DAW-1 on Unithroid?

[CetiAlphaFive]

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So, I'm a bit confused here.

We got an Rx where M.D. wrote "brand name necessary" for Unithroid.

Is Unithroid a brand or generic?

I know the same caution applies re: TSH, but I wondered about the actual definition of "brand"

My state board already (on another issue) told me that "brand necessary" for a generic NDC is meaningless, but this threw me for a loop

 

[Niosh]

Maybe I'm confused too but isn't Unithroid brand for levothyroxine?

 

[txpharmguy]

Unithroid is the exact same pill as generic levothyroxine by Lannett. It's nothing more than a cash grab for a "branded" levothyroxine

 

[Niosh]

Unithroid is the exact same pill as generic levothyroxine by Lannett. It's nothing more than a cash grab for a "branded" levothyroxine

Oh, so it's like the pantoprazole we used to get with "Protonix" printed on them?

 

[CetiAlphaFive]

Unithroid is the exact same pill as generic levothyroxine by Lannett. It's nothing more than a cash grab for a "branded" levothyroxine

Niiiiiiiice.

Thanks man. Calling M.D. to throw it in their face as I type. lol

(I'm kidding. Mostly.)

 

[rph3664]

Some people need to use a certain generic because they have an allergy or other intolerance to excipient ingredients. Do the DAW-1 and fill the prescription.

 

[CetiAlphaFive]

Some people need to use a certain generic because they have an allergy or other intolerance to excipient ingredients. Do the DAW-1 and fill the prescription.

Interesting.

So, taking your statement at face value and dismissing the idea that Therapeutic Index is the most important factor, here is a comparison of the inactive ingredients of Lannett 00527-1346-_ vs Mylan 00378-1811-_:

Mylan:
(D&C Red No. 27 Aluminum Lake, D&C Red No. 30 Aluminum Lake), butylated hydroxyanisole, colloidal silocone dioxide, crospovidone, magnesium stearate, mannitol, microcrystalline cellulose, povidone, sodium lauryl sulfate and sucrose.

Lannett generic / Unithroid:
(D&C Red No. 27 Aluminum Lake) Colloidal silicon dioxide, lactose, magnesium stearate, microcrystalline cellulose, corn starch, acacia and sodium starch glycolate.

So, we can assume that they're allergic/intolerant (whatever that means) to the things in the Mylan excipients that aren't in the Lannett NDC.
Should we inform the patient that they have an allergy to D&C Red No. 30 Aluminum Lake, BHA, PVP/povidone, mannitol, SLES, or sucrose?

Should we alert the M.D. that the patient has a potential allergy to everyday substances found in a vast array of medical equipment, other medications, foods, etc...?

 

[txpharmguy]

Unithroid is the exact same pill as generic levothyroxine by Lannett. It's nothing more than a cash grab for a "branded" levothyroxine

And it's acquisition cost more than 4.5x as much as levothyroxine

 

[npage148]

Abbott pulled the best scam ever convincing t-4 was some magical drug is impossible to have bioequivelence. I'd rather deal with a drug seeker than someone in a tizzy over synthroid

 

[rph3664]

Interesting.

So, taking your statement at face value and dismissing the idea that Therapeutic Index is the most important factor, here is a comparison of the inactive ingredients of Lannett 00527-1346-_ vs Mylan 00378-1811-_:

Mylan:
(D&C Red No. 27 Aluminum Lake, D&C Red No. 30 Aluminum Lake), butylated hydroxyanisole, colloidal silocone dioxide, crospovidone, magnesium stearate, mannitol, microcrystalline cellulose, povidone, sodium lauryl sulfate and sucrose.

Lannett generic / Unithroid:
(D&C Red No. 27 Aluminum Lake) Colloidal silicon dioxide, lactose, magnesium stearate, microcrystalline cellulose, corn starch, acacia and sodium starch glycolate.

So, we can assume that they're allergic/intolerant (whatever that means) to the things in the Mylan excipients that aren't in the Lannett NDC.
Should we inform the patient that they have an allergy to D&C Red No. 30 Aluminum Lake, BHA, PVP/povidone, mannitol, SLES, or sucrose?

Should we alert the M.D. that the patient has a potential allergy to everyday substances found in a vast array of medical equipment, other medications, foods, etc...?

Whatever.

 

[CetiAlphaFive]

Whatever.

I mean, if you're going to use poor logic to justify recommending that someone practice like a bare minimum, lick & stick pharmacist, don't be surprised when that someone puts your statement under a microscope and shows it to be sub-par.

We have an obligation to think critically. What's the point of having a doctorate if you're not actually going to at least try to be an expert?

 

[WVUPharm2007]

The good old Synthroid fairy back again just dawning a slightly different disguise. Magically making a molecule that always seems to work better like she always has.

Making that poor 1 in 10,000 patient who actually does have some sort of absorption problem look crazy.

 

[Niosh]

rph3664 isn't entirely off base. I've witnessed myself a patient who didn't tolerate a certain manufacturer of fentanyl patches due to what I assume was the adhesives. One manufacturer caused a gross rash and another did not.

 

[Rouelle]

Of course one possibility is that a hot drug rep flirted hard enough with a physician to make him think he might actually have a chance, so he wrote daw.

 

[WVUPharm2007]

rph3664 isn't entirely off base. I've witnessed myself a patient who didn't tolerate a certain manufacturer of fentanyl patches due to what I assume was the adhesives. One manufacturer caused a gross rash and another did not.

This ain't fenny patches...and you ain't no delta airlines, either.../obscurejoke

 

[txpharmguy]

This isn't even a brand/generic issue. They're the same damn pills. They're both made by Jerome Stevens Pharmaceuticals in Bohemia,. NY

 

[CetiAlphaFive]

This isn't even a brand/generic issue. They're the same damn pills. They're both made by Jerome Stevens Pharmaceuticals in Bohemia,. NY

Maybe I should add "TO BE CONTINUED" to my posts so that people will actually read the thread