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Re: Cytotec From: Dr Eberhard Lisse (el@lisse.NA) Mon Apr 9 16:24:44 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "Please comment on this ultrasound report" Previous message: art fougner, md: "Re: Cytotec" In reply to: art fougner, md: "Re: Cytotec" Next in thread: art fougner, md: "Re: Cytotec" Reply: art fougner, md: "Re: Cytotec" Who's responsible if you prescribe 25 mcg and they administer 35? Nevermind that I think this "generic = crap" is total nonsense, since the FDA approved the generic stuff and you are not buying from India. el on 4/9/07 8:05 PM art fougner, md said the following: > Why not the director of the hospital's pharmacy to supply you with the > data supporting their use of the generic, eg bioavailability? > > Art > > At Mon, 9 Apr 2007, Richard Chudacoff wrote: >> I moved to a new hospital in Las Vegas. They won't let us use Cytotec >> orally, because it can't be washed out. However, we all know that after 20 >> minutes you can't wash it out vaginally, either. Not a big deal as the >> nurses are allowed to put it in vaginally, but here is the problem. They use >> GENERIC Cytotec (I guess at $0.50 a pill it was too much). Since we know >> that generics can have a little as 80% and as much as 120% of the active >> ingredient as the brand name, and since we now that the active ingredient is >> not evenly distributed throughout the pill, cutting the pill to get a 25 >> microgram dose seems totally inconsistent with following an established >> protocol as described in the literature. Here we have a chance of as little >> as 15 or as high as 35 mcg but at a 50 mcg dose we can be as low as 30 or as >> high as 70mcg. Am I figuring this out wrong or could we be headed for >> disaster by using generic pills? >> >> -- >> Richard Chudacoff, MD, FACOG Next message: GIN11153@aol.com: "Please comment on this ultrasound report" Previous message: art fougner, md: "Re: Cytotec" In reply to: art fougner, md: "Re: Cytotec" Next in thread: art fougner, md: "Re: Cytotec" Reply: art fougner, md: "Re: Cytotec"

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