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	<title>Comments on: What&#8217;s Up With Generic Concerta?</title>
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	<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/</link>
	<description>News and Essays about Adult ADHD, with author Gina Pera</description>
	<lastBuildDate>Sat, 18 May 2013 16:35:12 +0000</lastBuildDate>
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		<title>By: Gina Pera</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-156620</link>
		<dc:creator>Gina Pera</dc:creator>
		<pubDate>Sat, 18 May 2013 16:35:12 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-156620</guid>
		<description>Woo-hoo Roseann - you&#039;re my girl! And you&#039;re not &lt;em&gt;stupid&lt;/em&gt; -- you&#039;re smart. Very smart!

Some day, we might not have a choice if we want generic Concerta; this poor M substitute might be our only choice, if we cannot afford the brand.  In the meantime, the marketing agreement with Watson still holds to sell the brand as generic. So, if Costco is cutting corners already, I&#039;d take my business elsewhere.  That Costco pharmacy is simply buying the party line that the the M generic is just as good as brand -- and want you to buy it, too. But consumer beware!

We use a mail-order pharmacy, via our healthcare insurance. Might be worth looking into, if your policy features it.</description>
		<content:encoded><![CDATA[<p>Woo-hoo Roseann &#8211; you&#8217;re my girl! And you&#8217;re not <em>stupid</em> &#8212; you&#8217;re smart. Very smart!</p>
<p>Some day, we might not have a choice if we want generic Concerta; this poor M substitute might be our only choice, if we cannot afford the brand.  In the meantime, the marketing agreement with Watson still holds to sell the brand as generic. So, if Costco is cutting corners already, I&#8217;d take my business elsewhere.  That Costco pharmacy is simply buying the party line that the the M generic is just as good as brand &#8212; and want you to buy it, too. But consumer beware!</p>
<p>We use a mail-order pharmacy, via our healthcare insurance. Might be worth looking into, if your policy features it.</p>
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		<title>By: Roseann</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-156615</link>
		<dc:creator>Roseann</dc:creator>
		<pubDate>Sat, 18 May 2013 14:30:10 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-156615</guid>
		<description>In response to Gina on May 17 (I can&#039;t see how to respond to your comment)

That&#039;s actually what I did.  My husband was the one who filled it, so when he brought them home and showed them to me, I immediately called the pharmacy.  They tried to tell me it was fine.  I took them straight to the doctors office, and they said to take them back.  I did that, and the pharmacist was adamant they were fine, but finally said he would refund my money, but couldn&#039;t take the pills back, but that I needed to take the pills to my doctors office and give it to them.  He did reverse it on my insurance too, so I can still go get a new prescription of the correct stuff (in my opinion).  I felt extremely stupid, but stuck to my guns because I really didn&#039;t feel good about the M27 stuff.  He even called my doctors office while I was there and got after them.  He was apparently talking to someone different than I talked to, and he had that nurse talk to me.  She was actually quite rude and made me feel even more stupid for not listening to the pharmacist, and that I was costing the pharmacy a lot of money, but in the end I was able to stick to my guns and say that I really wanted to take my prescription somewhere else.  Once I left I felt so glad I stuck to my guns, but still felt stupid at the same time.  I returned to the doctors office to give them the prescription and get a new written prescription, and the doctor and nurse there that I talked to reaffirmed that I was in the right.  They made me feel better, which I was so thankful for!</description>
		<content:encoded><![CDATA[<p>In response to Gina on May 17 (I can&#8217;t see how to respond to your comment)</p>
<p>That&#8217;s actually what I did.  My husband was the one who filled it, so when he brought them home and showed them to me, I immediately called the pharmacy.  They tried to tell me it was fine.  I took them straight to the doctors office, and they said to take them back.  I did that, and the pharmacist was adamant they were fine, but finally said he would refund my money, but couldn&#8217;t take the pills back, but that I needed to take the pills to my doctors office and give it to them.  He did reverse it on my insurance too, so I can still go get a new prescription of the correct stuff (in my opinion).  I felt extremely stupid, but stuck to my guns because I really didn&#8217;t feel good about the M27 stuff.  He even called my doctors office while I was there and got after them.  He was apparently talking to someone different than I talked to, and he had that nurse talk to me.  She was actually quite rude and made me feel even more stupid for not listening to the pharmacist, and that I was costing the pharmacy a lot of money, but in the end I was able to stick to my guns and say that I really wanted to take my prescription somewhere else.  Once I left I felt so glad I stuck to my guns, but still felt stupid at the same time.  I returned to the doctors office to give them the prescription and get a new written prescription, and the doctor and nurse there that I talked to reaffirmed that I was in the right.  They made me feel better, which I was so thankful for!</p>
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		<title>By: Gina Pera</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-156549</link>
		<dc:creator>Gina Pera</dc:creator>
		<pubDate>Sat, 18 May 2013 04:01:18 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-156549</guid>
		<description>HI Roseann,
Thanks so much for your report from the front lines. This is exactly what I&#039;ve been fearing, this so-called &quot;bioequivalent&quot; substitute for Concerta that is really nothing more than Ritalin LA. It&#039;s an outrage. I will be writing more details about this soon. If it were me, I&#039;d take those M27 pills back to Costco and say that was a mistake; you need the Alza 27. And make a big stink.

It is possible that your child will do okay on these Ritalin LA-like generics, but I sure would not bet on it. 

Frankly, I&#039;m angry at this manufacturer&#039;s cynical, craven exploitation of people with ADHD for their mining of FDA loopholes. Shameful. I&#039;d like to mount a nationwide boycott.

Stay tuned.

g</description>
		<content:encoded><![CDATA[<p>HI Roseann,<br />
Thanks so much for your report from the front lines. This is exactly what I&#8217;ve been fearing, this so-called &#8220;bioequivalent&#8221; substitute for Concerta that is really nothing more than Ritalin LA. It&#8217;s an outrage. I will be writing more details about this soon. If it were me, I&#8217;d take those M27 pills back to Costco and say that was a mistake; you need the Alza 27. And make a big stink.</p>
<p>It is possible that your child will do okay on these Ritalin LA-like generics, but I sure would not bet on it. </p>
<p>Frankly, I&#8217;m angry at this manufacturer&#8217;s cynical, craven exploitation of people with ADHD for their mining of FDA loopholes. Shameful. I&#8217;d like to mount a nationwide boycott.</p>
<p>Stay tuned.</p>
<p>g</p>
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		<title>By: Roseann</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-156533</link>
		<dc:creator>Roseann</dc:creator>
		<pubDate>Sat, 18 May 2013 01:39:32 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-156533</guid>
		<description>My son just started taking Concerta last month.  Today I tried to refill for the first time, and the Costco pharmacy gave me half pills that say Alza 27, and half that say M27.  They pharmacist said they are in the process of changing brands.  The first time I filled the prescription they looked just like the Alza ones, but since they are gone now, I can&#039;t remember what was imprinted on them.  I felt really uncomfortable about the M27 ones. When these were prescribed, my doctor told me that the effectiveness of these pills were because of the pump, so to see the tablets that didn&#039;t look like there could be any sort of pump in them, I felt extremely uncomfortable using these pills.  I am not sure what to think of this.  I didn&#039;t get a chance to go to a different pharmacy tonight, but I hope that when I do go, that they will be the Alza ones.  I am very confused on all this.  Are pills marked Alza not generic?  Are they sometimes?  How can the medicine be just as effective as a tablet when supposedly the pump is what helps create the even dosing throughout the day?  So frustrated and confused!!</description>
		<content:encoded><![CDATA[<p>My son just started taking Concerta last month.  Today I tried to refill for the first time, and the Costco pharmacy gave me half pills that say Alza 27, and half that say M27.  They pharmacist said they are in the process of changing brands.  The first time I filled the prescription they looked just like the Alza ones, but since they are gone now, I can&#8217;t remember what was imprinted on them.  I felt really uncomfortable about the M27 ones. When these were prescribed, my doctor told me that the effectiveness of these pills were because of the pump, so to see the tablets that didn&#8217;t look like there could be any sort of pump in them, I felt extremely uncomfortable using these pills.  I am not sure what to think of this.  I didn&#8217;t get a chance to go to a different pharmacy tonight, but I hope that when I do go, that they will be the Alza ones.  I am very confused on all this.  Are pills marked Alza not generic?  Are they sometimes?  How can the medicine be just as effective as a tablet when supposedly the pump is what helps create the even dosing throughout the day?  So frustrated and confused!!</p>
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		<title>By: Gina Pera</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-154923</link>
		<dc:creator>Gina Pera</dc:creator>
		<pubDate>Mon, 06 May 2013 23:19:52 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-154923</guid>
		<description>Hi Tony,

I haven&#039;t kept up with the shortage controversy. Last I heard, it seems that the DEA has decided there will be limits on the &quot;raw materials&quot; for the stimulants, no matter how many people are diagnosed legitimately. Talk to your congressperson.

re: 90-day supply, this might or might not be a feature of your insurance company&#039;s prescription plan. Ask &#039;em. We send in my husband&#039;s Rx to Arizona from California (previously, it was Texas, I think).  Somehow, mail-order is different. You do have to send in a new script each time; no refills.</description>
		<content:encoded><![CDATA[<p>Hi Tony,</p>
<p>I haven&#8217;t kept up with the shortage controversy. Last I heard, it seems that the DEA has decided there will be limits on the &#8220;raw materials&#8221; for the stimulants, no matter how many people are diagnosed legitimately. Talk to your congressperson.</p>
<p>re: 90-day supply, this might or might not be a feature of your insurance company&#8217;s prescription plan. Ask &#8216;em. We send in my husband&#8217;s Rx to Arizona from California (previously, it was Texas, I think).  Somehow, mail-order is different. You do have to send in a new script each time; no refills.</p>
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		<title>By: Tony</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-154921</link>
		<dc:creator>Tony</dc:creator>
		<pubDate>Mon, 06 May 2013 22:29:15 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-154921</guid>
		<description>Hi Gina-

I&#039;m glad to have come across your info on generic v. brand or good generic v. bad generic.  I have noticed the grades slipping from straight A&#039;s to B&#039;s with difficulty.  Still, I am not complaining.  I am hugely concerned with the shortage of the Meth 20mg ER.  It appears to be a national shortage of raw materials.  Any suggestions???

I also want to ask how can I get a 90 day supply by mail when 1) it is a controlled substance and requires a script in person 2) my MD or my mail order pharm (can&#039;t recall which) has said I can only have a Rx for 30 days at a time.  I live near Chicago, IL.  Am I getting bad info?</description>
		<content:encoded><![CDATA[<p>Hi Gina-</p>
<p>I&#8217;m glad to have come across your info on generic v. brand or good generic v. bad generic.  I have noticed the grades slipping from straight A&#8217;s to B&#8217;s with difficulty.  Still, I am not complaining.  I am hugely concerned with the shortage of the Meth 20mg ER.  It appears to be a national shortage of raw materials.  Any suggestions???</p>
<p>I also want to ask how can I get a 90 day supply by mail when 1) it is a controlled substance and requires a script in person 2) my MD or my mail order pharm (can&#8217;t recall which) has said I can only have a Rx for 30 days at a time.  I live near Chicago, IL.  Am I getting bad info?</p>
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		<title>By: Gina Pera</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-154100</link>
		<dc:creator>Gina Pera</dc:creator>
		<pubDate>Tue, 30 Apr 2013 15:02:51 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-154100</guid>
		<description>Thanks Jeanne.  This is worrying, as many people will not be informed and will simply think that the medication doesn&#039;t work (or worse, it&#039;s not ADHD).

If you can take the time to complain - to anyone and everyone - that might do some good.

best,
g</description>
		<content:encoded><![CDATA[<p>Thanks Jeanne.  This is worrying, as many people will not be informed and will simply think that the medication doesn&#8217;t work (or worse, it&#8217;s not ADHD).</p>
<p>If you can take the time to complain &#8211; to anyone and everyone &#8211; that might do some good.</p>
<p>best,<br />
g</p>
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		<title>By: Jeanne</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-154069</link>
		<dc:creator>Jeanne</dc:creator>
		<pubDate>Tue, 30 Apr 2013 07:21:56 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-154069</guid>
		<description>Four days ago, my pharmacy gave me a generic (Mallinkrodt ER 27mg) instead of Concerta for my 11 year old. It does not seem to be working, or working inconsistently.  

My child has become very forgetful, difficult to deal with and is unable to fall asleep at night.  We did not experience any of these problems with the Concerta.  

Mallinkrodt&#039;s ER 27mg tablet is a completely different shape from the Concerta tablet and may not be dissolving properly.  I also suspect the formulation is different.  I just did some searching on the internet and learned that Mallinkrodt just started manufacturing and selling this medication this year after receiving approval in December of 2012. 

I am going to call my pediatrician tomorrow and go back to Concerta.</description>
		<content:encoded><![CDATA[<p>Four days ago, my pharmacy gave me a generic (Mallinkrodt ER 27mg) instead of Concerta for my 11 year old. It does not seem to be working, or working inconsistently.  </p>
<p>My child has become very forgetful, difficult to deal with and is unable to fall asleep at night.  We did not experience any of these problems with the Concerta.  </p>
<p>Mallinkrodt&#8217;s ER 27mg tablet is a completely different shape from the Concerta tablet and may not be dissolving properly.  I also suspect the formulation is different.  I just did some searching on the internet and learned that Mallinkrodt just started manufacturing and selling this medication this year after receiving approval in December of 2012. </p>
<p>I am going to call my pediatrician tomorrow and go back to Concerta.</p>
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		<title>By: Gina Pera</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-153599</link>
		<dc:creator>Gina Pera</dc:creator>
		<pubDate>Fri, 26 Apr 2013 19:37:51 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-153599</guid>
		<description>Good luck, Doug.  I just don&#039;t know what to make of these reports about the &quot;Alza&quot; generic not working. I&#039;ve contacted the FDA and other sources to see about the chance of counterfeits. These things are tightly controlled, and the Alza OROS would be hard to duplicate with any kind of authentic look. So, I just don&#039;t know.

I do know that some of us will be in worse shape, when insurance companies start charging an even bigger premium for the brand and forcing people to take the &quot;generic&quot; -- especially with this Malinkodt .....garbage...that is basically Ritalin LA. They&#039;ve exploited the letter of the FDA law, it seems to me, in showing bioequivalence with Concerta. Shameful stuff, in my opinion.</description>
		<content:encoded><![CDATA[<p>Good luck, Doug.  I just don&#8217;t know what to make of these reports about the &#8220;Alza&#8221; generic not working. I&#8217;ve contacted the FDA and other sources to see about the chance of counterfeits. These things are tightly controlled, and the Alza OROS would be hard to duplicate with any kind of authentic look. So, I just don&#8217;t know.</p>
<p>I do know that some of us will be in worse shape, when insurance companies start charging an even bigger premium for the brand and forcing people to take the &#8220;generic&#8221; &#8212; especially with this Malinkodt &#8230;..garbage&#8230;that is basically Ritalin LA. They&#8217;ve exploited the letter of the FDA law, it seems to me, in showing bioequivalence with Concerta. Shameful stuff, in my opinion.</p>
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		<title>By: Doug</title>
		<link>http://adhdrollercoaster.org/the-basics/whats-up-with-generic-concerta/comment-page-2/#comment-153596</link>
		<dc:creator>Doug</dc:creator>
		<pubDate>Fri, 26 Apr 2013 19:31:55 +0000</pubDate>
		<guid isPermaLink="false">http://adhdrollercoaster.org/?p=2155#comment-153596</guid>
		<description>Gina, sincere thank you for your quick response. Based on what you said, I&#039;ll ask the doctor for another prescription and see what happens. Thank you so much once again.</description>
		<content:encoded><![CDATA[<p>Gina, sincere thank you for your quick response. Based on what you said, I&#8217;ll ask the doctor for another prescription and see what happens. Thank you so much once again.</p>
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