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Old 07.04.2021, 14:25
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Re: Nurofen - English pain killers in Switzerland

When I needed a prescription for some powerful antiverruca acid, I just emailed my doctor and he sent me a prescription by post.
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Old 07.04.2021, 14:30
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Re: Nurofen - English pain killers in Switzerland

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You couldn't get the pharmacist to call the Dr and ask them to fax through a prescription?
Sadly no.

<Insert rant that although ineffective still makes me feel better for having vented>
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  #23  
Old 07.04.2021, 14:47
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Re: Nurofen - English pain killers in Switzerland

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I recall having a discussion just a few years ago with some people who were still convinced that getting the branded products was still worthwhile, claiming that generics were creating side-effects that didn't occur with the branded product. Sheer delusion, but a marketeer's dream.
Whilst true in the vast majority of cases there are exceptions. Sometimes the ‘fillers’ used in generic medications are different and this can cause problems for some people.
It is however very rare.
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Old 07.04.2021, 15:40
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Re: Nurofen - English pain killers in Switzerland

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Whilst true in the vast majority of cases there are exceptions. Sometimes the ‘fillers’ used in generic medications are different and this can cause problems for some people.
It is however very rare.
I've heard it claimed, along with claims that some coatings make stomach issues less likely, although in that latter case it's not particularly likely that a coating would be able resist the strong acids in the stomach yet still allow the tablet to disappear.

But are there any actual documented cases of this? I tend towards scepticism, and wonder if the general acceptance by the industry that this _could_ happen is more of a catch-all 'just in case' thing.
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Old 07.04.2021, 16:51
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Re: Nurofen - English pain killers in Switzerland

wow a lot reaction for a brit shop tip.

I realise there are other brands available, but I have a favourite (might be the sugar coating I don't know) just made me very happy to get it here.

And it was not easy as all that, I had to order it in the shop and could come back and collect it after 3 hours - and then only 2 packs allowed!
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  #26  
Old 07.04.2021, 16:57
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Re: Nurofen - English pain killers in Switzerland

Someone I know refused the paracetamol I had at home, because the tablets were coated with a tiny amount of talcum powder to ensure they don't stick to each other. His comment was 'talcum is dangerous and gives you lung cancer'. Well, yes, it does, if inhaled in large amounts day in, day out. Said person smoked like a chimney too! There is no discussion possible sometimes.
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  #27  
Old 07.04.2021, 17:02
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Re: Nurofen - English pain killers in Switzerland

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I've heard it claimed, along with claims that some coatings make stomach issues less likely, although in that latter case it's not particularly likely that a coating would be able resist the strong acids in the stomach yet still allow the tablet to disappear.

But are there any actual documented cases of this? I tend towards scepticism, and wonder if the general acceptance by the industry that this _could_ happen is more of a catch-all 'just in case' thing.
There are plenty of documented cases if you have a look. They’re still pretty rare but do exist.
Allergy is the most common reaction but there are other things too. IIRC some generic medicines had gluten amongst the inactive ingredients which can cause problems for coeliac sufferers.

I know my aunt couldn’t have the generic brand of one of her blood pressure medications because it caused stomach issues. It took quite a while and a few tests before they worked out the cause of the problem. Purely anecdotal of course.
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Old 07.04.2021, 17:07
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Re: Nurofen - English pain killers in Switzerland

Our fantastic Swiss ORL has told us to never get generic antibiotics for repetitive ear infections. So we did not. The years of otitis stopped. I do not think for a moment that generic meds and original meds are actually equal, but maybe that is just the fact that I got so many MDs around. None of them use generics, except maybe clotrimazole and artificial tears.

Stamir - if I remember well, we had pediatric Nurofen here for at least a decade, is it possible? I used to get it for peanuts at home, but then at some point it was available here too.
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  #29  
Old 07.04.2021, 17:11
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Re: Nurofen - English pain killers in Switzerland

This belief, costs health systems as well as Swiss Insurance- an absolute fortune which could be much better used elsewhere- for sure. A pov not shared by the vast majority of the medics I know and makes them pull their hair out (with the exception of drugs for epilepsy).
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  #30  
Old 07.04.2021, 17:15
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Re: Nurofen - English pain killers in Switzerland

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This belief, costs health systems as well as Swiss Insurance- an absolute fortune which could be much better used elsewhere- for sure. A pov not shared by the vast majority of the medics I know and makes them pull their hair out.
It does not cost the insurance anything, they pass it on in higher premiums to those who pay Swiss health insurance. That's most Swiss residents on the forum except for one I know of
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  #31  
Old 07.04.2021, 17:21
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Re: Nurofen - English pain killers in Switzerland

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Our fantastic Swiss ORL has told us to never get generic antibiotics for repetitive ear infections. So we did not. The years of otitis stopped. I do not think for a moment that generic meds and original meds are actually equal, but maybe that is just the fact that I got so many MDs around. None of them use generics, except maybe clotrimazole and artificial tears.
The active ingredients for generics have to be exactly the same as the original by law so they will work just the same.
The only thing that may differ are the inactive ingredients and fillers and they will in no way affect the efficacy of the medicine.
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  #32  
Old 07.04.2021, 17:22
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Re: Nurofen - English pain killers in Switzerland

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Our fantastic Swiss ORL has told us to never get generic antibiotics for repetitive ear infections. So we did not. The years of otitis stopped. I do not think for a moment that generic meds and original meds are actually equal, but maybe that is just the fact that I got so many MDs around. None of them use generics, except maybe clotrimazole and artificial tears.
.
It sounds like your doctors are taking illegal backhanders.

There is NO other reasonable explanation.

Shame on you for encouraging it.
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  #33  
Old 07.04.2021, 17:29
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Re: Nurofen - English pain killers in Switzerland

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Sadly no.

<Insert rant that although ineffective still makes me feel better for having vented>
You need a new doctor. Or a new pharmacist. Or possibly both.

My pharmacist routinely offers the generic alternative. Maybe they're taking backhanders!
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  #34  
Old 07.04.2021, 17:32
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Re: Nurofen - English pain killers in Switzerland

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I do not think for a moment that generic meds and original meds are actually equal,
Then you think wrong. Strict bio-equivalence testing is performed before generics are allowed to be marketed. They're just as subject to supervision as branded products.

In something like antibiotic ear drops there is more than just the antibiotic itself, so there may be a reason that the branded one is better, i.e. that it's a better formulation, but the idea that the antibiotics themselves would differ, assuming they claim to be the same molecule and concentration, is absurd.

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but maybe that is just the fact that I got so many MDs around. None of them use generics, except maybe clotrimazole and artificial tears.
I spent many years, as have others here, working in the industry, alongside MDs, pharmacologists (my wife for one) and other experts. I've never met any that would claim that branded OTC drugs are better than generics.
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Old 07.04.2021, 17:38
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Re: Nurofen - English pain killers in Switzerland

If people believe it isn't going on, the doctors are not doing anything obvious such as accepting exotic holidays in the Bahamas but it's all done as payment for training and consulting fees.

The law was changed in 2016 to make all this more transparent but there are loop holes, naturally.

One means doctors do not need to be explicitly named.
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  #36  
Old 07.04.2021, 17:40
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Re: Nurofen - English pain killers in Switzerland

Switzerland is as bad as the US when it comes to using brand names for medication. I had no idea what I was on when I was in the hospital and then what my prescriptions were for. I had to google everything.

One thing I learned is that even with a prescription low dose pain killers aren't covered by health insurance whereas high dose ones are.
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  #37  
Old 07.04.2021, 17:42
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Re: Nurofen - English pain killers in Switzerland

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It does not cost the insurance anything, they pass it on in higher premiums to those who pay Swiss health insurance. That's most Swiss residents on the forum except for one I know of
It certainly costs the NHS (therefore the tax payer) a fortune- and yes, contributes to higher premiums here- and all over the world. The placebo effect of higher cost and being made to feel 'special and above the rest' - is sadly massive.


As for the rest, so low, I won't bother to reply.
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Old 07.04.2021, 17:49
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Re: Nurofen - English pain killers in Switzerland

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It certainly costs the NHS (therefore the tax payer) a fortune- and yes, contributes to higher premiums here- and all over the world. The placebo effect of cost and being made to feel 'special and above the rest' - is sadly massive.


As for the rest, so low, I won't bother to reply.
I thought we were talking about getting Nurofen in Switzerland, not sure what the NHS has to do with this. Switzerland has an insurance based health system where most residents pay their own premiums. Perhaps you were confused as your health care in Switzerland is for paid by the UK taxpayer? Lucky you!
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Old 07.04.2021, 17:52
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Re: Nurofen - English pain killers in Switzerland

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The active ingredients for generics have to be exactly the same as the original by law so they will work just the same.
The only thing that may differ are the inactive ingredients and fillers and they will in no way affect the efficacy of the medicine.
The technology of delivery can differ in cases such as slow release formulations.

"Exactly the same" actually means "close enough" in many cases.
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Old 07.04.2021, 17:53
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Re: Nurofen - English pain killers in Switzerland

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If people believe it isn't going on, the doctors are not doing anything obvious such as accepting exotic holidays in the Bahamas but it's all done as payment for training and consulting fees.

The law was changed in 2016 to make all this more transparent but there are loop holes, naturally.
Really, no, it doesn't happen. I can't speak personally for all pharma companies, just for one of the biggest, but there are so many checks and controls in place internally and externally, with every single interaction from anyone in the company with a medical professional recorded and available for scrutiny if required, that this sort of backhander just can't happen any more.

And it was a lot earlier than 2016, by ten or fifteen years, that the systematic not-bribery-at-all was firmly being cracked down upon.

Yes, it used to happen, and of course there may still be medical professionals who were taken in by over-eager drug reps back in the day, but the world has moved on a long way since then.
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