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"Confusing" Brand,
Generic Drug Name System To Be Replaced
Full scientific nomeclature will be mandatory
WASHINGTON, DC--In an effort to decrease prescription
errors, The American Pharmaceutical Association announced today that a
new naming system will be enforced by pharmacies nationwide beginning
in January.
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| (R.S.)
3-ethyl-5-methyl-2-(2-aminoethoxymethyl)-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate
benzenesulphonate (previously
known as Norvasc) |
Instead of the current system of brand and generic
names, clinicians will be required to use full scientific nomenclature
on all prescriptions, and are urged to use the new names when discussing
medications with patients and with other providers.
"There's mounting evidence that having both
a brand and a generic name causes a lot of unnecessary confusion,"
said APhA spokesman Noreen Marzette. "You get patients taking both
Lasix and furosemide, not knowing they're the same thing."
"Now in the new system, they're on 4-chloro-N-furfuryl-5-sulfamoylanthranilic
acid. It just doesn't get much more unambiguous than that."
According to the APhA, responses to the planned implementation
have been mixed. At a trial implementation in Baltimore, MD, some patients
were reportedly unable to obtain (3b, 5b, 12b)-3-[(O-2,6-dideoxy-b-D-ribo-hexopyranosyl-(1“4)-O-2,6-dideoxy-b-D-ribo-hexopyranosyl-(1“4)-2,6-dideoxy-b-D-ribo-hexopyranosyl)oxy]-12,14-dihydroxy-card-20(22)-enolide
(formerly known as digoxin) when a computer glitch caused the third
hexopyranosyl to be omitted.
Nevertheless, the new system will be universally
adopted by pharmacies, hospitals, and medical centers throughout the nation
in January 2003. Prescriptions not written in scientific notation after
that time will be sent back to the prescribing clinician for revision.
| Old |
New |
Prozac
(fluoxetine) |
(±)-N-methyl-3-phenyl-3-[(a,a,a-trifluoro-p-tolyl)-oxy]propylamine
hydrochloride |
Viagra
(sildafenil) |
1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine
citrate |
Tagamet
(cimetidine) |
guanidine, N''- cyano-N-methyl-N¢- [2-[[(5-methyl-1H-imidazol-4-yl)methyl]thio]-ethyl]-monohydrochloride |
Valium
(diazepam) |
7-chloro-1,3-dihydro-1-methyl-5-phenyl-2H-1,4-benzodiazepin-2-one |
Norvasc
(amlodipine) |
(R.S.) 3-ethyl-5-methyl-2-(2-aminoethoxymethyl)-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate
benzenesulphonate |
Zithromax
(azithro-mycin) |
(2R,3S,4R,5R,8R,10R,11R,12S,13S,14R)-13-[(2,6-dideoxy-3-C-methyl-3-O-methyl-a-L-ribo-hexopyranosyl)oxy]-2-ethyl-3,4,10-trihydroxy-3,5,6,8,10,12,14-heptamethyl-11-[[3,4,6-trideoxy-3-(dimethylamino)-b-D-xylo-hexopyranosyl]oxy]-1-oxa-6-azacyclopentadecan-15-one |
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