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. 2016 Feb 25;5:182. doi: 10.1186/s40064-016-1824-2

Table 3.

Special categories of patients recommended for exclusion from the compulsory generic substitution (Lamy 1986; Krämer et al. 2007; Crawford et al. 2006)

Special categories Examples
High risk patients Extreme age groups, pregnant women, patients with multiple disorders being treated with several drugs, solitary individual, etc.
High risk diseases Chronic diseases, diseases aggravated after the administration of drugs prescribed for co-morbid condition, etc.
High risk drugs Narrow therapeutic index drugs, drugs requiring individualization of dose, drugs exhibiting severe drug–drug interactions, drugs with the complex therapeutic regimen, drugs initiating the prescribing cascade, etc.