Dear Dr. Romero,
Thank you very much for your concern. Today my
neurologist requested that the pharmacy where
my prescriptions are filled supply me with Sinemet 25/100
instead of generic carbidopa/levodopa 25/100.
The pharmacist called me later this morning. She
said that at 1:00 PM tomorrow, the new Rx
for Sinemet 25/100 will be ready for me.
I also want to thank the many list members who
have been writing with suggestions for me.
Ivan Suzman
50 yrs/39 diagnosis /36 onset of recognizable PD symptoms
On Sat, 22 Apr 2000 16:10:42 -0500 "Jorge A. Romero, M.D."
<[log in to unmask]> writes:
> The problem is not that generics or brand name are superior. The
> problem is
> that they are not exactly equivalent to each other and some people
> who
> switch may find that they need to be "re-titrated" if you have
> already been
> stabilized on brand name. Just let your neurologist know and he may
> have
> some suggestions for readjustment.
>
> It is unfair that they force people to switch if they are stable on
> one
> medication, but that's the law - written by people who are not
> medical and
> don't understand the concepts of bio-equivalence well.
>
> In any event, generic levodopa works well if you stick to it. It
> will work
> as well as the brand name, and will be less expensive. However,
> switching
> back and forth will create problems, or even switching between two
> different
> generics, if in the future someone else comes out with a third
> generic
> alternative. Make sure you insist that your pharmacy dispense THE
> SAME
> generic each time.
>
>
> Jorge Romero, MD
