Go Back   English Forum Switzerland > Help & tips > Family matters/health  
Reply
 
Thread Tools Display Modes
  #41  
Old 07.04.2021, 17:59
Guest
 
Posts: n/a
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
The technology of delivery can differ in cases such as slow release formulations.
In such cases the generic version would not be viewed as an equivalent, though. Yes, there are many cases where a medication contains more than just the sum of its parts, as it were, and it can be very important in some treatments, in which case your doctor will prescribe a specific formulation that may not be replaceable by a generic product.

In the UK this was enshrined as standard practice by the NHS some decades ago, and both doctors and pharmacists are required to prescribe and dispense generic products where they are exactly the same, but clearly not doing things like replacing slow-release products, when required for a given treatment, with the more normal versions.

It's not about disallowing branded products, not at all, just ensuring that the patient gets the right drug at the right price, and yes, that may very frequently be a branded version if it's the most appropriate in the circumstances.
Reply With Quote
This user would like to thank for this useful post:
  #42  
Old 07.04.2021, 18:00
Forum Legend
 
Join Date: Jul 2020
Location: Up there over the fog
Posts: 3,699
Groaned at 431 Times in 322 Posts
Thanked 3,750 Times in 1,953 Posts
JackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Indeed- and we are not talking 'just' about the Swiss situation here, but the basic principle of prescribing generics or not, in general.
Reply With Quote
  #43  
Old 07.04.2021, 18:01
Forum Legend
 
Join Date: Feb 2010
Location: CH
Posts: 11,428
Groaned at 407 Times in 333 Posts
Thanked 17,482 Times in 8,853 Posts
greenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
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!
Yes it's called brand loyalty. You're not unique in that way. I also make stashes of silly things from back home.

Last edited by greenmount; 07.04.2021 at 18:16.
Reply With Quote
  #44  
Old 07.04.2021, 18:43
MusicChick's Avatar
Forum Legend
 
Join Date: Feb 2008
Location: La Cote
Posts: 17,488
Groaned at 414 Times in 275 Posts
Thanked 20,435 Times in 10,578 Posts
MusicChick has a reputation beyond reputeMusicChick has a reputation beyond reputeMusicChick has a reputation beyond reputeMusicChick has a reputation beyond reputeMusicChick has a reputation beyond reputeMusicChick has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

It's called having an experience.
Reply With Quote
  #45  
Old 07.04.2021, 19:04
Belgianmum's Avatar
Roastbeef & Yorkshire mod
 
Join Date: Jan 2010
Location: Neuchâtel
Posts: 13,989
Groaned at 268 Times in 227 Posts
Thanked 23,795 Times in 9,711 Posts
Belgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
The technology of delivery can differ in cases such as slow release formulations.

"Exactly the same" actually means "close enough" in many cases.
No, it means exactly the same.
The active ingredients have to be exactly the same.
Reply With Quote
The following 2 users would like to thank Belgianmum for this useful post:
  #46  
Old 07.04.2021, 19:20
NotAllThere's Avatar
Modulo 2
 
Join Date: Oct 2008
Location: Baselland
Posts: 15,158
Groaned at 309 Times in 265 Posts
Thanked 23,426 Times in 9,528 Posts
NotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
It's called having an experience.
That's what homeopathy believers say...
Reply With Quote
The following 4 users would like to thank NotAllThere for this useful post:
  #47  
Old 07.04.2021, 19:44
Tom1234's Avatar
Forum Legend
 
Join Date: Jan 2007
Location: Kanton Luzern
Posts: 17,181
Groaned at 665 Times in 516 Posts
Thanked 26,070 Times in 10,512 Posts
Tom1234 has a reputation beyond reputeTom1234 has a reputation beyond reputeTom1234 has a reputation beyond reputeTom1234 has a reputation beyond reputeTom1234 has a reputation beyond reputeTom1234 has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

There's actually another reason why a doctor may choose a branded drug rather than it's generic equivalent so perhaps I was being a bit unfair to MC's doctor.

The reason: Apathy.

Apparently there's only one insurance company which has a requirement that a generic is used.

The others don't care and why should a doctor bother to save money by using a generic when there's nothing personally in it for them and they have no other requirement to use one.

Mine here only uses generics where possible as he spent a few years working for the NHS so it's firmly ingrained in his automatic choice.
Reply With Quote
The following 4 users would like to thank Tom1234 for this useful post:
  #48  
Old 07.04.2021, 21:48
Forum Legend
 
Join Date: Feb 2010
Location: CH
Posts: 11,428
Groaned at 407 Times in 333 Posts
Thanked 17,482 Times in 8,853 Posts
greenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
It's called having an experience.
Having an experience with what? A certain brand? Others have good experiences with other brands. Your point?

For some it's Nurofen for others it's Algifor or whatever.
Reply With Quote
  #49  
Old 07.04.2021, 21:52
Senior Member
 
Join Date: Oct 2020
Location: Lausanne
Posts: 343
Groaned at 21 Times in 12 Posts
Thanked 404 Times in 187 Posts
Sinking has earned the respect of manySinking has earned the respect of manySinking has earned the respect of many
Re: Nurofen - English pain killers in Switzerland

Everybody should ask for generics (especially when they go to the doctor if it's going to be reimbursed by health insurance), keeps the costs down.
Reply With Quote
  #50  
Old 07.04.2021, 21:59
Forum Legend
 
Join Date: Feb 2010
Location: CH
Posts: 11,428
Groaned at 407 Times in 333 Posts
Thanked 17,482 Times in 8,853 Posts
greenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
Everybody should ask for generics (especially when they go to the doctor if it's going to be reimbursed by health insurance), keeps the costs down.
In all fairness, if they prescribe you painkillers they usually go for generics in my experience. No difference whatsoever. Even some pharmacists offer you this choice.
Reply With Quote
  #51  
Old 07.04.2021, 22:01
Axa's Avatar
Axa Axa is offline
Forum Legend
 
Join Date: Oct 2019
Location: Suhr, Aargau
Posts: 4,363
Groaned at 73 Times in 68 Posts
Thanked 6,088 Times in 2,871 Posts
Axa has a reputation beyond reputeAxa has a reputation beyond reputeAxa has a reputation beyond reputeAxa has a reputation beyond reputeAxa has a reputation beyond reputeAxa has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
It's called having an experience.
Empiricism above rationalism?

An empiricist would keep looking for Nurofen because there's past experience with it. A rationalist would just read 200 mg ibuprofen and get the pills regardless of the commercial name on the box.
Reply With Quote
The following 2 users would like to thank Axa for this useful post:
  #52  
Old 07.04.2021, 22:18
Belgianmum's Avatar
Roastbeef & Yorkshire mod
 
Join Date: Jan 2010
Location: Neuchâtel
Posts: 13,989
Groaned at 268 Times in 227 Posts
Thanked 23,795 Times in 9,711 Posts
Belgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond reputeBelgianmum has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
In all fairness, if they prescribe you painkillers they usually go for generics in my experience. No difference whatsoever. Even some pharmacists offer you this choice.
The pharmacist always offers me the option of a generic brand.
Reply With Quote
The following 2 users would like to thank Belgianmum for this useful post:
  #53  
Old 07.04.2021, 22:29
Forum Legend
 
Join Date: Jul 2020
Location: Up there over the fog
Posts: 3,699
Groaned at 431 Times in 322 Posts
Thanked 3,750 Times in 1,953 Posts
JackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond reputeJackieH has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
The reason: Apathy.
Sadly the same with many other drugs - and dangerously so with antibiotic use.
It takes much more time to explain the reasons, risks, dangers, etc- than just reaching for the prescription pad and give the patient for they 'want' or think they need.
Reply With Quote
  #54  
Old 07.04.2021, 22:40
olygirl's Avatar
Forum Legend
 
Join Date: Oct 2007
Location: d' Innerschwiiz
Posts: 7,768
Groaned at 419 Times in 282 Posts
Thanked 18,284 Times in 5,664 Posts
olygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Hey guys,

I've learned a lot reading through this thread. I rarely need medication so it was good to catch up on how to buy painkillers in Switzerland.

Remember, not everyone is as smart here as you might think.
Reply With Quote
  #55  
Old 07.04.2021, 22:42
blacky's Avatar
Member
 
Join Date: Mar 2021
Location: ~ Affoltern a.A, ZH
Posts: 222
Groaned at 6 Times in 4 Posts
Thanked 280 Times in 125 Posts
blacky has a reputation beyond reputeblacky has a reputation beyond reputeblacky has a reputation beyond reputeblacky has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
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.

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.
One thing confuses me in this discussion, when I was reading up on generics and checked with my reliable pharmacist (friend), she said that there's a range for generics, not exact equality. So, simplified example - generic has to be 90% as good as original to be considered equal. Number is for the illustration purposes here.

However, issue lies that any generic doesn't have to be checked against original, but - against any other already approved generic.

So that could mean that if you have a chain of generics which get approved one after another, even if first differs from the original by 10% (from the imaginary example above), the 5th in the row could differ from the original for much more, because of that chain.

Can you please double check that, who is allowed as a benchmark? I think I didn't misunderstood her, but better to have two sources on it

Also, my friend said, that even with that caveat, she still strongly agrees that generics are almost always perfectly suitable and even completely interchangeable.

One (common) situation where they aren't interchangeable, or more precisely - you should stick to one brand - is for thyroid hormones.
But even there, no one says that original is the only one good, just that you shouldn't mix brands, since it takes weeks for your body to adapt and unless you have very good reason to change the brand, just don't do it, since dosage might not be the same among brands.

All other meds I've received here in Germany are pure generics, and I must say that I really like that I can call them by active ingredient + manufacturer and not by brand name. It's much clearer
Reply With Quote
  #56  
Old 07.04.2021, 22:44
olygirl's Avatar
Forum Legend
 
Join Date: Oct 2007
Location: d' Innerschwiiz
Posts: 7,768
Groaned at 419 Times in 282 Posts
Thanked 18,284 Times in 5,664 Posts
olygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond reputeolygirl has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
It's called having an experience.
We're talking about painkillers, not weed.
Reply With Quote
The following 6 users would like to thank olygirl for this useful post:
  #57  
Old 07.04.2021, 22:45
Island Monkey's Avatar
Forum Legend
 
Join Date: Mar 2008
Location: Wallis
Posts: 6,597
Groaned at 115 Times in 80 Posts
Thanked 7,381 Times in 3,365 Posts
Island Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Normally I'm always given/prescribed generic drugs, but for some reason, the migraine tablets I'm prescribed are "brand" - Zomig - no idea the reason why.
Reply With Quote
  #58  
Old 07.04.2021, 23:04
Forum Legend
 
Join Date: Feb 2010
Location: CH
Posts: 11,428
Groaned at 407 Times in 333 Posts
Thanked 17,482 Times in 8,853 Posts
greenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond reputegreenmount has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
I find it genuinely astonishing how many people still don't realise that their known-brand OTC drugs are exactly the same as the, usually much cheaper, generic versions universally available.
You obviously can find any medicine in CH but painkillers or other over the counter meds are so much cheaper elsewhere. I always thought this is one (main) of the reasons many folks here recommend their countrymen to bring this sort of stuff when they move to CH. But well, it appears some folks truly believe generic versions or other completely interchangeable brands are not as good so...each to their own.

Quote:
I always felt it was mostly an American thing, but I'm no longer sure that's true, based on decades of exposure to advertising - maybe it's just that from this side of the pond we're more likely to notice when they just refer to Tylenol or Advil, given that those are US-specific names - then again it used to be common enough in the UK to say Anadin and Panadol, but I don't think that's the case any more.
.
Apparently not. Is there anyone here who wasn't exposed to aggressive marketing "back home"?
Reply With Quote
  #59  
Old 07.04.2021, 23:12
Guest
 
Posts: n/a
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
Normally I'm always given/prescribed generic drugs, but for some reason, the migraine tablets I'm prescribed are "brand" - Zomig - no idea the reason why.
With prescription-only drugs it's not always as easy, practical or worthwhile for other manufacturers to try to market generic versions.

There are a number of related products to the one you mention (I even remember working on one of earlier ones at Glaxo back in the 1990s) which may not all work in exactly the same way for everyone, so there's no real standard product to copy and the market size for each just wouldn't be worth it. And the timescales are not in favour either, given that patent protection lasts a long time and it's likely that newer better version will come along in the future.

What we've been talking about is mainly for OTC medicines and commonly prescribed painkillers and the like, many of which are cheap simple to produce and have been around and well understood for decades. We're talking of pills that can be produced literally ten for a penny, so the potential for generics to undercut brand prices and still make a decent profit are huge, which just wouldn't be true with many more speciality prescription drugs.
Reply With Quote
This user would like to thank for this useful post:
  #60  
Old 07.04.2021, 23:16
Island Monkey's Avatar
Forum Legend
 
Join Date: Mar 2008
Location: Wallis
Posts: 6,597
Groaned at 115 Times in 80 Posts
Thanked 7,381 Times in 3,365 Posts
Island Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond reputeIsland Monkey has a reputation beyond repute
Re: Nurofen - English pain killers in Switzerland

Quote:
View Post
It takes much more time to explain the reasons, risks, dangers, etc-
I generally don't think explaining rare side effects or risks is a good idea - ethically you should - but the Nocebo Effect is real!
Reply With Quote
Reply

Tags
medicine




Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Giving birth in Switzerland, did you get pain medicine ? TheLaughingCow Family matters/health 34 14.07.2016 10:35
Nurofen ordered off the shelves in Australia Medea Fleecestealer International affairs/politics 13 14.12.2015 23:09
Looking for (English speaking)Rheumatologist for Myofascial Pain Syndrome meawmow Family matters/health 1 27.09.2012 18:36
The Killers Nathu Concerts 0 05.03.2009 18:59
The Killers concert Sutter Entertainment & dining 1 17.12.2008 10:41


All times are GMT +2. The time now is 20:53.


Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2022, Jelsoft Enterprises Ltd.
LinkBacks Enabled by vBSEO 3.1.0