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Georgia’s New Generic Drug Legislation Awaits Signature: What Do
Consumers Need To Know Now?
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Georgia's New Generic Drug Legislation: What Consumers...
News 3's Alison Flowers reports on how one Columbus doctor came to
discover what 0 Ratings  75 Video Views Post a Comment or Rate this
Video» View More Videos By Alison Flowers  Digital Journalist
Published: April 15, 2010
Updated: April 16, 2010 » 0 Comments  Post a Comment

Dr. Jonathan Liss, a neurologist and sleep medicine expert, has been
practicing medicine in Columbus for 15 years. Fourteen of those years,
he admits, he didn’t know the root of a problem some of his patients
were facing.
“For many years when a patient would call in and say ‘Dr. Liss, this
drug is making me sick,‘“ Liss said. “I’d say, Mrs. Jones, you’ve been
on the same drug for five years, why would you think it’s the drug?“

As Liss discovered, it’s not so much the drug as it is the body’s
interaction with it, the very art of medicine.
“What I didn’t recognize and what a lot of people don’t recognize is
the definition of what equivalent is,“ Liss said about the concept of
generic equivalents.

What he means is that the FDA allows a range of 80 to 125 percent
bio-equivalence for generic drugs. This means that if you are
accustomed to a brand name drug and switch over to a generic, your
body might not be getting enough (or too much) of the medicine you
need.
Liss emphasizes that he’s not against generics. It’s a good medicine,
he says, just not the “same” medicine. Same amount, rather.

And with too much or too little of a good thing, Liss has seen disease
relapse among his patients or side effects as a result.
The factory from which the generic drug came can also influence how it
may interact with your body’s chemistry. If your pharmacist buys from
one state one month and another the next, the 80 to 125 percent range
can complicate your health.

Liss recommends becoming “best friends” with your pharmacist. Know
when there’s been a change in the factories he or she uses. If your
insurance favors a generic, discuss that change with your doctor.
Request a prior authorization before filling a prescription to
facilitate switching back should you have a relapse or experience side
effects. You may also request that your doctor write a letter to your
insurance company to legitimize your need to go back to a brand name
drug.
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