https://www.desidime.com/comments/permalink/10115448
Using Newtel AM instead of this, Cheaper and good.
Seeking Advice on Switching to Generic High Blood Pressure Medication. (pls share and vote)
My family member is a high blood pressure patient currently taking Telma AM (Telmisartan 40.0 mg + Amlodipine 5.0 mg), which costs 300 INR. I found a generic version with the same formula at a Jan Aushadhi store for only 25 INR.
Has anyone tried this generic medicine? Does it work effectively? Should we consider switching to the generic version, or is it better to stick with Telma AM? Looking forward to your experiences and advice.
Thank you
@LIMBO @NobiNobita
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https://www.desidime.com/comments/permalink/10115475
Systopic seems decent. I went with Mankind Pharma (plain Telmikind in my mother's case, several years back) as it was widely available. B.P. is monitored occasionally at home and it's well controlled.
To the OP: Steer away from JA for anything but the most trivial conditions. Look up Bioequivalence and how it's almost never tested by the CDSCO. You can go for Newtel AM or Telmikind AM.
Edit: In a recent report a person on behalf of the branded generic manufacturers (vested interests of course) mentioned that less than 1% of the batches deployed by the JA stores are actually tested! So much for testing in NABL accredited labs if the magnitude of testing is so pitifully low.
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https://www.desidime.com/comments/permalink/10115469
I have tried a couple of times giving them generic medicines that are approximately 50 per cent of Telma, but they were worried and kind of felt not working, I didn't want to increase their BP again so I stuck to Telma
https://www.desidime.com/comments/permalink/10115508
Bhai any meds from jan aushadi stores are completely safe and fine. My grandparents are taking same bloodpressure tablets since 2-3 years now from the jan aushadi store since it was opened near our place. Do not be concerned about quality or aftereffect as it is not different from branded ones
https://www.desidime.com/comments/permalink/10115525
unknowndimerwho, renegade :-( sorry to know :-( about the health issues.
But age, comorbidities, other conditions (like allergies or some microbiome stuff/ how a specific body reacts to situations, I don't know), body type and so on too are specifics to consider.
General 'opinion' from random, unknown people without patient (preferably in-person) prognosis, diagnosis is a risk better avoided.
As doctors above, in this thread commented..
on-paper any plant that properly adheres to GMP is sort of 'safe'.
But many 'formulations' have very specific combinations (and potencies) of the active salts, ingredients and their release (absorption) mechanism.
Maybe for some ailments or for some (lower) severity of the conditions.. some deviations (in the generics) may not have any adverse impact for the specific patient/s.
But this comes with too many 'buts' and 'ifs'.
I personally know of small time businesses exporting certain salts, ingredients to China.
Chinese firms then refine those or prepare the.next version of ingredients out of those, that are imported back in India too.. for final preparations of the retail medications.
During peak Covid-19 lockdowns.. one of the local firms was cribbing about delayed payments as cargo was stuck for over 4½ weeks at a port in China and the importer there not ready to release funds in good faith, without first testing at-least two three batches.
We were like, wouldn't the ingredients deteriorate?
To which the local exporter person casually and wryly replied that it is not much and if they (Chinese importers) feel the need
(then) they will add overages.
Knowing how we Asians operate, I was pretty shocked for many a days.. that such stuff is imported back too or even locally.. manufacturers might be adding overage to compensate for deteriorating stuff.
Government approved subsidised medicine stores do indeed also offer some drugs that are worth considering at times.. but for me at-least.. it would never be beyond paracetamol type stuff.
w.r.t. medications for CVDs (cardiovascular diseases) I would stay clear of those stores.
And even within generics, i tread with caution. It is not that .. all formulation manufacturers too properly adhere to (good manufacturing practices) GMP.. but still.
Please do consider asking your pointed medical queries, especially involving senior citizens.. on dedicated medical platforms or with the general practitioner/ family doctor who might better know the patient history.
If push comes to shove.. I would not shy away from directly (but discreetly) enquiring about generics with the specialist (MD/ doctor) handling the case/ treating the patient.
But age, comorbidities, other conditions (like allergies or some microbiome stuff/ how a specific body reacts to situations, I don't know), body type and so on too are specifics to consider.
General 'opinion' from random, unknown people without patient (preferably in-person) prognosis, diagnosis is a risk better avoided.
As doctors above, in this thread commented..
on-paper any plant that properly adheres to GMP is sort of 'safe'.
But many 'formulations' have very specific combinations (and potencies) of the active salts, ingredients and their release (absorption) mechanism.
Maybe for some ailments or for some (lower) severity of the conditions.. some deviations (in the generics) may not have any adverse impact for the specific patient/s.
But this comes with too many 'buts' and 'ifs'.
I personally know of small time businesses exporting certain salts, ingredients to China.
Chinese firms then refine those or prepare the.next version of ingredients out of those, that are imported back in India too.. for final preparations of the retail medications.
During peak Covid-19 lockdowns.. one of the local firms was cribbing about delayed payments as cargo was stuck for over 4½ weeks at a port in China and the importer there not ready to release funds in good faith, without first testing at-least two three batches.
We were like, wouldn't the ingredients deteriorate?
To which the local exporter person casually and wryly replied that it is not much and if they (Chinese importers) feel the need
(then) they will add overages.
Knowing how we Asians operate, I was pretty shocked for many a days.. that such stuff is imported back too or even locally.. manufacturers might be adding overage to compensate for deteriorating stuff.
Government approved subsidised medicine stores do indeed also offer some drugs that are worth considering at times.. but for me at-least.. it would never be beyond paracetamol type stuff.
w.r.t. medications for CVDs (cardiovascular diseases) I would stay clear of those stores.
And even within generics, i tread with caution. It is not that .. all formulation manufacturers too properly adhere to (good manufacturing practices) GMP.. but still.
Please do consider asking your pointed medical queries, especially involving senior citizens.. on dedicated medical platforms or with the general practitioner/ family doctor who might better know the patient history.
If push comes to shove.. I would not shy away from directly (but discreetly) enquiring about generics with the specialist (MD/ doctor) handling the case/ treating the patient.
https://www.desidime.com/comments/permalink/10115550
On Truemeds Telma AM 40 (15 tabs) cost ₹252.35 (₹17 per tablet) and Truemeds recommended substitute for this medicine Telgard Am from Cipla costs ₹60 (10 tabs). Go with Cipla substitute
https://www.desidime.com/comments/permalink/10115571
Having amlodipine 5 mg and metoprolol 50 for last 2 years, working exactly the same. These generic medicins are made by private pharmaceutical companies actually. The government releases tender, and the company wins the tender, makes the medicines. You will find a number of pharmaceutical companies are making generic medicines on their own. I have attached an image of Janousadhi medicine box below for your better understanding. Janosadhi is a brain child of ex-PM Dr. Manmohan Singh but he failed to popularize it. The PM Narendra Damodardas Modi made it popular. This is one of the rare example when government actually works.
https://www.desidime.com/comments/permalink/10115662
These medicines can maintain ur disease but can't cure it...
Just search b m hegde blood pressure in youtube
https://www.desidime.com/comments/permalink/10115699
It depends on each person's body acceptability to the medicine bro. The generic alternative from Jan Aushadi didn't work for me (Montelukast Sodium+Levocetrizine) but that doesn't mean nobody should take it. Try the alternative for like one month and see how it works. If he doesn't face any issues then you're good to go. Most doctors are recommending generic medicines nowadays.
https://www.desidime.com/comments/permalink/10115782
@OP, if you don't mind what are the BP readings of your family member just to see if medication is required for 120-140/80-90 levels
https://www.desidime.com/comments/permalink/10115794
My point being life is precious and i don't trust small companies making generic medicine. But if you can find alternate like branded company like cipla has less mrp you can switch else not.
https://www.desidime.com/comments/permalink/10116210
Telmisartan and amlodipine is a very common combination for bp medications. There are countless pharma companies making generic versions for this combination.
Go with a well known pharma company for substitution, generic medications are safe.
But sometimes some medications don't work as efficiently as some company variant. If that happens try something else.
The patient's state of mind is also very important. They have to believe generic medications will work as same as the meds they have been prescribed. This is especially true when it comes to bp meds.
https://www.desidime.com/comments/permalink/10117169
https://www.1mg.com/drugs/ozotel-am-tablet-5726...
3.22 Rs per tab , unbeatable and trusted ethical brand , prescribed by reputed doctors all over India .
https://www.desidime.com/comments/permalink/10150754
Bhai sidhi si baat hai. Sidha doctor ko bolo ki muje generic meds chahiye. Aur doctor likh bhi dete hain. Right?
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Systopic seems decent. I went with Mankind Pharma (plain Telmikind in my mother's case, several years back) as it was widely available. B.P. is monitored occasionally at home and it's well controlled.
To the OP: Steer away from JA for anything but the most trivial conditions. Look up Bioequivalence and how it's almost never tested by the CDSCO. You can go for Newtel AM or Telmikind AM.
Edit: In a recent report a person on behalf of the branded generic manufacturers (vested interests of course) mentioned that less than 1% of the batches deployed by the JA stores are actually tested! So much for testing in NABL accredited labs if the magnitude of testing is so pitifully low.