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Trebster posted:
Hi! I am adult with ADD, and have been on Concerta 54, 27, and Focalin 10 mg. daily for about 7 years. About a year or so ago, following a change in our health plan, the focalin was switched to generic, and the difference in cost made it prohibitive to get brand. Now, the same has happened to the Concerta(s), and , after 2 months on the generic, I'm not feeling the love! It definitely does not work the same (for me)- and there is a $ 90. difference , and in my case times 2! since I'm on the 2 doses.
I want to now try something different, that will be covered b/c there is no generic yet….possibly Vyvance 70 mg., Would you suggest that that was the best choice? Or recommend something else? Thanks so much!
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Gina Pera responded:
Hi Trebster,

You are not alone in experiencing difficulty with the Concerta generic. You can read many of the comments to this blog post from other adults with ADHD (and parents of children with ADHD) expressing an inferior result with one of the generics.

http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/#.Uhz0b7xUjZo

If you know Concerta works well for you, I would try to get the brand-name or the licensed "generic" that is actually the same as brand, marketed by Watson.

But if you want to try another medication, it's possible that the Vyvanse would work for you. It's a different class of stimulant (amphetamine as opposed to the methlphenidate Concerta), but some people do well on either.

You could also try another methylphenidate delivery system, the patch, called Daytrana.

Good luck!
Gina Pera


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