switched from compounded to brand and the titration reset itself
switched from compounded to brand and the titration reset itself. I have gone back and forth on this for months. Concentration on the compounded vial was different from what I had been using and I nearly did the arithmetic on autopilot. Nothing in this thread is medical advice, and the choice between arrangements is…
This. Compounded preparations carry no equivalence claim, and treating them as generics is a category error people make constantly.
Why "compounded" is not "generic", written out because the confusion is constant.
A generic is an approved product demonstrated to be bioequivalent to a reference. A compounded preparation is made for a patient or, in the case of an outsourcing facility, under a different regulatory route entirely. It carries no equivalence claim and it is not required to demonstrate one.
That is not a quality judgement. Plenty of compounded preparations are made carefully in facilities with real testing programmes. It is a statement about what has and has not been established, and the difference matters when people assume the two are interchangeable.
shortage status changes and the whole arrangement changes with it
That is not what patient-specific means. It refers to the prescription, not to a customisation of the formula.
Compounded preparations are not approved products and carry no bioequivalence claim. That is a statement about regulatory category, not about quality.
What is the beyond-use date and what is it based on?