Double-dosing by taking a brand-name drug and the generic version at the same time

Page 6 of Medication Mistakes That Can Kill

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With insurance companies mandating the use of generic drugs whenever they're available, it's all too common for patients to get confused and end up with bottles of a brand-name drug and a generic version at the same time without realizing it. "For example, a common diuretic is furosemide. The brand name is Lasix. A patient might have a bottle of furosemide and a bottle of Lasix and not know they're the same thing," says internist Bruce Mann, M.D. "In essence, the patient is taking twice the dose." Since generic drugs don't list the equivalent brand name on the label, you might not spot this unless your brand-name version lists the generic name in the fine print.

How to avoid it: When your doctor prescribes a new medication, make sure you have a chance to go over all the details you might need to know later. Have the doctor write down the name of the drug (brand and generic, if available), what it's for, its dosage, and how often and when to take it. Try to remember both names for future reference. Also, look up the generic names for each of your brand-name prescriptions and vice versa; then line up all of your medicine bottles and see if you have any duplications.

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