ArticleEuropean journal of clinical pharmacology2011
Norwegian patients on generic antihypertensive drugs: a qualitative study of their own experiences.
Article in European journal of clinical pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What Do Users of Generic Medicines Think of Them? A Systematic Review of Consumers' and Patients' Perceptions of, and Experiences with, Generic Medicines.The patient · 2016Pooled it
- A Systematic Review of Physicians' and Pharmacists' Perspectives on Generic Drug Use: What are the Global Challenges?Applied health economics and health policy · 2015Pooled it
- "My doctor has changed my pills without telling me": impact of generic medication switches in stroke survivors.Journal of behavioral medicine · 2014Trial
- Factors facilitating and hindering counselling about generic substitution and a reference price system in community pharmacies - a survey among Finnish dispensers.BMC health services research · 2022Article
- [Effects of changing the appearance of medications in safety and adherence in chronic patients over 65 years of age in primary care. CAMBIMED Study].Atencion primaria · 2020Observational
- The content of patient counseling about interchangeable medicines and generic substitution in Finnish community pharmacies - a survey of dispensers.BMC health services research · 2019Article
- Potential Clinical and Economic Impact of Switching Branded Medications to Generics.American journal of therapeutics · 2017Review
- Patients' knowledge and attitude towards therapeutic reference pricing system in Slovenia.International journal of clinical pharmacy · 2016Article
- Article
- Generic medicines and generic substitution: contrasting perspectives of stakeholders in Ireland.BMC research notes · 2015Article
- Effects of generic substitution on refill adherence to statin therapy: a nationwide population-based study.BMC health services research · 2014Article
- Patients' beliefs about generic medicines in Malaysia.Pharmacy practice · 2014Article
- Price, familiarity, and availability determine the choice of drug - a population-based survey five years after generic substitution was introduced in Finland.BMC clinical pharmacology · 2011Article
- Generic medicines in Pakistan: a viable cost-effective option for consumers.European journal of clinical pharmacology · 2011Article
- Special challenges for drug adherence following generic substitution in Pakistani immigrants living in Norway.European journal of clinical pharmacology · 2011Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to investigate experiences with and attitudes toward generic substitution in patients on antihypertensive medication. MATERIALS AND
methodsStudy participants were 22 patients from pharmacies in Oslo who had taken brand antihypertensive products as well as substituted generic products. Five focus- group discussions were held.
resultsOnly a few participants claimed to take their medications as prescribed. Most reported low drug adherence before and after generic substitution. Fourteen said that their blood pressure was not under control. Most patients did not know what it meant to get a generic product. They normally accepted what the pharmacy offered, even if they thought the generics were of a lower quality than the brand products. Five participants experienced new side effects. Differences in name, color, form, or taste caused confusion. The patients had been told in the pharmacy that the effect of a generic product was as good as that of the brand product but were still confused, as in most cases the doctor said nothing to them about the substitution.
conclusionGeneric substitution works well in Norway as an economic health strategy, but drug adherence remains suboptimal under those circumstances. Patients are insecure with respect to the difference between the old and the new product when it comes to the drug's physical attributes and perceived quality. Patients would feel safer if the doctor had a more active role in informing them about the system.
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