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Old 04-30-2009, 02:48 AM   #1
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Question 12 mcg question

I am being increased and don't want to make the "jump" to the next dose so PM and I compromised; add a 12mcg if I don't mind paying an extra co payment....hell, it's only 7 dollars.I think it's a great investment in the name of not developing tolerance any quicker than absolutely necessary.

Are there other companies besides Mylan who manufacture the 12mcg?

I am NOT a fan, but I will use one Mylan and one Sandoz if needed (doc said it was ok, but he was not sure about other companies.....said the low dose was not a "money maker."

You all are such an incredible resource

 
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Old 04-30-2009, 08:09 AM   #2
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Re: 12 mcg question

You have made an excellent choice....A 25mcg jump is HUGE. In fact, most Docs won't jump by that much unless the patient is clearly opioid tolerant, and on a higher dose (i.e. 75 to a 100).

To answer your questions, Duragesic and Sandoz both make the 12.5s. Not sure about Watson. All Sandoz patches are made by Janssen, who is the maker of Duragesic brand. I have tried all of them, and Duragesic is by far the strongest, or most potent. Brands always are. My recommendation would be to select a particular brand and stay with it. When patients jump around, that's when they experience problems because each patch is different in terms of methodology and potency (specifications). Mylan tends to be the weakest....By way of their distribution system (of the med) and they take full advantage of the 1999 Hatch-Waxman Act, which allows each generic maker -20% of the active ingredient, in comparison to the brand.

Hope this helps, and please let me know if I can help further.

Regards,

Ex

 
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Old 04-30-2009, 09:32 AM   #3
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Re: 12 mcg question

You are such a great teacher, Executor.

Thanks for your ever present support

Amethyst

 
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Old 04-30-2009, 01:53 PM   #4
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Re: 12 mcg question

If you give the pharmacy your prescription, they can order the brand (Duragesic) for you or possibly the generic Sandoz if they normally carry it. Do a search for Duragesic manufacturer online and get the $50 coupon off their site. You can use it toward your copay. I did this and pay NOTHING for the Duragesic patches ($45 copay - $50 coupon = FREE) for me at least. I don't know what your copay is for the brand name.

brian

 
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Old 04-30-2009, 02:58 PM   #5
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Re: 12 mcg question

Quote:
Originally Posted by amethystma View Post

You are such a great teacher, Executor.

Thanks for your ever present support

Amethyst
Thanks for the kind words....Very glad I could help.

Regards,

Ex

 
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