Practice Dilemma: Generic substitution The Dilemma: A disgruntled patient comes to see you unhappy that he has been changed, without discussion, from a branded drug to a generic equivalent. Sign in to continue Sign In Email address Password Stay signed in Trouble signing in? Reset password: Click here Need help? Email us Register FREE Limited free articles a month Free email bulletins Register Now Register Now Take a 30-day trial Join MIMS now and pay nothing for the first 30 days Join GPOnline now and pay nothing for the first 30 days Sign Up Sign Up