this post was submitted on 09 Mar 2024
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Image: 4 panels organized in a rectangle following a sequential order like a comic strip. The first panel is of a man with a very serious face stating, "Hey man, got any diphenhydramine?" The second panel is a grainy picture of the actor Robert Downey Jr. with a slightly inquisitive face and saying, "What's that?" The third panel is an identical copy of the first image and saying, "Benadryl the allergy medicine." The fourth and final panel is a grainy picture of Bobby rolling his eyes and taking a deep breath.

Edit: Tony Start -> Robert Downey Jr. I didn't know that Tony Stark was a character Robert Downey Jr. played 🤦‍♂️

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[–] [email protected] 62 points 8 months ago (3 children)

ITT: Americans who can't fathom generic medicine names

Tylenol isn't the medicine, paracetamol is. I love having grown up in a European country which mandates pharmacies to very clearly inform you, not just in some fuck ass place, but repeat to you 3 times, that there is a cheaper generic version which does the same thing.

[–] [email protected] 51 points 8 months ago* (last edited 8 months ago) (2 children)

This is probably the worst example to choose, because in the US the generic name is acetaminophen. This is a case where the brand name actually unites understanding of a drug whose chemical name differs by location.

That being said, I still agree with the spirit, let’s stick to referring to the drug and not the brand.

[–] [email protected] 3 points 8 months ago (1 children)

Touché, though I love knowing names like paracetamol or acetaminophen, ibuprofen, diclofenac, acetylsalicylic acid etc.

I can't come up with many names because I don't remember every single drug, but when I see a drug, I always read the chemical, never the brand, and I'm glad for my country and my parents for that.

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[–] [email protected] 3 points 8 months ago (1 children)

This is a case where the brand name actually unites understanding of a drug whose chemical name differs by location.

Except we don't have Tylenol in most countries where it's called paracetamol.

We have Panadol, Panamax, Calpol, Herron and Hedanol.

If it wasn't for ER, Scrubs, Greys Anatomy and a bunch of other American media, I'd have no idea that Tylenol and acetaminophen are the same thing as Panadol and paracetamol.

Standard Tylenol and standard Panadol are different dosages too. Regular strength Tylenol is 325mg, standard Panadol (and every other paracetamol brand I've seen for adults) is 500mg, which is the "extra strength" of Tylenol.

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[–] [email protected] 7 points 8 months ago (1 children)

In France there are plenty of people who ask for Dafalgan or neurofen but have no idea what paracetamol or ibuprofen are.

[–] [email protected] 4 points 8 months ago

Yeah, there are clueless people everywhere, but I'm still glad that it's easy to get generic medicine.

To be fair, you cannot force people to buy generic, let people make their own, though preferably informed, decisions.

[–] [email protected] 7 points 8 months ago (6 children)

do you know why theres no aspirin in the jungle?

cause parrots eat em all

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[–] [email protected] 39 points 8 months ago (1 children)

Trade names all well and good until you start traveling. Also you're less likely to find cheaper generics if you only know the brand names.

[–] [email protected] 5 points 8 months ago (2 children)

I use the American brand names when talking about meds on the internet.

I've never taken trade-name Tylenol, Benadryl, Advil (without pseudoephedrine), Xanax, Effexor, Prozac nor Klonopin.

But those are the names I'd use when discussing them to "blend in". If I start talking about panado or rivotril I may cause confusion. The API names are also just a fucking mouthful.

[–] [email protected] 6 points 8 months ago (1 children)

As a non-American, I have never heard any of those "trade-names" and wouldn't know what you're talking about.

[–] [email protected] 5 points 8 months ago (1 children)

In that case I'd be happy to clarify

Tylenol: Paracetamol. Widely used non addictive pain medication. According to Wikipedia some German trade names are: Captin, Benuron, Enelfa.

Benadryl: Diphenhydramine. Allergy medicine. They kinda just throw it in every cold medicine, it feels like. Can't find specifically what trade names they use in Germany.

Advil: Ibuprofen. Pain medication. Other trade names usually just prefix a random word with "Ibu"

Xanax: Alprazolam. Anxiety medication. Surprised you haven't heard of this. American hiphop turned it into a household name at this point.

Effexor: Venlafaxine. Antidepressant.

Prozac: Fluoxetine. Antidepressant. Called Fluctin in Germany?

Klonopin: Clonazepam. Anxiety medication. Think they also call it Rivotril in Germany.

[–] [email protected] 4 points 8 months ago (1 children)

Interesting. Diphenhydramine (US name Benadryl) is apparently banned as a medication in Germany, thats why you couldnt find any trade names...

Paracetamol and Ibuprofen (thats what they are commonly called here) are relatively common, the others I dont know. But dont you need a prescription for the last four?

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[–] [email protected] 15 points 8 months ago* (last edited 8 months ago) (7 children)

Good on you for including a written description of the image but... "picture of the actor Tony Stark"?

Edit: or are these descriptions automatically generated?

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[–] [email protected] 15 points 8 months ago

I'm a prescriber in the US and the name that people will commonly use varies by drug and by region. It's also influenced by whether that medication is even available generically due to patents (if that's the right legal word) on medications being decently long when they first come out.

I agree it's a mess

[–] [email protected] 13 points 8 months ago (1 children)

I do. I extend it beyond medicines as well. Corporations have spent lots of money for their brands to be household names. They don't control my language.

Specifically to medicine, I will note that the generic name actually carries information that the brand name does nothing for. Lisinopril and enalopril are the same medication class, act similar. Amlodipine, nimodipine, nicardipene are all the same class. Those generic names have important meaning.

Oh, you want facial tissues? Why didn't you ask?

Sure, here's some acetaminophen and ibuprofen.

Don't you mean bleach wipes?

[–] [email protected] 5 points 8 months ago (1 children)

Corporations have spent lots of money for their brands to be household names.

Corporations are terrified of their name becoming genericized, though. At least in the US, a company can lose it's protection of the use of their name if they don't fight it being used for things that are not their product. For example, "Dumpster" used to be a trademarked name for a large outdoor garage bin. It became so popular that every large outdoor garbage bin was called a dumpster, and now everyone making and selling them can call it a dumpster without getting sued

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[–] [email protected] 11 points 8 months ago (2 children)

Paracetamol

Aspirin

Ibuprofen

What? That's what they're called

[–] [email protected] 6 points 8 months ago* (last edited 8 months ago)

Isn't Paracetamol a brand name for acetaminophen?

Edit: just googled it, apparently they're both generic names for the same thing (like aspirin / acetylsalicylic acid)

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[–] [email protected] 10 points 8 months ago

Yo gimme some of that Dihydrogen monoxide.

[–] [email protected] 9 points 8 months ago (5 children)

Medicine schools in anywhere except USA. Farmacists, medics, nurses, life rescuers, hospitals, social workers. They're all encouraged to use the active components of medicines and not commercial brand names. Specially because there are differences in regulations and sometimes the commercial names don't carry the same formulation in other markets, or are US specific. Tylenol for example doesn't exist in Latin America. But you can find many other brands and presentations of paracetamol as acetaminophen.

[–] [email protected] 9 points 8 months ago (1 children)

TIL that Tylenol is just how americans call paracetamol

[–] [email protected] 4 points 8 months ago (1 children)

I mean, Americans call facial tissue "Kleenex" we're pretty bad at accepting corporate brands as a stand-in for "the standard."

[–] [email protected] 4 points 8 months ago (1 children)

I mean even nos capsules are called whippets and ZIP and stick is velcro

[–] [email protected] 2 points 8 months ago (1 children)

Nah, velcro is called velcro - the inventor of "loop and hook fasteners" called them velcro strips. The fact that the brand wanted full control of the name after the fact is irrelevant.

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[–] [email protected] 9 points 8 months ago (2 children)

Generic drug names are widely used in the UK and europe - we don't have US style advertising. There are brands but they don't cut through in the same way when generics are so widely known and mandated for prescriptions coming from the NHS too.

Benadryl isn't even a specific drug, it's just a brand with different drugs in different countries (cetirizine in the UK). I'd just say "antihistamine".

Also brand name drugs are largely a scam - pharmaceuticals are heavily regulated and generics are the exact same drug. Save yourself some money, learn the generic names and buy those. Otherwise you're just paying the drugs company for their advertising and the big price mark up for their profit as a "premium" brand.

[–] [email protected] 3 points 8 months ago

generics are the exact same drug

Yes but. From what I've heard, sometimes when switching to a generic, there might be subtle differences in manufacturing that affect how an individual absorbs it. For something minor - an off the shelf pain killer - probably not a problem. For someone where it's imperative that they maintain a certain blood level of the drug, some caution is a good idea.

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[–] [email protected] 9 points 8 months ago

In my country we mostly use the generic names, save for very few exceptions, and even then they are used interchangeably with the generic name.

[–] [email protected] 6 points 8 months ago

Yes! I live in Korea, and I have no idea what the local brand names are. If I want some Advil, I have to ask for Ibuprofen pronounced "Ee Boo Pro Pen". Tylenol is Tylenol here, though.

[–] [email protected] 6 points 8 months ago

What if I call it Tylenol but always buy the generic anyway?

[–] [email protected] 5 points 8 months ago (1 children)

If you use the brand name for everything, eventually it will become the generic name.

[–] [email protected] 3 points 8 months ago (1 children)

Tell that to the copyright lawyers

[–] [email protected] 6 points 8 months ago (2 children)

People have lost trademark rights because it's too ubiquitous.

Aspirin was literally the brand name by Bayer but lost it.

[–] [email protected] 2 points 8 months ago

Fun fact, Aspirin is still registered to Bayer in most of Europe

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[–] [email protected] 5 points 8 months ago (3 children)

Ew, gross, anticholinergic allergy meds? I'll stick to my third generation Cetirizine Hydrochlorides, thanks.

[–] [email protected] 5 points 8 months ago (1 children)

I didn't know we could be all snobby about allergy meds, but I learn something new everyday.

[–] [email protected] 3 points 8 months ago

There’s good reason to be snobby about antihistamines. Second and third generation antihistamines are straight-up better than first generation. No drowsiness and they last longer.

Diphenhydramine, for example, is pretty terrible. The FAA doesn’t let pilots fly for 60 HOURS after taking diphenhydramine because of how impairing it can be without the user realizing. Extended use of anticholinergics has also been linked to dementia, IIRC.

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[–] [email protected] 4 points 8 months ago (1 children)

tell me you're student without telling me you're a student

[–] [email protected] 8 points 8 months ago

haha, no...I'm just autistic

[–] [email protected] 3 points 8 months ago (3 children)

what about "antihystamine"? or is that too generic?

[–] [email protected] 6 points 8 months ago

Antihistamine is the type of drug, or it’s “family. It describes what is does biochemically. That’s like using “antibiotic” when you are looking for doxycycline.

[–] [email protected] 4 points 8 months ago* (last edited 8 months ago) (1 children)

Antihystamine is very specific. Antihistamine is quite generic and it depends on whether you want to treat allergies or schizophrenia. Here is a list from Wikipedia of the most common type of antihistamines (targeting the H¹ receptor)

List of H1 antagonists/inverse agonists

Acrivastine
Alimemazine (a phenothiazine used as antipruritic, antiemetic and sedative)
Amitriptyline (tricyclic antidepressant)
Amoxapine (tricyclic antidepressant)
Aripiprazole (atypical antipsychotic, trade name: Abilify)
Azelastine
Bilastine
Bromodiphenhydramine (Bromazine)
Brompheniramine
Buclizine
Carbinoxamine
Cetirizine (Zyrtec)
Chlophedianol (Clofedanol)
Chlorodiphenhydramine[12]
Chlorpheniramine
Chlorpromazine (low-potency typical antipsychotic, also used as an antiemetic)
Chlorprothixene (low-potency typical antipsychotic, trade name: Truxal)
Chloropyramine (first generation antihistamine marketed in Eastern Europe)
Cinnarizine (also used for motion sickness and vertigo)
Clemastine
Clomipramine (tricyclic antidepressant)
Clozapine (atypical antipsychotic; trade name: Clozaril)
Cyclizine
Cyproheptadine
Desloratadine
Dexbrompheniramine
Dexchlorpheniramine
Dimenhydrinate (used as an antiemetic and for motion sickness)
Dimetindene
Diphenhydramine (Benadryl)
Dosulepin (tricyclic antidepressant)
Doxepin (tricyclic antidepressant)
Doxylamine (most commonly used as an over-the-counter sedative)
Ebastine
Embramine
Fexofenadine (Allegra/Telfast)
Fluoxetine
Hydroxyzine (also used as an anxiolytic and for motion sickness; trade names: Atarax, Vistaril)
Imipramine (tricyclic antidepressant)
Ketotifen
Levocabastine (Livostin/Livocab)
Levocetirizine (Xyzal)
Levomepromazine (low-potency typical antipsychotic)
Loratadine (Claritin)
Maprotiline (tetracyclic antidepressant)
Meclizine (most commonly used as an antiemetic)
Mianserin (tetracyclic antidepressant)
Mirtazapine (tetracyclic antidepressant, also has antiemetic and appetite-stimulating effects; trade name: Remeron)
Olanzapine (atypical antipsychotic; trade name: Zyprexa)
Olopatadine (used locally)
Orphenadrine (a close relative of diphenhydramine used mainly as a skeletal muscle relaxant and anti-Parkinsons agent)
Periciazine (low-potency typical antipsychotic)
Phenindamine
Pheniramine
Phenyltoloxamine
Promethazine (Phenergan)
Pyrilamine (crosses the blood–brain barrier; produces drowsiness)
Quetiapine (atypical antipsychotic; trade name: Seroquel)
Rupatadine (Alergoliber)
Setastine (Loderix)
Setiptiline (or teciptiline, a tetracyclic antidepressant, trade name: Tecipul)
Trazodone (SARI antidepressant/anxiolytic/hypnotic with mild H1 blockade action)
Tripelennamine
Triprolidine
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[–] [email protected] 3 points 8 months ago

I don't think I even know what the brand names are, like only active ingredient names are on the packaging here.

[–] [email protected] 3 points 8 months ago

I live in Australia. Over here it seems to be an even toss-up between Panadol, Panamax, or paracetamol when people are talking, in my experience. Nurofen (ibuprofen) doesn't get the same treatment tho, people usually use the generic name for some reason.

[–] [email protected] 2 points 8 months ago

Benadryl can also be acrivastine or cetirizine

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