Hello, and I was wondering what is needed to get Adderall Brand name?

I have been on


Vyvanse
Ritalin
Methylphenidate
Concerta
Strattera

None of them work like Adderall. I have been off of it for a year or so because I had no insurance.
I sampled some of the Generic of Adderall from Barr I believe? And it wasn't the same, and I had headaches and I felt ill.
I didn't even know it was Generic untill I called the Pharmacy and asked if they give me the wrong thing.

I was on


Adderall XR 30mg, one table a day
Adderall IR 20mg, one table a day

I told my doctor how I am always tried, I always take naps; and I feel that I have too, and I can't stop it.
I am always spacing out because I am tried, I sometimes just collapses and fall to the ground sleeping. I have these attack like things.
I an just fine, and then I am needing to find a place on my desk to sleep in the middle of my AP Chem Test.
My doctor said something like Narcolepsy, and I was diagnosed with ADHA in 3rd grade and that is when I started to take medication.

And I would like to go on this again. I have arranged a meeting so I can speak with a Psychiatrist, to see if I can get back on this.



Is it rude to ask for what I had on the past since I know what works for me? And asking for them to write "DAW" so I can get the brand name, since the Gerneric really does give me side-effects?


I am 17, 160, male.

Thanks!

I don't understand how generics can give side effects that brand name meds don't. They are the exact same medications by law and just have a different name. It's not like buying a cheap Chinese ripoff of some high-end TV or something. Maybe your dosage was different or something?

In any case, tell the doctor your story and then ask for Adderall. It's much better than just letting him do whatever and ending up with something that didn't work again.

I don't understand how generics can give side effects that brand name meds don't. They are the exact same medications by law and just have a different name. It's not like buying a cheap Chinese ripoff of some high-end TV or something. Maybe your dosage was different or something?

In any case, tell the doctor your story and then ask for Adderall. It's much better than just letting him do whatever and ending up with something that didn't work again.

The active ingredient in Gerneric Medication isn't always the same.

There can be a -20%/+20% difference in the make up. Thus resulting in the medication not being the same, and I feel this is why I had these side effects.
That's 20%, so I feel that can really make a difference.

I take 5mg Adderall boosters in addition to my 70mg Vyvanse. I've usually just got the generic Barr but this last time I got brand name instead (still made by Barr). There is a difference between them, slight difference but it's definitely there.

On the prescription there should a box saying "brand medically necessary". Or when you turn in the script just tell the pharmacy you want brand name.

Have you ever had a sleep test? I have sleep apnea and IH (Idiopathic Hypersomnia) which is sometimes referred to as "non-rem narcolepsy". I take Provigil each day too.

J

Interesting Post from http://www.drugs.com/forum/featured-drugs/adderall-brand-vs-barr-generic-43433.html

I found some info on the FDA web site. You may already know this, but just in case you don't: They have a listing of all available prescription drugs, and it gives the basic info on each, including the generic versions. For both brand - and generic - they list the manufacturers of each and every drug available through a prescription. I looked up some drugs and saw some makers of them which I never even knew existed! Lots of info on the site.
http://www.nlm.nih.gov/medlineplus/druginformation.html Gives pretty much the same basic info as a PDR would, but perhaps a bit less technical details, and:
http://www.fda.gov/cder/orange/default.htm Gives a list of the approved drug products with therapeutic equivalence evaluations - Called the "Orange Book." By looking here, I found that the Generic Barr brand of Adderall, 30mg, as well as Dextroamphetamine, was classified as an "AB" in terms of equivalence. In short, it was found by the FDA to be 'pharmaceutical equivalents', hence the first letter of AB - or "A", and the second letter, "B" designates that both drugs were found by the FDA to be NEITHER therapeutically equivalent, nor do they have the bioequivalence of the name brand of either drug. That may answer our questions concerning the Barr brand vs Name Brand. In fact, it looks like there are no "AA" designations for either drug, which would indicate equivalence in terms of both pharmaceutical AND therapeutic value when compared to the name brand of either drug! I hope I spelled those correctly :-)
I hope that helps even a bit!

In response to my last message: Disregard the "AB" designation stuff that I wrote about. I went back and read it again, and it seems as though I stated it incorrectly. That web site has a pretty lengthy discussion on the codes it assigns to drugs, and I simply misinterpreted what I originally read.
Sorry for the confusion, but I was wrong when I referred to "AB" as not being equivalent.

Here we go the definition of Generic Drug by the FDA: http://www.fda.gov/cder/drugsatfda/glossary.htm#generic_drug

Generic Drug
A generic drug is the same as a brand name drug in dosage, safety, strength, how it is taken, quality, performance, and intended use. Before approving a generic drug product, FDA requires many rigorous tests and procedures to assure that the generic drug can be substituted for the brand name drug. The FDA bases evaluations of substitutability, or "therapeutic equivalence," of generic drugs on scientific evaluations. By law, a generic drug product must contain the identical amounts of the same active ingredient(s) as the brand name product. Drug products evaluated as "therapeutically equivalent" can be expected to have equal effect and no difference when substituted for the brand name product.


The key here is that the Barr Generic in order to be a generic of adderall has to have identical amounts of the active ingredient as in the Brand Name.

I don't know but I can't afford the Brand Name good for people who can, but paying an extra 300-400 dollars for a brand name when their is a generic available doesn't sound right. But if you can afford it and the brand name works better for you go for it.

I figure if the generic has the same amount of active ingredients as the Brand Name and the FDA tested it to see that it produces the same effect, I feel confident in my decsion to go with the generic.

Adderall IR Brand manufacturing rights were sold to Barr Labs. Not sure if there's a difference between Barr's Generic Adderall and Brand Adderall, only tried the generic and it sucked.

Shire still makes the Brand Adderall XR, Generic won't be available for it until April 1, 2009 and Barr Labs will be the first company who gets a crack at distributing it.

Is it rude to ask for what I had on the past since I know what works for me? And asking for them to write "DAW" so I can get the brand name, since the Gerneric really does give me side-effects?


I am 17, 160, male.

Thanks!

I don't think it's rude, but I wouldn't be too demanding. They are the medical professional treating you, so they may want to use a different method. They may think it's rude if you are appearing to undermine their professional opinion or advice.

I would respectfully present your medication history with your responses, and say that I'd like to continue with x since it worked. But, be completely open to anything they should suggest, and if you doubt their professional competence, or if they fail to consider your past experiences as valid evidence then I personally wouldn't value any advice they give. It's their job to give advice, and that's what they do. In that case, I would find another professional. So, you have to decide if their advice is worth while if they advise you to take another med, but hopefully they will see the logic. Personally, it would seem ridiculous not to prescribe a known treatment that worked well if I was a doctor, but I'm not, and I don't know how they think.

I don't understand how generics can give side effects that brand name meds don't. They are the exact same medications by law and just have a different name. It's not like buying a cheap Chinese ripoff of some high-end TV or something. Maybe your dosage was different or something?

In any case, tell the doctor your story and then ask for Adderall. It's much better than just letting him do whatever and ending up with something that didn't work again.

They are not the same exact thing. They need to have identical amounts of active ingredients but beyond that nothing could be consistent. In fact, I think they may be required to use different "inactive" ingredients by agreements with the brand manufacturers. Here are a few examples I can think of why the effects may be very different.

1 shot of hard liquor = 1 beer (same active ingredient) ≠ equivalent side effects

Anyone who's tried a few dietary supplements knows they can have a huge impact if taken by themselves vs. in food.

1000 mg L-tyrosine (amino acid) taken independently = possible heart racing and palpitations, possible anxiety and sleeplessness
1000 mg L-tyrosine naturally in hamburger (same active ingredient) = none of side effects of pure L-tyrosine taken independently

Has anyone tried caffeine pills? Notice how they are quite a bit different from taking caffeine in coffee, even if you drink the coffee cold?

Try an experiment. Take 6.2 grams of dextrose (this is synthetic glucose), or drink 1 cup of apple juice. I'll bet the effects will be vastly different with a rush from the pure dextrose.
Nutrition data Apple juice (http://www.nutritiondata.com/facts/fruits-and-fruit-juices/1822/2) 6.2g glucose/1 cup apple juice

To further complicate things, take 500 mg of L-taurine. Note the effect. Take 25-100 mg caffeine and note the effect. Take a B vitamin complex (or portion of one) and note effect. Take all three of these in the same exact amount, and note how the effect is different from what would seem like the combined effects.

This begs the question. Do they add extra things to the generics to reduce or alter effectiveness, but in a subtle manner so as to get FDA approval? Is the FDA being "influenced" since lots of cash is involved? Is this just a crazy conspiracy theory, which could be countered with the fact that some people prefer the generics?

<dl><dt>Therapeutic Equivalence (TE) Codes </dt><dd>The coding system for therapeutic equivalence (http://www.fda.gov/Cder/drugsatfda/glossary.htm#TE) evaluations allows users to determine whether FDA has evaluated a particular approved product as therapeutically equivalent to other pharmaceutically equivalent (http://www.fda.gov/Cder/drugsatfda/glossary.htm#equivalents) products (first letter) and to provide additional information on the basis of FDA's evaluations (second letter). Sample TE codes: AA, AB, BC (More on TE Codes (http://www.fda.gov/cder/ob/docs/preface/ecpreface.htm#TEC))



FDA assigns therapeutic equivalence codes to pharmaceutically equivalent (http://www.fda.gov/Cder/drugsatfda/glossary.htm#equivalents) drug products. A drug product is deemed to be therapeutically equivalent (http://www.fda.gov/Cder/drugsatfda/glossary.htm#TE) ("A" rated) only if:

a drug company's approved application contains adequate scientific evidence establishing through in vivo and/or in vitro studies the bioequivalence of the product to a selected reference listed drug (http://www.fda.gov/Cder/drugsatfda/glossary.htm#RLD).
those active ingredients or dosage forms for which no in vivo bioequivalence issue is known or suspected.


Some drug products have more than one TE Code.
Those products which the FDA does not deem to be therapeutically equivalent are "B" rated.

Over-the-counter drugs are not assigned TE codes.
</dd></dl>
TABLET; ORAL; 7.5MG;7.5MG;7.5MG;7.5MG
TE Code = AB <table summary="Generics for this Drug" a_lign="center" width="700" border="1" cellpadding="2" cellspacing="0"><tbody><tr bgcolor="#cecfce"> <th class="table_header" scope="col" valign="top" align="left">Drug Name</th> <th class="table_header" scope="col" valign="top" align="left">Active Ingredients</th> <th class="table_header" scope="col" valign="top" align="left">Strength</th> <th class="table_header" scope="col" valign="top" align="left">Dosage Form/Route</th> <th class="table_header" scope="col" valign="top" align="left">Marketing Status</th> <th class="table_header" scope="col" valign="top" align="left" nowrap="nowrap">RLD</th> <th class="table_header" scope="col" valign="top" align="left" nowrap="nowrap">TE
Code</th> <th class="table_header" scope="col" valign="top" align="left">Application
Number</th> <th class="table_header" scope="col" valign="top" align="left">Company</th> </tr> <tr bgcolor="#ffffcc"><td class="BoldDataRow" valign="top">ADDERALL 30</td><td class="BoldDataRow" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="BoldDataRow" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="BoldDataRow" valign="top">TABLET; ORAL </td><td class="BoldDataRow" valign="top">Prescription </td><td class="BoldDataRow" valign="top">Yes </td><td class="BoldDataRow" valign="top">AB </td><td class="BoldDataRow" valign="top">011522</td><td class="BoldDataRow" valign="top">DURAMED RES</td></tr><tr bgcolor="#ffffff"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040422</td><td class="product_table" valign="top">BARR</td></tr><tr bgcolor="#ffffcc"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040444</td><td class="product_table" valign="top">COREPHARMA</td></tr><tr bgcolor="#ffffff"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040440</td><td class="product_table" valign="top">MALLINCKRODT</td></tr><tr bgcolor="#ffffcc"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040439</td><td class="product_table" valign="top">SANDOZ</td></tr><tr bgcolor="#ffffff"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040472</td><td class="product_table" valign="top">TEVA PHARMS</td></tr><tr bgcolor="#ffffcc"><td class="product_table" valign="top">DEXTROAMP SACCHARATE, AMP ASPARTATE, DEXTROAMP SULFATE AND AMP SULFATE</td><td class="product_table" valign="top">AMPHETAMINE ASPARTATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE</td><td class="product_table" valign="top">7.5MG; 7.5MG; 7.5MG; 7.5MG </td><td class="product_table" valign="top">TABLET; ORAL </td><td class="product_table" valign="top">Prescription </td><td class="product_table" valign="top">No </td><td class="product_table" valign="top">AB </td><td class="product_table" valign="top">040456</td><td class="product_table" valign="top">WATSON LABS</td></tr></tbody></table>

Pretty sure a while back before Barr bought the brand formula I saw one rated "AA" but not 100% on that. Anyway thought this might answer some questions. If you're still interested Look up "Orange Book Ratings" on google, this is all off FDA's website. Yes, they do list more than just the 30mg Adderall dosage there, and of course there's no current TE code for Adderall XR of course because there is no generic yet.

Yeah I posted the links above

If the FDA conducted rigorous testing to ensure that it qualifies as a generic I'm going with that no sense in paying extra for something that is the same.

There is a reason their is a 10 year ban before people make the generics because the generics are as effective as the Brand Name, so once the generics come out their are way less people who buy the Brand Name.

That could be circular reasoning but I am just going with whats cheaper, and don't have brand name bucks.

Thank you all for the posts. I do like Adderall XR, as it lasts for the day when I am in school. And it helps with my EDS, and really helps me in terms of how tired I feel, I actually feel normal, and I am able to complete class work and not fall asleep, even with 10+ hours of sleep/day.

I was also diagnosed with Mania, so I take Trileptal, and I would like to try something else regarding that drug, perhaps another?

And then I take Seroquel here and there, 50mg, to help me sleep with the Adderall as it can keep me up from time to time if I take it before bed.

And then I take 20mg [He wrote 2x so I can get some extras since it's the same, and I could save some money as it's the same price as 20mg once a day] And I would take one after I felt my Adderall 30mg XR was wearing off, or take a 20mg IR if I wanted one for the rest of the day.

Wrong, generics ARE not the exact same. many generics are made by other companies, and by law hold the 20% rule. Now, example.. the fillers that many medications have in them , are just that ~fillers~ serve no medical need, other than using to make the medicine. if one of the fillers has something in it, like lactos, and your sensitive to dairy, guess what?... now, the 20% rule... well, we can do the math. Cor has a generic for adderall, i hate it.

I have been taking the generic for about three weeks now and it has done nothing for me at all and as a result, my schoolwork has slipped bigtime. I am getting the Adderall brand first thing tomorrow.

I just lost three weeks of productivity. :(

it boggles my mind that the debate as to whether genetics are identical to brand name drugs continues. (even more so for amphetamine based drugs). Back when GSK was still manufacturing Dexedrine tablets, I took 2 5mg tablets per day and they were smooth-acting, no harsh crashing, etc. At one point, I decided to try the Barr generic version (dextroamphetamine sulfate tablets), and I was about to jump out a window. Its onset of action was so incredibly crude, and the anxiety it caused made me feel as if a colony of ants were crawling under my skin. Needless to say, it didn't take me long to switch back to the brand-name version. My psychiatrist has recounted numerous cases where patients had horrid experiences on generics, whereas the brand-name version worked just fine. In sum, take with a boatload of salt any comment that generics and brand-name drugs are identical. It is pure and utter hogwash.