Brand name or generic? Here’s what to know
When your pharmacy offers a lower-cost generic version of your prescription, do you wonder if it really is the same?
A generic drug is essentially a duplicate of a brand name medication, without the branded packaging and price tag. Generic drugs must match the original drug in dosage form, administration, quality and intended use. They also must meet the same high manufacturing standards and demonstrate bioequivalence, meaning they perform the same way in the body.
“Generic medications are required to have the same active ingredients, strength, safety and effectiveness as their brand name alternative,” says Dr. Ruchi Parikh, a family medicine physician with Advocate Health Care. “They are carefully tested and approved by the FDA to make sure they work just as well.”
There is a reason why generic medications look different than brand name versions. U.S. trademark laws prevent generic drugs from looking identical to the branded medications. Differences like color, shape or flavor don’t affect how the drug works.
“Generic medications are typically 80% to 85% less expensive,” Dr. Parikh explains. “Brand name medications often cost more because of the upfront investment in research, development and marketing. Once the drug company’s patent expires, other manufacturers can produce generic versions using the same formula, without those initial costs, making them much more affordable.”
While generic medications are safe for most people, it’s good to stay alert.
“In rare cases, someone may be sensitive to an inactive ingredient, like filler or dye,” says Dr. Parikh. “Also, it’s normal if your medicine looks different with each refill, but if anything feels unusual, it is best to reach out to your health care provider.”
If your medication doesn’t have a generic version, your doctor or pharmacist may still be able to recommend similar, lower cost alternatives.
Above all, check in with your health care provider before starting any new medication to ensure it won’t interact with other medications you are taking or worsen existing, unrelated health conditions.
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Out of all the medications I have taken. Synthroid is the only medication that I can’t take the generic. There is something in the generic, Levothyroxine, that reacts, and medication does not work.
I had two providers tell me, that the generics can be off just enough to cause this. To always read and compare the generic to the name brand especially if the generic is not working as expected.
I was told the same thing about my son’s epilepsy medication. Switching to generic may cause issue w/ seizures. Even very small changes in fillers, etc. may be responsible.
I agree with the comment from Felicia M. Generics for Synthroid do not work the same and caused side effects for me. I only use the name brand Synthroid. I have heard this from many people. Generics for other medications seem to be fine.