The FDA requires that generic versions of drugs have the same active ingredients as the original and that they be absorbed into the body at the same rate. Although what a drug does is readily apparent, the precise site and mechanism of action may not be understood until years after the drug has proved its worth many times over. For example, opium and morphine have been used for centuries to relieve pain and distress, but the brain structures and brain chemistry involved in the pain relief and euphoria they produce were discovered only recently. For a drug to work, it has to get to the place in the body where the problem lies, and that's why the science of pharmacokinetics is important. Enough of the drug has to stay at the site of action until the drug does its job, but not so much that it produces severe side effects or toxic reactions.
Every doctor knows that selecting the right dose is a tricky balancing act.
Many drugs get to their site of action through the bloodstream. How well the drug works generally depends on how well the targeted processes respond. Drugs can alter the rate of existing biologic processes. For example, some antiepileptic drugs reduce seizures by sending the brain an order to slow down production of certain brain chemicals. However, drugs can't restore systems already damaged beyond repair.