Our Doctor increased our son's dose to 36 mg and switched it to the generic form. He has been taking it for a month and his mood swings have worsened. Should we pay the extra for the real Concerta? He is 11 years old and has been taking Concerta for 2 years now with no side effects. His attention span had been dropping as he approached middle school and the doctor suggested increasing his dose. I'm very concerned the generic form is causing the mood swings.
8 Sep 2011
I have spoken to several Drs. and Pharmacists, who have suggested that generics actually can make a difference in (lack of) efficacy of a medicine (not specifically Concerta, but in general). Depending on the "binders" that are used with the actual therapeutic ingredients of the drug, the generic medicine can either be less effective or can actually contribute to some other symptoms, although not necessarily mood swings. My mother refuses to take any generics because of this fact. She was once highly allergic to binders used in several of her meds., so as a general rule, subscribes to name brand only. I'm not sure if this is the case with Concerta, but it has been the case with other meds. Also, with generics, the proportions can be unequal to those measured carefully in name brand of same drug. Some generics can have more "binder", and not as much of the therapeutic ingredient. With my thyroid, I only take name brand.
Some meds are just too important, I think, to take a chance on an incorrect proportion of ingreds. You might try a couple of months on name brand and then generic to see if there's a difference. It may also be time to switch meds, as sometimes meds. can change in their effect on the body as an individual's biochemistry changes. Good luck!
9 Sep 2011
There are differences in Metadate ER and Concerta. Metadate Er is an 8 hour delivery system and Concerta is a 12 hour delivery system. My sons Dr told us about the change over to generics with Concerta and I chose to stay with the Brand name as the generic delivery system may not be the same. Many long acting brand name drugs have a very specific kind of delivery sytem that the generic formulation may not be able to replicate due to patents. It may be close or equivelent enough to pass as a generic but may not be the same and may not act the same. We are lucky that we have a choice with our insurance. We can still have brand names-the price is just much higher for brand names than generics. Some insurance companies only allow generics if one is available. In this case your Dr will have to appeal to the insurance company that the generic was tried and was ineffective or not tolerated. If you can get the brand name and he did well on the brand name then stay with the brand name.
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