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Bottle of Lies
Bottle of Lies: The Inside Story of the Generic Drug Boom | Katherine Eban
9 posts | 4 read | 39 to read
From an award-winning journalist, an explosive narrative investigation of the generic drug boom that reveals fraud and life-threatening dangers on a global scaleThe Jungle for pharmaceuticals Many have hailed the widespread use of generic drugs as one of the most important public-health developments of the twenty-first century. Today, almost 90 percent of our pharmaceutical market is comprised of generics, the majority of which are manufactured overseas. We have been reassured by our doctors, our pharmacists and our regulators that generic drugs are identical to their brand-name counterparts, just less expensive. But is this really true? Katherine Ebans Bottle of Lies exposes the deceit behind generic-drug manufacturingand the attendant risks for global health. Drawing on exclusive accounts from whistleblowers and regulators, as well as thousands of pages of confidential FDA documents, Eban reveals an industry where fraud is rampant, companies routinely falsify data, and executives circumvent almost every principle of safe manufacturing to minimize cost and maximize profit, confident in their ability to fool inspectors. Meanwhile, patients unwittingly consume medicine with unpredictable and dangerous effects. The story of generic drugs is truly global. It connects middle America to China, India, sub-Saharan Africa and Brazil, and represents the ultimate litmus test of globalization: what are the risks of moving drug manufacturing offshore, and are they worth the savings? A decade-long investigation with international sweep, high-stakes brinkmanship and big money at its core, Bottle of Lies reveals how the worlds greatest public-health innovation has become one of its most astonishing swindles.
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This is a densely written, investigative story involving the overseas generic drug industry & pharmaceutical companies who systematically scammed the FDA for years. If Elizabeth Holmes made your blood boil the shenanigans of Ranbaxy and other overseas companies will have you seething. It‘s shameful, criminal,shocking and sadly our own agency, the FDA does not fair too well. The amount of greed & bureaucratic BS is alarming. 👇🏽

Cinfhen I will definitely be more vigilant when it comes to the generic medicines my family takes. Thank you so much @Megabooks for gifting this book to me. It was quite the eye-opener!!! 1mo
LaurensLibrary The centipede in the capsule has scarred me for life. 1mo
Cinfhen So MANY things freaked me out!! Monkey feces and sparrow nests in the laboratory @laurenslibrary and the puddling urine on the plant floor ~ so gross!!! And they get a warning ⚠️ they should have been red flagged and shut down IMMEDIATELY (edited) 1mo
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TrishB Putting me off NF for life 😁 1mo
Cinfhen Oh no!!! I thought my review would make you JUMP to read it @TrishB 😜🧡 1mo
TrishB I do love the use of shenanigans in any review though 😘 1mo
Cinfhen @TrishB HeHeHeHe 😛🙌🏻 1mo
BarbaraBB Hard read I think!! Confronting to say the least! (edited) 1mo
Cinfhen It was so startling to see such levels of outright fraud and deception @BarbaraBB and as a consumer one assumes their medicine has been approved and vetted. This is literally life and death. And don‘t even get me started on how the pharmaceutical companies treat medicine distribution for African countries. It‘s appalling 1mo
Megabooks I‘m so glad you enjoyed it, if one can find that level of systemic f@&$ up a good read. Scary. It‘s just plain scary and unacceptable. We must hold them accountable!!! 1mo
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Thank you dear, sweet @Megabooks I‘m super excited to receive this wonderful new audio book 🥳💜🎧😘
You‘re amazing❣️❣️❣️❣️❣️❣️ I cant believe with all you have going on, you took the time to think of me. Sending much love and prayers your way xxx

Megabooks You are very much welcome! I hope you enjoy listening to it! 😁💜😘🎧 2mo
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From this book, I learned that some manufacturers of generic drugs aren‘t a #remedy for what ails you. Fantastic book and #audiobook. Highly recommend!

#redroseseptember @Cinfhen @arlenefinnigan

arlenefinnigan I feel like I may be stacking a lot of books about medicine from this prompt #stacked 2mo
JennyM This sounds fascinating! #stacked 😊 2mo
Megabooks @arlenefinnigan I‘m definitely a collector of them, but this stands out as one of the best. Also this one is good 2mo
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Megabooks @JennyM I hope you enjoy it!! 2mo
Crazeedi I've been wanting to read this one! 2mo
Cinfhen I may need to use my Audible credit!!! 2mo
Megabooks @Crazeedi Definitely do! 2mo
Megabooks @Cinfhen I‘d say it‘s worth an Audible credit!! 2mo
Cinfhen Good to know 🧡🎧 2mo
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@Emilymdxn here are some of my favorite NF audiobooks that I own. I also like Born with Teeth, We Are Never Meeting in Real Life, and Heavy! The collage app would only let me choose nine. Oh and The Immortal Life of Henrietta Lacks!

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FDA investigators have turned up major problems at Indian generic drug manufacturers during inspections and #Inquisition(s) in this book.

I now know why I can only feel some medications I take working for hours less than they‘re supposed to or not at all. And the best drugs make it to the US market.

This book is shocking and disheartening-esp the level of FDA coverup!! She touches on active ingredients for brand drugs made in China. 👇🏻

Megabooks I would read a second book on active ingredients made overseas! While the book lacks a little focus, still a must-read if you take or prescribe drugs. #StarTrekSummerJune #bfc #bfcr2 #bookfitnesschallenge #goteam book 2/12 5mo
Trashcanman I'm on 4 psychotropic drugs so I should check this out. Thanks for the heads up. 😊 5mo
Megabooks @Trashcanman You‘re welcome. I ended up calling my pharmacist this morning, and she‘s switching two of my manufacturers, so 🤞🏻 I‘ll get better results. 5mo
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C.Perone Did it talk about how insurance companies will, in a lot of cases, only cover generics? 5mo
Megabooks @C.Perone The author is aware of that. The insurance companies‘ and Congress‘ push for ever cheaper generics and deregulation in general is responsible for the morass. They shut down plants, shortages ensue, everyone gets mad, ♻️ Anyway, I just feel like a better informed consumer and prescriber. 5mo
C.Perone @Megabooks 🙄 It's such a mess. I work for a doctor and he gets so frustrated when our patients end up with poor results from generics forced on them by insurance. I'm going to get copies of this of both of us. Thanks for sharing 😊 5mo
Megabooks @C.Perone Great! I‘m a veterinarian, and a prescription user, so I found it interesting from both perspectives. I also used to work in R&D at a cGMP facility. I hope y‘all enjoy it! 5mo
Dragonfairykats @Megabooks I take 5 psychiatric drugs, so I'll definitely be looking for this 5mo
Megabooks @Dragonfairykats 👍🏻👍🏻 I hope it helps you be a better consumer, too, 5mo
KathyWheeler This looks really interesting.,I have epilepsy and several years ago, before I changed medications, my doctor wrote my prescription for the brand name of one of the drugs I took because I would have the occasional seizure on the generic but not the brand name. 5mo
Dragonfairykats Ugh....not in the digital library for my library, aaaand the book I considered too new for a library transfer. Must see if I have $$ 5mo
Megabooks @KathyWheeler Yes, I have had trouble with anti-seizure medications I take for other reasons. I may be having trouble now. That‘s one of the types of medicines she specifically mentions. Especially since some have a narrow therapeutic index. What these companies do is just disgusting. 5mo
Megabooks @Dragonfairykats I got it with an audible credit, if you do that. Or maybe you can ask the library to purchase. I am fortunate that if 2-3 people request my library will usually buy the ebook. 5mo
Clwojick Ooooh. Yes please. STACK STACK STACK! 5mo
Megabooks @Clwojick Awesome!! 👍🏻👍🏻 5mo
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I took a walk this morning, 3/3 days so far 🙌🏻. It was sunny and 78, cool for here, which was good. Kind of odd mailboxes in the neighborhood I walked through today! 🤷🏻‍♀️

I‘ve got physical therapy this afternoon. 🤞🏻 that goes well.

Bad news, I‘ve had to cancel going to a close friend‘s 40th birthday out of town this weekend. 😓 It‘s just not the right time to go. 💔

#bfc #bfcr2 #bookfitnesschallenge

Emilymdxn I‘m so sorry bout the party! I always hate having to cancel things. Walks and strange mailboxes are a silver lining for the day tho 💖 #goteam 5mo
BookwormAHN Good job on the walk 👏🏻 5mo
Megabooks @Emilymdxn Thanks! I was a surprise guest, so I don‘t know if I should tell her I was coming, now I can‘t. I‘m leaning that way because her gift will be late now! 5mo
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Megabooks @BookwormAHN Thanks! 😊 5mo
Clwojick That is such a unique mailbox. I love it! ♥️ 5mo
TheSpineView Excellant walking! 5mo
akckitty Good job 👏👏 5mo
cobwebmoth You're doing so well with your walking!❤ I like the mailbox.😊 5mo
readordierachel Great job! Good luck this afternoon 🍀 5mo
Megabooks @Clwojick They are really cool! 5mo
Megabooks @TheSpineView Thanks! 👍🏻 5mo
Megabooks @akckitty Thank you! 😊 5mo
Megabooks @cobwebmoth Thanks! They are really interesting! The houses are close together in the neighborhood, so there are a lot of them!! 😁 5mo
Megabooks @readordierachel Thank you! 🤞🏻 5mo
wanderinglynn Way to go! 🙌🏻 I‘m sorry you had to cancel your plans. But great walk & fun mailboxes are a good focus. 5mo
Megabooks @wanderinglynn Thanks!! 💙💙 5mo
britt_brooke Nice work, my friend! Sorry you had to cancel your plans. 5mo
Megabooks @britt_brooke I ended up talking to my friend, and she understood, which was good. 5mo
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Made it ever farther today!! Honestly, I needed to get away from the house and just kept walking. It doesn‘t hurt to have a good #audiobook either!
#audiowalkers #bfc #bfcr2 #bookfitnesschallenge

Is this the sign you mean @dariazeoli ? 😉💩

#goteam (Does anyone want a team name?)

wanderinglynn Great job! 🙌🏻 6mo
cobwebmoth Yay!👏 I'm anxious to get out and walk again. I think the weather should let me tomorrow. 6mo
cewilf Haha that dog 🐶 What a great walk!! 6mo
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Trashcanman Yes a team name would be helpful 6mo
mhillis Great start!! 6mo
Clwojick That sign! 😂😂😂😂 6mo
TheEllieMo OMG that sign😂😂 6mo
TheSpineView That SIGN is just too much!🤣 6mo
Megabooks @Trashcanman Any ideas what our team name should be? I always like a color. I‘ve been thinking sage (😉) or aqua. 🤷🏻‍♀️ @Emilymdxn @cobwebmoth @cewilf @TheEllieMo @KathyWheeler @RachelO 6mo
CoverToCoverGirl 😂🤣👍 6mo
Megabooks @cobwebmoth It was raining this morning, so I was glad to be able to get out! I hope your weather is better tomorrow. 👍🏻 6mo
Megabooks @mhillis Thanks! 😊 6mo
Megabooks @cewilf @Clwojick @TheEllieMo @TheSpineView @CoverToCoverGirl I know! It the most hilarious/cutest thing I‘ve seen all day! 6mo
KathyWheeler Good for you! I can‘t think of a team name. Can you? 6mo
dariazeoli That is a serious 💩 sign! 😁 6mo
Megabooks @KathyWheeler I like Team Sage for some reason. I like the multiple meanings. Wise, a color, a food. 🤷🏻‍♀️ It‘s always been a peaceful word for me. 5mo
Megabooks @dariazeoli Yeah! It‘s metal! 🤣🤣 5mo
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Great first day back walking after 4 months! #audiowalk #bfc #BFCr2 #goteam

I love seeing these “Be Kind” signs around town! A local church did it as a fundraiser. We used to have one in our yard, but it was stolen, which wasn‘t very kind. 😒

Clwojick Oh boy! As if someone would steal your sign 🤨 I would love to see something similar in our neighbourhood though. 6mo
cobwebmoth Great first day! 6mo
RachelO Good work! Those signs make me smile - I‘ve never seen anything like that here. 6mo
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cewilf Those are awesome! What a nice idea. And good for you getting out on day one!! 6mo
wanderinglynn Great start to #BFCr2! 🙌🏻 6mo
dariazeoli Nice walk! We don‘t have those signs around here. Would be a nice change from “pick up your dog 💩 “ 6mo
BookwormAHN Nice job 👏🏻 6mo
krayoncolorz I love it! And good job! 6mo
Megabooks @Clwojick It is really nice to see. They did several fonts and colors. Ours was turquoise with a different script. 6mo
Megabooks @cobwebmoth Thanks! 😊 6mo
Megabooks @RachelO They make me smile, too! I love them. Just the reminder as you‘re walking/biking/driving around town. 6mo
Megabooks @cewilf Thanks!! 😁👍🏻 I adore them. Always make me smile. 6mo
Megabooks @wanderinglynn Thanks!! 👍🏻👍🏻 6mo
Megabooks @dariazeoli one of my old apartment complexes had signs with a drawing of a dog squatting on it. Those were stolen so fast!! Thanks! 😁 6mo
Megabooks @BookwormAHN Thank you!! 😁😁 6mo
Megabooks @krayoncolorz Thanks! 👍🏻😊🧡 6mo
britt_brooke Great job, Meg! 6mo
Megabooks @britt_brooke Thanks!! 👍🏻👍🏻 6mo
LazyOwl Well done 6mo
Megabooks @LazyOwl Thank you! 😊😊 6mo
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I just got this from the library. It sounds fascinating and scary. I take several generic drugs, and I will admit, even as a former prescriber, not knowing much about the manufacture of generic drugs or different suppliers. No one has posted about it yet on Litsy. Anyone read it and not posted?

Crazeedi I need to read this, we take these generics and really are trusting they are comparable to brand. 6mo
OrangeMooseReads I should check this one out as well all my meds are generics. 6mo
gibblr Not sure I‘d want to know 😬 6mo
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Karkar I have not read this but it sounds good 6mo
Megabooks @Crazeedi @OrangeMooseReads I was surprised, in just reading the introduction, that so many of the generic drug ingredients are made in India and China, outside the purview of the FDA. 6mo
Megabooks @gibblr Kinda the same here 🤞🏻🤞🏻 6mo
Megabooks @Karkar I‘m excited to read it! 6mo
TK-421 I had some idea about generics not being produced with the same standards & having varying amounts of the active ingredients, making them less effective. My Dr. told me years ago to get my pharmacist to fill my prescriptions with brand name only after some bad experiences. I definitely want to read this book! 6mo
Megabooks @TK-421 I used to use brand name only back in the early aughts, but then it got harder and harder to fight the insurance company, so I went to generic. I‘m not sure what country you‘re in, but my American insurance will fight tooth and nail to make you have generic! 6mo
TK-421 @Megabooks I hear ya! I‘m in Canada & my insurance plan won‘t cover brand name, only generic. For years I had to pay the difference, which was thousands of $ per year! It really ticked me off. It‘s ridiculous to pay for insurance benefits that I can‘t even claim! Fortunately my pharmacy was able to offer me coverage for brand name drugs as long as my doctor specifies that I can‘t have generic. 6mo
Megabooks @TK-421 That‘s fantastic! I‘m glad pharmacies can do that for you. I use GoodRx for ones my insurance doesn‘t cover. My diclofenac gel is still over $200 though!! Just checked and it‘s down to $22!! I heard there was a backup in supply for years because it‘s also available for horses. (Other vets just order the horse gel!!) I guess it‘s been resolved. Since I had my ulcer, I can only use topical NSAIDs. 6mo
Crazeedi @Megabooks yes they wont fill brand unless you can prove negative effects from generic and it's a nightmare 6mo
Crazeedi @Megabooks I've been checking goodrx too, but still doesn't solve the generic problem, thanks for posting about this book! 6mo
Megabooks @Crazeedi And sometimes they won‘t pay for brand if there is a similar drug that is generic. I tried to get a brand name when I had failed 6 generics in the same class of drugs, and my doctor still had to write a letter and provide evidence. 👎🏻 6mo
mkinney10 @Megabooks I just finished this as an audiobook this morning. It was eye -opening and also a bit terrifying at how many people (even the regulators) are willing to turn the other way when it's convenient and when there's profit to be made. 6mo
Megabooks @mkinney10 I‘m a little worried about reading it because I take generic medications! I‘ve read some about the illegal fentanyl coming from China, but people rarely speak/write about the legal generics coming from China. 6mo
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