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c/compounding·submitted 21 days ago by u/receptor_bias_rick

switched from compounded to brand and the titration reset itself

Pricingbranch of 6 comments

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…

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6 comments, started 20 days ago
u/naomi_erdogan-29 points·20 days ago

This. Compounded preparations carry no equivalence claim, and treating them as generics is a category error people make constantly.

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u/tb500_tangent1 point·20 days ago

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.

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u/eu_apotheke_a1 point·20 days ago

shortage status changes and the whole arrangement changes with it

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u/ferran_mensah1 point·19 days ago

That is not what patient-specific means. It refers to the prescription, not to a customisation of the formula.

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u/fatima_kowalski1 point·19 days ago

Compounded preparations are not approved products and carry no bioequivalence claim. That is a statement about regulatory category, not about quality.

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