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Adderall brand vs. Barr generic
Adderall brand vs. Barr generic
Hi, I truly apologize if this has been a topic which has been discussed to death, but I am new here, so I would like to just ask this one question, and to ADD (no pun intended!) a few comments if I may.
I have been seeing an ADD/ADHD specialist for +/- 5 years now, and I have been on Adderall for the whole time. Well, as you might expect, my tolerance grew and my dosage increased over time to its current 240mg/day. Thats 8 (30)mg tabs every day. Yes, it is prescribed that way, and is legitimate. I know, I know - all about the fact that it is a very high dosage. But here is my question. In the beginning, I had really good insurance ($3.00 copay for generic, $6.00 for brand name) and the company rarely refused any type of drug, they paid for just about anything. Now, for the past 3 and a half years, I have insurance that is not so liberal, sets quantity limits, precertification, step therapy, yada, yada, and long story short: I used to take the Brand name Adderall in the beginning, but that was at a much lower dose. Since then, I had the change in insurance, and have been getting the generic due in part to the smaller copay($15 vs. $40), and mainly because my doc had to go through hell just to get them to approve the 8 tablets a day (their max was 2 tablets a day allowed, so an override was needed- which I eventually got, but it wasn't easy).
So anyway, I know for sure that the generic stinks. I have just stayed with it because I did not want to rock the boat, if you will, after my doc having to hassle with the insurance company like he did. I did not want to lose out in any way. But now, I am wondering if any of you have experienced the same thing about the name brand Adderall vs, any generic, particularly the one made by Barr. Do you notice a big difference in potency and/or effectiveness with the generic? Or is it just me? I have already decided that my next script fill, in about 2 weeks, will be the Brand name Adderall (I am going to rock that proverbial boat, and hope for the best with my insurance). I have already ordered it through my pharmacy (try finding a pharmacy with that quantity on hand, not many do, though there are some - its just hard to find that much of it. Not to mention the hassle of going to a new pharmacy and presenting a script which reads "Adderall, 30mg. Take 8 pills a day." Oh, the looks I have gotten, whew! They read the script, look at me, read some more, look at me some more, whisper among themselves - all the while watching me like I am a criminal! Seriously speaking too. I have been questioned up and down, left and right, had my doctor called to confirm the scripts validity, and all sorts of stuff. No fun for sure!).
But whatever. My point is that lets say that the brand name works much better at my current dosage. Well, couldn't I conceivably work with my doc to cut that dosage down to a more reasonable level and still get the same, or perhaps even better, results than I have been with the lousy Barr brand?
Any input would be greatly appreciated.
Thanks for listening, I know my attention span might have prevented my finishing the reading of a post of this length, I do hope yours didn't!
PS: Is there an alternative, such as Dexedrine that I might want to try? This Adderall, even at this high dosage really does nothing for me anymore. Desoxyn even? Any thoughts?
Last edited by JustSomeGuy; 07-16-2007 at 02:54 AM.
Read the ingredients of Adderal, and you'll find that one of them is Dextroamphetamine sulfate, i.e. Dexedrine. So I'd guess that it wouldn't work much better than Adderal.
What's kinda funny is that I came here looking for people taking Adderal, to see if it might be a good replacement for Dexedrine. I'm having the same problem with Barr's generic vs. brand name Dexedrine that you are with Barr's generic Adderal.
Until a couple years ago, my insurance covered 'supergeneric' Dextrostat, which worked even better than brand, for me. What I think happened was that when the Medicare Prescription Drug program was passed, drug companies jacked up their prices so they could a) get more of the government's money for the brand meds that are covered, and b) offset their "losses" from the Medicare Rx program by squeezing more money out of generic and cash customers.
My Pharmacist told me that the manufacturer of Dextrostat (the 'supergeneric) raised the price of that med so high that the cost to the insurance company was only $4 less than brand, so the insurance co. took it off their formulary.
Another unrelated med I take, available as brand name only, was $35 for the first five years I took it. The month after the Medicare Rx bill passed, they raised the price $5. Each month or two after that, it increased another $5 until my co-pay is now $70, exactly twice what it used to be!
Sorry to use a trite phrase, but it fits. The insurance companies are being penny-wise and pound-foolish, giving us the cheapest, ********************piest generics available. Like you, I had to increase my dose drastically on the Barr med.
Don't know what the answer is, but I'll be watching to see if anyone has any suggestions. Adderal XR is covered by my insurance, but will probably be another huge co-pay, as I'll have to pay the difference between the cost of the brand name drug and the closest comparable generic.
my husband takes adderall generic. BUT we go to cvs or walgreens to get it. They are the peach football ones. They generic round circle ones are no good. He thinks the gener. does just fine. just to let you know!
Thanks for the reply. Lots of good info! I'll post back on here after giving the brand name a try, maybe in a few weeks. In the meantime, I'm going to take a dreaded drug holiday for 7 - 10 days and see if that helps with my tolerance issues. I have read many times that it should work wonders. So, between that and the switching to brand name Adderall, I hope all will be much better soon.
Originally Posted by oldbroad
BTW, I found some info on the FDA web site. You may already know this, but just in case you don't: They have a listing of all available prescription drugs, and it gives the basic info on each, including the generic versions. For both brand - and generic - they list the manufacturers of each and every drug available through a prescription. I looked up some drugs and saw some makers of them which I never even knew existed! Lots of info on the site.
http://www.nlm.nih.gov/medlineplus/druginformation.html Gives pretty much the same basic info as a PDR would, but perhaps a bit less technical details, and:
http://www.fda.gov/cder/orange/default.htm Gives a list of the approved drug products with therapeutic equivalence evaluations - Called the "Orange Book." By looking here, I found that the Generic Barr brand of Adderall, 30mg, as well as Dextroamphetamine, was classified as an "AB" in terms of equivalence. In short, it was found by the FDA to be 'pharmaceutical equivalents', hence the first letter of AB - or "A", and the second letter, "B" designates that both drugs were found by the FDA to be NEITHER therapeutically equivalent, nor do they have the bioequivalence of the name brand of either drug. That may answer our questions concerning the Barr brand vs Name Brand. In fact, it looks like there are no "AA" designations for either drug, which would indicate equivalence in terms of both pharmaceutical AND therapeutic value when compared to the name brand of either drug! I hope I spelled those correctly :-)
I hope that helps even a bit!
Last edited by JustSomeGuy; 07-18-2007 at 04:42 AM.
Reason: additional info
In response to my last message: Disregard the "AB" designation stuff that I wrote about. I went back and read it again, and it seems as though I stated it incorrectly. That web site has a pretty lengthy discussion on the codes it assigns to drugs, and I simply misinterpreted what I originally read.
Sorry for the confusion, but I was wrong when I referred to "AB" as not being equivalent.
Just a short update on my situation with Adderall.
About two weeks ago, I had my new prescription filled with the name brand Adderall (I was on Barr generic). I noticed the differences almost immediately. I can best describe it as:
- More potent, thus I am able to reduce my dosage by about 30-60 mg/day
- Less negative side effects overall. It seems to be a better match for me and my body. It seems easier on it, I guess you could say.
- I don't know how to state this one precisely, but I think I can say that it seems more "clear"(?), a less fuzzy kind of thing going on in my brain. I don't know how else to state it, sorry. This "clearness" is a good thing because I can focus better on things which I need to focus on, while not losing getting sidetracked with other, less important things as I had been experiencing with the generic.
Overall, I really believe - in my case - that the name brand is superior in many ways, and I plan to get it from now on. Luckily, my insurance company pays for it. The generic costs me $15 for 240 tablets, and the name brand costs me $40, and that is great because its only $25 more than generic, but I talked to the pharmacist about it, and there is a difference of over $400 which the insurance company is picking up over the generic (something like $133 for generic, and $540 for the name brand). And as far as I'm concerned, thats pretty much puts closure on this thread, for me anyway.
yes i am not crazy. my doc perscribed me adderall regular release and for some reason my pharmacy gave me generic i took 65mgs it did nothing! and i drank coffee. i have only been taking it for a couple days. and i feel like i did before i went on it. so i agree the generic sucks!
I dont have time to check but I thought desoxyn was meth-amph and, subsequently, very hard to get. I have heard Dexadrine is better than Adderall due to pure d-amph. The reason adderall has a mix of d-amph salts is to prevent ups & downs like ritalin.
Concerning generic vs brand: I TOTALLY AGREE WITH YOU. The generic was like speed to me whereas XR makes me tired if taken too much. I can drink moderate amounts of caffeine with brand whereas I have pressure on my chest and bad palpatations with generic.
You shouldnt be able to stop taking adderall without getting VERY sick. I went from 15mg XR to try Concerta(ritalin XR) and got extremely sick after 2 days and lasting 3-4 days. I read up on this and Adderall stays in your system for 2 days & then your body goes thru withdrawals.
I dont know to much about this, but I do know that you are on a VERY high dose per day. Therefore you are definately a canidate to move on to Dexadrine. Desoxyn however most definately is methamphetamine and is very difficult to get and rarely prescribed. However considering the dose you are on, Desoxyn is supposed to have less side effects and be more effective than regular d-amp, which is what is in Adderal(mixed with l-amp) and is the only component in dexadrine. I think you should talk to him about trying Dexadrine first, then, if that doesnt work, see if he will give desoxyn a shot. If you have been a reliable and trustworthy patient, he might give it a try. I dont know too much about this stuff, but I have read a bit about it and so i know some.
Good luck and I hope that you find a solution,
dexedrine seems best to me
I have tried brand name ritalin, generic ritalin, brand name adderall, barr generic adderall, adderall xr, barr generic dexedrine, and mallinkrot generic dexedrine, the barr dexedrine is definitely not as bad as their brand of adderall but the mallinkrot is far better, just harder to find a pharmacy that carries it. I haven't had the chance to try desoxyn yet due to the high cost even though that's what the doctor that originally diagnosed my narcolepsy thought would be best for me. I would like to try xyrem as I've heard you can drastically reduce stimulant dose when on it but since I take 4mg of xanax a day, 16mg of dilaudid a day, and a 30mg temazepam at night I don't think my psych would give me xyrem.
Real is best but generics are not equal
Adderall XR is the best but my insurance requires me to pay a ridiculous amount for it. The Barr generic is not nearly as good, but it is the best of the generics. A few months ago, my pharmacy started giving me the Core Pharma pills, and they are horrible. I've also experienced bad side effects.
Xyrem is great. I have taken it 3 1/2 years and it works very well. I am much more alert during the day and it also helps with night time pain.
How can I find out what pharmacies carry the Barr generic? Do I have to contact each of them?
Brand Vs generic
I have ADHD and 8 years ago i was prescribed adderall. At that time there was no generic brand. I called it my happy pill because it worked amazing for me. I felt good, i was motivated, i got things done. It was the best 2 years of my life while i was on it... But then I went through a divorce, lost my health insurance and didnt take meds for a few years. Everything went downhill. My entire life fell apart.
Recently, One of my best friends who also has ADHD came to visit me and she gave me a few of her adderall 10mg (i know this is bad but whatever) i cut them in half and took half 2 times a day. It was amazing. In that one week that i took them I got more done than i had in the past 6 years. Including getting myself health insurance.
So I went to a doctor and got re-diagnosed and I was prescribed adderall 5mg 2xs a day to start. When i got my script filled it was the barr generic brand. I didnt think anything of it, just assumed it would work the same, but its totally different. Its only been 2 days and I feel jittery, like i drank 2 pots of coffee. I dont feel motivated at all and when i crash it feels like i took bong hits in between doses. Not to mention this mind blowing headache i have. So for them to say that generic is exactly the same as brand they are 100% full of $$@#!!. I'm totally bummed out because now i have to wait to get a new script.
I had the exact same problem with ritalin. It was the first ADHD med i took and the second script i got filled they gave me generic. I thought at first that i just needed a higher dosage but when i talked to my doctor he said that its very common for the generic to not work as effectively as the brand name. Sure enough when he wrote the script with a DAW in the box it was 100% more effective with the same dosage. I just didnt like the peaks and valleys and the crash and burn that u got when they wore off. Its the same feeling i have right now on this generic bs.
Generic Adderall does not work for me. I use brand tabs,10 mgs, 3 x a day which I tritrated up from 5 mgs to 10 mgs over the objection of my doc. I told him I know my biochem better than you.
Off topic: I have seen children newly prescribed ADD therapy with startled eyes and finger drumming. If their docs would start them low on a brand then increase as needed the treatment would be more successful.
BTW I was diagnosed when I was 55 after a lifetime of failure. Its never too late!
Last night was one of the most horrible nights of my life after 2 days on this generic adderall, I almost went to the ER. I couldnt stop crying, i felt like my head was going to explode, i felt anxious and depressed and even had a panic attack. BUT.. after going to the pharmacy this morning and trying to get them to switch the generic for the brand name and them telling me no, they couldnt do that, i decided i wasnt going to take it anymore. I went and got a huge iced coffee and went home. I spoke to my mother in law and in conversation I happened to mention that i havent had any coffee in 2 days because the medicine pamphlet told me not to have any caffiene.she asked me if my headache went away since i drank some this morning...well what do you know? Come to think of it yes. it did. She told me that when she quit drinking caffiene she had the most mind blowing headache shes ever had in her life and couldnt get out of bed for 3 days. When i got off the phone i did some research on caffiene withdrawal and found out some really interesting things....Ill post what i found:
What are Symptoms of Caffeine Withdrawal?
• Headache, the most common symptom, which affects at least of 50 percent of people in caffeine withdrawal
• Fatigue or drowsiness
• "Unhappy" mood, depression, or irritability
• Difficulty concentrating
• Flu-like symptoms such as nausea, vomiting, muscle pain, and stiffness.
"Onset of these symptoms typically occurs within 12 to 24 hours of stopping caffeine and peaks one to two days after stopping," Griffiths tells WebMD. "The duration is between two and nine days."
A new revelation in Griffith's analysis may be what upgrades caffeine withdrawal from its current "more study is needed" status to "disorder" status: These withdrawal symptoms are severe enough in about one in eight people to interfere with their ability to function on a day-to-day basis.
"The withdrawal symptoms can be mild or severe, but it's estimated that 13 percent of people develop symptoms so significant that they can't do what they normally would do — they can't work, they can't leave the house, they can't function," he says.
I am in total shock. Everything on that list is how i was feeling last night. So the whole time i was thinking it was from the generic pills, it was actually my body going through withdrawals from caffiene. After finding this out, i took my pill, chugging it down with a big ol sip of ice coffee. And now i feel great. I even got off my butt and put my clean laundry away which has been sitting in the laundry basket for about 2 weeks now.
I'm really upset that no one ever told me this. I just assumed that drinking caffiene would have some kind of negative reaction to the medicine so i stopped altogether, not realizing what would happen. I just wanted everyone to know this in case it happened to them. DONT STOP CAFFIENE INTAKE ALTOGETHER!! BAD THINGS HAPPEN!!!!!!!!!! you have to wean yourself off it.
I am still going to ask my doctor for a DAW in the box because i dont think the generic is as effective as the brand, but i dont think its as bad as i originally thought.
Just some notes
I'm going to start by saying that I've been taking adderall now for over 10 years. I'm currently on a dose of only 20mg. The highest I ever reached was 30mg and the lowest was 10mg. It may come as a surprise, but I'm only 23. Before I found adderall, I had been put on several different ADD medications available at the time.
There have been several times I have gone down or off the medication just because I was worried I was taking this medication and I really didn't need it, or to check to see if maybe my condition had improved as I had grown older. I have found that, unintentionally, I had saved myself from developing a tolerance to it. I found this out much later (as you can imagine I really didn't start caring about the medicine I was taking until I was about 17) and was glad I had put myself through the process of weaning myself off of it. (Going at it cold turkey is not fun, believe me I tried that once.) I have noticed that every time I do that, when I go back on the medication, I am blessed to realize just how much I really do need it. I always think I'm doing okay without it, but then I get back on it and experience that clarity of mind and I realize that I wasn't okay without it. And it wasn't until I got back on the medication that I realized it! My head was all fuzzy and my mind almost disconnected from the things I was doing and saying, and I wasn't able to really see that until I started taking the medicine again.
JustSomeGuy, I'm not sure why none of your doctors had suggested this a long time ago before you even started taking more than the recommended dosage. I used to be a pharmacy technician and it's insane and dangerous to be taking that high a dosage of adderall! No wonder you had so many horrible experiences at the pharmacy. I'm sad that you had to go through what you did.
I've been on the name brand and several different generics. I've also tried the adderall XR. I never really thought much of them making too much of a difference, but maybe because I never really paid that much attention. I guess I should try going back on the name brand for a little while just to see if it really does make a difference, but my insurance doesn't cover medications right now, so I guess I'll just have to wait. I have noticed though, that adderall XR doesn't seem to work for me like the tablets do, so I switched back to the tablets awhile ago, though I'm sure if I ever get really good insurance I'll eventually try them again just in case.
When they say name brand and generic are the same, they are correct in that they are the same chemical formula. But the different pills have other things in it too, like color additives to use the simplest example. It would make sense the one person's body would react differently or work better with one pill than with the other. Even if it's simply a psychological thing, and the pills were exactly the same in every way, but you felt one worked better than the other, then GREAT! Go with the one that works better! It's YOUR QUALITY OF LIFE we're talking about, not a fur-ball medication for your cat! So do what you know and feel is right for you. I can't stress enough how important that simple fact is.
I've come to understand myself better over the years, and come to accept the fact that its not just an immaturity thing, or an incompetence thing, or anything "WRONG" with me, but that I really do have a chemical imbalance. I've learned that I need to pay attention to what I need in order to have a happy and fully functional life, and to make sure that my doctors understand how I feel, what I know about myself, and what I need from them as my doctor.
Don't let a doctor, or pharmacist, or anyone else for that matter, make you feel stupid for asking for something specific. Remember, it's YOUR QUALITY OF LIFE, and that's one thing you should never have to forfeit because of money, and least of all because of someone else's opinion.
I hope my post gave insight to someone out there. I just happened upon this conversation while searching for patient assistant programs for adderall... seeing as how my husband left and then divorced me 5 months ago and I've been struggling to deal with it all, and have no money to boot. SO, good luck everyone, and most of all, God bless!
brand vs generic
The updated version of my post is submitted below... I couldn't figure out how to delete this one.
Last edited by stellarspiral; 07-31-2009 at 10:24 AM.
brand vs generic
I used to take Adderall XR 20 mg daily, but then I lost my insurance and had to pay out of pocket. Since the generic is a lot more affordable I made the switch. My doctor and pharmacist both reassured me that it was the same exact thing, with the same exact chemicals/active ingredients. I'm not sure what pharmaceutical company makes this, but on the bottle it reads "Amphetamine ER" and "Generic for Adderall XR 20 mg".
Anyway, I began taking the generic the day after I ran out of the brand. I shouldn't have felt any difference if they are indeed the same exact drug, just under a different name and price. However I feel like the generic is a lot more intense. When I was taking brand Adderall XR, I wouldn't get increased heart rate, racing thoughts, feeling like I'm on crack etc. UNLESS I ingested caffeine within the first few hours of taking it. On the generic, I experience these symptoms even without caffeine. And they [the symptoms] remain for about 10-12 hours. The drug is only supposed to last for 8 hours! I really dread feeling this way...
If anyone can offer insight it would be greatly appreciated. I would like to know if the symptoms will get better in time, or if I'm just gonna have to suck it up for as long as I take the generic...
Stellar, I am currently taking the exact same 20 mg Adderall generics that say "amphetamine salt: on them and am experiencing the exact same symptoms as you are. Personally, I've found that doing a full workout sometime during the day when I take the drug helps alleviate the symptoms of the "high".
Alternatively, jf you haven't tried Vyvanse yet you should give it a go. I was on a 30 mg dosage of Vyvanse before switching over to the generic Adderall, and had no problems whatsoever with the "high" that I am having with Adderall. I paid the exact same amount for it as I do for the generic Adderall, and in general dealt with none of the negative side effects that you are describing, in exchange for a slight decrease in the duration and potency of the medication (the generic Adderall lasts me 10-12 hours whereas Vyvanse wore off around 8). The only reason I take the generic Adderall right now is because I need the extra 2-4 hours (I take my medication around 6 in the morning most days).
Plus, I hear its really easy to get a free month of Vyvanse these days. My doc had about 150 of the vouchers on him when I had it perscribed to me
Narcolepsy and pain
How do you deal with both of these issues.
doesn't one of them create problems for the other.
Has a Doctor ever suggested that the medication
like Dilaudid not sure of the spelling, can that lead
I am just curious.
thanks so much to you guys for your posts regarding the differences in brand and generic adderall....People have suggested that I am ridiculous when I've mentioned it...glad to read that I'm not the only one! Now if we can just find a place that can fill this next 'script....!
Barr is a MUCH better generic brand than Parr (one letter difference)... Ask around if your pharmacy has this brand, Target does where I live.
adderall v. generic
I am prescribed to 3-30mg regular release amphetamine salt combo pills per day. And not unlike most of the posters on here I have had amazing insurance until having a child made me lose mine to afford his. I have also been prescribed to the xrs, however that was before thhere was a generic option so cant speak on that topic. But after hearing from both sides of the generic argument I decided to actually educate myself on the topic. So hopefully this will help out.
1996- Shire released Adderall IR (instant release tablets)
2001- Shire released Adderall XR
2006- Shire sells the rights to Adderall IR to Duramed
2008- Duramed (a branch of Barr pharmaceuticals) is aquired by Teva
(Shire still owns XRs...and Teva is in quite a unique position where they are producing the name brand Adderall IR through their Duramed division as well as the main generic on the market made by Barr)
That all being said I find it difficult to believe that the same company producing the 2 competing drugs would change anything about them
THE FOLLOWING INFO ONLY PERTAINS TO REGULAR RELEASE!
Shire produces the name brand Adderall in the following doses
5mg 7.5 mg 10mg 12.5mg 15mg 20mg and 30 mg
Barr is the only Generic to produce all of the same doses
5mg 7.5 mg 10mg 12.5mg 15mg 20mg and 30 mg
However they are not the only other generic out there.
Eon, Ranbaxy, Sandoz, Barr, CorePharma all produce 5mg 10mg 20mg and 30mg
Originally Posted by JustSomeGuy
The concept of taking 8 30mg Adderals per day is about as ludicrous as it gets. You'll be dead within the year, guaranteed. I personally take 1 30mg pill, spread out over 4 days. That's 7.5mg per day. And I am a 'bad case' of ADD.
Unless you weigh 600 pounds, your psychiatrist is likely some kind of sadistic experimenter, or you're some kind of sadistic self-experimenter.
240mg of Adderall daily will rape and pillage your circulatory system, probably lead to strokes later on, or at least 'mini-strokes', and apart from being, unnecessary, foolish, retarded and pointless, is clearly a form of self-harm.