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Vasotec controlled my blood pressure but the constant cough is unnerving. I am requesting a change of medication from my physician.

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We do not spend anything on marketing, there are no taxes to be paid as the product comes into the country unregistered, the manufacturer is located in an offshore zone and the production costs are way lower.
The matter is that a manufacturer can not possess a patent for a certain chemical agent, this is why different manufacturers of generic drugs are able to produce the so-called generics legally.