Do you say, "Q-tip" instead of cotton swab or "Kleenex" instead of tissue? Big difference. A q-tip is a q-tip. It doesn't matter what brand, same with a kleenex. A coke, pepsi, sprite, dr. pepper, mountain dew, etc are all very different. what? Q-tip is a brand name and so is Kleenex. You can get Scott's tissues and you can get CVS brand cotton swabs. There is no difference. What's the difference between Q-tips and generic cotton swabs? Between Kleenex and Puffs? Very little. Now what's the difference between Coke and Mountain Dew?