A generic issue I had a third patient come in today since last two weeks, asking me to prescribe him branded medicines instead of the generic ones he had shifted to in the last 1-3 months. One patient had uncontrolled blood pressure from generic Losartan which was well controlled with a branded one One patient had uncontrolled diabetes from generic metformin, glimeperide and pioglitazone which was previously well controlled with branded oral hypoglycemic drugs One cirrhosis patient had worsening of sleep and memory deficits after starting generic Rifaximin which was well controlled with branded Rifaximin I cant decide whether generic drugs from Jan Oushadhi are good for my patients because I cannot trust the consistency in their quality and effectiveness from patient reported outcomes, even though they are so much cheaper and sustainable for my patients overall. Looks like we need to design a project to analyse generic drugs and their quality and take a break from analysing legalized Ayurvedic and Homeopathic junk and give the alternative medicine practitioners a break for them to catch their breath.