Stokes and Bynoe, Collins, etc. Are you saying that these companies knowingly import crap? Gimme a break. I am sick and tired of the cheap nasty politics being played out on this blog site. Where are the intelligent Bajans?


  19. @Bajan 101
    I am a member of the BLP but will vote for Donville Inniss because he shows strong and decisive leadership
    ******************************************
    HA HA HAHa HA Ha….that was the punch line right…? You conveniently missed the point Miss Convert….sometimes we make plans but not always do they turn out the ways we intended…..Do you believe that people are just lying about your sweet Donville because they partisan ? The complaints are REAL …..some of these generic drugs ARE NO GOOD .


  20. @ Bajan 101 | March 29, 2012 at 8:09 PM |
    “… the remaining $10 million in reduction of expenditure relates to changes in the formulary which removed unnecessary (and sometimes expensive) drugs from the formulary. The Government has not increased the percentage of generic drugs on the drug formulary. The ratio of generic to branded drugs remain approx 70:30 which is about the same as it was under the BLP. ”

    Bajan 101, could you please explain the arithmetic logic of your statement? Maybe numbers man old onions bags can read and spell good enough to fathom your “deep” analysis but those who are not so numerate might find it difficult to follow your train of thought.
    Let us see if we get what you are saying:
    If there were 100 items of drugs previously dispensed by the Drugs Service; 70 “generic” and 30 “brand name” giving a 70: 30 ratio how would a decrease in the number of “branded” drugs or an increase in the number of “generic” drugs not affect the ratio?

    Let us assume that the number of generics move to 80 and brand names dropped to 20: What happens to the ratio?

    Let us again assume that the Drug Service because the new government loves Bajan drug takers (just remember this is a society and not an economy) so much as to increase the overall number of drug items available for dispensing to 120: then we have 70% or 84 generic items and 30 % or 36 brand names; according to your logic. What happens to the ratio? Zilch, but we have 84 generic and 36 branded. The more the merrier just like free bus fares and summer camps.

    Let us further assume that given the harsh economic times and the attendant fiscal pressures the government (with a good dose of reality) decides to drop the number of items available for dispensing under the Service to 80: 70% or 56 generic items and 30% or 24 generic items. What happens to the ratio? Zilch, but we now have 56 generic drugs and 24 of brand names. Eureka! There is your savings in brand names: from 30 to 24! From 70 to 56 in generic; more savings to be had.

    Maybe old onions bag can do the maths and add some dollar values to see if we get $10 million in reductions due to brand names moving from 30 to 24 without any savings in the generic drop from 70 to 56.
    But we might just end up with a case of impaired logic taking a 9 for a 6 brought about by the Alzheimer’s test through taking a “genuine” placebo just like those drug addicted Bajans who complain bitterly about the medicine only to be told “it’s all in their mind”.


  21. Bajan 101

    I really don’t care who you vote for. If my life is spared I will vote for Dr. Hinds, despite the fact that he is a DEM and I think that most of the other candidates are nitwits.

    That said, I believe that the Government is being reckless with people’s lives by focusing on the bottom line. Recently, I took my grandson to the doctor, and when she was about to write the prescription she said to me that the drugs that are on the formulary to treat his condition do not work. I preferred to have my grandson around so I had to pay for the life-saving medication that he needed. If I did not have the money to pay, I would be putting flowers on his grave by now.


  22. The REAL PROBLEM IS THAT WE CAN NOT GIVE FREE MEDICATION TO EVERY ONE IN THE PUBLIC HEALTH ARENA.
    WHEN I WROTE THE PLAN IN 1985 MY MODEL CALLED FOR HEALTH CARE FOR THE ELDERLY [WHO HAD EARNED IT BY THIER SACRIFICES AND CONTRIBUTION] AND FOR THE CHILDREN 0-12, BECAUSE WE NEEDED TO HAVE A HEALTHY CROP OF YOUNG BAJANS WITHOUT HEALTH ISSUES TO THE NATION.

    AS A CONVENIENCE, AND SINCE THEY HAD PROMISED A NATIONAL HEALTH SERVICE SINCE 1976, THE BLP ON SEPT 1 1985 DID THIER OWN THING AND OFFERED THE SERVICE TO WHOSOEVER WILL.

    MAY HAVE BEEN GOOD POLITICS, BUT AS BU DAVID WOULD SAY…….NOT PRAGMATIC!


  23. @ etal
    Recently, I took my grandson to the doctor, and when she was about to write the prescription she said to me that the drugs that are on the formulary to treat his condition do not work. I preferred to have my grandson around so I had to pay for the life-saving medication that he needed.
    *************************************
    One finds it hard to believe, that certain persons believe foreigners(exporters), rather than comments from within, that we have a serious case of pharmaceutical fraud, that has led to DEATHS and possible impairment by some of the drugs listed on the BDF.
    Or do they ?


  24. @Senator

    Thanks for stating your view. We all know you to be one who possesses the courage to mix it up with the best BU has to offer.

    The care of the elderly is a serious issue and the fact the we are politically polarize on yet another issue should cause us to ask what kind of society are we building out. The more we claim the prize of nearing first world status the more impersonal we are becoming.


  25. Recently, I took my grandson to the doctor, and when she was about to write the prescription she said to me that the drugs that are on the formulary to treat his condition do not work. I preferred to have my grandson around so I had to pay for the life-saving medication that he needed.

    i have experienced the same thing twice.

    once told the drugs dont work,
    the other time that the gov buys the cheap stuff and it has harsh side affects.


  26. please note that all drugs purchased by BDS are purchased from reputable companies in Barbados like Stokes and Bynoe, Collins, etc. Are you saying that these companies knowingly import crap?

    maybe they do i maybe they dont
    maybe they know maybe they dont know
    maybe crap gets past them, maybe it doesnot
    maybe they test all the drugs for crap maybe they dont or cant
    crap gets past the best of us, either by craftyness, trust, fraud, neglect, or inability to tell the difference

    because a company is large and established doesnot mean they are infallable

    Remember in the 1980’s stokes and bynoe sold gerber Apple juice for babies. in the US it was discovered that gerber apple juice was really apple drink( juice +water+ sugar). A number of executives of gerber, high ranking included, were put in prison. Stokes and bynoe were none the wiser until it was discovered in the US. i am not sure if those particular juices were imported into barbados.


  27. another examle of crap

    well educated people bought plans from clico and the crap got past them
    i dont tthink the experienced agents knew they were peddling crap but it got past them too, and they work in the industry.

    no one is infalable or above being questionable.
    no one not companies, ministers of government, priests, managers, clico, enron, accountants, arthur anderson, trade confirmers, kirpalanis, plantations holdings, almond, BCCI, no one.


  28. let us not forget the tampered tylenol, mad cow, swine flu and ecoli all involving reputable, established and upstanding farmers, processors and retailers.


  29. ansa mcal owns stokes, goddards wons hanschell, neal and massy knights.
    could you help me understand the ownership issue? i might be missing something.
    in defense of the firms, not sure why i am doing this, they dont have the facilities nor personnel to do the testing and double checking and also to get the staff and equipment and dod the testing would cost a fortune and then no one except the west coast lads would be able to afford an asperin.
    the firms therefore trust the drug companies to send drugs that is what is marked on the box. just like cars are not tested for engineering,etc by the garages . they trust that the info sent from japan is accurate.
    stores trust suppliers that the shirts market cotton are indeed that.

    but i stand by my opinion that some do know

    maybe they do i maybe they dont
    maybe they know maybe they dont know
    maybe crap gets past them, maybe it doesnot
    maybe they test all the drugs for crap maybe they dont or cant
    crap gets past the best of us, either by craftyness, trust, fraud, neglect, or inability to tell the difference


  30. Imitation does not equal generic.

    Simple. Plain.

    Show and prove these generic drugs that are not working, since you are so in tuned to every single fibre and medical condition in the island. Generic does not mean manufactured by some backwoods company in a 5th world country. It means you pay less for the NAME. When a drug is invented, Big Pharma can charge what they want for 20 years. The patent is theirs. It could cost them $5 to make. They can charge $100.

    When they patent expires, it can still cost $5. But another company can sell it at $50.

    I refuse to make this a political discussion. I refuse to state or infer mistakes by this government, without stating mistakes by the last. Logically, a savings of this nature is good business. Barbados has citizens that live long, and therefore I am sure that the national health care system is burdened. Seeking generic makes sense.

    It is easy to investigate where drugs are made. To research the history of the company for complaints etc. Bringing up tainted Tylenol is INSANE. That was done by a person unrelated to the company. And if a company taints its own product (Gerber), that can be done with Brand Name or Generic. And no political party on this earth can predict, or prevent that.


  31. Yes patients have reactions to brand name drugs. With every drug, there is a litany of side effects. Ranging from a dry mouth to an allergic reaction, to death.

    I saw someone mention shrimp allergies. Don’t know why….but…
    I am also allergic to shrimp. I get hives. My niece would die. She can’t be in the same room as a peanut. My friends’ son can’t eat at a restaurant that serves eggs. All different reactions right? How can one reasonably predict and manage every reaction to a drug? And this has NOTHIng to do with Brand vs Generic.

    It is irresponsible for a doctor to tell a patient that the drugs “don’t work”. They should be telling the powers that be, that have a say in the make up of the formulary. Telling a patient that, has nothing to do with Brand vs Generic. It has everything to do with being a responsible practioner.


  32. @ DAVID
    Yes some patients do have reactions to the best made drugs- but that is an involved discussion.
    What is more relevant to this discussion is that you dont want to buy junk from inferior firms that WILL DEFINITELY CAUSE PROBLEMS IN ADDITION TO THE EXPECTED SIDE EFFECTS.

    When the drug formulary first came into being, we gad been writing SEPTRIN BACTRIM AND SOME OTHER BRANDED CO TRIMOXAZOLES IN BARBADOS WITH OUT OBSERVING RASHES.

    WITH THE ADVENT OF THE FORMULARY IN ORDER TO WIN THE TENDER FOR THIS CLASS OF DRUG FIRMS IN BARBADOS SOURCED AND IMPORTED CHEAP CO TRIMOXAZOLES THAT CAUSED SKIN TROUBLES.

    NOT ALL GENERIC DRUGS ARE BAD [AND SOME OF THEM ARE BRANDED RIGHT? LOL APO- BIOCHEMIE ETC]

    I AM ENJOYING THE BOVINE EXCREMENT POSTED BY AN OBVIOUS ILLITERATE ON THE SUBJECT
    HOPE HE POSTS SOME MORE SO I CAN HAVE SOME MORE CHEAP ENTERTAINMENT

    IF A DRUG DOES NOT WORK THE DOCTOR OUGHT ETHICALLY TO SAY SO! HE OUGHT ETHICALLY NOT TO WRITE IT.

    A GOOD PRESCRIBING RULE IS NOT TO GIVE A BRANDED DRUG YOU WILL NOT TAKE YOURSELF OR GIVE TO YOUR RELATIVES TO ANY ONE EXCEPT OF COURSE THIS CHAP WITH ALL THE MORONIC MOUTHINGS


    • Thanks GP, stated with your usual firm bedside manner…lol.

      What can we conclude by the procurement policy of the council comprised of your peers responsible for sourcing drugs for the formulary?


  33. If you question the integrity of the Minister of Health; and of pharmacies…can one question that of the doctor? There are stories of doctors pushing certain drugs to further their own agenda.

    Telling the patient the drug does not work does what? By all means prescribe one that works. But why would you tell a chef the roof needs mending? Would you not tell the roofer?

    And I smirk at your seemingly informed, mildly humourous attempt at a “put side”. Firmly garnished with all the big words you can hurriedly garner from the nearest Oxford School BOY Edition.

    Generic does not mean inferior. Look it up in your handy tome. To tell people that is alarmist and IRRESPONSIBLE.


    • William Templar

      You asked why would a doctor tell a patient that a drug does not work. In the particular context that I reported it would be most appropriate. There were a number of drugs on the Formulary that treated a particular condition, and government sought to rationalize the Drug Service by removing some of those drugs from the Formulary. As a result, the patient had to pay for those that were removed if they were prescribed. Unfortunately for my grandson and countless others the medication that remained on the Formulary had no effect on their condition.

      I am not a doctor or a pharmacist but I know that there are drugs that were provided free of cost to patients with the particular ailment. Now if the doctor attempted to offer me one that was not free, don’t you think that she would be duty bound to explain her action. I have every reason to believe the doctor because my grandson’s experience. His mother took him to the doctor who prescribed the free medication he got progressively worse and had to be rushed to the QEH. The next time he became ill, I took it upon myself to take him to my doctor who prescribed the appropriate medication, which I paid for, and he was up and around only after the second dose. In order to save his life, I will continue to pay for his medication if the need arises, especially since some people say that they see a lot of me in him. After all, when I go off the scene, I would like to know that there is someone out there to carry on.


  34. Man Caswell ..you still got time to percolate….make hay while the sun shines….especially when ya getting invitations pun BU.
    You want you own lil boy…running bout…lol


    • Old Onion Bags

      At my age percolation should only be for recreation not procreation. I have already done my part. I have four children, two of whom have given me grand children, five in all. one of my daughters and one of my sons have already producer a set of twins each. I know when to give up the ghost. I am not like a prominent lawyer, who is my age, who is now producing a stepchild for his equally prominent wife. No name no lock up.


  35. Only this morning , I spoke to a lady who suffers from HP.
    She relates that she used to be on the drug HYTRIN,,,,but was forced to try a drug on the formulary called APO TERAZOSIN.as Hytrin was taken off……..Her accounts of headache and morning nausea forced her to return to use of the drug HYTRIN from the private pharmacist.Before she said she got the drug free, but understood cost was 0.30 for those not on the Drug Service list ..now (since the hike)..she pays $1.00 per tab.

    Apo-Terazosin is a generic drug.


  36. May be we can have some one from this Ministry weigh in on this article other than Templar (?).. … we heard nothing….Interesting the good, Senator never touched it …though thrown out by yours truly….IN SHORT…..no one in an official capacity has…dunno know boy…dunno know


  37. Bigger picture. If I knew there was a drug that “did not work”, I would provide an alternative to the patient. I wouldn’t even mention it to said patient. What will the patient do? Who I would speak to, is someone in a position to DO SOMETHING ABOUT IT.

    I think my point was missed, and deliberately.

    Comparable to does not mean EQUAL TO. Best way I can say this….

    A HBP drug that is supposed to lower and maintain blood pressure, is not EQUAL to one that just lowers it. RIght or wrong?

    Generic drugs are EQUAL to, the only difference being the NAME.
    An inferior knock off, is just that. AN INFERIOR KNOCK OFF.
    I admit there are plenty of knockoffs out there. Now if you say, the Ministry is opting for a KNOCK OFF…then you got me in agreement. I, however had a HARD time believing that is the case here. Sorry.
    http://www.fda.gov/Drugs/ResourcesForYou/Consumers/QuestionsAnswers/ucm100100.htm

    Generics are subject to the same approvals.

    The British study of generics, only raised one concern. That companies were trying to sell generics at brand name prices.

    As soon as I translate this Spanish document (yes, some of the drugs are imported from the South American factories) I will post some of that too.

    ALARMIST AND PARTISAN!!!!!!!!!!!


  38. @ Templar
    She relates that she used to be on the drug HYTRIN,,,,but was forced to try a drug on the formulary called APO TERAZOSIN.as Hytrin was taken off…
    ****************************
    A HBP drug that is supposed to lower and maintain blood pressure, is not EQUAL to one that just lowers it. RIght or wrong?
    ********************************
    So why would the doctor issue one to replace the other then Mr.Templar ???. Are you saying someone made a Boo Boo ?


  39. How could their be any explanation for boasting of $12 Mil in sacrificial takings unnecessary…. and thne turn around and spend a $1 million on revamping ..the front entrance to the QEH….3 additional staff..ELECTIONS Gimmicks start !….WHICH IS OF MORE IMPORTANCE ..DRUGS OR FACE LIFT ?


  40. The fowls soon come home to roose Mr.Minister.The bell has tolled and the middle class people ready for you and your’ health plan’ that casued much paid. the Entertainment and Travelling allowance too the reduced many middle class incomes, the high professional fees, the high registration on SUV’s time to pay the piper soon here.


  41. @ William Templar

    A HBP drug that is supposed to lower and maintain blood pressure, is not EQUAL to one that just lowers it. RIght or wrong?

    WRONG!
    FIRST YOU USE THE DRUG TO LOWER THE BP
    THEN YOU CONTINUE TO USE THE SAME DRUG TO MAINTAIN THE BP IN THE REQUIRED RANGE

    RE Generic drugs are EQUAL to, the only difference being the NAME.
    THIS IS NOT NECESSARILY TRUE! ALL GENERICS MIGHT NOT HAVE THE SAME BIOEQUIVALENCE EVEN IF THEY CLAIM TO HAVE THE SAME AMOUNT OF THE ACTIVE INGREDIENT

    WE HAVE DISCUSSED THIS HERE ON BU BEFORE IN MORE DETAIL

    IN 1980 WHEN CARLISLE’S BRAND OF METHYLDOPA CAME ON THE FORMULARY TO REPLACE MSD’S ALDOMET ALL THE HYPERTENSIVES IN BIM THAT WERE ON ALDOMET WENT OUT OF CONTROL.

    THE CARLMET WOULD PASS THROUIGH THE BLOOD UNCHANGED

    PLEASE SHUT UP YOU OBVIOUISLY KNOW NOTHING ABOUT PHARMACOLOGY OR PHARMACEUTICALS.

    PLEASE NOTE THAT ALL DIGOXIN IS NOT THE SAME. WE CAN SITE SEVERAL EXAMPLES

Leave a comment, join the discussion.