To save money, many people with ADHD take generic medications. Most have received assurances from their physicians that “bioequivalence” with the brand-name version is required and assured. Unfortunately, that is not always the case. Increasingly, patients who do notice a significant difference between brand-name and generic are making their voices heard.
The ADHD Roller Coaster covered this topic a few months ago, after I read an outrageous Consumer Reports press release that even warned consumers away from brand-name medications for ADHD as being too costly and unnecessary. I countered with this blog post on the potential dangers of generic medications for treating ADHD and co-existing conditions.
With other readers, I left comments at the Consumer Reports blog post (“Parents: Don’t rush Children to Adderall, Concerta, Strattera”).
Today’s New York Times article (“Not All Drugs Are the Same After All”) today backs up my points on generics. Some snippets:“There is a gnawing concern among some doctors and researchers that certain prescription generic drugs may not work as well as their brand-name counterpart.”
“Some specialists, particularly cardiologists and neurologists, are concerned about generic formulations of drugs in which a slight variation could have a serious effect on a patient’s health.”
“After hundreds of consumers posted messages about problems with the generic drug Budeprion XL 300 on the People’s Pharmacy Web site, Mr. [Joe] Graedon worked with an independent laboratory, ConsumerLab.com, to test the drug, which in other generic versions is typically known as bupropion. The lab found that Budeprion XL 300 released the active drug at a different rate than the brand name Wellbutrin XL 300. Mr. Graedon and the lab conjecture that the different dissolution rates might be to blame for the reported side effects and lower effectiveness of Budeprion.”
Kudos to Joe Graedon of The People’s Pharmacy for listening to his readers (despite his own longstanding support of generics) and probing the issue!
I welcome your comments on generic medications and ADHD. Please scroll down — no registration or codes required!