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2009 ArticlesSeroquel® has gone off patent, and generic manufacturers have jumped on the opportunity to begin selling this highly-prescribed drug. On March 27, 10 generic manufacturers received FDA approval of their generic quetiapine products, and these products are now commercially available.
As is frequently the case when a patent first expires, generic quetiapine is not significantly cheaper than the brand-name drug, however prices are now more in line with the cost of generic risperidone, which will bring some cost savings to your hospice.
|
|
Generic Quetiapine (price per tablet) |
Brand Seroquel® (price per tablet) |
|
25 mg |
$4.00 |
$4.44 |
|
50 mg |
$6.57 |
$7.29 |
|
100 mg |
$6.86 |
$7.62 |
|
200 mg |
$12.94 |
$14.37 |
For now, continue to use haloperidol as your first-line antipsychotic (except for in your patients with Parkinson’s disease—use quetiapine). Of the second-generation antipsychotics, quetiapine and risperidone are now similar in terms of cost-effectiveness. Olanzapine is still substantially more expensive, despite going generic late last year.
Comparative examples (15-day supply):
|
Haloperidol |
2 mg every 12 hours |
$12 |
|
Risperidone |
2 mg every 12 hours |
$163 |
|
Quetiapine |
100 mg every 12 hours |
$160 |
|
Olanzapine |
5 mg every 12 hours |
$281 |
Posted on April 11, 2012
"
| June 16, 2012Hi Bette,I'm WAY behind in poitnsg anything for support and I'm trying to catch up as I can.Timing is almost perfect We received Hubby's sensor mats yesterday. But they didn't send out the alarm unit they need to be attached to so we aren't able to get it up and running.They did send a floor mat and a bed mat. I'll be anxious to set those up.I had the same thought as OldBilly when I unrolled the floor mat. I wondered if it would be a potential risk for tripping if he got up and walked on it.I will let you know how it goes.While searching how to set up our mats (before I realized we were missing a piece) I noticed that motion sensors were available. I'm now wondering if that would have been a better option. Amazon has a few choices and they look like they would be portable. I'm glad you asked you brother to help. He may even appreciate the task, especially since he knows how he can help and what he needs to do Here, we have had some anxiety issues. Hubby still plans on leaving. The conversation can wear me down at times so I know you are tired. Keeping you in my thoughts and prayers -- Ian Posted 4/1/2013 12:31:29 PM |
| I thought fdining this would be so arduous but it's a breeze! -- Judy Posted 12/27/2012 07:01:24 AM |
| Thanks for your question, Marsha. It's actually not just haloperidol but all the typical, or first-generation, antipsychotics that should be avoided in Parkinson's patients. The typical antipsychotics (chlorpromazine, or Thorazine, is another example) are more potent dopamine receptor antagonists, and have a higher incidence of extrapyramidal side effects, than the atypical, or second-generation, antipsychotics (like risperidone and quetiapine). This makes them more problematic for our Parkinson's patients. The atypical antipsychotics are not benign, since they do antagonize dopamine receptors as well, but since they are less potent than the typicals, they tend to be better tolerated by patients with PD.
-- Ann McLaughlin Posted 6/2/2012 06:56:22 PM |
| Could you please explain why haldol is not appropriate for Parkinson's patients? Thanks, Marsha
-- Marsha Posted 6/2/2012 06:55:50 PM |
| Sorry, I should have clarified that. These prices are for a 15-day supply. -- Julia Harder Posted 6/2/2012 06:55:23 PM |
| Are these prices per month?
-- Sue Posted 6/2/2012 06:53:49 PM |
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