— Chrissy Teigen’s holiday message after a candy cane caused this rough dental accident. She still had a jolly smile.
Health
Generic Drugs Under the Microscope
What's going on: You’ve probably saved money at the pharmacy by taking a generic instead of a brand-name drug — sometimes without anyone asking. That swap usually feels like a no-brainer, since generics often cost 80% to 85% less. But a new ProPublica investigation raises questions about whether cheaper always gets you an equivalent. The outlet tested generic versions of three common drugs — an antidepressant, a heart drug, and a cholesterol medication. It found irregularities in one sample apiece of two drugs that could compromise effectiveness. ProPublica says the findings point to a major gap in oversight. Generics copy long-established drugs, so the FDA does not routinely test them for quality and effectiveness the way it tests brand-name medications. Instead, it largely leaves that to the drugmakers, which are often located overseas. The FDA didn’t respond to ProPublica’s requests for comment.
What it means: Generics account for about 90% of prescriptions in the US. But experts told ProPublica that many doctors dismiss concerns from patients who take them, too often blaming bad luck or underlying conditions instead of questioning whether the medication works as intended. If you have concerns, ask your doctor to specify a particular manufacturer on your prescription. You can also push back if the pharmacy substitutes a generic — though you may notice the difference on your bill. ProPublica also maintains a database that shows where generic drugs are made, which can help you understand what you’re taking. And remember, most generic drugs are safe and effective. Still, if a medication doesn’t seem to work as expected, it’s reasonable to ask questions — and to follow up with your doctor.
