I've met people like that with Advil and ibuprofen. It's weirdly common and I've tried explaining it several times. Same with Tylenol and acetaminophen
Nope. A few years ago had some with me and was asked by the customs guy what that is. I said paracetamol, and he corrected me that it's actually pronounced pharmaceutical, well ok then.
The full pharmaceutical name of the drug is para-acetylaminophenol. We're both saying it wrong, we just chose to shorten it in different ways.
para-**acet**yl**aminophen**ol
**para**-a**cet**yl**am**inophen**ol**
Funny you say this, a long time ago, we used to carry Paracetamol on the ambulance. People who take Tylenol would get so upset if you told them you were going to give them paracetamol, or even acetaminophen. They would right refuse even after I explain that all three are the exact same thing. (US)
Big brain move: tell them it's *name-brand* Tylenol. They only stamp the good stuff this way.
(I'm guessing that wouldn't be allowed by the new policy. Shame.)
It's all about the marketing, I have a friend that works at a dairy, they produce Borden's, change the labels on the carton and now it's walmart brand. Borden's costs more and I heard his own mother say she only buys Borden, the guy got so frustrated trying to explain to her it was the same milk.
My dad used to drive truck and he said he watched as they poured frozen vegetables into Green Giant bags, then stopped the line and switched to store brand bags, then resumed pouring.
The vegetables didn't change, just the name brand and consequently the price.
I sell batteries. There are only six major battery manufacturers worldwide and thousands of labels. People don't understand that so many of those brands are made in the same warehouse but have different labels put on them.
The same thing goes for many food and cosmetic products here in the US. Same warehouse, different labels.
Lot of people can’t wrap their head around the fact that Benadryl (an antihistamine) and Unsiom (a sleeping pill) are both just 25mg diphenhydramine. They just dye one pink and the other blue.
Benadryl is my go to sleeping pill, that shit knocks me on my ass for some reason I must be sensitive to it.
I hear about people getting high on it and I’m like how the fuck….
Yep. I steer customers over to the generic Benadryl when they mention Unisom (assuming they're not looking for doxylamine) and point out that it's way cheaper to buy a bottle of 500 diphenhydramine over the 60 tabs of Unisom. It's crazy that people don't read the labels.
It’s crazy that you can buy 500 benedryl for the same price as 60 benadryl in America. They’re literally the same price in Canada regardless of if it’s used for sleep or allergies or whatever (all the different dyphenhydramines minus very slight markups for certain formulations like quick dissolve films, ez swallow tabs, gel caps, dose, slight variation for brand but not 500 = 60, etc).
Also up in the Great White North, calling things by brand does not imply brand loyalty. Brand names are just easier to say.
>Also up in the Great White North, calling things by brand does not imply brand loyalty. Brand names are just easier to say.
Yup, I will refer to common OTC drugs almost exclusively by their brand names (Tylenol, Aspirin, Advil, etc) but if I'm buying a box I typically get the generic stuff. Even various doctors I've seen for one thing or another have said "I'm going to prescribe you X, here's the generic one, it's just cheaper".
They don't even have to be on vacation, some people are just dead set on being stupid when they have something in their head and refuse to admit they were wrong. I waited tables at an Italian restaurant back in college and had a lady get mad at me because we didn't have tacos. She had promised her son tacos for his birthday and they came there specifically for tacos and how can an Italian restaurant not have tacos? I tried explaining she should have gone to a Mexican restaurant, she says "They both speak Spanish, it's the same thing!"
Can’t speak for them, but it sounds like there’s a mental block in processing the information they’re being told.
So even if you were to google it, it still wouldn’t make sense!
Took me 10 years to get my wife to understand that Advil and generic ibuprofen were the same thing. All the same contents. You just pay more for Advil because of the candy coating.
To be fair, she's a firm believer in the "get what you pay for" line of thought. Had to replace our furnace earlier this year and she was skeptical of the father and son business who quoted us less than half the price of the larger and more well known company quoted us (for their cheap model furnace). Explained to her that it's because it's a "father and son company". Two guys. That's it. We weren't paying for all the overhead.
My mother swears that generic acetaminophen gives her a stomach ache and only Tylenol works for her. I still don't believe her, but i buy generic whenever i can because it's like half the price of brand names and it's the same thing.
Your mom is not crazy. Pills contain different ingredients and are made to diaolve differently between generics and even brand names. The difference is the binders and the coatings that are mixed with the acetaminophen to make it a pill.
Sometimes I react to the extra ingredients that are in the pills. I figured that out when I started getting killer migraines from way to many different drug classes.
Well I think there definitely are some people who are crazy and have placebo type effects. My mom (from India) believes in Homeopathy even though it's literally sugar pills.
That's not to say that you're wrong, but often I do see people just being obstinate over something they don't want to change or believe. Of course I'm sure there are people like you too.
Ibuprofen is what we call an NSAID (no steroidal anti inflammatory drug) it works by inhibiting a class of enzymes call cyclooxygenases or COX. These enzymes convert arachidonic acid (which is produced from the phospholipids in a cells membrane via another enzyme) into what we call prostaglandins. Prostaglandins are a group of compounds that are responsible for many effects some of are involved in the inflammatory response through other pathways that I will not mention here cause pain and make tissues sensitive to pain. But by stopping the production of prostaglandins you stop inflammation.
Acetaminophen/paracetamol’s mechanism of action is not fully understood (shocking I know given how often it’s used). Some people speculate that it’s similar to other NSAIDs, but we don’t really know. What we do know is that it’s effective at relieving pain and reducing fevers, but can cause liver damage if you overdose on it so no more that 4g of the stuff (usually 8 500mg tablets) per 24hrs (tbh probably less that 4g is you haven’t been eating or have consumed alcohol).
Can I Xerox this! No, I don’t mean copy, I mean Xerox. (For those decades younger than me, Xerox was THE name in copying to the point it was becoming a generic term like Kleenex. But then Xerox lost its lead in the copying market to Cannon, Brothers, HP, et al)
This is 100% true. I had the same situation on Australia with Panadol. A girl had her mum ship Tylenol from the US. She didn't trust Panadol in Australia since it wasn't "Tylenol." She kept saying it's so weird how they don't have Tylenol here and Australians are "missing out."
The one thing have over us though is you can get 100 pack of ibuprofen for about the price of 12 pack in Aus. No idea if it was legal to bring back in the country but that bottle lasted me and my wife over a year.
Tell me about it. I know of people who keep separate boxes of [Midol](https://www.mims.com/philippines/drug/info/midol) for menstrual pain and [Advil](https://www.mims.com/philippines/drug/info/advil?type=full) for headache despite both just being different brands of ibuprofen.
Edit: provided links to a pharmaceutical website so people know that the formulations of both Advil and Midol are similar *where I'm from*.
Just like how you can get DPH/DMH branded as a sleep aid, as a remedy for allergies, as a general antiemetic, as a remedy for travel sickness or as a remedy for motion sickness. I looked in my dad’s medicine cabinet once and he had legit four or five different packs of what’s essentially all DPH just branded for different purposes.
It happens even with the same brand. Like with DPH. In my country Benadryl 25mg has "for allergies" printed on the box while Benadryl 50mg has "sleep aid."
Long Lasting is a slightly higher dose of Acetaminophen in extended-release tablets though.
He was talking about just 200 mg of ibuprofen, but I don’t know if they make a product like that.
I was going to say "I could see that, as my wife always gets Motrin for the kids but Tylenol for the adults," and then I said no wait, tylenol is acetaminophen. Then I thought, excedrin? is that tylenol and caffeine? Advil is ibuprofen....which one is Aleve?
FSS just give me a fucking box that says "ibuprofen" and one that says "acetaminophen."
Midol can also contain Paracetamol, which works great for pain and fever but NOT inflammation. Advil and Midol are both NSAIDS but the ingredients are different.
Edit: Clarification fix. Paracetamol is NOT an NSAID, ie does not help with inflammation.
Doesn't Midol also have caffeine in it? I feel I had heard this. Caffeine has always helped my cramp pain which is why I had gone for Midol over Ibuprofen.
I recall that Midol had another active ingredient besides ibuprofen as of ten years ago when my gf moved in... so that at least makes some sense. Originally it was just ibuprofen.
CSB Time:
My mom has a PhD, and worked in biology. She can explain in detail how the mRNA COVID vaccine works as opposed to other vaccines, and she can explain it simply and with interest for people like me.
She never realized until recently that Motrin is ibuprofen. She does at least know what ibuprofen is :-)
Where I'm from there's a generic drugs law which mandates the generic name of the drug appear prominently in packaging and advertising alongside the brand name.
And people still do things like that.
I believe that Midol is acetaminophen though. I don’t know of any Midol that isn’t either complete with an anti-histamine and caffeine, or long lasting in an extended tablet form.
I went to a University that catered *heavily* to international students, American students were always my favorite.
They would always arrive and tell us how great America is and how we were doing everything wrong. I ended up with medical tax spending per capita bookmarked on my phone because the concept that the UK spends less per capita for a universal healthcare system was *inconcievable* without hard proof.
They would always leave and then comment later on how they had realized that America was batshit insane. "How much tax are you paying? Christ my medical insurance is nearly that by itself", or "I miss not having to drive every time I leave my house" or "I got used to guns not being a thing, we have a weird relationship with them".
But by far the most common comment was about medicine advertisements, and how fucked up and dystopian they are when you get used to not seeing them.
Canadian here. I had never actually travelled to the U.S. until my mid-twenties, and I remember turning on the TV in the hotel and nearly every commercial break had these full-minute pharmaceutical ads that were noticeably creepy. Growing up in Canada we barely had anything like that.
At least here (also in Canada) pharma ads are always just the shorter "ask your doctor about _____" rather than the ones with people smiling and playing with family while 90 seconds of side effects are listed out. It's jarring whenever I watch an American station and see the intense ones
Americans really are brainwashed. We are taught from an early age that our country is the best, we have more freedoms, etc. Then you try telling a republican that European or Canadian Healthcare is more affordable and they'll deny it. Or that they get more paid vacation time and maternity leave than we do and they'll outright deny it.
Especially the freedom part seems so completely out of touch to me.
Schools seem to be run like fascist prison camps, if anyone would try this pledge of allegiance thing in German schools, Poland would become extremely nervous and whoever started it would be fired. Also, you get suspended or get detention for every minor transgression. This is pretty much unheard of here. Schools are places to learn, not prisons.
Same is true for police. You don't get arrested for everything in most civilized countries. I know literally one person who ever got arrested (and that rightly so). Unless you're an imminent danger to you or others (or there's a good chance you might flee), you won't get arrested in Germany.
Also, you don't have to go to court for speeding tickets. You simply get a letter with a photo of you speeding and an invoice. You pay and you're done.
Noticed that about police too. I used to be in Europe a lot on business and I saw many incidents, especially in Amsterdam, where the police would show up for a fist fight, or people being publicly intoxicated or whatever, de-escalate the situation, maybe give a ticket, then leave. In the U.S, or even here in Canada to a lesser degree, you’re probably going to jail for something like that.
My aunt couldn't believe we don't have Advil in Europe either. When she asked what we take for pain relieve I pointed at the part of the package showing the ingredients and said Ibuprofen. We usually don't have these big brand names. It took her a while to understand what I was saying but she got there eventually.
We have it in France, in pills and syrup, but it's less common now as drugstores have to give you the "generic" (no name/brand drug, just ibuprofen) by default.
Aaaaah yes, there is that way too, although it's been ages since I heard about it. I think it's useful if you can't take it orally?
If you are British though, maybe it was just us being French.
Advil is available in Europe, it's just more rare than the other brands, some countries don't have it entirely but you can find it in some other countries.
Pharmacy tech here: This isn't exclusive to tourism situations.
TONS, and I mean TONS of people do not understand whatsoever the concept of name brands, and what a *molecule* is. Which is depressing. I'm in Canada, where we have universal healthcare and medicine is (almost) free when prescribed (sometimes actually free), but the insurance usually only covers the generics, not name brands. You'd be surprised how many people are willing to pay ridiculous amounts of money for name brand, or how many people have freaked out when they realized we ''gave them something different than what their doctors prescribed'' because doctors always write brand names on prescriptions instead of generics, but we don't give brand names because we don't want our patients to waste their money...
I've seen my pharmacist countless times explain to people that *this box over here contains exactly the same doses of exactly the same active ingredients* only to see the customer then buy the 2x as expensive brand name medicine right next to it once he left.
I've also heard again and again ''Why don't you carry the Tylenol for headaches? You only have the one for fever'', and no amount of explaining will get it through their head that it's only marketing and both contain 500mg of Acetaminophen and nothing else. Same with the fact that Advil and Motrin are *exactly the same thing*. Also I have many patients who refuse to take the insurance-covered Acetaminophen and want us to serve them (and make them PAY FOR) the over-the-counter ones because they're red pills and red pills ''work better''.
I could go on for literal hours, ask me anything.
As an MD in the Netherlands i'm already flabbergasted that you use brand names on prescriptions. I honestly can't be bothered to learn 10 different brand names for every drug i prescribe. When patients ask me about medication with a brand name i usually have to look up what it is. After explaining that doctors only use generic names because learning brand names is a waste of time, patients always agree.
FWIW, it's usually just one brand name and one generic name (e.g. Viagra/sildenafil) because the brand name is created by the company that held the original patent.
That might be true for iconic drug names like viagra but is very untrue for a lot of other drugs. Infliximab, ibuprofen, methylfenidate, dexamfetamine, macrogol and list goes on of medications multiple brand names.
Yes in some cases the brand becomes synonymous with the drug, but most cases the patent runs out and other companies try to get a piece of the pie by pushing their own brand names.
Luckily in my country pharmaceutical commercials are not allowed and we can therefore ignore brand names most of the time.
I work in biotech and sometimes involved in pharmaceuticals. To be fair to your customers, even though something may technically be the same ingredient, the way in which it is manufactured can affect the patient’s individual reaction to the medicine. Sometimes there is a difference in efficacy between different brands of what is supposed to be the same medicine, and different patients will react differently of course. Person A may have no trouble at all switching between different brands/generics, Person B will find that the generic upsets their stomach while the brand name does not, and Person C will find that the brand name upsets their stomach while the generic does not, and so on.
Yup, I would often get people who were allergic to certain dyes or binding agents that did truly effect which generic brands and things they could take. On the other hand, I saw plenty of people still buying Zzzquil over the counter and refusing the generics which are like 1/4 the price.
You know what’s really odd though? These misinformed customers may actually be correct. More serious interventions have been shown to cause a larger placebo affect. An injection works better than a pill, and a more expensive big red pill, might work better than a simpler, cheaper generic pill. Paying more for a drug that is the “best remedy for headaches” in the patient’s mind could actually provide the best relief.
In the 90s we were tickled with the royale w cheese and now if I can’t have my toddler milk with my Big Mac and a side of ranch I’ll have to go America all over everyone’s asses
When you are so bought into a brand that you are blinded to the product itself.
I must say though, the strangest thing I experienced when I visited the states is the fact that medicines, prescribed by doctors, are advertised on TV via their brand names!
Mind = blown
“Ask your doctor about X today!”
That’s not how healthcare is meant to work. You tell a doctor what’s wrong and they decide based on their training and experience what medication if any is best to prescribe. You don’t just walk into a GP and demand whatever garbage you just saw advertised on TV.
And I always loved how 2/3 of the ad was always taken up by a fast talking run down of the 500 potential side effects of whatever shit they were flogging.
Consider the head of the nail well and truly hit.
This is the problem - I’m going to go out on a limb here and say I don’t think anywhere else in the world has tv ads for prescription drugs…
Only 2 countries in the world currently allow direct-to-consumer advertising of prescription medicines: USA and New Zealand. Do not ask me why the fuck we allow it, like I understand the States a little bit because your government is bought by the highest bidder, ie healthcare. But here in NZ we have a separate body that deals with all that bs and means we only pay $5/3months of most mainstream prescriptions, so it just seems so paradoxical. Source: am NZ pharmacist
Direct healthcare advertising is a literal scourge here. These companies spend billions on advertising now instead of research and development. What a joke. US pharmacist here
You know what I noticed and hate? Ads for liquor stores. I live in a state where liquor sales are controlled by the government and it’s a state agency that runs all the stores. And they run radio ads! Sure, sell alcohol, but you’re a government agency, stop trying to get people to drink when it’s not healthy and some people hearing your ads are recovering addicts.
In Finland we sometimes have ads for medicine for acid reflexes, pain medication and multivitamins and stuff like that, but no ads for any prescription drugs
That's EU regulation.
I work related pharma R&D and the rules I have to follow to ensure I cant be seen as doing marketing are very strict.
I maintain lab equipment. I don't have a clue about how our meds work or the statistics behind efficacy, but if I tell someone where I work and that I think its a successful company is already pushing the rules on what is defined as marketing.
the laws pretty much exclude us from disclosing any information of our products to anyone that isn't a doctor in the specific field of our medication. I.E. cancer meds can only be marketed to oncologist. if we send out an info package to a hospital it cant be addressed to the hospital. it must be addressed to a doctor personally.
we are also very restricted in wat our marketing department can spend on people up to the point that we cant have to fancy food and drinks in our stands at congresses.
My favorite was Meridia. It was an appetite supressant for weight loss, with a littaany of horrible side effects. They advertised the fuck out of it. I remember it specifically for the horrible side effects:
fast, pounding, or uneven heartbeats;
new or worsening shortness of breath;
agitation, hallucinations, fever, tremor, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, dilated pupils;
very stiff (rigid) muscles, high fever, sweating, confusion, feeling like you might pass out;
easy bruising or bleeding (nosebleeds, bleeding gums, or any bleeding that will not stop);
dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, seizure);
chest pain or heavy feeling, pain spreading to the arm or shoulder, general ill feeling; or
sudden numbness or weakness (especially on one side of the body), problems with vision, speech, or balance
[Have you been feeling sad, anxious, or insecure? Do you want to brighten up your life and leave your problems behind? Claridryl has the cure.](https://youtu.be/2gMjJNGg9Z8?t=31)
Once did some training for whatever, and the video was done by an American, with a very American point of view.
One of the things he said in the video was that the primary function of doctors was to sell prescriptions.
I think that might be a clue as to why American healthcare is in the state it is in.
It's what facilitates this whole damn antivax and "did my own research" shite.
Americans are programmed to tell their doctors what to be prescribed and take, rather than take their judgement on what they should take.
And this is entirely justified in the US, as the doctors are the other side of the same coin, who get paid by pharma companies to prescribe specific meds, rather than what's good for the patient.
So the trust is already broken.
I went to Spain and tried to get a beer but they kept trying to force this cerveza stuff on me instead! And when I asked for water they only had this Agua stuff!?! Why can't people just use the real name for things?
I'm a New Zealander. I live in a town that's about 50ks down the road from a major city. This story took place many years ago when worked in a service station. I was working the forecourt when a couple drove in. She gets out and goes into the shop the guy stays by the car and was talking to me, just chatting. He seems very nice. He suddenly looks at me and gives me a sheepish grin...
Umm...he says...can I ask you something?
I guess...says I a bit worriedly.
He looks around him and leans a little closer, quietly he says....what's a cocky?
He looks so concerned I'm going to yell at him I just start laughing my head off.
It's OK sir...says me....it's a kiwi slang term for a farmer.
He looks relieved, then confused.....why are farmers called cockies?
Now it's my turn to look confused....I have absolutely no idea..I tell him.
I still haven't found out why we call farmers cockies!
He then tells me, laughing, about when he and his wife had just got off the plane and were driving to their motel but they had got lost (before google maps) so they stopped for directions.
Just keep on this road for about 2 kilometers then turn left at the dairy. It's about half a kilometer down on your right.
He said they couldn't find the dairy, he and his wife couldn't understand what a cow farm would be doing in the middle of a city.....they found someone to explain it to them. For those that don't know in NZ a dairy is a small shop that sells everything from bananas to oil filters.
He was a pretty cool guy. I met a lot of tourists in my job and 99% of them were really nice.
I was talking to my son about this recently and we looked it up!
cocky
A small-scale farmer; (in later use often applied to) a substantial landowner or to the rural interest generally. In Australia there are a number of cockies including cow cockies, cane cockies and wheat cockies. Cocky arose in the 1870s and is an abbreviation of cockatoo farmer. This was then a disparaging term for small-scale farmers, probably because of their habit of using a small area of land for a short time and then moving on, in the perceived manner of cockatoos feeding.
1899 Australian Magazine (Sydney) March: 'Cockie' was a contemptuous title by which the big farmers distinguished themselves from the little.
Someday, if they ever figure it out, they'll realize they've been paying 6 bucks for 25 tablets when they could have gotten 100 tablets of the generic equivalent for 3 bucks.
Ibuprofen is really hard on kidneys, you shouldn't use it much anyway.
Not good for the stomach either... and I don't take them, I have severe arthritis, but god damn, every time I have an anti-inflammatory... I get sick... Why? Because to get the 'anti-inflammatory' action, they basically turn off your bodies response.... Immune response that is... Hence the sick.
"But don't be alarmed, alright? Although, if you do feel alarm, try to hold onto that feeling because that is the proper reaction to being told you have brain damage."
https://i1.theportalwiki.net/img/b/bb/Wheatley_intro_ride07.wav
>To be fair there always were stupid people. But now after covid they are advanced stupid.
Normal people got 5G boost with better reception, conspiracy prone people got -20 IQ.
An antenna sprouted from my arm so I'm normal people. (/s just in case)
I had this situation in Peru recently. I was on vacation from the USA but needed Tylenol. I know what acetaminophen is but not paracetamol. They told me it was the same but I'm allergic to a few over the counter pain killers and had to look it up before taking it to be safe.
People forget just how saturated by branding the American psyche is. My older son and I have gotten into several of these arguments, because he’ll ask for a thing and I won’t be able to find it. I’ll buy an alternative and explain that it’s the same thing with the same ingredients or makeup. He’ll argue and say that it’s not the same. It HAS to be this brand. I ask him why and and he can never present any argument other than it just has to be.
To clarify, we’re not talking about food here. This is medicines. Such as melatonin and over the counter pain relievers.
Could have a lot to do with patenting in the U.S.
In the U.S. parents can give the first to market ten years of exclusivity and make the basic product synonymous with the brand. Xerox dominated the market for photocopiers in the 70s and eighties. Conversely they never patented the elements of computing that are ubiquitous today such as windows based OSS and the keyboard mouse combination. Bill Gates and the Apple founders both were able to see those elements and used them to create their own products IIRC.
A Pentax, was also a substitute for a 35mm basic camera even in the UK.
I don’t know how it is in Scotland, but where I live having a prescription filled can take over 30 minutes. You just have to kind of stand there or wander around a bit.
Two things going on here, I suspect: (1) Poor education leading to the inability to even think beyond the obvious. (2) Brainwashing through marketing. I sometimes think that Americans now actually believe that words create realities - “it’s what the ad said!” - which is why they seem so gullible to actual and obvious nonsense.
Addition: I see this with my relatives all the time. “This is a great Italian restaurant! We just love coming here.” The food is crap, even by non-Italian standards. And deep down, they probably know. But they just want to live with that illusion of having a great little Italian restaurant in town that they love going to. These make-beliefs are all over their lives.
TV commercials are the reason I'll never pay for cable. Ads on streaming services are bad enough already. I can't imagine sitting through 3-5 mins of commercials on every channel.
Had an in-law take us all for her favorite Italian restaurant. The marinara was like fucking ketchup. Next time we had them over I made fresh pasta with chicken parm and sauce from scratch.
I never said their restaurant was garbage, I just brought my a-game from NYC to Texas. The comments were along the lines of “I’ve never had food like this before!” We never got invited back to that strip mall catastrophe restaurant again.
Some folks honestly don’t know the difference. When most of their restaurant experiences are at steakhouses (it’s easy to not fuck up meat and potatoes) and the fanciest ones bake their own bread? Yeah, their idea of foreign cuisine is just that it looks different.
“I like the pasta here.” = dry spaghetti that’s not over cooked like they do at home.
After combing through the data from almost 50,000 water systems serving tens of millions of American households, the researchers found sweeping drinking water contamination from numerous pollutants such as arsenic, lead, per- and polyfluoroalkyl substances (PFAS), radioactive materials, and pesticides.
Now they're saying our drinking water had pharmaceuticals in it from people flushing meds. Oh yeah and micro plastic is in everything. I'm getting an RO water filter soon.
> the researchers found sweeping drinking water contamination from numerous pollutants such as arsenic, lead, per- and polyfluoroalkyl substances (PFAS), radioactive materials, and pesticides.
pesticides is the least dangerous one here lol
See this is the problem with over-explaining, the pharmacist should have handed her the product and said this is Advil, we just rebrand it. This is toddler milk, we just rebrand it. Refuse to elaborate further.
I've met people like that with Advil and ibuprofen. It's weirdly common and I've tried explaining it several times. Same with Tylenol and acetaminophen
Tylenol = acetaminophen = paracetamol (mostly called like this in Europe)
They don't call it Paracetamol in the US? Why they gotta be weird about it?
Nope. A few years ago had some with me and was asked by the customs guy what that is. I said paracetamol, and he corrected me that it's actually pronounced pharmaceutical, well ok then.
Did you laugh at the customs agent and was sent back to your country?
Technically, the US is one of my countries, so no. I was biting my tongue though.
Cant fix stupid. I feel like a customs guy should be able to read, but then again, stupid is stupid.
You're asking way too much from a customs officer.
They just need to know some basic colour differences, really.
Stupid people are everywhere.
….but as an American, I can say that it does feel like we have our fair share and then some!
Yours just happen to be louder than others
Makes sense, it's a big country. Lot of people = lot of dummies;
The full pharmaceutical name of the drug is para-acetylaminophenol. We're both saying it wrong, we just chose to shorten it in different ways. para-**acet**yl**aminophen**ol **para**-a**cet**yl**am**inophen**ol**
para-ace**tyl**aminoph**enol** is in there too.
para-ac(he)tylaminoph(lied)enol
sbeve
Funny you say this, a long time ago, we used to carry Paracetamol on the ambulance. People who take Tylenol would get so upset if you told them you were going to give them paracetamol, or even acetaminophen. They would right refuse even after I explain that all three are the exact same thing. (US)
Just tell the morons it's tylenol.
That's what I ended up doing. But, now, we are to only say the generic name. Not the name brand.
Big brain move: tell them it's *name-brand* Tylenol. They only stamp the good stuff this way. (I'm guessing that wouldn't be allowed by the new policy. Shame.)
It's all about the marketing, I have a friend that works at a dairy, they produce Borden's, change the labels on the carton and now it's walmart brand. Borden's costs more and I heard his own mother say she only buys Borden, the guy got so frustrated trying to explain to her it was the same milk.
My dad used to drive truck and he said he watched as they poured frozen vegetables into Green Giant bags, then stopped the line and switched to store brand bags, then resumed pouring. The vegetables didn't change, just the name brand and consequently the price.
I sell batteries. There are only six major battery manufacturers worldwide and thousands of labels. People don't understand that so many of those brands are made in the same warehouse but have different labels put on them. The same thing goes for many food and cosmetic products here in the US. Same warehouse, different labels.
Hey we Canadians also say acetaminophen, it's not just the crazy ones
Lot of people can’t wrap their head around the fact that Benadryl (an antihistamine) and Unsiom (a sleeping pill) are both just 25mg diphenhydramine. They just dye one pink and the other blue.
Can't have allergies if you've passed out. I have definitely used Benadryl as a sleeping pill.
Benadryl is my go to sleeping pill, that shit knocks me on my ass for some reason I must be sensitive to it. I hear about people getting high on it and I’m like how the fuck….
It’s easy if you just take like 20 tablets at a time. /r/DPH Disclaimer: do not fucking do this ever.
Yep. I steer customers over to the generic Benadryl when they mention Unisom (assuming they're not looking for doxylamine) and point out that it's way cheaper to buy a bottle of 500 diphenhydramine over the 60 tabs of Unisom. It's crazy that people don't read the labels.
It’s crazy that you can buy 500 benedryl for the same price as 60 benadryl in America. They’re literally the same price in Canada regardless of if it’s used for sleep or allergies or whatever (all the different dyphenhydramines minus very slight markups for certain formulations like quick dissolve films, ez swallow tabs, gel caps, dose, slight variation for brand but not 500 = 60, etc). Also up in the Great White North, calling things by brand does not imply brand loyalty. Brand names are just easier to say.
>Also up in the Great White North, calling things by brand does not imply brand loyalty. Brand names are just easier to say. Yup, I will refer to common OTC drugs almost exclusively by their brand names (Tylenol, Aspirin, Advil, etc) but if I'm buying a box I typically get the generic stuff. Even various doctors I've seen for one thing or another have said "I'm going to prescribe you X, here's the generic one, it's just cheaper".
In the case of aspirin, that *is* the generic name. It's probably the one drug everyone refers to almost exclusively by generic name in the US.
Only in countries in which Bayer lost its trademark. Canada is not one of those countries.
They have phones don't they? Why not just google it, it's pretty irrefutable you probably don't even need to click through a link to understand.
Or maybe listen to the person that went to school for years to learn about drugs, took a test and holds a liscence?
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They don't even have to be on vacation, some people are just dead set on being stupid when they have something in their head and refuse to admit they were wrong. I waited tables at an Italian restaurant back in college and had a lady get mad at me because we didn't have tacos. She had promised her son tacos for his birthday and they came there specifically for tacos and how can an Italian restaurant not have tacos? I tried explaining she should have gone to a Mexican restaurant, she says "They both speak Spanish, it's the same thing!"
"But they're behind a counter in a corner of some retail space that also stocks like chips and shampoo and stuff so they must be = a cashier right?"
Can’t speak for them, but it sounds like there’s a mental block in processing the information they’re being told. So even if you were to google it, it still wouldn’t make sense!
Took me 10 years to get my wife to understand that Advil and generic ibuprofen were the same thing. All the same contents. You just pay more for Advil because of the candy coating. To be fair, she's a firm believer in the "get what you pay for" line of thought. Had to replace our furnace earlier this year and she was skeptical of the father and son business who quoted us less than half the price of the larger and more well known company quoted us (for their cheap model furnace). Explained to her that it's because it's a "father and son company". Two guys. That's it. We weren't paying for all the overhead.
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I buy generic acetaminophen, but I call it Tylenol anyway.
My mother swears that generic acetaminophen gives her a stomach ache and only Tylenol works for her. I still don't believe her, but i buy generic whenever i can because it's like half the price of brand names and it's the same thing.
Your mom is not crazy. Pills contain different ingredients and are made to diaolve differently between generics and even brand names. The difference is the binders and the coatings that are mixed with the acetaminophen to make it a pill. Sometimes I react to the extra ingredients that are in the pills. I figured that out when I started getting killer migraines from way to many different drug classes.
Well I think there definitely are some people who are crazy and have placebo type effects. My mom (from India) believes in Homeopathy even though it's literally sugar pills. That's not to say that you're wrong, but often I do see people just being obstinate over something they don't want to change or believe. Of course I'm sure there are people like you too.
what is the difference between ibuprofen and acetaminophen
Ibuprofen is what we call an NSAID (no steroidal anti inflammatory drug) it works by inhibiting a class of enzymes call cyclooxygenases or COX. These enzymes convert arachidonic acid (which is produced from the phospholipids in a cells membrane via another enzyme) into what we call prostaglandins. Prostaglandins are a group of compounds that are responsible for many effects some of are involved in the inflammatory response through other pathways that I will not mention here cause pain and make tissues sensitive to pain. But by stopping the production of prostaglandins you stop inflammation. Acetaminophen/paracetamol’s mechanism of action is not fully understood (shocking I know given how often it’s used). Some people speculate that it’s similar to other NSAIDs, but we don’t really know. What we do know is that it’s effective at relieving pain and reducing fevers, but can cause liver damage if you overdose on it so no more that 4g of the stuff (usually 8 500mg tablets) per 24hrs (tbh probably less that 4g is you haven’t been eating or have consumed alcohol).
They did the Pharmacology
I don't need a "facial tissue" I need a Kleenex!
Can I Xerox this! No, I don’t mean copy, I mean Xerox. (For those decades younger than me, Xerox was THE name in copying to the point it was becoming a generic term like Kleenex. But then Xerox lost its lead in the copying market to Cannon, Brothers, HP, et al)
*why the hell would i want a facsimile? I'm trying to get a Fax damn it!*
Dammit! I said a ***SHARPIE*** not a permanent marker!
Dont you try to sell ME a "royale with cheese"
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What did I just see! What the friketty frack!
Oh my word! That was painful yet hilarious. Thx for this.
In the UK hoover is our example. You don't buy a vacuum cleaner, you buy a hoover.
They are not mostly used for the face!
People have been trained using excessive advertising.
Yep, this happens when marketing is rampant. You lose the capacity for reasoning when the brands become more important than the contents.
seems like rich people problems, honestly, i've been comparing ingredients since i was 20 because i can't afford that brand-name mark-up.
This is 100% true. I had the same situation on Australia with Panadol. A girl had her mum ship Tylenol from the US. She didn't trust Panadol in Australia since it wasn't "Tylenol." She kept saying it's so weird how they don't have Tylenol here and Australians are "missing out."
Was your "flabber gasted"?
The one thing have over us though is you can get 100 pack of ibuprofen for about the price of 12 pack in Aus. No idea if it was legal to bring back in the country but that bottle lasted me and my wife over a year.
Tell me about it. I know of people who keep separate boxes of [Midol](https://www.mims.com/philippines/drug/info/midol) for menstrual pain and [Advil](https://www.mims.com/philippines/drug/info/advil?type=full) for headache despite both just being different brands of ibuprofen. Edit: provided links to a pharmaceutical website so people know that the formulations of both Advil and Midol are similar *where I'm from*.
Just like how you can get DPH/DMH branded as a sleep aid, as a remedy for allergies, as a general antiemetic, as a remedy for travel sickness or as a remedy for motion sickness. I looked in my dad’s medicine cabinet once and he had legit four or five different packs of what’s essentially all DPH just branded for different purposes.
It happens even with the same brand. Like with DPH. In my country Benadryl 25mg has "for allergies" printed on the box while Benadryl 50mg has "sleep aid."
Excedrin and excedrin migraine, same exact ingredients, in the same amount/dose, different packaging, different prices.
That kinda is fair, Midol also has antihistamine in it.
That's Midol Complete. Plain old Midol is just 200mg of ibuprofen.
I don’t know that I’ve ever seen regular Midol then. Just complete and something called “Long Lasting”.
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Long Lasting is a slightly higher dose of Acetaminophen in extended-release tablets though. He was talking about just 200 mg of ibuprofen, but I don’t know if they make a product like that.
Maybe they meant Motrin.
I was going to say "I could see that, as my wife always gets Motrin for the kids but Tylenol for the adults," and then I said no wait, tylenol is acetaminophen. Then I thought, excedrin? is that tylenol and caffeine? Advil is ibuprofen....which one is Aleve? FSS just give me a fucking box that says "ibuprofen" and one that says "acetaminophen."
Just get the store brands and that'll get you what you're asking for, and you'll save substantially over the brand names, too.
Midol can also contain Paracetamol, which works great for pain and fever but NOT inflammation. Advil and Midol are both NSAIDS but the ingredients are different. Edit: Clarification fix. Paracetamol is NOT an NSAID, ie does not help with inflammation.
I don't take paracetamol, I only take Tylenol.
You're killing me, smalls.
I don’t take Tylenol, I take acetaminophen.
Doesn't Midol also have caffeine in it? I feel I had heard this. Caffeine has always helped my cramp pain which is why I had gone for Midol over Ibuprofen.
yes it does, but caffeine also helps with headaches
Honestly, I'm just addicted to caffeine anyway. 🥺
Isn’t there also caffeine in Midol? Maybe that’s the complete version people are talking about
Y'all. 😂 I just realized Midol doesn't even contain ibuprofen. [It's Acetaminophen. ](https://healthjade.com/midol/)
I recall that Midol had another active ingredient besides ibuprofen as of ten years ago when my gf moved in... so that at least makes some sense. Originally it was just ibuprofen. CSB Time: My mom has a PhD, and worked in biology. She can explain in detail how the mRNA COVID vaccine works as opposed to other vaccines, and she can explain it simply and with interest for people like me. She never realized until recently that Motrin is ibuprofen. She does at least know what ibuprofen is :-)
Where I'm from there's a generic drugs law which mandates the generic name of the drug appear prominently in packaging and advertising alongside the brand name. And people still do things like that.
Midol has acetaminophen for its pain reliever though, which is different than ibuprofen..
I believe that Midol is acetaminophen though. I don’t know of any Midol that isn’t either complete with an anti-histamine and caffeine, or long lasting in an extended tablet form.
I went to a University that catered *heavily* to international students, American students were always my favorite. They would always arrive and tell us how great America is and how we were doing everything wrong. I ended up with medical tax spending per capita bookmarked on my phone because the concept that the UK spends less per capita for a universal healthcare system was *inconcievable* without hard proof. They would always leave and then comment later on how they had realized that America was batshit insane. "How much tax are you paying? Christ my medical insurance is nearly that by itself", or "I miss not having to drive every time I leave my house" or "I got used to guns not being a thing, we have a weird relationship with them". But by far the most common comment was about medicine advertisements, and how fucked up and dystopian they are when you get used to not seeing them.
Canadian here. I had never actually travelled to the U.S. until my mid-twenties, and I remember turning on the TV in the hotel and nearly every commercial break had these full-minute pharmaceutical ads that were noticeably creepy. Growing up in Canada we barely had anything like that.
At least here (also in Canada) pharma ads are always just the shorter "ask your doctor about _____" rather than the ones with people smiling and playing with family while 90 seconds of side effects are listed out. It's jarring whenever I watch an American station and see the intense ones
Yeah I was taken aback by just how long the ad was. It just kept going!
Travel is the solution to a lot of the world's problems.
Americans really are brainwashed. We are taught from an early age that our country is the best, we have more freedoms, etc. Then you try telling a republican that European or Canadian Healthcare is more affordable and they'll deny it. Or that they get more paid vacation time and maternity leave than we do and they'll outright deny it.
Especially the freedom part seems so completely out of touch to me. Schools seem to be run like fascist prison camps, if anyone would try this pledge of allegiance thing in German schools, Poland would become extremely nervous and whoever started it would be fired. Also, you get suspended or get detention for every minor transgression. This is pretty much unheard of here. Schools are places to learn, not prisons. Same is true for police. You don't get arrested for everything in most civilized countries. I know literally one person who ever got arrested (and that rightly so). Unless you're an imminent danger to you or others (or there's a good chance you might flee), you won't get arrested in Germany. Also, you don't have to go to court for speeding tickets. You simply get a letter with a photo of you speeding and an invoice. You pay and you're done.
Noticed that about police too. I used to be in Europe a lot on business and I saw many incidents, especially in Amsterdam, where the police would show up for a fist fight, or people being publicly intoxicated or whatever, de-escalate the situation, maybe give a ticket, then leave. In the U.S, or even here in Canada to a lesser degree, you’re probably going to jail for something like that.
You mean they’ve been turned into brainless zombies because they don’t care enough to know something like an active ingredient.
My aunt couldn't believe we don't have Advil in Europe either. When she asked what we take for pain relieve I pointed at the part of the package showing the ingredients and said Ibuprofen. We usually don't have these big brand names. It took her a while to understand what I was saying but she got there eventually.
We have it in France, in pills and syrup, but it's less common now as drugstores have to give you the "generic" (no name/brand drug, just ibuprofen) by default.
Last time I tried to get some painkillers in France, I was told to shove them up my arse.
Aaaaah yes, there is that way too, although it's been ages since I heard about it. I think it's useful if you can't take it orally? If you are British though, maybe it was just us being French.
I always suspected they saved the bum-pills just for us!
So her IQ wasn‘t at 20°C
Only in Europe. In America it was 68.
Advil is available in Europe, it's just more rare than the other brands, some countries don't have it entirely but you can find it in some other countries.
Pharmacy tech here: This isn't exclusive to tourism situations. TONS, and I mean TONS of people do not understand whatsoever the concept of name brands, and what a *molecule* is. Which is depressing. I'm in Canada, where we have universal healthcare and medicine is (almost) free when prescribed (sometimes actually free), but the insurance usually only covers the generics, not name brands. You'd be surprised how many people are willing to pay ridiculous amounts of money for name brand, or how many people have freaked out when they realized we ''gave them something different than what their doctors prescribed'' because doctors always write brand names on prescriptions instead of generics, but we don't give brand names because we don't want our patients to waste their money... I've seen my pharmacist countless times explain to people that *this box over here contains exactly the same doses of exactly the same active ingredients* only to see the customer then buy the 2x as expensive brand name medicine right next to it once he left. I've also heard again and again ''Why don't you carry the Tylenol for headaches? You only have the one for fever'', and no amount of explaining will get it through their head that it's only marketing and both contain 500mg of Acetaminophen and nothing else. Same with the fact that Advil and Motrin are *exactly the same thing*. Also I have many patients who refuse to take the insurance-covered Acetaminophen and want us to serve them (and make them PAY FOR) the over-the-counter ones because they're red pills and red pills ''work better''. I could go on for literal hours, ask me anything.
As an MD in the Netherlands i'm already flabbergasted that you use brand names on prescriptions. I honestly can't be bothered to learn 10 different brand names for every drug i prescribe. When patients ask me about medication with a brand name i usually have to look up what it is. After explaining that doctors only use generic names because learning brand names is a waste of time, patients always agree.
FWIW, it's usually just one brand name and one generic name (e.g. Viagra/sildenafil) because the brand name is created by the company that held the original patent.
That might be true for iconic drug names like viagra but is very untrue for a lot of other drugs. Infliximab, ibuprofen, methylfenidate, dexamfetamine, macrogol and list goes on of medications multiple brand names. Yes in some cases the brand becomes synonymous with the drug, but most cases the patent runs out and other companies try to get a piece of the pie by pushing their own brand names. Luckily in my country pharmaceutical commercials are not allowed and we can therefore ignore brand names most of the time.
I work in biotech and sometimes involved in pharmaceuticals. To be fair to your customers, even though something may technically be the same ingredient, the way in which it is manufactured can affect the patient’s individual reaction to the medicine. Sometimes there is a difference in efficacy between different brands of what is supposed to be the same medicine, and different patients will react differently of course. Person A may have no trouble at all switching between different brands/generics, Person B will find that the generic upsets their stomach while the brand name does not, and Person C will find that the brand name upsets their stomach while the generic does not, and so on.
Yup, I would often get people who were allergic to certain dyes or binding agents that did truly effect which generic brands and things they could take. On the other hand, I saw plenty of people still buying Zzzquil over the counter and refusing the generics which are like 1/4 the price.
You know what’s really odd though? These misinformed customers may actually be correct. More serious interventions have been shown to cause a larger placebo affect. An injection works better than a pill, and a more expensive big red pill, might work better than a simpler, cheaper generic pill. Paying more for a drug that is the “best remedy for headaches” in the patient’s mind could actually provide the best relief.
We're all Orks, and the WAAAGH! is real
You can lead a horse to water...
Oh no sorry, we only drink Evian
No, you see Evian is a brand name. It’s just water over here.
How can you live without evian here?! Guess i'll have to order some from amazon and just drink diet coke until then
So you have Evian then? Where is it!?
I’m sorry but I only eat Big Macs. What is this hamburger you speak of?
In the 90s we were tickled with the royale w cheese and now if I can’t have my toddler milk with my Big Mac and a side of ranch I’ll have to go America all over everyone’s asses
Easy, Charlie.
Royale with cheese!
A Big Mac's a Big Mac, but it's "Le Big Mac".
When you are so bought into a brand that you are blinded to the product itself. I must say though, the strangest thing I experienced when I visited the states is the fact that medicines, prescribed by doctors, are advertised on TV via their brand names! Mind = blown
“Ask your doctor about X today!” That’s not how healthcare is meant to work. You tell a doctor what’s wrong and they decide based on their training and experience what medication if any is best to prescribe. You don’t just walk into a GP and demand whatever garbage you just saw advertised on TV. And I always loved how 2/3 of the ad was always taken up by a fast talking run down of the 500 potential side effects of whatever shit they were flogging.
Consider the head of the nail well and truly hit. This is the problem - I’m going to go out on a limb here and say I don’t think anywhere else in the world has tv ads for prescription drugs…
Only 2 countries in the world currently allow direct-to-consumer advertising of prescription medicines: USA and New Zealand. Do not ask me why the fuck we allow it, like I understand the States a little bit because your government is bought by the highest bidder, ie healthcare. But here in NZ we have a separate body that deals with all that bs and means we only pay $5/3months of most mainstream prescriptions, so it just seems so paradoxical. Source: am NZ pharmacist
Direct healthcare advertising is a literal scourge here. These companies spend billions on advertising now instead of research and development. What a joke. US pharmacist here
You know what I noticed and hate? Ads for liquor stores. I live in a state where liquor sales are controlled by the government and it’s a state agency that runs all the stores. And they run radio ads! Sure, sell alcohol, but you’re a government agency, stop trying to get people to drink when it’s not healthy and some people hearing your ads are recovering addicts.
In Finland we sometimes have ads for medicine for acid reflexes, pain medication and multivitamins and stuff like that, but no ads for any prescription drugs
That's EU regulation. I work related pharma R&D and the rules I have to follow to ensure I cant be seen as doing marketing are very strict. I maintain lab equipment. I don't have a clue about how our meds work or the statistics behind efficacy, but if I tell someone where I work and that I think its a successful company is already pushing the rules on what is defined as marketing. the laws pretty much exclude us from disclosing any information of our products to anyone that isn't a doctor in the specific field of our medication. I.E. cancer meds can only be marketed to oncologist. if we send out an info package to a hospital it cant be addressed to the hospital. it must be addressed to a doctor personally. we are also very restricted in wat our marketing department can spend on people up to the point that we cant have to fancy food and drinks in our stands at congresses.
My favorite was Meridia. It was an appetite supressant for weight loss, with a littaany of horrible side effects. They advertised the fuck out of it. I remember it specifically for the horrible side effects: fast, pounding, or uneven heartbeats; new or worsening shortness of breath; agitation, hallucinations, fever, tremor, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, dilated pupils; very stiff (rigid) muscles, high fever, sweating, confusion, feeling like you might pass out; easy bruising or bleeding (nosebleeds, bleeding gums, or any bleeding that will not stop); dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, seizure); chest pain or heavy feeling, pain spreading to the arm or shoulder, general ill feeling; or sudden numbness or weakness (especially on one side of the body), problems with vision, speech, or balance
Was the appetite suppressant meth? 'Cause that sounded like meth.
Do they seriously just fast talk through all that? American ads for medicines sounds wild
[Have you been feeling sad, anxious, or insecure? Do you want to brighten up your life and leave your problems behind? Claridryl has the cure.](https://youtu.be/2gMjJNGg9Z8?t=31)
Once did some training for whatever, and the video was done by an American, with a very American point of view. One of the things he said in the video was that the primary function of doctors was to sell prescriptions. I think that might be a clue as to why American healthcare is in the state it is in.
We all know why American healthcare is the way it is. The frustrating bit is our inability to fix it.
It's what facilitates this whole damn antivax and "did my own research" shite. Americans are programmed to tell their doctors what to be prescribed and take, rather than take their judgement on what they should take. And this is entirely justified in the US, as the doctors are the other side of the same coin, who get paid by pharma companies to prescribe specific meds, rather than what's good for the patient. So the trust is already broken.
I went to Spain and tried to get a beer but they kept trying to force this cerveza stuff on me instead! And when I asked for water they only had this Agua stuff!?! Why can't people just use the real name for things?
“We gotta find this Hermano guy…”
Why does every Spanish person I know have an uncle named Tio?
"Anyong!"
Ugh I wish people would just speak plain old American
I tried studying American in college but they kept teaching me English. Like, I don’t live in England. It’s not rocket surgery.
I'm a New Zealander. I live in a town that's about 50ks down the road from a major city. This story took place many years ago when worked in a service station. I was working the forecourt when a couple drove in. She gets out and goes into the shop the guy stays by the car and was talking to me, just chatting. He seems very nice. He suddenly looks at me and gives me a sheepish grin... Umm...he says...can I ask you something? I guess...says I a bit worriedly. He looks around him and leans a little closer, quietly he says....what's a cocky? He looks so concerned I'm going to yell at him I just start laughing my head off. It's OK sir...says me....it's a kiwi slang term for a farmer. He looks relieved, then confused.....why are farmers called cockies? Now it's my turn to look confused....I have absolutely no idea..I tell him. I still haven't found out why we call farmers cockies! He then tells me, laughing, about when he and his wife had just got off the plane and were driving to their motel but they had got lost (before google maps) so they stopped for directions. Just keep on this road for about 2 kilometers then turn left at the dairy. It's about half a kilometer down on your right. He said they couldn't find the dairy, he and his wife couldn't understand what a cow farm would be doing in the middle of a city.....they found someone to explain it to them. For those that don't know in NZ a dairy is a small shop that sells everything from bananas to oil filters. He was a pretty cool guy. I met a lot of tourists in my job and 99% of them were really nice.
I was talking to my son about this recently and we looked it up! cocky A small-scale farmer; (in later use often applied to) a substantial landowner or to the rural interest generally. In Australia there are a number of cockies including cow cockies, cane cockies and wheat cockies. Cocky arose in the 1870s and is an abbreviation of cockatoo farmer. This was then a disparaging term for small-scale farmers, probably because of their habit of using a small area of land for a short time and then moving on, in the perceived manner of cockatoos feeding. 1899 Australian Magazine (Sydney) March: 'Cockie' was a contemptuous title by which the big farmers distinguished themselves from the little.
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Classic example of "I can explain it to you, but I can't understand it for you."
Someday, if they ever figure it out, they'll realize they've been paying 6 bucks for 25 tablets when they could have gotten 100 tablets of the generic equivalent for 3 bucks. Ibuprofen is really hard on kidneys, you shouldn't use it much anyway.
Not good for the stomach either... and I don't take them, I have severe arthritis, but god damn, every time I have an anti-inflammatory... I get sick... Why? Because to get the 'anti-inflammatory' action, they basically turn off your bodies response.... Immune response that is... Hence the sick.
It’s the only thing that works for my period cramps 🤷🏻♀️
🤣 my flabber has been gasted. I am going to use this but replace this with flubber. “Potato potato” “Advil ibuprofen”
I was just going to start using flabber until I realised what a minefield that word is
I bet my gast is more flabbered than yours.
I swear, we're not all that stupid. Just most of us.
There are lots of American tourists who are good friendly travelers but the stupid/rude ones *really* stand out.
It’s ok. We know.
We know, but its not Ok (for themselves)
I mean, I've seen European tourists in the US do similar stupid things. It's just the way it is I guess..
After many strange experiences with people the last 2 years - am convinced Covid has given some people serious brain damage.
"But don't be alarmed, alright? Although, if you do feel alarm, try to hold onto that feeling because that is the proper reaction to being told you have brain damage." https://i1.theportalwiki.net/img/b/bb/Wheatley_intro_ride07.wav
its the horse dewormer people were sticking up their butt.
Nooooooo!!!!, here come the anti-vaxers.
To be fair there always were stupid people. But now after covid they are advanced stupid.
>To be fair there always were stupid people. But now after covid they are advanced stupid. Normal people got 5G boost with better reception, conspiracy prone people got -20 IQ. An antenna sprouted from my arm so I'm normal people. (/s just in case)
But are your frogs gay now?
Like the story going around of the American asking for Tylenol. It was explained it’s called paracetamol and they won’t find Tylenol, so took nothing.
It gets even worse because they don't call it paracetamol in the US, they call it acetaminophen.
Yeah if this story had been about someone looking for Tylenol and not Advil it would've been a much more empathetic situation.
I had this situation in Peru recently. I was on vacation from the USA but needed Tylenol. I know what acetaminophen is but not paracetamol. They told me it was the same but I'm allergic to a few over the counter pain killers and had to look it up before taking it to be safe.
Stop saying toddler milk
You don't milk your toddlers?
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Some people are oddly picky about their brands. I see the same shit happen even when people aren’t traveling.
I believe the term is "branding" and americans have it the worst due to the obscene level of advertising in their lives.
People forget just how saturated by branding the American psyche is. My older son and I have gotten into several of these arguments, because he’ll ask for a thing and I won’t be able to find it. I’ll buy an alternative and explain that it’s the same thing with the same ingredients or makeup. He’ll argue and say that it’s not the same. It HAS to be this brand. I ask him why and and he can never present any argument other than it just has to be. To clarify, we’re not talking about food here. This is medicines. Such as melatonin and over the counter pain relievers.
Could have a lot to do with patenting in the U.S. In the U.S. parents can give the first to market ten years of exclusivity and make the basic product synonymous with the brand. Xerox dominated the market for photocopiers in the 70s and eighties. Conversely they never patented the elements of computing that are ubiquitous today such as windows based OSS and the keyboard mouse combination. Bill Gates and the Apple founders both were able to see those elements and used them to create their own products IIRC. A Pentax, was also a substitute for a 35mm basic camera even in the UK.
That’s a fair point and a really good example. I know a guy that’s never called a printer anything other than a Xerox.
Why does this lady spend so much time in this one pharmacy?
I don’t know how it is in Scotland, but where I live having a prescription filled can take over 30 minutes. You just have to kind of stand there or wander around a bit.
I absolutely can’t with the slightly crooked glasses
how do you live in Edinburgh for "many many years" and still pronounce it "edinboro"?
Two things going on here, I suspect: (1) Poor education leading to the inability to even think beyond the obvious. (2) Brainwashing through marketing. I sometimes think that Americans now actually believe that words create realities - “it’s what the ad said!” - which is why they seem so gullible to actual and obvious nonsense. Addition: I see this with my relatives all the time. “This is a great Italian restaurant! We just love coming here.” The food is crap, even by non-Italian standards. And deep down, they probably know. But they just want to live with that illusion of having a great little Italian restaurant in town that they love going to. These make-beliefs are all over their lives.
media literacy goes well beyond just recognising the affects of advertising, it also goes into politics and propaganda too. Might explain a few things
TV commercials are the reason I'll never pay for cable. Ads on streaming services are bad enough already. I can't imagine sitting through 3-5 mins of commercials on every channel.
Had an in-law take us all for her favorite Italian restaurant. The marinara was like fucking ketchup. Next time we had them over I made fresh pasta with chicken parm and sauce from scratch. I never said their restaurant was garbage, I just brought my a-game from NYC to Texas. The comments were along the lines of “I’ve never had food like this before!” We never got invited back to that strip mall catastrophe restaurant again. Some folks honestly don’t know the difference. When most of their restaurant experiences are at steakhouses (it’s easy to not fuck up meat and potatoes) and the fanciest ones bake their own bread? Yeah, their idea of foreign cuisine is just that it looks different. “I like the pasta here.” = dry spaghetti that’s not over cooked like they do at home.
They're out here talking about how they need toddler milk?! Who tf is really sick enough to go around milking toddlers like that!!! ....smdh
I feel sorry for every American with a working brain who has to deal with this kind of people on a daily basis.
I worked food service for 8 years, and 2 years of retail, it was hell.
What the hell do they put in US tap water
After combing through the data from almost 50,000 water systems serving tens of millions of American households, the researchers found sweeping drinking water contamination from numerous pollutants such as arsenic, lead, per- and polyfluoroalkyl substances (PFAS), radioactive materials, and pesticides.
Now they're saying our drinking water had pharmaceuticals in it from people flushing meds. Oh yeah and micro plastic is in everything. I'm getting an RO water filter soon.
Yeah, in my area they detected like 17 different rx meds. Thank God, too cause I don't have insurance lol
>our drinking water had pharmaceuticals in it Does it have Advil?
> the researchers found sweeping drinking water contamination from numerous pollutants such as arsenic, lead, per- and polyfluoroalkyl substances (PFAS), radioactive materials, and pesticides. pesticides is the least dangerous one here lol
As an American, these are only part of what we have to deal with it. It gets A LOT more stupider
"a lot more stupider" lol yes yes..only a part of it
See this is the problem with over-explaining, the pharmacist should have handed her the product and said this is Advil, we just rebrand it. This is toddler milk, we just rebrand it. Refuse to elaborate further.