Generic Adderall XR in the US

By Dr. Kenny Handelman

As of April 3, 2009, generic Adderall XR is available in the United States. It is being made by Teva Pharmaceuticals. (You can review a news report about this here.)

What Does ‘Generic’ Mean?

When a medicine is first released – it is patented by the company that invested in the research to develop it. They have a certain number of years to market the medicine exclusively. After the patent runs out – the medicine can be created by other drug manufacturers – the ‘generic’ companies – generally at a significant discount.

The analogy here is ‘Kleenex’ vs. tissue.

Kleenex is a brand of tissue. It is only made by one company. However, tissue is made by many companies.
Using this analogy – Adderall XR is the ‘Kleenex’, and generic adderall XR is the ’tissue’.

Will it work the same?

The short answer is yes. Generic drug manufacturers are able to have a minor variation in how much of the medicine will be absorbed, but for most people, this will not have an impact. In my clinical experience, a small percentage of people are sensitive to the differences and may need to have the ‘brand name’ medicine only. If that is the case, the doctor needs to write a prescription for Adderall XR NO SUBSTITUTION. When the words ‘no substitution’ are there, it tells the pharmacist that only the original Adderall XR will do.

For further information on generic medicines in ADHD, please visit this article that I’ve written previously on this topic.

What Does This Mean for You?

If you have wanted to take a newer, long acting medication like Adderall XR – it just got cheaper.
If you have insurance to pay for your medication, then this is unlikely to matter much to you. If you have to pay for your medication yourself, then it may make a difference to you.
Please remember – this news just applies to the US, as Adderall XR has not gone generic in other countries – such as Canada.

Does this impact you? Share your thoughts and comments below.

Best,

Dr. Kenny

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128 Comments

1

can you buy generic adderallxr now

2

Hi,
Yes you can – in the US now.
Dr. Kenny

3

I went to have my XR prescription filled today and the pharmacy tried to give me the generic saying they are required by law to do it if there is a generic substitute available. What kind of crap is this? Why does the “government” get to decide weather or not I get a brand name or generic? They don’t do that at the grocery store! If I wanted a cheaper brand, I would ask for it.

Now, I’m on day two without my meds and I have to go get a new prescription from the doctor that says “no substitutions”. What a pain in the butt!
Pharmacies should be require to OFFER the generic but not to automatically GIVE it. That is just WRONG WRONG WRONG.

4

I too went to the pharmacy today to get my Adderall XR filled and was asked if I wanted the generic. I said no, that I would stick with what I have been taking for the past two years. I was told that they just got the generic last week and that some insurance companies would only fill the generic. My pharmacist tried to fill my Rx with Addreall XR but the insurance co came back saying that I had to try or test the generic. It made me feel like a lab rat! I filled it with the generic, which only saved my $5. She told me that I could get my Dr to say that the brand name was medically necessary, which I plan on doing, but in the meantime, I somewhat freaking out. I’m scared and afraid to take the generic because it’s different that what I’m used to. Have there been any different side effects with the generic? Has anyone experienced anything different? Is it the same exact chemical make-up? Any help would be greatly appreciated!

5

I just got my script for Adderall XR 25mg. I have to pay for mine out of pocket and the price is ridiculous, I’ve been counting down for the day they became generic, my question is..

Does anyone know the price difference in the Brand name Addy’s vs the Generic?

6

what is the price difference between adderallxr brand name and generic brand

7

I’ve been on the new generic for about a week and don’t notice any differences. There was very little price difference between the brand name and the generic. I have Blue Cross/Blue Shield where I pay $5 monthly for generics and 20% for all others. But not with the generic Adderall XR… I was required to pay the 20% still. The only explanation the pharmacist could give was that there is only one company making the generic right now, and as more companies start making it the price will come down. The insurance companies use any excuse they can find to not pay. It is disgusting.

8

I just got my script filled for my generic substitute.

25mg XR’s usually cost me about $500 per month.

Generic version is $150 per month.

I almost threw a party!

9

I’ve been trying to find the generic Adderall XR, but it’s not available at my pharmacy yet. Where (pharmacy & location) are you finding the new generic? I’m in the Dallas, TX area. Thanks for any info!

10

The generic is available now in NY, Here is the amazing story. Shire makes adderall xr . Rcently they settled a law suit and agreed to let Barr pharmaceuticals infringe on the Shire patent and make and market generic adderall Xr as of April 1, 2009. 9 instead of 2019)

Here is the funny part. For now Shire is supplying Barr with the Adderall XR !!!!!

I couldn’t believe it and just went on the Barr website and looked up the drug and called the consumer hotline and they confirmed it is true.

So for the next 6 months or so until Barr gets it’s own manufacturing going, you get the Shire manufactured Adderall Xr at a really cheap price !

11

I’m in Metairie, LOUISIANA right outside of New Orleans.

I use my local Walmart. They said it’s going to be ready tomorrow.

;)

12

I just started in on the generic today and so far it feels great (meaning the same as before). On my insurance I pay a standard co-pay of $40 for brandname Adderall XR. The new generic cost me $10!!! Not a big deal to some folks but I don’t make a ton of money and this was a pleasant surprise.

13

Also, for the person above looking Dallas… I’m in Waco and do my adderall (which requires me to and deliver the triplicate prescription) at CVS. The pharmacist says that all the CVS are bringing in the new generic.

14

I have been taking the generic Adderall XR for about a week now, after using the brand name for about 6 years. I definitely notice a difference. Since day one I have had moderate to severe stomach discomfort, along with intermittent bouts of nausea. Has anyone else experienced anything similar?

15

Just got prescribed Adderall Xr. Walgreens in Birmingham, al charged me $156.02 for generic. And that is with BC/BS. Seems a little pricey for generic anything.

16

The Generic doesn’t treat me any different than the Brand Name but I also read that there is NO difference between the two because Shire was actually making the Generic’s for Teva for the next 6 months as per their contract, but since I read this online, THIS INFO MIGHT BE WRONG.

I pay out of pocket for my meds so the Generic version of XR finally being an option is amazing!

I’m not trying to sell this site by any means but since I pay out of pocket and I’m always looking for ways to pay less at the pharmacy, I ran across this site called 1020RX.com that helps negotiate a different price with the pharmacies. And it actually works (I went to ripoffreport.com and the BBB.org before paying), I pay $14.99 a month and it cut my Generic price for 30 25mg from $160 to $100.

They advertise a lot of their discounts to run $10, $20, $30 and $40 for most meds, but that’s only on select ones. The Adderall’s and Generic Addy’s are obviously out of that range but they negotiate a lower price (I called to ask how they get their pricing and to make sure they didn’t charge an extra fee EVERY time you pick up meds -and they don’t, just once a month 14.99.)

If you go to their site you can go to their ‘drug search’ and enter the info -what meds you want, amount, MG etc. and they show you how much you’ll pay with their discount and show you Generic versions that will get you more of a discount (if you’re searching for the new Generic Adderall XR available, it’s under ‘DEXTROAMPHETAMINE-AMPHETAMINE’). It also shows you the participating pharmacies in your area and their price differences (I usually get mine from Walmart but I found out CVS is cheaper $100vs$135)

I do a lot of research before I commit to anything, especially online, so I would tell you to do the same if you’re interested in their service.

Other than that, Generic Add XR is awesome.

:D

17

I just started taking the generic XR 30mg today after taking Adderall XR for the past 6 years. I was scared at first because the generic instant release Adderall affects me much differently than the brand name (my body can feel the difference between different MFG’s of generics, and it’s not psychosomatic either). At first I felt a little nauseous, but I figured it was all in my head, so I kept telling myself ‘it’s all your my head,’ after about an hour I felt totally normal.

I am also a pharmacy technician, and was interested in researching the chemical structural differences between the two, as of now there is none. Barr Pharmaceuticals is merely taking the Adderall XR’s and imprinting Dextro-Amph XR on them instead of Adderall XR… they are exactly the same capsules made by Shire.

A lot of drug companies do this, for instance; Protonix is brand for pantoprazole, but they also MFG a generic as well. I have filled many customers prescriptions for pantoprazole, and upon opening the bottle I have noticed that the pills say Protonix right on them, but not on the bottle.. not to mention they are much cheaper too!

18

LOL! That was supposed to say ‘it’s all in your head,’ not ‘it’s all your my head.’

19

I was also given the generic for my son. When I asked why it cost more than Adderall they could not explain so I called CIGNA. The reason is that the FDA has not approved it as the generic for Adderall so it is considered a new drug. Until the FDA approves it, I’m sticking with the name brand.

20

I’ve been taking the new generic xr for about 3 weeks now. I have been on Adderall XR for almost 3 years now, and I have never experienced any insomnia, hypertension, or anything too severe.

After 2 weeks of taking the generic, i have started to feel a difference. First, I had a terrible pain in my left shoulder and arm for a couple of days, which I am worried might’ve been a small MI. Now, I am experiencing sharp pains in my chest that i could only associate with pericarditis symptoms, which is basically pain when taking deep breaths, pain when laying down, and pain when laughing.
I was in class taking a test, and I felt so badly that I couldn’t stand up to turn my paper in.

It’s horrible and I am definitely changing back to brand name. If it’s true that for the next six months its the same product as the brand name, then I have no idea what could cause my recent chest pains (heart problems), I am only 21. Please be careful if you are buying this medication for children, don’t switch if there’s no need to.

21

Okay. I am pretty relieved to have found this info. I have been on Adderall XR 20 MG for 2 years and it has made such a positive change, but the costs really sucked. Needless to say, I was very excited to find a generic available 3 weeks ago which cost $10 for. 30 supply.

After the first week, I really felt a difference, but tried to put it out of my mind. My shoulder and rib cage is sore, I don’t sleep and I am snapping at people all day, all night. This is not the same drug mixture/compound. It cannot possibly be. I feel tired from the lack of sleep, moody/agressive/weepy (not me!), sore (for no apparent reason) and just plain out of sorts.

Has anyone had any luck figuring out why some of us are feeling this hell-ish effect from the generic version?

- Sleepless (and crabby) in Seattle

22

i have not taken any adderol at all untill a coupple weeks ago. I had taken ritalin for six years while in elementary and part of high school, for ADD. I started college in january and found it very diffacult to concentrate, so i asked my Doctor to perscribe me with something for ADD, and he put me on straterra. It made me imppotent, caused bladder constriction, and me very jittery, like i had drank two pots of extra strong coffey!!! So i went back to my doctor about two weeks after my perscription had run out, by then the drug was completely out of my system and I felt completely normal again. I told the Doctor about the side affects, and he then perscribed me with the generic form of Addreall. I have been takeing it for two weeks now and have experienced constipation, appetite loss, and can’t seem to get to sleep until one or two in the morning. :-( i think i will ask my Dr. to get me the name brand Adderall and see if the symptoms go away. I will finish the whole perscription to see if the side affects decrease over time.
The drug i am takeing is manufactured by Barr Labs and is infact produced by them, not by CIGNA. I whish I could just get my old ritalin back!!! As long as you didn’t take it after lunch time, it had no noticable side affects.

23

I was on adderall xr 10 – 15 mg per day. I metabolize my meds very slowly. I took the generic one day and could notice the difference. It felt the dose had been doubled. Going back to the brand name today. Still trying to decide whether to stay on adderall xr at all. Not one for taking meds. Does the brand or generic make anyone else feel like they are in space or overwhelmed? I’m still playing around and trying to get the dose right. I take 5mg in a.m. and 5mg about noon. I tolerate my afternoon dose much better than the morning. As it wears off I seem to feel better. Is this normal? Thanks for any imput.

24

I was switched to the generic for Adderal XR and I notice a big difference. The worst part is that it used to lift my mood a little bit. Now I feel like I have a nasty disposition, etc. although I try to keep it under wraps. I have been upemployed so I have been working a lot on sending in resumes’ etc. and wasn’t able to to do anything. My provider gave me a “Dispense as Written” prescription but the insurance company has rejected it so she has filled in paper work with the company to get an exception. She will repeal if they turn it down. In the mean time I am going on like this I checked the formulary and they say they will dispense the brand Adderal XR only for those under 22 years old. Why would they do this? It seems like discrimination to me. It’s definitely not working. I can’t focus. I read on Yahoo something about Adderal XR and the generic being the same stuff but what is different is the smoothness with which the timed release works, if it works. This makes some sense to me but this sure is a mess and is happening at the wrong time for me. Good luck everyone. I was happy too when I picked it up and it was cheaper but it is definately not worth it for me.

25

I have been taking brand adderall XR for about 4 years now and I noticed a huge difference when I tried the generic. I felt depressed, like I was in space, not able to focus, and like I had taken away energy. I got sad and really didn’t feel like myself. On brand adderall, I feel like myself but focus much better, not the lost feeling I had on the generic.
If anyone has yet to try generic, I would try to get a RX for a weeks worth, then see how you feel, because dealing with having a highly regulated drug but not wanting the rest of it is a pain. I have to go back to my Dr., deal with the pharmacy and my insurance.
And, I have BC/BS and it was only $5 for the generic, which was wonderful, since the brand is $175 normally for me. Although it is much cheaper, the generic is not worth the side effects for me.

26

I have been taking Adderall XR for a few months and with insurance it has cost me $25/month. Yesterday I filled my month’s prescription and it cost $69 with insurance, apparently because there is a generic available now. Well, apparently my pharmacy in Jackson Hole, WY doesn’t have it yet. When will it be available? I can’t afford $70/month!

27

Generic Adderal XR 20mg $175 for 30 pills

28

To all those out there, control yourselves. Some of you act like crack-feens and some of you are actually appreciative of the fact that Adderall has finally come out with a generic version. For those who are taking Adderall, you’re already suppose to have an IQ higher than the average man out there. So do this. Do some research. Yes, a lot of these responses are quite ridiculas. There is no differences in the actual drug administered into the little tiny balls you ingest. It is only the taste and the pigment color in which is different.

Now, could we do something….like make sure that the people who are actually on Adderall to take that psychological IQ boost and use it towards actual research rather that complaining about the fact that you’re taking something different? Seriously, why are you on the medication, if you’re not using it to benefit your reactions, and to benefit your mental IQ??? If you seriously notice your body reacting differently, you need to go back to your doctor and talk to him or her about your symptoms changing, because you’re not suppose to be on Adderall. You’re on a psychological altering drug, and if you do not have ADHD or ADD, you are letting your dopamine levels to change based off of the drug.

The drug-(Adderall) is nothing but a dopamine booster for individuals with ADD. For those without ADD, its legal methamphetamines, and you should not be on this medication. Get the hell off of the drug, and quit being the individual whom makes our medication look bad for society. Because this drug was meant to help our brain dysfunctions. Increase our IQ’s. Take people who grew up in families that didn’t raise them properly with food and the right nutrients to allow our brains to grow and function properly. I’m not a victim. I’m a person who is solving my problems, and just like gun control, I expect the drug I am taking to be taken seriously. Very seriously. If you were meant to be on this drug, you wouldn’t let your brain to alter just because you got the generic version.

I am extremely huge on this, because there is one drug out there that I can’t get my hands on that my brain requires for the performance I’ve seen to eliminate anxiety. And I can’t get this specific medication because people have taken vicodin and completely taken its, “euphoric feeling of well-being,” effect, and completely took it out of context. Now, doctors won’t even believe me to just try to see the effects on my brain and my brain patterns. Doctors completely forgot about neurotic brain cells, and that, even though someones dopamine levels may be low, doesn’t mean that Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil), or Sertraline (Zoloft), all anti-depressants, are the only things that a doctor says are acceptable in my brain for my serotonin levels also. In other words, those who are taking the generic version of Adderall, and you claim that it is magically different, think again. Get off the drug. Because if you don’t, you’re eventually going to ruin it for everyone else who actually needs to be on the medication.

29

I respect my IQ enough to know if the generic version of XR is helping my ADD the same way as regular XR is. It is not. It’s flunking the test. I am guessing that somehow the gradual release of the drug isn’t working correctly. Yes, the actual drug is the same. This is really hard on me as I am supposed to be applying for jobs and I am suffering from gross disorganization since I started on the generic. I just want to get my life back. At first I was very happy about having a generic and paying less but it is just not worth it.

30

For More information about generic medication – and the differences – read this article that I wrote some time ago:
http://www.addadhdblog.com/adhd-medication-are-generics-the-same/
Best,
Dr. Kenny

31

I have been taking Adderall XR for over 3 years now and it has been great- it helped me get on track in life and I am no longer known as ‘the slow kid’. I have full time work and school which could be hard at times. I take 60mg everyday and it’s great. Recently, I have tried the generic version of adderall xr and it sucks! It does not work- all it does is make me furious for about an hour and that’s it. The first time I took it was crazy, i took 7 30 mg pills because I kept forgetting taht I already took it (since it doesn’t work). I got really mad and depressed for about an hour an then i just wanted to go home and sleep… If I ever took the same amount of the brand name adderall xr I would probably die! the next day, i decided to give it a second chance and again, nothing happened… it sucks. I decided to not take this medication and just wait for my appointment with my doctor but this is definetly a lesson learned… I WILL NEVER GET THE GENERIC VERSION EVER AGAIN!!!!
P.S. Isa, I don’t know what you were talking about because you lost me on the second sentence but I do recommend taht you get a life… you talk to much.

32

I have taken adderall xr for 4 years now, and got the generic this month. I have noticed it affects me a little different than the oroginal. Like the good doctor stated in his article, it can effect people sensitive to meds differently. I dont feel the same way I do with the original for some reason. I am willing to give it some time, well have to since I have a month supply now. Thanks for you OPINION Isa, but that is how it works with you. Dont down on those that find help with adderall.

33

Me again.

After taking the generic version for over a month now I’ve noticed only that I’m moodier and a little more on edge than if I was taking the brand name.

Of course I doubt I’m ’sensitive to meds’ and what I do is psychosomatic.. I tell myself that there’s no difference and then tell myself that it will work for 12 hours even though it doesn’t, of course I’m still mean but I get over it.

Either way, the small side effects don’t warrant a big change to me.

Ciao

34

The generic is not the same in this case for my son. We have been on it for 2 weeks and it has been the worst two weeks of our lives.. He is extremely aggitated and angry while the meds wear off ..something we never saw with Adderall XR. He has developed some hand twisting repetitive movements we have not seen on the Adderall. His teachers are telling me he is not as focused..and seems so out of it in his own world enough for me… He is happily back on Adderall xr..we are out $175..but it was the best $175 we have spent.. I dont thinks insurance comapnies should have any right to charge extra when you get a RAW order from the doctor..

35

A few people have posted that they feel IRRITABLE using the new generic Adderall XR, and few others have mentioned feeling tired.

Me too!

However, I had been taking it for two weeks, and didn’t realize it was the new generic version! The pharmacist didn’t bother to tell me that it was a generic substitute, and I hadn’t bothered to look at the label until last night…

Last week I snapped, and about quit my job, after the phone rang too many times, too many client’s needing assistance, etc. Then, the phone rang, and in front of two clients, I blurted out, F*CK this F*cking phone. I was literally seeing red. The situation leading up to my announcement was not unusual, however, my response was…

I remember relating the experience to my coworkers who said it was just stress. I remember telling them,”Yeah, but I feel sooo irritable right now…”

Another thing, I’ve had a really hard time getting out of bed this week too. Amphetamine withdrawal perhaps, if the “absorption rate” between the brand and generic is different?

I doubt the claim that Shire is providing the same medication to Barr. I knew something was not right with me last week, I just didn’t realize my meds had changed!

I’m headed to the pharmacist today for a replacement. I’ll probably also mention to the pharmacist that it seems rather unethical that they previously failed to mention the switch…

36

I have a 7 yr. old grandson that I have custody of, and he is on AdderallXR. I just got the generic yesterday and gave him 1. He was awake all night and may have slept an hour this morning. He told me his stomach was quizzy(queasy)and I kept him home from school today due to lack of sleep. He is laying around, unlike his usual behaviour, and irritable. He needs this med as he is ADHD, and cannot concentrate, and becomes cranky, and hard to deal with. I was so concerned about this, I looked up this site to see what’s going on. He was fine until he took the generic. He is argumentative and just generally miserable. I should also mention he has an auto immune disorder from birth, but seems to be doing better these days.He is laying in his bed as I write..He stayed in his bed the entire night from 9pm, but never slept! Someone please tell me if this is shortlived as I don’t believe he has any choice in meds as he is a Medicaid kid…

37

I’m seeing such different numbers and the like I’m wondering whether we’re talking about the same thing. The generic I’m using has Amphet Salts on the capsule. The capsule color and the little balls inside the capsule look pretty much the same as what I remember.

In my experience, the generic doesn’t work much at all. Fortunately, I haven’t had any of the negative reactions that many others have reported here but I wonder if there’s a point to me taking it since I don’t feel any different from when I’m not on it and very different from when I was on the brand.

38

Funny …when I had my May prescription filled for adderall xr 30 the Target Pharmacy substituted the new generic I was thrilled because my co pay was now $5.00 instead of $20.00. On Thursday when I went to get my new prescription filled the Target pharmacist told me my copay was $50.00 – I said what happened to the $5.00 generic? She told me there was some kind of issue and the generic isn’t an exact substitute so they can’t automatically substitute – so my dr would need to write a prescription specifically for the generic. Meanwhile back at the Ranch….the insurance company was quick to update the formulary – so that now instead of my $20 co pay – I’m being charged $50. Ticks me off beyond belief.

39

I wonder if Barr or Shire are getting feedback and you think they would be since those of us who had to go back to the brand name are costing the insurance companies more money plus ourselves. I wonder if the quantity of people who are having trouble is more than for most startups of generics for use in place of brand names? I don’t suppose there is any way we customers can find anything out as to what the problem with them is?

40

Last month I had my Adderall XR prescription filled as normal, but had no idea that it was switched to generic. I could not figure out why I was not feeling well (couldn’t focus, groggy, etc.) Then one day I noticed the generic word on my prescription bottle & figured out what was going on! Anyway, it was an ordeal, but I’m back on name-brand Adderall & feel back to normal. Here’s the catcher – I have BCBS of Alabama and the generic Adderall XR is $60 and the name-brand is now $30! Apparantly BCBS now prefers the name-brand to the generic!!

41

My son of 12yrs has ADHD. He is currently on the generic form of Adderall 20 mg. It does not work. I thought perhaps it was time to change his dosage due to his recent behavior. I looked at his prescription and notice the generic equivalent. Needless to say I am going to call his pediatrician tomorrow and see if we can get Adderall or a different medication. I am all for generic medication. If it cost less and it works why not? This is one that I will have to say NO too. It is not effective, even if it it cheaper. I love my son more than saving a few dollars.

42

Fun facts:

- Shire produces Adderall XR and they also produce Vyvance.
- Shire made an agreement with BARR (subsidary of Teva) giving them 100% exclusive rights to the generic version of Adderall XR 180 days earlier than any other company can.
- During this 180 days, Shire will actually supply the generic version of Adderall XR to Teva.

Think about it, you have all these people complaining to their doctors about the generic Adderall XR. The doctor tells them of a similar, “new and improved” medicine called Vyvanse and switches you to the new and improved medicine… Shire wins. Other option, he writes you a script with for a NO GENERIC Adderall XR… again Shire wins, assuming your insurance company will pay. The Vyvance is expensive, about the same as the Adderall XR; but at least if you have insurance they will cover it… most insurance companies will not cover a “designer” drug if a “generic” version is available.

Either there are a lot of people who are having “false” side-effects from the generic Adderall XR; after all it is being supplied by the company that actually makes Adderall XR so it should be identical… or perhaps there is a little tweak in the formula of the Adderall XR that Shire is supplying to Teva; purposly; to get as many of the Addy patients on their Vyvance before the Adderall XR truely becomes generic later this year. Vyvanse will not have a generic for years to come and is actually cheaper to make than the Adderall XR… and once again Shire wins… their goal is to make Vyvanse the #1 ADD/ADHD drug and to capture 50% of the $3+ billion dollar ADD/ADHD market.

All of that said… I do prefer the Vyvanse over the Adderall XR. Both have worked very well for me and there are pro’s and con’s to both. For me, the Vyvanse has a smoother and more consistant effect that allows me to get through the entire work day.

43
Margaret Murdock
June 9th, 2009 at 5:05 pm

It’s not much cheaper – cash price $20 less at my local pharmacies (Oregon) – $186.95 for 30 days of 5 mg Adderall XR.

44
Margaret Murdock
June 9th, 2009 at 5:11 pm

Isa states that Adderall is legal methamphetamine. A friend of mine told me this too. If you look at the ingredients, it does not contain methamphetamine – it contains dextroamphetamines and a bunch of other amphetamine salts, but not methamphetamine. It is an important difference. If something gets repeated enough, people start to believe it is a fact.

45

I have been taking Adderall XR for about 8 years now. Last month I went to get my prescription filled and the pharmacy gave me the generic brand. I decided to try it for the month to see how it works. It was horrible!!! I have not felt that awful since I was pregnant and couldn’t take my meds. I was depressed, couldn’t focus, couldn’t sleep and had the hardest time dealing with day to day life. I kept snapping at everyone. I always felt angry. I felt like a completly different person. I am back on the brand Adderall and feel great. After the first day I noticed and felt a complete difference. But now my insurance won’t cover the brand Adderall. I will have to pay the difference in price between the generic and brand plus my copay. Can you believe that crap? I have no idea what I am going to do now.

46

I just started taking the generic version two weeks ago, and ever since that day I’ve been feeling tired and unfocused. Others have noticed a difference in my behavior and my work. I think it also has been irritating my stomach. At first I thought I ate something bad, but it’s been going on everyday since I first started taking it. Now that I’m reading other people’s posts experiencing similar symptons,I’m almost sure it’s the medication.

I’m definitely tell my doctor to specifically prescribe the brand version, and not to allow substitutions. I’ll pay more if I have to.

47

I’ve been taking adderall xr 20 mg since september ‘08. this last month when i went to fill my rx, the pharmacy clerk asked if i wanted generic or name brand. i didnt remember ever being asked this before so i said to give me whatever i had been getting. my husband acctually picked it up for me once it was ready, and he brought home the generic. i was a little confused. i had not known that there wasn’t a generic previously availible and i was really happy to see that i would no longer be paying $35. per month because the generic is only $10! the first day that i took my new generic i noticed the difference in about 30 minutes of taking it. my lips were a little tingly and my skin was crawling. i just assumed this was because it had been almost a week since i’d had my meds because in typical adhd style i procrastinated getting my rx filled.as that first day went on i just noticed more and more symptoms that hightened my concern. i was even looking up symtoms online. i thought i might be having an allergic reaction. the next day i skipped my meds and felt fine. on the third day i decided to try again. that day i experienced headaches that i atributed to being hungry so i had lunch. after lunch my headache was still there and just became progressivly worse. it was like a tension headache that i could pinpoint on the sides of my skull and by the end of the day at the base of my skull. tylenol didn’t relieve this. i continued to take my meds, but i contacted my pharmacist to ask questions.she said that the ‘active ingredients’ are generaly the same but the over all components may be different. in order for it to be considered ‘generic’ form of a drug it still needs to address the same concerns but it’s formula does not need to be exact which is why they may cause different side effects. she also said that when you take on form of a drug for a while your body becomes tolerant or used to metabolizing the drug’s ingredients. so a change in the formula will sometimes be noticed by the body. she said there are many drugs on the market in which they strongly recomend staying consistent with only one brand and not switching from brand to brand as to alow your body consistent tolerance of a familiar drug. sometimes switching from brand to brand causes your body to aclimate to new ingredients. she said the symptoms i was experiencing should subside as my body became used to it. i am now on the third to last pill of the month and i have had every common sides effect listed. i’ve had:
•Loss of appetite (anorexia)
•Dry mouth
•Difficulty sleeping (insomnia)
•Headaches
•Abdominal pain (or stomach pain)
•Weight loss (see Adderall and Weight Loss)
•Emotional changes
•Dizziness
•Diarrhea
•Increased heart rate (tachycardia)
•Heartburn.
also blurred vision.
to make it all worse, i dont even think that my adhd symptoms have been helped this month. i’ve been just as distracted and forgetfull as i am off my meds. i’m speaking really quickly, i’m more fidgity than normal, i’m basicly feeling like i’m on speed, or one to many redbulls. i generally feel like crap. with the name brand i NEVER felt this way. i never felt any different physicaly i only noticed the mental changes or behavioral changes. im going to my doc this week for my three month apt to get my next three month rx and i have many questions for him about all of this. i havent investigated if my insurence will still cover name brand now that a generic is available, but if they only cover this generic brand i am going to look into other treatment. i cant help but wonder why it took so long to get a generic form of adderall xr on the market. and i can’t help but wonder if we are all like their lab rats to test it out and see how it works. oh, and i dont know if this is related to the meds or not but this month on two different occasions when i had gotten up in the night to go to the bathroom , i had very sharp, very quick BUT mild pains shoot from my pelvic area through to each side of my lower back which i assume is my kidney area. i really hope everyone will pay close attention to any unusual side effects from this NEW drug.
good luck!

48

I have been purchasing Adderral xr, with no insurance ofset, for my adult son for about 5 years now. In January of this year the price jumped to almost $400/month, here in California. I sent Teva an e-mail in April asking about a generic (I also had read about the law suit settlement), and was told then that it had no plans to produce a generic. From reading the emails here, it appears that in fact there is a generic available from Teva (although produced by Shire), although it appears to have some adverse side effects.
Does anyone know if the generic Adderall xr (called amphetamine dextroamphetamine extended release capsules) is availabe in California through any of Walgreens, Safeway or Costco?
Any information would be appreciated.

49

The bad news for some of us is that the cash price is not much less than the brand cash price($20 less at Kmart). Also check with your pharmacist BEFORE filling. To my surprise, my copay (with Anthem) for the generic is $60 vs $30 for brand!! The pharmacist said she has been seeing this quite a bit. I checked with my insurance and they said its true. So, with your insurance, a generic can sometimes cost you more!

50

Sorry- I didn’t see someone else had posted something to the effect of my last comment. (I’m at work and haven’t had my meds today :)

51

i get really irritated when dr. kenny handelman and others like him say that the generic adderall XR is just like the brand name adderall XR, when it so clearly is not. it is a real problem when dr’s and prescribers don’t take us seriously when we tell them that generic medications have side affects that brand name medications do not have, and they do not work as well even if we forget about the added side affects. a common problem for women with ADHD that is not mentioned or written about is sensitivity to noise and smell. i am surprised by how much the adderall helped decrease that sensitivity, but now with the generic stuff, i am back to square one. i am nervous and jumpy and can’t focus, and am unable to get anything done. i just stand in the middle of the room and don’t know where to start. i take the 20 mg. capsule, and they switched on me, and didn’t say a word, because the capsules look the same. i wouldn’t have noticed except for that i just picked up my adderall that day and i noticed the difference in price. i am pissed.

52

This message is for JennB. I’m a pharmacy technician, well I use to work in a pharmacy now i’m a nurse technician working on my BSN in nursing. Anyway, its not the government that decides what medication to give out. Well in a small way yes they do but here’s the inner workings of a pharmacy and insurance for you to think about. 90% of insurance companies want to make money, so by doing this they usually only pay for generic medications if there is one available. This is called “Formulary” medications. its a list of meds that are approved for whatever you have that the insurance company will cover. So if you have asthma and you need Proventil (the generic is albuterol) if the FDA approves albuterol as a substitute for Proventil (which is does) then your insurance will pay for only the cheaper of the two meds because according to the FDA they work the same. That’s where the government comes in. They regulate the FDA and the FDA has a lot of rules and regulations, on of which states that if a pharmacy is billing for 10 pills of Adderal XR generic with an NDC# of 11111-22-3333 then they have to dispence exactly that. if you insurance covers only 10 pills of Adderal XR generic with NDC# 11111-22-3334 then they pharmacy can only dispence what the insurance is paying for. NDC# stands for National Drug Code, its on all medications both over the counter and prescription. its equal to a UPC code on almost everything that you buy. So anyway, its a mix of both your insurance company and our government that decide what meds we take. :(

53

I started on the generic Adderall XR 30mg on June 7th and didn’t think anything about it. My son also started on the generic 20mg about the same time. I didn’t think anything about it until last week when the counselors at his day camp informed me that he was being very aggressive and got in trouble twice for fighting and for relentlessly teasing a kid. Both of these behaviors are VERY out of character for him even before medication. While thinking about any changes in his routine the change to the generic meds popped into my head. Always the skeptic I asked my wife if she had noticed any changes in MY behavior, mood, attitude, etc. in the last few weeks. Her response wasa that I was acted very angry, had a short fuse, and walked around like I had my head up my a**. My boss at work indicated that I seemed more agitated in the last few weeks. Self analysis of my work performance shows that I have been seriously slacking off compared to previous times. Plus I have been so hungry and gorging so much at work that I have put on 6 pounds in the last 3 weeks!!! This makes me think there is something seriously different about the mixture and I’m asking my dr. to put me back on the brand name. I only hope that I can get the insurance company to pay for another 3 month supply.

54

Sue,
I’m sorry to hear that the generic adderall doesn’t work well for you.
In my article above, I explain that for most people there isn’t a difference – but there is for some people.
Unfortunately, that includes you.
I hope the discussion on this page can help you to find some ideas to help you in getting the regular Adderall XR again.
Best,
Dr. Kenny

55

Dr. Kenny, So you are convinced this is a typical response to a generic? It’s just that I have never had a problem switching to a generic until this Adderal XR thing. Then we are told they are the same and manufactured by the same company. Something seems really wrong when people are having the opposite reaction to the med than they are supposed to. It doesn’t seem to be just a side effect to me when the pill simply doesn’t work and makes people worse for the main reason they take the medication. I can see something like digestive or a head ache maybe but the thing plain doesn’t work. This is just a new wrinkle in my life as lived so far. I am glad my doctor was able to fiddle with my insurance so that I can get the real XR but I worry about the power of the insurance companies. Respectfully, kmc

56

Do you people realize that the generic form of adderall xr is the exact same as the the brand name one? Shire has the patent until 2019. The gave Barr the rights to sell Adderall xr for 180 days in the same form as the brand name. The reason you shold understand it is the same is because of how the pill looks. Generics can’t look the same. This pill is the exact same. Before you make these claims do some reseach.

57

Frank, did you even read my comment? I stated that I was aware that we are being told it is the same thing. Well, it isn’t. Either the ingredients are different or something is wrong with the release mechanism so that we are not getting a smooth amount as the day goes on or it isn’t releasing at all. I did this research by taking the pill itself. I wish it worked for me. It would be cheaper and i wouldn’t have had to go through the hassle of getting the nongeneric form by having my doctor send in a special request. I have been screening the internet to see what the deal is. My doctor said there has been problems other than mine. kc

58

Frank… maybe you should do some reasearch… Dr. Kenny says it right in the foward to this blog “Generic drug manufacturers are able to have a minor variation in how much of the medicine will be absorbed.” Just cause Shire is making it; as a generic, they can have these “minor variations”. You think a multi-billion dollar pharmacutical company is stupid; they are essentially losing the patent in October 2009… thats when any company can make it… either they make the current subscribers think they must have the “non-generic” Adderall XR or even get em switched over to Vyvance, which they also make, and which the patent does not run out for years to come. I find it hard to believe that all these people are just “imagining” these symptoms.

Plus… shire has atleast 2 different markings for each dosage of Adderall XR. Can anyone tell me if the markings are the same on the generic as the non-generic? “ADDERALL XR / XXmg”, “SHIRE 381 / XXmg”… anything different?

59

i just got on amphetamine salts er 20 mg cbrr substitution for adderall and it doesnt seem to be working for me.I still cant focus,my mind still cloudy i’ve even increased to 40mg and i just feel restless and cant sleep,unfortunately for me my insurance will not cover because i’m too old lol 40 and it will only cover up to the age18.so i paid the generic.cost a merely 174.00 at cvs ouch does anyone know how much the brand is? btw it doesnt make me less hungry just restless….aaauuurrrghh

60

I have been taking the generic adderall xr for about two weeks. Until today, I did not even know there was a generic version available. Every afternoon I have been experiencing headaches, dizziness, and increased heart rate. Oddly, these symptoms coincide with lethargy and tiredness. The heart palpitations got so bad this afternoon, I looked into adderall side effects online and found out that there is a generic verson now. Lo and behold, that is exactly what I was given – without being told. Needless to say, I hope that Shire still makes their “old” version, and not just the version they are supplying to Teva. I will pay for it myself if I have to, but I certainly can’t continue with the “generic” version. Scary…..

61

Check with the doctor and see if he/she can fill out a form and send it to your insurance company stating that medicine you are on doesn’t work and ask them to cover the medicine that does work. It worked for me Good luck. kc

62

I was just recently diagnosed with adhd. So my doctor tested me, for a few days on adderall xr–starting at 5mg and increasing 5mg accordingly to my ability to work/take a test. We decided on 25mg. On the day I took 25mg, I felt great, focused, I didn’t get bored or side-tracked so easily. I did so much better at my job (I actually met my days quota). So I was delighted to know that my life will get better. My doctor gave me two adderal xr 25mg for me to take, while I had to wait for the insurance approval for my prescription. I took the pills for two days after, and I’m been improving tremendously at my job. When I got my prescription finally filled, they told me it was generic. I didn’t mind because it was only $10 (who doesn’t mind saving money, right?) I’ve been taking amphetamine salts er 25mg for about a week now and I hate it. I don’t know if its early for me to compare brand vs generic, but for me–its not working. I get irritated easily, my mind wonders to do other things when I was at work, I get major dizziness headaches, cramping/aches in my stomach, and I get the chills every now and then… I didn’t have these side effects on adderall xr.

I know I’m not like everyone else who has taken adderall for months and years, but I don’t feel like its working for me(either) so I’m a bit bummed. I’m trying to have a positive outlook on this generic medication, but it doesn’t make me feel positive.

63

has anyone found that generic adderall is at all effective?

i really want to give this medication a chance. and all i read are not so great reviews for generic. i’ve been taking it and it feels like i’m taking nothing, and i think everyone is feeling the same. but is there anyone that it is working for?

64

Dr. Kenney I have been using AdderallXR and paying $75 a month for many years. On July 10, 2009 I went to my pharmacy and thought I would try the new generic Mixed Amphetamine Salt ER or Amphetamine ER. Blue Cross took Addxr off their formulary two years ago and my doctor submitted a prior authorization and it was granted. BC considers this a non-preferred brand medication because it is not on their formulary. All of my generic meds under BC are $9. BC is forcing me to pay $75 for either the generic or brand med. They are refusing to allow me to pay $9 for the generic. I know it is all about greed. BC does not want me paying $9 for a $275 pharmacy cost. I have worked in the legal/medical profession and they keep trying to create a new benefit plan by using creative language that does not exist within their benefit book. All I needed was to lower my med expenses from $75 to $9. I filed a complaint with Medicare. It is very frustrating when an insurance co refuses to abide by their own company guidlines and contractual obligations which they expect you to do so. Everyone contact your Fed reps and Pres. obama. Get the hands of these Insurance cos out of the medical health care Industry.

65

Why use a drug with 25% L-amphetamine and 75% D-amphetamine when you can have Dexedrine and 100% D-amphetamine without the cardiovascular hazards of L-amphetamine?

Thats make me really interesed!

L-Amphetamine is not at al so effective as D-Aphetamine in treatment of ADHD symptoms , right?

66

I too have found generic DOES NOT WORK!!! Not just with Adderall, ALL GENERICS. Think about it, if they really were the exact same thing why would brand name even be in business anymore.

67

I have been aying a $20.00 copay for the adderall xr now today I got it filled without knowing they gave me generic and the co pay is $35.00 now what the hell paying more for generic? Doesn’t seem right to me I will be getting the doctor to write no generic on next script

68

I have been on Adderall XR for 3 years I am currently on 50mg a day. I recieved the generic back in April didnt think anything about it. I started to notice I had been getting really bad headaches daily and around the same time in the evening I also had chest pains.It felt as if to much was hitting me at one time. Keeping track of this the headaches came on 20 minutes after taking my meds, the chest discomfort followed. I went to speak to the pharmicist who explained that adderall was supplying the other company BUT the capsule(shell) was made by the generic manufacturer and that might have been the cause the way that capsule breaks up releasing the time controlled meds

69

I am a big fan of generics and was more than thrilled to switch to the generic brand Adderall XR. I buy generic everything!
I must say I have had TERRIBLE headaches at the back of the head or base of neck and back of head. I cannot shake them through anything but constant Ibuprofen. I am glad to hear I am not alone. The headaches get worse if I have any caffeine. I’m calling my Doctor and hope my insurance will cooperate or I will be force to pay out of pocket or drop off because it is unbearable.

70

OK this has taken sometime to figurer out. But here are my findings. Teva USA and Barr have merged they are one company. I have been taking Shire’s Adderall XR 20Mg for about 5 years It works wonders for me. Last month my script was filled with Barr’s generic adderall, I did not know it was generic until I looked at the bottle yesterday. However I have had Diarrhea for the last month and a half. I’ve been edgy and I’m grinding my teeth again (I have not for 5 years) I’m less productive. Sunday (2 days ago) i went to the ER for Blood (more Blood then poop) in my diarrhea. on monday having spent the night in the ER i forgot to take my Adderall then at 5 pm My wife called a friend of hers who also uses Adderall XR 20mg She was telling her that the doctors are trying to figure out what is wrong with her, she has been bleeding from her butt. Humm. my wife said this to me as i was reaching for a glass (my adderall is in this cupboard) I gasped when I said to her The only thing that has is my prescription to generic. Humm so I started searching. Here is what i found. Teva website states that 6 % of people who use this get uncontrollable DIARRHEA, Shire’s has none???? Teva states that they have changed the capsulation formula of adderall to avoid paten issues.

I urge you all to google”FDA formulation for Adderall XR by Teva” and report any issues you have to the FDA the submissions form is completely done online.

It is OUR voice that can make differences.. LETS use it

Steve

71

Sorry I’m off my Meds and forgot to retouch and important point.. I’m off my meds 2 days now.. I no-longer have Diarrhea My gut feels normal.

72

My daughter has been taking Adderall XR 30mg for a year now. This week we switched to the generic. She has had lots of trouble with her stomach and crazy mood swings in the morning. Her teacher thinks it is taking a lot longer for it to kick in now. She had no idea we had switched, and came to me to ask what was different. I haven’t seen my daughter have these problems since before she was on the Adderall. Something is wrong with it. I DO NOT think the generic is the same for this medication. I am all about saving money, and have never had a problem with generic medications before, but this one is Not ok.
Kara

73

does anyone get hot flashes or heat rash? everyday around the same time 5pm – 7pm, my chest, my neck and my face will get heated up. it’s been going on for a while now.. my doctor up’d my dosage from Adderall XR 25mg twice a day to Adderall XR 35mg twice a day–(because i told him that the pharmacy gave me generic instead of brand, and i felt that generic was less effective with more side effects. but he told me the whole “Shire is making Adderall XR for Barr so it should be the same” crap.) He wrote me a prescription for Adderall XR 10mg-no substitute.

so i’m taking Amphetamine Salts ER 25mg (generic name for Adderall XR) and Adderall XR 10mg. would that why i’m getting the heat rash? i’m only 21, so i don’t think it would be hot flashes, but i get really red-flushed but my lower body and legs are cold..

but my question was, does anyone else get red, hot and flushed?

74

I had unknowingly switched from brand XR to generic XR one month. Felt like something was different after the first few days of taking the new bottle, like I was not being covered the entire day. Also had some dizziness in the evening that usually only comes in the morning upon awakening before taking my next dose (kinda feels like a mild hang-over but without the nausea or headache, just dizzy). After another couple of days noted increased side-effects- increased tremor, palpitations, sweating and agitation. My wife noted the lower cost of my medication (by $35) on the grocery list and at that time realized I had been given the generic. A few days after that the palpitations became more frequent, lasted longer (like runs of dysrhythmia) and became painful! I called the pharmacy and had it approved to change back to brand name, but now have to pay difference ($80 instead of $5)unless my physician approves it for medical reasons. I have spent hours on the phone with both Shire and Barr. Shire actually had me talk to a nurse about my side-effects. I have done some research on my own but have not found an explanation yet. Supposedly the rating and make for the two medications are the same but I am hearing more people complain about the generic. I am wondering if there is a difference in the racemic chemistry or the addition of fillers which might affect the absorption or metabolism of the medication or it’s constituent metabolites. A higher levoamphetamine percentage in the mixture for instance would increased the cardivascular side-effects, however no one at Shire or Barr could confirm this. I agree Shire has every reason not to make the generic medication it supplies to Barr exactly the same! I also found it interesting that Shire and not Barr was conducting the adverse reaction study with regards to the generic form. I am a physician myself and in addition to using this medication I have prescribed both the generic and brand IR forms (but not the XR generic form to date) to my own patients. My expereince is that if the patient was started on the generic they generally do fine, but if they were switched from brand to generic there were problems about 70% of the time or so it seemed. There are some general rules of thumb in the medical arena, a couple of which are; one- don’t fu*! with the pancrease, and two- don’t change psych or cardiac meds from brand to generic if at all possible and/or at least without very close supervison!! I can’t begin to count the number of times I have had patients experience break-thru seizures after being changed from Brand name Dilantin to the generic phenytoin! So to the response above, I don’t believe this to be placebo effect! I would actually love to take the generic if it was tolerable since taking the brand is costing $75 more per month!

75

follow up to comment 68 I picked up my meds today from CVS usually goto Walgreens they were packed didnt want to wait had been out of meds for 4 days. I didnt have any headaches during that time. I was charged 9 dollar copay generics had been cheaper I didnt question continued taking for 2 days no headaches stomach pains, diarrhea, etc… I take my meds usually running out the door late to work .I decided to check when I got home it was Adderall XR. So they cannot say there is no difference the pharmacist did question the capsule and how it breaks down releasing the meds. Also I do get terrible rashes on my neck they itch and burn my skin feels crawling itchy I cant explain how awful it feels at times. At the beginning of taking Adderall xr I weighed 117lbs in 2 months I weighed 107lbs 1 month later I was down to 94lbs (I am 5′3″)I have gradually put some weight on.The weight loss I beleive contributed to my being unbearable cold always.So there are effects of both but the generic are horrible.

76

This is a response to my own comment made on May 2, 2009. I stated that there is no difference between the generic and brand versions of Adderall XR; I’d like to revise my statement.

I have been on Adderall XR for over 6 years now until this past May.

There is ABSOLUTELY a HUGE difference between the two. I have reached this conclusion after analyzing my behavior over the past 3 months on the generic form.

One month after starting the generic Adderall XR, I got hired at my first job in my new career field… only to get fired 2 weeks later because I couldn’t focus on anything, my behavior was erratic, and I kept forgetting what I was doing – what day it was, I was just overall confused. I have even experienced some Alzheimer’s type moments:

I was driving home from work one day, when, all of a sudden I couldn’t remember how to get home. I knew where I was, but I just couldn’t comprehend where I was and why I felt like I was going the wrong way, so I exited the freeway, drove around in circles for about 45 minutes, then got back on the freeway going the wrong direction! I had to call my boyfriend and have him direct me on how to get home. (I had been going the right way to begin with before I exited the freeway).

A few days later, on my way to work, I got lost again… took the wrong exit off the freeway, and ended up getting lost in the desert. Needless to say, I was late to work… which was one of the reasons I ended up getting fired.

My main issue is; I’ll have an idea, get up to do it – then forget why I got up, start doing something else, then remember why I got up for to begin with, then go to do that, then forget again and start doing something else… this is a viscous cycle! I’m only 28 years old and I feel like I’m on the verge of dementia sometimes, and quite frankly, it’s freaking me the f*ck out!

I’m also experiencing severe anxiety and insomnia, so severe, that I’ve gone from taking 0.5mg of alprazolam once a day for the past year, to up to 3mg alprazolam a day 2 months after starting the generic. If I had taken that amount while on brand Adderall XR, I would have been passed out for 2 days straight. I saw my Psych, who switched me from alprazolam to clonazepam. The anxiety is gone, but now I can’t stop crying… I have been having crying spells for almost 3 days now, crying an average of 4-5 hours a day. I still feel confused, and can’t focus, but at least I’m able to sleep again.

So all you folks out there who are experiencing major side effects, you’re not alone, and for a lot of you – it’s not all in your head.

Some people are just very sensitive to additives and fillers, and for me, one manufacturer’s formula can affect me totally different than another manufacturer’s… not just with Adderall, but I’ve experienced this problem with many prescription and OTC medications.

Good luck to all of you.

77

I began taking Adderall XR in December 2008 with very positive and successful results. In June 2009, Medco by Mail switched the prescription to the generic. The Amphetamine Mixed ER capsules look nearly identical so I had not realized they had been switched. Since June I have been extremely irritable, unfocused, lethargic, and (in the past few weeks) severely depressed. I could not understand what was wrong until I noticed that the medication I had been taking was not the same. I firmly believe that there is something different in the generic that has caused such an adverse reaction and I have filed a complaint on the FDA website. I would reccommend that anyone else experiencing trouble with the generic do the same.

It is heartbreaking to me that at after being misdiagnosed with depression for 17 years and bouncing from anti-depressant to anti-depressant I finally found success in Adderall XR but my happiness and ability to function was stolen by greedy pharmacutical companies. I would have been better off never taking Adderall XR in the first place because then I would never know what I was missing.

78

It would seem funny if there wasn’t so much at stake for most of us, money being the last, our health being the first. Anyway the irony of this is that it’s been considered a wonder drug for students and people who are motivated to want to learn, and the results have been quite asonishing. So, to try and tell a bunch of super thinkers they’re ‘just imagining’ things is either foolish or shows it doesn’t matter what we say or do – since most people have and will go out of there way to find facts and information that’s undeniable. Keeping this short, ironic yes…helpful, probably not. It’s amazing how much trust I’ve lost in health care. Good luck everyone.

79

I took 30 mg Adderall XR for more than 5 years with very good results. I am now in my third month of generic and feel as if I am not taking medication at all, except, like others who have posted here, my stomach is regularly upset. I’m surprised to hear that the generic is the same and is supplied by the same maker, since I have noticed such a huge difference. I am having to see my doctor this week and ask to go on the name brand. Unfortunately, this will require serious “lobbying” of Aetna, since they will now not cover the name brand.

80

Im very lost. My son’s meds keep going up. My insurance keeps telling me that the generic drug is not an generic drug so i cant get it. Im paying each month more and more.
I

81

MY son was on dextroamphetamine 10mg er caps,which was the generic version of dexedrine 10mg spansules. I have been informed that the company who made this generic that I paid around 50.00 a month for is no longer making these and the real version of these are 114.oo a month. I told my sons doc and he wrote a prescription for adderall 10mg capsules and I went to walgreens to fill it because the doc said they have a generic and when I started to pay for this generic the person told me the price would be 179.00 for the generic I asked and that is for 1 pill a day for 30 days. I couldnt beleive it. how could a generic be so expensive when it is the same ingrediant as the other generic I mentioned earlier.I did not pay that and I went right back to my sons doc and got another script for the name brand dexedrine because this name brand was a lot cheaper than the adderall generic. Has anyone else out there without insurance been surprised like this?

82

I just started taking the generic 10mg XR- I could tell a difference right away with my ability to focus and stay on task. But I can’t sleep at night, but then I always have trouble sleeping- my brain keeps thinking about everything! Ugh!
My problem is that my insurance stops in a month and I want to continue the med so I can get through school easier. Is it really going to cost me $100+ a month to stay on stuff? Can I stock up on my prescription somehow before the insurance runs out?

83

Oh man I didn’t read the last few posts about the mood swings- I have had some serious mood swings- I figured it was bad PMS,,, but it sounds like it might be the generic version… hmmm
Maybe I’ll ask for the brand name when I refill~

84

My daughter needs the adderall and the prozac. she was on the medicaid and now they just cancelled us and said we have to pay 1000 a month first. we dont have this money because my husband was laid off in January of 2009 and I finally got a job but it pays only 8 an hour and I have only been getting jobs once or twice a week. We are waiting to hear if she is approved for the Florida Kid Care, but it takes 6 weeks or more and she has already been without it for 2 weeks while we have been trying to take care of this. Is there anywhere we can get temporary help with this until the other plan decides what to do. Any information you can give would be very help

85

I was taking adderall xr name brand (the way we say it were im from) and it lasted almost as long as i wanted it too and I did experience some insomnia but i always slept. I wasnt depressed and coming off the medicine just made me tired and feel like I wanted a cig. Now im on the generic and at first i noticed a big difference. I just felt bluntly high. No attention to detail just zoned. I thought perhaps it was my enviroment. When I first started taking the generic I was visitng family and had a lot of free time. When I came back home the generic worked the same but with in a day or two I did notice strong feelings of depression, anxiety, short temper outburst and at night sometimes I had to take a zanax to relieve the symptoms. Some days were good and some days were bad. I thought it was just because now im about 35 lbs heavier and I just dont intake as much as I used to when I was smaller. Personally if you are truely concerned what I do is keep a journal of how well the meds are working and be truthful because its only going to help. What I found personally is that they work the same on me its just I do occasionally get really bad anxiety at night and I will have to take something. Thats about it. Also just a note to women who are taking the pill if you have bad mood swings and had pms this might effect how you feel and react on the drug. I know it does for me. Also I have found foods can also deplete the drug and your body’s intake of the meds. Research it. Sorry so long but I hope it helps. Any one have any ideas on how to releave the anxiety effects with out narcotics?

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I have also felt a huge difference between the two. I get very sick off the generic, huge anxiety attacks and diarrhea. I need to go back to the regular stuff, no matter what the cost. I tossed my prescriptions twice, tried taking time off and realized after all efforts, this stuff is POISON TO MY BODY and it looks like the vote is unanimous after reading all of the above comments. This generic version is hurting us all, so we should make a stink! Being that we can’t contact eachother here, feel free to contact me at amycarney@gmail.com and we can all try to fight to get the generic stuff looked at somehow or tweaked, because it is terrible! I too was in a terrible mood, my head was FOGGY, my stomach hurt, I had NO appetite at all (atleast on Adderall XR I had more of an appetite), I was HOSPITALIZED for low magnesium, potassium, and low electrolites DUE to this generic, and I even lowered by dosage to 5 mg! I am a 130 pound 32 yr old Female, very healthy… I wore a heart monitor over a weekend and was diagnosed with irregular heartbeat (my heart started pausing, then beat-beat-beat PUMP), it was all very scary. Also, by the end of my day, I was too tired and anxious to move. I would just lay on the couch, and I have two little boys I need to take care of, that is not the quality of life I want to live, nor should my children have to witness me looking/feeling like this just because mommy has ADHD and is trying to get through her day, which I obviously am NOT… I called my pharmacy and he made me feel really stupid. I asked if anyone else had mentioned a difference and he said no…

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Here is the email address for the FDA: druginfo@fda.hhs.gov

Please let them know!!!

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For all of you who say the generic is the same…I know my body pretty good and the generic is not the same. All people react differently. Since my insurance switched me to generic it does not last as long, I have a “coming down” feeling and it makes me feel like crap, and nauseated very often. I am fed up and will be contacting my insurance but will more than likely loose that battle.

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I have taken the generic for a month now and will never take it again. Its is extremely different than the regular adderall. It made me very anxious, i had pains in my lungs when i took deep breaths, and did not feel like myself.I felt like i was in la la land all the time, it made me very spacey and dizzy!!!! I will never take the generic adderall XR again, clearly, it is not the exact same, b/c when i take regular adderall the only side effects i have ever had are headache, and dry mouth and a lil weight loss. The first two hours were fine on the generic the whole rest of the day i felt soo sooo sick and out of it. Do not try it.

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My 17 year old high school senior just got switched to generics and it is not the same for her. She is overwhelmed, unfocused and having a hard time sleeping. I also take adderall – I didn’t realize that I was on the generic since July. I started a new assignment at work in July and have been having a terrible time with organization (to the point my manager called out my lack of organization twice since July.) I was very forgetful – I’d start to do something then forget what it was I was trying to do. I was also extremely irritable. I was blaming myself for the issues I was having as a thinking problem – me being stupid again. I’m going to write to the FDAThis is scary.

91

40 year old mail. Been taking Adderall XR for two years, which was life changing. Started generic about 3 months ago. Noticed slight difference initially (less focus, energy, etc) — but more pronounced over time.

What is really scary is in the past 2-3 weeks memory loss (word recall, what I was doing, etc) has been substantial and frightening. Far more than anything I experienced before starting to take Aderall in the first place.

Very similar to the post above from Misty on Aug 6 — other than the “getting lost driving” parts … at least so far. Would be interested in an update from Misty or others who’ve experienced this.

I’ll be switching back to Adderall, and I’m fortunate to have more options on that front than some on this board (co-pay is only $40 on Adderall)

92

I live in Texas and I have been taking Vyvanse 70mg for over a year & paying $60/mo. w/ BCBS insurance. A friend told me that she took Adderall XR & that it was offered as a generic. I found that it did go generic in April 2009, and I asked my doctor if I could try it instead, since I could get the generic at a cheaper price. I got the Rx and dropped it off to CVS, but when I went to pick it up I was told that my insurance company does not recognize it as generic. Since I was out of meds, I had no choice but to get the brand name at the $60 price. My friend has a different insurance company, but I saw her meds and it was a generic form of Adderall XR. If the Adderall XR is available in generic, why doesn’t BCBS offer it at a generic price?

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I take the Adderall XR for narcolepsy and have done so for many years now (not counting the time I was pregnant). The pharmacy tried to fill the prescription with generic in April 2009, but the copay went from $25 to $40 (United Health Care) so I had the doctor put “brand necessary” to save that $15/month.

Then my company went under all of a sudden and I’m having to pay out of pocket. Last month, I paid $275 for the generic at Wal-Mart, that was the best price I could find. I think it works a little bit better than the brand name (I had some of the brand name left over to compare) because I think it is actually a bit stronger. Has anyone considered that there are other factors that might be causing some of your symptoms? No, I don’t think they are all in your head, btw. For my purposes (staying awake and focused) it is working BETTER than the original.

I read that Vitamin C will decrease how well the drug is absorbed. My stupid Gastro Doc had me taking 1000 MG Vitamin C/day. Yeah, I quit that and now it works better. Try looking at other factors.

Additionally, Teva is supposed to have the 180 day head start, I show that should be up tomorrow or Thursday. Has anyone heard of anyone else coming out with a different generic? Maybe the different generic will work better for some of you. I just don’t want to keep paying $275/month until I can get insurance again and hope they get other makers to release a generic ASAP so these drug companies can quit lighting their fireplaces with $100 bills. Jerks.

Thanks – and I am not saying that some of you aren’t “sensitive” but it might be something OTHER than the drug…look for other changes in your diet or routine that could contribute – I swear quitting all that Vitamin C made a world of difference…and when I am ready to go to sleep, I will make sure to consume some Vitamin C at bedtime instead.

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OK. Update from Misty…

I started another new job 3 weeks ago. A very easy job, in fact, all I had to do was verify prescriptions all day.

Unfortunately, I can’t focus whatsoever anymore, and low and behold, I get fired again today… and don’t get me wrong, I am a very hard worker and devote my full attention to the task at hand… problem was, I didn’t have any attention/focus left in me. I tried so hard to force myself to pay attention (it was excruciating), but that just made me fall behind the other employees. I had to run to the restroom often because I was so beyond frustrated that I would start to cry, I felt/feel so useless… my stats were so low, and I’m used to being one of the best in any job because of my dedication/hard work/and attention to detail.

This generic XR is CRAP, it doesn’t work… in fact, it makes me feel like I have Alzheimer’s, I have even debated going in to see if I need to be put on Aricept because I’m just not “with it” anymore. It literally feels like my brain is deteriorating, but if I don’t take it, I get very obnoxious and act impulsively… something I never wanted to experience again after going through childhood and my teenage years untreated for my ADHD/OCD.

So now I am freaking out… gosh I feel so alone. No one I know understands what I’m going through, and even my psychiatrist can’t do much about it because we would have to jump through loops to get a DAW (not to mention she keeps forgetting, guhhh). I have even queried Vyvanse intermittently for the past year it seems like… but she insists she has never heard of it, which seems rather odd to me.

Oh, I forgot to mention. Since I last posted, I have been getting bouts of nausea, photo-sensitivity, and terrible migraines. The insomnia has subsided, but I’m still having to take 0.25mg-1mg Xanax (divided doses) throughout the day! I’ve only taken 0.5mg Xanax before bed for the past 6 years or so, so to have to take that amount during the day because of this generic Adderall XR is beyond me.

I’d like to stop taking these pills cold turkey, the only thing is I’ve done that a few times before, and I always end up getting into some sort of trouble…

Anyhoo, I’m rambling and need to hit the hay now.

Good luck everyone, and if you would like, you can email me at mistymu@cox.net

95

I do not take Adderall XR personally, but my daughter (now 12 years old) has been taking it for roughly 2.5 years. She only takes it on school days, and always takes a ‘break’ over the summer. Her prescription was filled with generic for the first time in September. I’ve read many conflicting reports about the generic version, so I’ve been extra observant and have discussed it with her several times over the past few weeks.

According to her, she can tell no real difference between the generic and the name brand. She says it ‘feels the same’ and the effects on her concentration and tendency to be impulsive are pretty much equal. In fact, some of the side effects that bothered her so much before (primarily lack of appetite and trouble falling asleep) seem to be somewhat diminished. Also, she seems to ‘come down’ much more gently in the evening. She has always been very willing to discuss her thoughts and feelings about her ADHD & the Adderall, so I believe that if she were having problems with her medication in any way, she would let me know. She is pleased, so I am, too.

Obviously, it’s only been about 2 months so I have no idea how she will feel in the long run. For the time being, we are having absolutely no issues with the generic. I really feel for those of you who have had problems, and I hope you are able to work it out.

96

I was recently diagnosed with ADD and I’m going through the early stages of additional testing and figuring out what works for me and what doesn’t. My doctor started me out on 5mg of generic Ritalin, which was horrible. My skin would “crawl”, my stomach was always nauseous, I felt a noticeable “crash” near the end of the day and by the time I got home from work I was an irritable bastard and I got nothing therapeutic out it. So my doctor switched me over to Adderall XR, but I found out when I got to the pharmacy that even with my insurance it was $198!! I can’t afford that, so I asked about the generic. I was told by the pharmacist, as well as my doctor, that there is no real generic available at this time. There’s a “formula alternative”, which isn’t considered a true generic because, according to my doctor and pharmacist, the chemical make up hasn’t been proven to be exactly the same as Adderall XR by the FDA. Plus, it’s only a little bit cheaper then the Adderall brand name. So I’m in the unenviable position of being prescribed something that I can’t afford. So I either go broke trying to pay for the medication I need or I go without it and hope that I can manage my life, focus on tasks and retain what I’m doing, which was getting noticably worse and was the whole reason for me going to be tested, etc. in the first place!

Has anyone else found themselves in this position? Has anyone found any way to help with the financial burden? I know there are programs available sometimes to assist people with medications that are outrageously expensive. Any feedback is greatly appreciated. I feeling a little bit lost in this whole process.

97

I have been taking the generic Adderall for five months now and have not noticed any difference. I wouldn’t consider it a placebo effect, since I was very apprehensive about switching to a generic. I would encourage people to at least try it, since it is cheaper, although how much depends on your insurance.Then if you have a bad reaction, go for the brand name – your doctor will have ammunition to justify it to your insurance company.

98

@Chris – re: financial burden

I have been unemployed since the end of July and lost my healthcare coverage at that time. Here’s some advice for you on how to afford the XR or what to do when it isn’t an option:

1. There is on PAP (prescription assistance program) for the XR because there is a generic available now. Believe me, I’ve looked.

2. Call around and ask for price quotes from different pharmacies in your area. Walmart had the best price for me, but when another generic was released, that price went up. It makes no sense to me, but that’s what happened. I was paying $275/mo and it went up to $286/mo. INSANE…that’s for the generic.

3. This month I had my doctor change me to Ritalin (generic) which also didn’t work well for me. The $6/90 pills was the only good thing about this drug. Then I had her change it to regular release Adderall which seems to work pretty well. The only difference between it and the XR is I have to take it several times a day instead of once a day.

4. Costco has the best price I could find for the regular release, generic Adderall. $35 vs. $79 (Walmart). I went to Costco.

5. Google “prescription assistance cards” and you’ll see there are tons of cards out there you can print for free. None of them really help with the Adderall (that I have found) but if you have other prescriptions, they are worth the paper to print them out.

Good Luck!

99

I was more than happy to switch to generic Adderall XR at 1/3 the cost. I used it for ~2 mos. I have no qualms with generic medication when it works properly; but, generic Adderall XR does not. I noticed a severe increase in side-effects, and marked decrease in overall effectiveness. Originally, I didn’t associate the rxn to the change in medication. However, when my 7 y/o child complained of similar adverse-effects: extreme xerostomia to the point of gagging and choking, dysphagia, severe chest-pain (presumably angina), palpitations/tachycardia, unilateral flushing w/alternating cyanosis, peripheral and facial edema, dyspnea, nausea and vomiting, presyncope, arthralgia, cyclic hyperphagia/anorexia, pruritis with acne-like lesions, nocturnal hyperhidrosis, and severe withdrawal-syndrome: I began to question the new rX. I discussed the issues with our physicians, and both stated that the generic has received poor reviews. We have since switched back to the brand Adderall XR, the side-effects are minimal–as they were before. Not to mention, it actually works! Ironically, while still using the generic I had watched a television programme about illegal meth-amphetamine–street drugs–from what I learned during that programme, I would equate the quality of generic Adderall XR to street-grade meth. Spend your money–save your life.

100

Chris,

Try contacting Shire, the manufacturer of Adderall XR and find out what their assistance programs are like. The worst they can say is no. You and your doctor could consider Vyvance (spelling?). I have heard that there is a trial going on that if you are elligible and end up participating, after the three or four week study, your medication is covered for 9 months. I believe you are compensated for your time to visit the participating doctor during the study and the study medication is covered during the study as well. During the study you may be on medication with active ingredient or placebo though. As I understand Vyvance is one of the same salts as in Adderall paired with long acting delivery system and I believe Vyvance is also manufactured by Shire. Just something for you and your doctor to consider. Good luck!

101

Ok
So i ahve been on Adderal XR 2o mg for a while, I’ve taken ritalin instead few times but it geve me migranes. I have taken the generic one for two minths in a row, I notice a difference: 1) severe constipation, although when i first started taken addearl xr I was constipated, the constipation went away & was treatabele, however as for eth generic adderal xr THE CONSTIPATION IS HORRIBLE. 2) weight gain for no reason. 3) JUST NOT AS GOOD, I went back to wasting time & playing around…I hate it. SWITCHING BACK MONDAY

102

I started with taken just generic Adderall and it works absolutely fine with me. I sort of experimented with how much I should take and I have found a sweet spot. When I take it, it takes about an hour to feel anything but I become very talkative and very happy. It truly is an amazing feeling. The only real side effects I have gotten are dry mouth and less appetite, which happens with brand name as well. If you do take generic I suggest you try different doses because taking a lot doesn’t mean you’ll get smarter and taking too little doesn’t mean it will actually help. It seems that you people have very low tolerance to medicine and that taking Adderall everyday seems to be the problem for you guys. I suggest you take Adderall only when you actually need it and try to cope with what God gave you. It’s ridiculous that people take it everyday when it can cause liver damage as with any kind of drug. If you guys truly cannot live without any drug than that is truly sad but there are alternative things you can take to help with brain fog and other stuff such as fish oil pills(which I take everyday), ginko biloba, and one of my favorites “L-Tyrosine” which is an amino acid that helps you produce more dopamine. It actually gives me more energy. Also, diet and exercise is important and keeping ADD from becoming too much of a problem. It could be a simple allergy that is causing the brain fog. All I am saying is that depending on drugs when it is not life threatening is pretty bad for your health and your mind because it is guaranteed addiction the moment you say “I need adderall to do this” for every little thing. People with ADD are blessed and cursed. Because we live in a society that practically worship left-brained people we kind of feel stupid to everyone else. But we are the big thinkers that pretty much think outside the box and can see what other people cannot. Schools are pretty much based on memorization of stuff, which I think is pretty much unfair, but we have to live with it. I hope one day society can appreciate all the great thinkers that are hidden beneath the rubble one day instead of praising those who can memorize. BTW There are people with mental retardation and they are able to memorize every single thing they read. This is what society deems as smart? No way, I am glad I can think outside the box and people should be thankful for such a gift. Really, the major place you would need medicine is in school. Find work that doesn’t require memorization if that is the problem. BTW I oppose people who give adderall to kids of really young age. It’s not really necessary to give them anything to get good grades. They will pass to next grade even if they fail. High School and above is what really counts. I can’t believe there are this many crazy kids out there that need drugs to calm down. Adderall is definitely not good to give them, whether it be generic or brand. If you need to calm them down, give them tryptophan. The same stuff that is in turkey that makes people tired and calm. Seriously people, with all that adderall in your bodies try to search online for anything that could be better. I constantly do that but with generic adderall it makes it even more exciting. And I love the feeling of my heart beating quick. It is like an adrenalyn rush and it truly makes me feel alive.

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Adderall causes the release of adrenalyn so WHY WOULD YOU GIVE ADDERALL TO A HYPERACTIVE KID. Really stupid. I get really energetic with the adderall and I am normally a lazy and calm person. So making me energetic is neccesary for me to do stuff but making a kid who is hyperactive even more energetic is stupid. Please use the adderall to make wise choices. Why take adderall? To make you concentrate more. Why want to concentrate more? to not make stupid decisions and actually think of the consequences.

104

BTW if you have constipation, it is so easily remedied by taking magnesium. If you actually have done some research, you would have known that taking adderall with magnesium increases effect by keeping the drug inside blood longer and that too much magnesium causes one to poop. I take moderate amount of magnesium and I poop everyday just fine even though on some days I don’t eat at all I still poop the next day because magnesium helps loosen the excrement in your intestines. LOOK IT UP PEOPLE. If you have a problem all YOU HAVE TO DO IS LOOK FOR REMEDY. IT IS NOT THAT HARD PEOPLE. I DID SOO MUCH RESEARCH BEFORE I ACTUALLY TOOK ADDERALL. So I wouldn’t be ignorant on how I can make it not uncomfortable for me to take it. Plus I have somewhat of a high tolerance. SO TAKE LESS IF YOU DON’T.

105

I seriously think the people who are saying generic sucks and brand is better are really ignorant. The only reason you guys say that is because you are so desperately trying to compare the two drugs. Animals adapt to better suit their environment. Adapt with the new drug and take less or more or something else because you don’t need to cry about it, all you have to do put in some effort. You people are wasting so much on brand for no reason, making shire even richer. Seriously, right now is time of economic turmoil so why are you guys so desperate in wasting all your money in something that is not necessary for life such as heart medication is for someone who has a faulty heart. You guy’s don’t even care about others who are suffering that don’t even get to experience school or work in some place that isn’t physically labor intensive. Crying about generic. STOP, save that money and spend it on something more important. Maybe another visit to the doctors since you guys are obviously depressed.

106

Editor’s note – Thanks, Aldo for your comments.
When it comes to some of the comments you’ve made, they are close to the ‘line’ of being insulting to people who participate on this blog. Because they are aimed generally at everyone, and not any one specific person, I have allowed these comments to show on the blog. I hope that your comments are taken as a starting point for discussion, rather than as insults to people who rely on their Adderall as a treatment for their ADHD (as I rely on my eye-glasses to see as I type this).
Dr. Kenny

107

Thanks, Dr. Handelman for addressing that. I would like to ask Aldo some questions regarding the statements he made.

Aldo, listen to what you have said:

I seriously think the people who are saying generic sucks and brand is better are really ignorant. REALLY? WE’RE ALL IGNORANT? PLEASE HELP ME BECOME AWARE…

The only reason you guys say that is because you are so desperately trying to compare the two drugs. YES, LANDING IN THE HOSPITAL WAS ME DESPERATELY TRYING TO COMPARE THESE…

Animals adapt to better suit their environment (WE ARE HUMANS… ADDERALL IS A DRUG, NOT OUR ENVIRONMENT).

Adapt with the new drug and take less or more or something else because you don’t need to cry about it, (RUDE!)

all you have to do put in some effort (OH! THAT’S ALL! OKAY!…).

You people are wasting so much on brand for no reason, making shire even richer (THAT’S WHAT WORKS BEST FOR US, WHY DO YOU CARE WHO GETS OUR MONEY?).

Seriously, right now is time of economic turmoil so why are you guys so desperate in wasting all your money (WHAT?!) in something that is not necessary for life such as heart medication is for someone who has a faulty heart (TO GIVE US A CHANCE TO IMPROVE OUR WAY OF LIFE).

You guy’s (APOSTRAPHE?) don’t even care about others who are suffering (WHERE DO YOU GET THIS FROM? HOW DO YOU KNOW WHAT WE CARE ABOUT?)

that don’t even get to experience school or work in some place that isn’t physically labor intensive. Crying about generic. STOP, save that money and spend it on something more important (HMMM.. WHAT WOULD YOU LIKE US TO SPEND OUR MONEY ON?).

Maybe another visit to the doctors since you guys are obviously depressed. WHERE DO YOU GET DEPRESSED OUT OF THIS? ONE OF THE FIRST SIGNS OF DEPRESSION IS NEGATIVITY, CHECK YOURSELF. THIS POST WAS TERRIBLY COMPOSED AND VOID OF ANY FACTUAL CONTENT. YOUR OPINION IN THIS CASE SHOULD HAVE BEEN KEPT TO YOURSELF, IT WAS NOT CONSTRUCTIVE IN ANYWAY AND IT WAS BITTER, CONDESCENDING, ASSUMED, RUDE, AND (AS YOU SAY) STUPID.

108

I’ve been taking generic Adderall XR since it was introduced (April, ‘09) & it’s indistinguishable from brand for me (i.e., works well, can’t tell the difference. I’ve been on Adderall XR for a total of ~ 3 years now (recently changed dose from 15 mg/day to 10 mg/day)). Now that there are 2 generics out (Impax/Global & Teva/Barr), I do wonder when price will come down significantly. This is a medication for which there is a lot of off-label demand, & I’m sure that’s part of it; the details of the patent litigation (& legal payments (”kickbacks”?) involved) I’m sure also play a role. But I wish the antitrust/FTC people would be more aggressive in the U.S. in policing/enforcing these situations (as they do in Canada & generally in Europe) so that pricing fairness / integrity is more transparent & consistently enforced.

109

It seems that many people are not aware that Shire has actually been providing (to Barr/Teva) all Adderall XR that is sold as “generic Adderall XR” by Barr/Teva. It’s actually the same exact medication as the “brand” version. Here’s verification from Shire’s web site in a December, 2009 news release:

http://www.shire.com/shireplc/en/investors/investorsnews/irshirenews?id=314

The placebo effect can be very powerful, & that must be what people are experiencing when they perceive a difference in the “generic” version, since in this case there’s no difference.

110

Question for the Doc. and everyone.

I am one of those for whom the generic from Teva/Barr did not work. Is the new one from Impax/Global any different? Is there any legal reason why the generic companies use slightly different fillers, etc. or use maybe a different mix than the original? For Aldo, it is bad news when a drug not only doesn’t work but makes one’s symptoms worse and possibly make a person more aggressive or easy to rage. This is miserable for the patient and possibly dangerous for those surrounding them or could cause a job loss. It is scarey for us who were diagnosed late and finally found what helps us. We don’t want to lose it. One thing I might try is Vyvance if it gets to that. We who have been misunderstood so much of our lives don’t need “one of us” to think that because a drug works for them it will work for all of us. Why should we waste money on a drug that makes us feel unfocused, aggressive and cause us to not be ourselves?

111

I do not buy that there is no difference. First, let me state that I am on medical assistance, due to the fact that I fit the criteria for the lowest income tier. That means my prescriptions are all $1 or free. Generic or not. I have had my dr. write “DAW1″s on my RX and have had generic. The generic is twice as potent and “dirtier”, as in it feels like I od’ed on cough meds… there are many conflicting reports on if there is on isn’t a difference, and I can definitely tell a difference.

112

Hello James,

We have been through this before. I think you should read further back into the comments and you will see that the problems are way more than the placebo effect would reflext. I went to you link and if you notice it doesn’t say that Shire sent the exact same ingredients to Tevo to quote “Shire has been supplying Teva with authorized generic ADDERALL XR since April”. The authorized generic can contain different substances by a certain percent. Also, I think someone raised the point that part of the miracle of Adderal XR was when they figured out how to release just the right amounts at the right times during the day to keep us with the correct dosages for most effective treatment. Also, Shire has a vested interest in now promoting Vyvance as the best extended release ADD/ADHD medication. You have a right to what you think but I am almost certain that there is something different between the brand Adderal XR versus generic. I was really happy to get the generic and i was super disappointed when I felt so awful. I never thought there would be a difference as I take a lot of generic medication and it works fine.

113

Hi Kathy & Amy,

I was told by Shire that they (Shire) are manufacturing the medication for Teva/Barr, but I don’t recall whether I asked them to confirm that it’s the exact same (i.e., whether Teva/Barr is being sent a version in which some subtle changes have been made to the forumulation), so I guess this could be the case. I do question whether this would be allowable under FDA’s guidelines (since it would presumably be somewhat different that what FDA has approved), though, & whether it would be economically practical for Shire. You might want to contact Shire &/or Teva/Barr (&/or perhaps Impax/Global) & ask about this. If you do, please report back & let us know. I’d be very surprised if it’s different, but would be very interested in hearing back either way.

114

I have BlueCross BlueShield as my incurance through the COBRA program and have been on Adderall XR 60mg for almost 2 years now. It cost me $100 every month to have it filled as it was still brand name. Then when April 2009 rolled around and the generic version was released, I was elated to think that I would be paying only $10 for it, like I do my other meds. But, no. The Adderall XR generic is still $100, just like the brand name.

So, since April, I’ve been receiving generic brand Adderall XR and was still paying $100 when I should only be paying $10. Can someone explain this to me because the pharmacist or my psychiatrist certainly couldn’t explain it. Nobody seems to have the answer as to why they cost the same. I’ve never encountered a situation where a generic medication cost as much or more than it’s brand name counterpart.

115

Hi to every one on this blog. I just want more info on this pill. I been reading every ones post and I really want to try both of them to see if they really do have diff effects on a person. I have the generic please let me know the pros and the cons thanks

116

And on the pill it’s read adderall xr but on the bottel it’s reads amphetamine salts er

117

I have been trying to find information from someone that is not taking Adderall or the generic for ADD or ADHD. My doctor added the generic to my anti-depressants about eight months ago. He thought it might help with my lack of motivation. I have tried many different anti-depressants over the years (started about 21 years ago)and now take Pristiq. Am I the only one using this medication for this?

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Karen, I can’t help you because I take brand name Adderal XR but since the Adderal thing seems to be so messed up, I don’t know if I will be able to get XR in the not too distant future. Adderal XR works fine.

I would like to know if you get any help for your ADD/ADHD from Pristiq? I take Effexor XR for depression and clonopin for anxiety.

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Here is my problem. Yesterday, I went to my pharmacy to get my prescription for Adderall XR. The pharmacist shows me that the label on the bottle says Adderall XR–BUT–the capsules inside the bottle no longer have “Adderall XR” printed on them. The capsules now have the words “M.Emphat Salts” printed on them. I was mistakenly, in the past, given the generic of Adderall XR. I know what the generic capsules look like. The label on the bottle says “Adderall XR”, but these capsules are generic. My pharmacist and my neurologist office called around and were told that the FDA approved the bottle to be labeled in this way and the capsules to be labeled another way. They were also told that my prescription was definately Adderall XR. And we are all just supposed to believe that? My doctor and pharmacist are very uncomfortable with this. Why would Shire put their top of line product in second rate packaging? I could understand the “bait and switch” if it were reversed. Is this even legal? I feel like I might me be getting ripped off. I am paying a higher price for the real Adderall, but I don’t know what I am getting. Has anyone else experienced this? My pharmacist said that he first noticed this problem only 2 weeks ago. Thanks, Jammie

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I have been trying to get my Adderall XR prescription filled for 5 days now with no luck. As of January 1st, Blue Cross will no longer cover the brand name product. However, they will not cover the generic either. They actually keep telling me that it is not “FDA approved” which I know is a bunch of crap. Pharmacies would not be able to offer it if it wasn’t FDA approved. Is anyone else having this issue with Blue Cross and the generic version of Adderall XR???
Help!

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Well, this is getting a little scary. I just checked my bottle from 12/9/2009 and it still says Adderall XR on the pills. I will sure pay attention to what or if on the next bottle. I should look and see what United Healthcare has done with their formulary. My doc sent a letter to my insurance to get the XR because the generic made me feel awful and did things to my personality. But this is a new year so it’s anybodys guess. Thank you Jammie and Terri for sending a note.

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Ive been on Adderall Xr for years now and I too was told months ago that I HAD to take the generic or get a prior authorization from my insurance. I was not thrilled but I gave the generic a go… not a fan. I found the generic to be very different, maybe I am just more sensitive than other/most people but I was shakey and kind of restless/anxious. I called my dr. and he told me a few other people had the same problem, I actually tried a different medication made by shire that is similar to adderall xr but metabolized differently and it was awful. Needless to say I got my prior authorization and everything was fine until I lost my insurance and had to go on the states… they have refused my prior authorization from my dr twice now and I am so aggrevated. Obviously my dr is asking for this for a reason, they aren’t drs they dont know… I think im going to appeal it and hopefully go back on brand name. In December I had to pay out of pocket for the brand name and it was $500… talk about ridiculous. In the meantime I told my dr I would give the generic another go… not looking forward to this. What really aggravates me is that the generic is like 20% cheaper… oh gee great savings.

If anyone else got denied let me know what happened/if you appealed… thanks!

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If there is no difference between generic and brand Adderall XR, then why do I get sick to my stomache and have headaches when I take the generic?

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I had been taking the Adderall for about 2 years when the generic came out. Like so many, I picked up perscription to find that it cost $4 instead of $60. Cool. Didn’t think anything about it just figured the generic was now available. Well, I began with extreme fatigue to the point of feeling like I needed to close my eyes from two hours after I took my medicine at 7:30 a.m. ALL DAY I was exhausted! I was bloated, easily irritated, and the worst part, spaced out. I was putting the dog snacks in the fridge, the milk in the cabanet. I couldn’t remember what I had just done or said. The constant yawning and sleepyness was enough but add in the total destruction of brain function…well. At first, I just figured my body had to get used to the generic. This went on for a full month and a half. I tried to wait it out thinking it would eventually pass but not the case. I contacted my doctor and made a mad dash to her office emotionally expressing the issues I had been having with the generic. That was four months ago and all has been fine since. Name brand Adderall XR. Check. That is until this week. Monday, I picked up my perscription. Bottle says Adderall XR, pills have Adderall XR printed on them. Guess what? It is in no way shape or form the original name brand formulation of Adderall XR. It is Friday and I am so damn sleepy, cloudy, unmotivated, out of focus, and bloated! The pharmacy says they have had no complaints. I have called the FDA Consumer Complaint hotline and am awaiting a return call. I am at my wits end now. If I can’t even trust the name brand of this drug what are my alternatives. I have both the generic and supposed name brand as the pharmacy would not take back the perscription they filled incorrectly. Is there any way to have them analyzed? Either way, if ANYONE has had the same issue, please post. I cannot reach my doctor until next Tuesday at the earliest. This is a total nightmare I assure you.

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to those who say it’s the placebo effect:

i had no idea that i was switched from brand name to generic for two full months – but over those months, i was extremely irritable, sleepy, disorganized and depressed…

then, i happened upon this here blog, and BINGO – captain obvious told me to check the label – yep, it was generic…fast forward to a week later: i fought with my insurance company, got back on the brand name (because they’d already approved it in writing for a full year in august ‘09 – they stopped covering it 1/1/10), and VOILA – instantly back to my former (much improved) self.

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I have been calling the FDA, Shire, my pharmacist and my doctor about the generic/ Adderall XR. Shire told my pharmacist and my neurologist office that Shire is making both the generic and the Adderall XR at Shire . Shire explained to these people that there are two separate medicines going down two separate conveyors. Shire also told these professionals that the FDA has approved the packaging of the Adderall XR formula into either/or a capsule stamped with the Adderall XR on it or into a generic capsule that does not have the words Adderall XR on the capsule–and that it is okay to have the medicine bottle still labeled Adderall XR even if that is not what the capsule has on it. I called Shire and Shire tried to tell me the same thing. The woman from Shire even told me to look at the inlet(the prescription description paper that comes with the prescription) and that the inlet said the FDA approved Shire to use whatever name Shire wanted to use. I checked the inlet and so did my pharmacist. It was UNTRUE. I called and talked to the FDA twice. The FDA called Shire and then the FDA called me back. Shire told the FDA something completely opposite of what Shire had told my pharmacist and my neurologist office. Shire told the FDA that Shire was running two separate conveyors of the SAME product. Shire told the FDA that Shire was packaging the same product into capsules labeled Adderall XR and capsules not labeled Adderall XR. Shire told the FDA that Shire was now giving everyone the Adderall XR. This includes the people that are given a generic prescription. Shire’s explanation for doing this was Shire wanted to stay competitive. I won’t even pretend to understand what that is supposed to mean. Shire told the FDA to have me call Shire back and speak with a specialist who worked at Shire named Sylvia. I called Shire and was told that no one named Sylvia worked there. I called Shire at 2:00PM my time–3:00PM their time. I was told that no one could assist me and that I had reached an “after hours” phone service. I questioned why an “after hours” phone service was needed during the day and was told that EVERYONE at Shire was in a meeting together. Basically, I was blown off by Shire and by the FDA–BUT–I am not finished. This medication that I have been given SUCKS. I don’t care what name Shire puts on the capsule or what name Shire puts on the bottle–because I know that this medication is not Adderall XR.

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Shelly – Try testing your blood sugar. It might not be the meds, it might be more along the lines of your blood sugar being out of whack. Or it could be time for an increase in the dose…I’m not sure. I do know the days where my Adderall doesn’t seem to work as well – it’s my blood sugar.

Also, if you are taking large doses of Vitamin C with the medicine – it’s going to interrupt the Adderall. Look it up – I had one doc give me Adderall for my narcolepsy, another one told me to take Vitamin C and I experienced a dramatic decline in how well the Adderall worked. Turns out, Vitamin C will interfere with how Adderall is absorbed. So…I started taking the Vitamin C at night – and the problem got better (assuming my blood sugar is okay that day) even still, I still have days that are better than others.

If you aren’t taking a Vitamin C supplement, maybe you’ve started taking the meds with OJ or Lemonade or anything else high in Vitamin C? If so – stop taking them at the same time and see if you notice a change. If that’s not the problem, see about testing your blood sugar. If that’s not it – ask your doctor about a higher dose – because you can build up a tolerance…which is understandable.

Side note – the good thing about Vitamin C at night in combo with Adderall is that it sort of acts as a “kill switch” so if you’re having problems going to sleep, it can help…it’s obviously not 100% foolproof (as I’m up at 1:30 am) but I did take my dose later than I should have today. Oh well…c’est la vie!

Good luck!!

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“Shire told the FDA that Shire was now giving everyone the Adderall XR. This includes the people that are given a generic ”

I wonder if this means that there used to be separate drugs on each convair belt but they (Shire and Teva)decided to just give everyone XR either because it is cheaper when you only have to make one medicine or was the reason that the generic was giving a lot of people trouble? Maybe they found some more cost effective ingredients or a new process and they didn’t realize until people started buying them that there was a problem. They don’t have to do as much testing with generics. This is just pure speculation. Maybe everyone in the factory wasn’t told, especially customer service people, just the have-to-knows and the people on the line would know. One would hope that the company would tell the FDA the truth. It’s pretty sensitive information and who would want to admit that they made a mistake with medication that wasn’t caught until the public had problems with it? Someone could claim that their child who did something horrible or took their life did it because of this generic drug. Instead they quietly get it out of the market by just using the regular Adderall for both. This is just me sitting here in the middle of the night, speculating.

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