Safety alert: Drug-name game

Although the naming of generic drugs is monitored by international authorities such as the World Health Organization, no group supervises brand names. As a result, drugs with the same brand name in the U.S. and abroad might not have the same ingredients or treat the same condition. Norpramin, an antidepressant in the U.S., is the name of an ulcer medication in Spain. For more examples, see the table below.

In some cases, people who fill prescriptions abroad or try to save money by ordering from other countries can be taking a risk. European Flomax, for example, can thin the blood and cause salt retention, a risk for people with high blood pressure and an unwelcome effect for those taking the U.S. version, for an enlarged prostate. When traveling abroad:

• Carry a list of your medications by generic and brand names.

• If possible, ask your doctor for extra medicine. Pack one supply in a carry-on and another in a checked bag in case of loss or theft.

• Keep prescriptions and your doctor's phone number with you.

• Consult a doctor before your trip if you are elderly or traveling with an infant, if you have a chronic illness, or if you are pregnant.