Manufactures of oxycontin 20mg

This was roughly 3 summers ago I believe. This was just months before Arbor made their merger with Azurity Pharmaceuticals. Arbor was the sole manufacturer of all Zenzedi besides their low dose 5mg and 10mg tablets which were being manufactured by their subsidiary company Wilshire Pharmaceuticals. I called Azurity’s main line which is (678) 334-2420… you press “3” at the main menu, and then “3” again which will direct you to patient assistance. At that time nothing was on back order, my pharmacy just couldn’t get it from their wholesalers so a rep was able to send the 20mg prescription I had directly to the pharmacy in my hometown. They responded to me by email and also called me directly the same day I spoke with the patient help line.
I just called them a few minutes ago to see what the status of things were and was told the 20mg Zenzedi is on back order currently and will be back in stock on June 6th. She requested my email and phone number and sent my complaint to a higher up who will be reaching out to me at some time today.
This is what I would recommend doing if you are having issues finding a way to fill your meds!
• ⁠Sidenote- I did find a pharmacy 2 days ago that happened to have a stock of a generic 10mg Dex made by Sunrise Pharmaceuticals. They had a patient who was on this med that no longer takes it and had left overs from his last order and had enough on hand to fill my monthly dosage amount… These generics are garbage, all of them. I’m certain most of you are already aware of this. They make me feel tired and just overall “weird” at equivalent dosage, and higher dosage doesn’t feel any stronger. The key factor with name brand Zenzedi is that is has a non active ingredient in them called “Crosprovidone” which aids in the metabolization process of the active ingredient. THIS is what makes name brand Zenzedi far superior to all the generic Dex that is available. Just an fyi in case you have to fill your script with a generic… it will not satisfy the same as Zenzedi (or it’s authorized generic Wilshire brand)
Hope that helps and best of luck !

I've had a weird experience with my first month so far on Vyvanse. Started at 20 and titrated up to 50. Each dose the effect would dramatically reduce after 3-4 days, which I'm chalking up to normal dose adjustment, leaving me with very marginal positive changes from the previous dose but more side effects.
I'm on brand Vyvanse, and I follow all the usual recommendations on protein intake and eating, I sleep 8 hours a night, and I drink water like it's my job. I've cut back my caffeine intake and tested the meds not having any at all that day, coffee 1 hour before meds, 1-2 hours after, later in the day, and none of these have made a difference. I've also tried taking the dose in water vs swallowing the capsule, and sipping it from a water bottle through the day.
The main issue with all doses so far has been that this med makes me feel groggy and drowsy, which sabotages any positive impact it might be having on my ability to focus, get more things done, and have a clearer train of thought. Slowing my overactive brain down is one thing, falling asleep at my desk at work is another. Off meds I'm mostly inattentive with internalised hyperactivity and struggle with fatigue a lot, and so far Vyv has actually made that part worse. My partner has also been remarking that my impulsivity and scatteriness is the same as off meds, while all of these were improved on Concerta, which I unfortunately had to stop because it started causing havoc not working consistently and suddenly causing wild crashes that fucked up my daily life. The crashes on Vyv are a lot more tolerable, I just get tired.
I seem to get a few days of more stimulating effect at the beginning of a dose, but I adjust very rapidly and then it settles to a new baseline of sleepy and drowsy that doesn't improve over the following week+, it actually worsens some days. When my meds kick in I can feel my eyes getting heavier and my brain slowing down so noticeably I have a harder time articulating myself. A bit of slowdown is desirable, but this has been too much and making me feel cognitively blunted.
As for individual doses and their effects so far: -20mg makes me want to go to straight to bed and I crash after 6 hours. Crash lasts the rest of the day. After 9 days of adjustment I felt nothing, no positive or negative effects.
-30mg gave me some focus and more energy for 2-3 days and then made me feel sluggish and drowsy the rest of the time. Duration was improved briefly but crashes came back after the first week. 2nd week had no improvements. I didn't hate feeling super relaxed, but I didn't like being unable to "activate" myself, socializing etc sucked because I just wasn't alert at all.
-Psych put me straight on 50mg because the first 2 had so little beneficial effect. First day was the first time on this med I felt the buzz and zoomies I'd had on the first days of a new dose on Concerta, and it finally addressed crashes and gave me a full 12 hour duration with the long awaited ability to focus - except that faded in just 2-3 days and the brain fog and drowsiness came back with a vengeance, coupled with headaches and a feeling of pressure in my skull this time. The 4th day on 50mg I might as well not have been on meds at all in terms of ADHD symptoms, they ran completely rampant. I also got the crashes back, though they came a bit later this time around. Thinking this dose went too far up past my goldilocks zone, if there is one for me on this med.
My experiments with dose staggering in water or as full capsules have been varied. 30 in the morning with 10 in water at noon and another 10 around 3pm just made me sleepy all afternoon and evening while postponing the actual crash. 30 with 20 taken at noon lifted me out of sleepiness but lasted too long into the evening and messed with my sleep at night. Still trying out other permutations, today I'm taking half of my 50 in water in the morning and the other half around noon now that I've adjusted to 50mg. I also still need to try taking 2x20mg capsules in one go or staggered since we skipped 40mg, in case we unknowingly jumped right over my sweet spot.
I'm at a loss for where to go from here though, to stick it out in case it levels out over the next weeks like it seems to for some people, or to call it quits if it doesn't improve by my next check in. I was hoping this would be the one for me after Concerta didn't work out, because the next step is Strattera due to the more limited range of medications available where I live (short acting dex isn't prescribed for adults), and I'm not feeling confident reading about the rate of success vs bad side effects on that one.
I've had glimpses of great functioning days on this med so clearly it's possible for it to feel balanced for me, but every time it's a fleeting moment that goes away again.
Worth noting I started this medication after Takeda took over manufacturing so I didn't get to try it while Shire was producing it, and I see a lot of people reporting efficacy was affected a lot in the past year.
If you had a similar experience, I'd love to hear from you, whether it ended up working out or you had to give up.

Over the course of starting methylphenidate, I’ve gone from IR 5mg AM + 5mg PM, to LA 20mg in the AM, to IR 20mg AM + 10mg PM, and this last dose seemed to be perfect for me for two weeks or so. Then suddenly it was the worst thing I’ve ever put in my body. Light sensitivity, irritability at everything, the worst insomnia I’ve ever had, and just feeling like everything was too much and I wanted to curl up and cry. The pharmacy switched brands to a manufacturer that’s been historically sus when I upped the recent IR dose but again, I was feeling great for 2 weeks on those pills before this so idk why it would matter. Now even taking JUST 10mg of it makes me freak out and feel like I’m having a heart attack. I went back to the long acting pills I had left because I had gotten permission from my psych to try 40mg, and while it’s better, the side effects still affect me more than they did the last time I tried that dose of the LA (granted I’m only a couple days out from stopping the one that was giving me the issues first). I just met with my psych and she’s equally as puzzled as to why things went sideways after two weeks on an immediate release, short half life medication and why the IR seemed to affect me longer than the LA even at a smaller dose and almost seemed to compound on itself each day. Does anyone know what might be causing this? We’re continuing with the 40mg of long acting split into 2 capsules so I can lower the dose back to my previous 20 if I need to but yeah, we’re out of answers to this. Any experience with a similar issue would be appreciated.

Hello. I've been going throug some mental health issues, such as anxiety, social anxiety, ADD, chronic fatigue and an episode of depression. I've been through different medication trials such as Lexapro, Zoloft, Effexor, Propranolol, Buspirone, Wellbutrin and Adderall. All SSRI's were giving me terrible side effects such as numbness, ED, zombie-like feeling, drowsiness even at the lowest doses. Anxiety medications were making me very sleepy. Wellbutrin was the only thing that helped but was giving me muscle cramps and did not work well for all symptoms. Adderall seemed to be the miracle drug which took most of the symptoms away and allowed me to manage my work and family life with ease. Only issue is that it is not consistent, one day I feel it works and other time I don't feel any change, I've noticed that some generic manufacturers pills work better than others. I had to change my insurance which my provider is out of network with so I found a new doctor.
I had issues with getting an appointment for months, but finally had the visit a few days ago. To start with, it was a virtual visit and 5 people attended it (MD, PA, Scribe, Nurse and some other employee), which made me feel pretty uncomfortable. The doctor was more concentrated about explaining their rules than the talk, she said that I need to have 7 visits to evaluate all issues until I am considered an established patient. She offered Adderall Extended Release, despite me telling her that I've tried it and it was not working as good as the IR version and that I often skip a dose or take it once daily rather than two. She said that I need to take it every day and that the reason for it being inconsistent is that I don't take it daily. She also said that Adderall does not build dependency and does not require increasing the dose. I was normally on 15mg IR but she prescribed 20mg ER. Moreover, when I went into the pharmacy to pick it up, they said that doctor cancelled the prescription. I called the office and was told that in order to get the prescription, I need to sign some controlled substance form and take a urine test. This is the first time I have been asked for this. She also ordered a genetic test saying that she needs to see why am I so sensitive to SSRI's. Also, she wanted me to take Prozac for anxiety and ADD, saying that it would not have the same side effects as other SSRI's than I've tried. She stated that Prozac is stimulating and works best for anxiety. I repeated a few times that I do not want SSRI's and that I did not have depression episode for a 2 years. She also offered Wellbutrin along with Adderall but I refused taking that many drugs. During the appointment the doctor repeated a few times that they have a holistic approach so why would they want to have me on multiple medications if I already found one which works fine.

1. Is it normal for multiple people attending a visit?
2. Is the lower dose of ER, instead of normally used higher dose IR Adderall a good approach?
3. Is Prozac really that different from other SSRI's and should I still give it a try, even if I do not have depression?
4. Is it normal for the doctor cancelling a prescription and asking for a urine test, if I was on Adderall already for over a year?
5. Shouldn't the test be done before my visit and prescribing the medication?

I don't have an issie with taking the test, but there are a lot of other concerns that I am having with this office. Would you recommend looking for another provider?

Hello. I've been going throug some mental health issues, such as anxiety, social anxiety, ADD, chronic fatigue and an episode of depression. I've been through different medication trials such as Lexapro, Zoloft, Effexor, Propranolol, Buspirone, Wellbutrin and Adderall. All SSRI's were giving me terrible side effects such as numbness, ED, zombie-like feeling, drowsiness even at the lowest doses. Anxiety medications were making me very sleepy. Wellbutrin was the only thing that helped but was giving me muscle cramps and did not work well for all symptoms. Adderall seemed to be the miracle drug which took most of the symptoms away and allowed me to manage my work and family life with ease. Only issue is that it is not consistent, one day I feel it works and other time I don't feel any change, I've noticed that some generic manufacturers pills work better than others. I had to change my insurance which my provider is out of network with so I found a new doctor.
I had issues with getting an appointment for months, but finally had the visit a few days ago. To start with, it was a virtual visit and 5 people attended it (MD, PA, Scribe, Nurse and some other employee), which made me feel pretty uncomfortable. The doctor was more concentrated about explaining their rules than the talk, she said that I need to have 7 visits to evaluate all issues until I am considered an established patient. She offered Adderall Extended Release, despite me telling her that I've tried it and it was not working as good as the IR version and that I often skip a dose or take it once daily rather than two. She said that I need to take it every day and that the reason for it being inconsistent is that I don't take it daily. She also said that Adderall does not build dependency and does not require increasing the dose. I was normally on 15mg IR but she prescribed 20mg ER. Moreover, when I went into the pharmacy to pick it up, they said that doctor cancelled the prescription. I called the office and was told that in order to get the prescription, I need to sign some controlled substance form and take a urine test. This is the first time I have been asked for this. She also ordered a genetic test saying that she needs to see why am I so sensitive to SSRI's. Also, she wanted me to take Prozac for anxiety and ADD, saying that it would not have the same side effects as other SSRI's than I've tried. She stated that Prozac is stimulating and works best for anxiety. I repeated a few times that I do not want SSRI's and that I did not have depression episode for a 2 years. She also offered Wellbutrin along with Adderall but I refused taking that many drugs. During the appointment the doctor repeated a few times that they have a holistic approach so why would they want to have me on multiple medications if I already found one which works fine.

1. Is it normal for multiple people attending a visit?
2. Is the lower dose of ER, instead of normally used higher dose IR Adderall a good approach?
3. Is Prozac really that different from other SSRI's and should I still give it a try, even if I do not have depression?
4. Is it normal for the doctor cancelling a prescription and asking for a urine test, if I was on Adderall already for over a year?
5. Shouldn't the test be done before my visit and prescribing the medication?

I don't have an issie with taking the test, but there are a lot of other concerns that I am having with this office. Would you recommend looking for another provider?

Hello. I've been going throug some mental health issues, such as anxiety, social anxiety, ADD, chronic fatigue and an episode of depression. I've been through different medication trials such as Lexapro, Zoloft, Effexor, Propranolol, Buspirone, Wellbutrin and Adderall. All SSRI's were giving me terrible side effects such as numbness, ED, zombie-like feeling, drowsiness even at the lowest doses. Anxiety medications were making me very sleepy. Wellbutrin was the only thing that helped but was giving me muscle cramps and did not work well for all symptoms. Adderall seemed to be the miracle drug which took most of the symptoms away and allowed me to manage my work and family life with ease. Only issue is that it is not consistent, one day I feel it works and other time I don't feel any change, I've noticed that some generic manufacturers pills work better than others. I had to change my insurance which my provider is out of network with so I found a new doctor.
I had issues with getting an appointment for months, but finally had the visit a few days ago. To start with, it was a virtual visit and 5 people attended it (MD, PA, Scribe, Nurse and some other employee), which made me feel pretty uncomfortable. The doctor was more concentrated about explaining their rules than the talk, she said that I need to have 7 visits to evaluate all issues until I am considered an established patient. She offered Adderall Extended Release, despite me telling her that I've tried it and it was not working as good as the IR version and that I often skip a dose or take it once daily rather than two. She said that I need to take it every day and that the reason for it being inconsistent is that I don't take it daily. She also said that Adderall does not build dependency and does not require increasing the dose. I was normally on 15mg IR but she prescribed 20mg ER. Moreover, when I went into the pharmacy to pick it up, they said that doctor cancelled the prescription. I called the office and was told that in order to get the prescription, I need to sign some controlled substance form and take a urine test. This is the first time I have been asked for this. She also ordered a genetic test saying that she needs to see why am I so sensitive to SSRI's. Also, she wanted me to take Prozac for anxiety and ADD, saying that it would not have the same side effects as other SSRI's than I've tried. She stated that Prozac is stimulating and works best for anxiety. I repeated a few times that I do not want SSRI's and that I did not have depression episode for a 2 years. She also offered Wellbutrin along with Adderall but I refused taking that many drugs. During the appointment the doctor repeated a few times that they have a holistic approach so why would they want to have me on multiple medications if I already found one which works fine.

1. Is it normal for multiple people attending a visit?
2. Is the lower dose of ER, instead of normally used higher dose IR Adderall a good approach?
3. Is Prozac really that different from other SSRI's and should I still give it a try, even if I do not have depression?
4. Is it normal for the doctor cancelling a prescription and asking for a urine test, if I was on Adderall already for over a year?
5. Shouldn't the test be done before my visit and prescribing the medication?

I don't have an issie with taking the test, but there are a lot of other concerns that I am having with this office. Would you recommend looking for another provider?

Lipnospan Special 20mg/ml + 12.5 micrograms/ml Solution for injection.
Www.mhra.gov.uk/yellowcard is on this paper also and a lot of side same as covid vax on common side effects
.Headache .Tremor .Low or High Blood Pressure .Pallor .Tachycardia .Dyspnoea. .Palpitations .Dizziness/Lightheaded
Lidocaine hydrochloride and Adrenaline.
Manufacturer
Septodont 58 rue du pont de créteil 94100 Saint-Maur-des-Fosses France
That's the leaflet i got i wonder if this has the mrna
I still dont trust this
Ingredients

anyone have any success with this manufacturer? not sure if i’m just getting anxious reading about the horror stories of certain generics but I’m on day 2 of only 10mg XR and it’s giving me chest pain and insomnia. Didn’t have this on brand name :(
Will it get better and should I wait it out? My doctor wants me to increase to 20mg next week
Are there any generic manufacturers you would recommend?

Hello,
I’ve been suffering from really bad reactive tinnitus, hyperacusis, along with eye floaters which have gradually gotten worse over the past year.
I found a drug recommended online called Vasobral which is manufactured in Italy for tinnitus and hyperacusis of ischemic origin. Some reviews translated from Russian even say their floaters went away as well as their tinnitus. Floaters and tinnitus aren’t always related, but they can be.
I think my symptoms are from an ischemic origin and feel this could help.
Unfortunately I’ve taken Bupropion 150mg XL once per day for almost five years.
Vasobral is:
alpha dihydroergocriptine - 2mg
caffeine 20mg
Before anyone says “Ask your doctor! This is Reddit!” - I did ask my doctor, he said he isn’t entirely familiar with the drug so can’t “advise” I take it, but that my dose of Bupropion is low and it’s likely I could take it without experiencing adverse interactions. He said to pay attention to side effects though.
I’m asking Reddit because there are a lot of smart people out there (some not so, too), but the only place I could find dihydroergocriptine mentioned was on this subreddit. Hoping to find someone with knowledge of both compounds, or who have by chance taken both compounds simultaneously.
Thank you so much!

I find this very strange. I would think taking 3 tiny 10mg new pills would have the same effect or better than an old, expired 20mg pill and half of another one to get 30mg.
Are there different manufacturers? Or does this stuff just get more potent with age (lol)?
Does the 60mg Extend-Release version not work unless you take it every day? If so, this is pretty a pretty useless prescription for me because I won't take this every day.
But, damn, the 10mg pills do nothing! I've tried taking 3 at a time on at least 3 occasions now and they just don't do anything. So, I've been slowly eating up the remaining 20mg pills I found in the back of the refrigerator. I'm worried that I'll have nothing that works when it comes time for job interviews soon. I'm currently stressing out about getting my site/resume together so that's why I need to use it. My brain shuts off otherwise.

I started on Vyvanse a month ago. at 20mg. initially it was pretty good. I liked it much better than the Concerta. The crash was much smoother. And I felt better.
There was a lot of inconsistency with its effectiveness though. And I did not like how much of a 'Wild card' it felt like. It took about 1.5 hours to fully kick in. and it would only last for 4 hours. (despite what the manufactures say) I then got approved to take 2 - 20mg a day. One in the morning when I woke up and then again around noon. It was very annoying having to plan around this medication for when I think it would kick in and when im sure it would be wearing off. If I was out for a social event I had to literally plan and prepare the perfect timing because when the crash comes, I couldn't stand to stay out any later. Despite all of these inconveniences I still rather liked this medication. And it made me feel really calm, and collected and I felt pretty good. Depression was non existent with this as well.
When it wore off depression started hitting a little harder as I went on.
And then the final deal breaker was the afternoon munchies..
I am aware that this medication is also prescribed for BED. I did not have issues with eating. I followed a strict Keto diet and was already in the habit of tracking my daily calories and macros. I would have a normal breakfast, and maybe a lighter lunch (the medicine did make me not as hungry when it was in effect) but then dinner when it wore off I was ravenous and could not stop eating.
I have seen others mention theories that if you don't eat during the day your body wants to make up for that. While I understand that point of view, I have also done OMAD in the past (One Meal Day) and its a way of eating while you are intermittently fasting and then consume your daily allowance on calories in 1 meal (sometimes two) but this was BEYOND that.
I had absolutely no control over this binge eating at night and it was mentally the most painful thing. As I said I did not have binge eating disorder. This medication seemed to have initiated it for me in some sense. And I just kept doubling and tripling my daily caloric allowance. It was devastating.
I would eat until full. Like Thanksgiving; stuff your face full. And my belly would be stuffed and I still wanted more!
I have experienced “munchies” in the past with herbal remedies, but this was insane.
I decided this medication is not for me even tho it made me feel better mentally it also created some damage in other areas. I couldn't find too munch on Vyvanse CREATING binge eating disorder, so I just wanted to share my experience in case there's anyone else who is, or has, or will experience this side effect.
Today is day 4 without it, and my guts are finally starting to feel a little normal.
The next step from here is Adderall. I have tried that in the past. It's been about 6 years. Hoping that switch will be a better fit.

I (25M) was diagnosed F90.2 combined type in late 2021. Because of insurance underpinnings, my mother and I were only acquiring generic manufacturers for me. Now— we all know generics offer the same active ingredients and are often identical in pharmacological composition and efficacy— Right.
Well, her school district received better insurances so we went ahead and ordered me the 90-Day supply of my Name Brand (SHIRE) 20mg Adderall XR and really? What a shame. I feel sorry for the livelihoods impacted by this ordeal. I finally feel like I have normal executive function... I spent 20 years of my life with a resilient mental fortitude & coping mechanisms due to of the stigmas around ADHD I never wanted to get treated and admit I was “retar*ed”. I don’t know why I had that picture in my head pertaining to kids with ADHD— because it’s quite the opposite. I will very shortly be a NOC engineer then not too long after that become a Network Architect. (Tech field)
I am off mother’s insurance at the end of this year but I will be picked up from this internship in July! Really wish I would have gotten diagnosed sooner. I finally feel treated. I suggest all of you who are on a generic ADHD medication, figuring out whether your insurance provides that option and if your provider would be willing to write “name brand only” or something similar, on your prescription file but just make sure your pharmacy has it on shelves!
Lastly, I have auditory processing disorder (APD) and Bilateral Sensorineural Hearing Loss and Bilateral Tinnitus and wear tiny little hearing AIDS. I noticed some of those generics severely affected my APD and Tinnitus. That is something I have to look into myself. All in all, generics are not name brand!

EPR+ hers2- stage 2a with one positive node and premenopausal. From browsing it looks like tamoxifen is the go to. A nurse told me they typically start patients at 20mg. Then they could add in Verzenio as added benefit? Or they could go the lepron shot route plus an AI if the tamoxifen isn’t tolerated well? I know many women need to try different drugs and combo before finding one that works. Would they change doses or drugs if there are problems? I appreciate the comments from other posts to check the manufacturer for the tamoxifen, so thanks for that info! Any other meds I should be prepared for? I did a bone scan last week so I know they’ll be keeping an eye on that. Do you think it’s best to address quality of life concerns upfront or wait to see if those issues occur? Weight gain, Vaginal dryness, libido? The post rads just seems big and scary right now!

Like all of us, I had AWFUL side effects from my IR 20mg Teva adderall last year. I’ve been on the same dosage, same manufacturer (Teva) for literally fourteen years, so it was incredibly noticeable when I started taking it and could almost instantly vomit the nausea was so bad, I could barely work from the sound and headaches.. I was sweating through my clothes. I couldn’t stay awake at my desk whatsoever.. and like, 10mg of my dose has always “jazzed me” Some days I didn’t even need my full 20mg- prior to this batch. All this to say, it wasn’t a sudden tolerance change or anything, I metabolize very slowly- I always have. It would be one thing if I felt “nothing” like a lot of people were experiencing, but to feel the NEGATIVE side effects was life altering. I had a baby, a full time job, a house to clean, meals to cook.. and I was like a zombie.
I was pissed enough to file the tedious Medwatch report with the FDA. I had to stop taking that brand and haven’t taken it since. I filed my report on August 31st, just checked my email confirmation, becauseeeee suddenly, today I get a voicemail from Teva- the gal says to call back she “wants to talk to me about my generic adderall” and gave me a case number to reference. Checked the phone numbers and they trace back to Teva.
I feel SO stressed about calling them haha I can’t even believe they called me! Are they gonna ask me questions?! Idk this feels so loaded I really want to lay in to them for the hell they’ve caused so many of us!! Ahh. Anyways, has anyone else gotten a call from them???!
Maybe standard procedure to follow up on a medwatch complaint and it will be a lame call hah but I’d love it if they really wanted to know what my experience was like.. it sounds like it’s the FDA who follows up on a medwatch if they need more info, not required of the manufacturer to do so.

Hello everyone!
I (30F) got diagnosed with ADHD a few months ago and thought it might be interesting to “review” my experience with Vyvanse. It was the first medication I tried and I haven’t tried any others meds because this one works really well for me! I’ve been using it for 4 months now. I might also have some tips which may help you if you struggle with Vyvanse wearing off too early or side effects. Of course this experience varies per person and this is just my personal experience. I am by no means an expert (I just hyper focussed on this subject lol).
Warning: this post is very long.
Dosage
Currently I’m using 20mg Elvanse (name for Vyvanse here in Europe) manufactured by Takeda Pharmaceuticals. I started at 20mg and I had a dry mouth and loss of appetite for the first week, but those side effects disappeared after a week. If I take a break of more than 2-3 days, I get the side effects again for a week. Every 3-4 weeks I went up by 10mg. I didn’t really notice a difference between 20 and 30mg, they both worked equally well for me. The highest dosage I tried was 40mg.
There are basically 2 ways you can feel that the dosage is too high: the zombie effect and the jittery “oops I just had 6 double espressos and now my heart is beating out of my chest” effect.
At 40mg I turned into a zombie. I was very lethargic, couch bound, emotionally numb and the side effects were worse. I got a bad cough because my throat was super dry, no appetite at all and very cold hands and feet. I also got very stressful dreams and bad quality sleep. Falling asleep and waking up was harder as well. After 2 weeks I went back to 20mg because the side effects didn’t lessen. It took about 2-3 days for me to lose the zombie feeling and side effects.
Interestingly enough when I’m on my period I need to take 40mg because 20mg doesn’t work. Then the 40mg works like the 20mg on a normal day and I don’t get the zombie effect or the side effects, except for cold hand and feet, but I think I also had those during my period when I was unmedicated. Luckily I only get my period once every 3 months because I’m on birth control pills and don’t take breaks. I’m not using any other medication except for the occasional antihistamines for hay fever (in which case I also need a higher dose of Vyvanse because the 20mg doesn’t work).
Problems I hoped meds would solve
My main problems before being medicated were: 1. permanent fatigue/lethargy, 2. executive dysfunction and 3. chaotic/loud brain with multiple trains of thought and a loud brain radio.
Problem 1: permanent fatigue
Waking up felt like trying to get out of quicksand and being glued to my bed. It didn’t matter how many hours I slept, 4/8/12/14, I never woke up feeling refreshed. My sleep itself was good quality sleep, the falling asleep and waking up was the problem. This has been a problem for as long as I can remember. Most of the time it took me about 3-4 hours to fall asleep. I had to mindlessly scroll on my phone until til I fell asleep. Not being on my phone didn’t help because my brain was too loud, needed something to distract it. Physical exercise also didn’t help because even if my body was tired, my brain (and especially my brain radio) was too loud to sleep rip. I used to cope pretty okay-ish, but the older I got, the more tired and fatigued I felt. Which resulted in me having to nap more often and sleep longer which was very inconvenient and kinda a waste of time because it didn’t help a lot actually. I just couldn’t stay awake.
How Vyvanse helps:
Vyvanse helps me with waking up feeling refreshed, which is wild because I never had that experience in my entire life. I used to be a zombie until 1-2pm. I take my meds 1 hour before I want to get up and start my day and it works like a charm. I don’t need to snooze for an hour anymore and can just get out of bed when my alarm goes off. Of course I don’t always do this and sometimes still stay in bed for a while, but it’s because I want to, not because I can’t get up. It also helps me with falling asleep faster, nowadays it only takes about an hour.
Problem 2: executive dysfunction
Started tasks or basically anything at all, even things I liked was a major hurdle. I had really bad executive functioning and doing things cost me an insane amount of energy which was really weird for me. This wasn’t a problem for my whole life like the sleeping and waking up thing. I’ve had problems with procrastination my whole life but nowhere near the level of executive dysfunction I experienced the last 4 years and this was actually the thing that made me seek professional help. It was so bad I couldn’t finish my masters or work.
Motivating (or more like internally yelling at) myself to do stuff cost me such a big amount of energy that if I had to unload the dishwasher and vacuum at the same day I would need to take a long nap. I was permanently tired and it was very exhausting and irrational because unloading the dishwasher isn’t hard and takes like 5 minutes, so it shouldn’t be so tiring. The amount of energy I had to spend was very disproportional to the task.
Also if I got into the flow I had to finish what I started, I couldn’t take a break because once I stopped there was no getting back in the flow. As a result my life was very much all or nothing (this had been a problem my entire life). Cleaning the whole house or not cleaning at all. Organizing everything or have the whole house be a mess. Very exhausting. I just wanted my life to be a nice bubbling stream, not a rollercoaster with ups and downs. Just normal focus instead of hyperfocus. Or at least hyper focus with the ability to take a break to eat and drink something lol.
How Vyvanse helps:
With meds my executive dysfunction almost disappeared overnight. If I have to do something I just get up and do it, without having to internally yell at myself for like an hour to go make some tea/do laundry/etc. Starting and doing things cost a lot less energy now! It’s like going grocery shopping with the same $50 as before, and suddenly everything is buy 1 get 3 free, but with tasks. It also made me realize the difference between ADHD paralysis and just not feeling like doing something. If I don’t do something now, it’s a conscious choice to not do it because I don’t want to, not because I can’t.
Switching between tasks is also a lot easier! If I’m cleaning my house I can actually take a break inbetween to walk my dog or grab myself a cup of tea in the middle of vacuuming my house and resume vacuuming after I finished my tea. Which is wild and something I was completely unable to do before. It really helps me with living a more balanced life.
Problem 3: chaotic/loud brain
My brain used to feel like there were multiple LOUD trains of thought running through each other and into each other. Like there were 10 tvs on different channels, all at a high volume and you try to concentrate on 1 while there’s also a loud radio which played very loud background music 24/7. Very noisy and especially annoying when my brain radio was stuck on a small part of 1 song and playing it on a loop (which it often did when I tried to sleep).
My brain got louder and more chaotic the older I got and this was (I think) one of the reasons I used to do well in school but couldn’t finish my masters because by that time my brain was too much chaos and I couldn’t focus on anything. Another reason was that I probably used anxiety as a tool to keep my ADHD symptoms in check. I had massive performance anxiety, fear of failure and was a perfectionist control freak lol. I was also never late to anything because I had (still have) a fear of being late.
How Vyvanse helps:
It basically feels like my brain is wearing noise cancelling headphones, it’s great. I don’t have random thoughts popping up. I don’t have the brain radio. I don’t have the 10 tv’s. Just my “main” thought with a few extra here and there but not in a distracting chaotic way. Very peaceful and quiet.
Experience and tips
I actually don’t feel Vyvanse kick in, and I don’t think it’s supposed to. I also don’t really feel it wearing off. The way I notice it’s wearing off is that my brain radio returns in the background (not as loud as before). I did experience a 4PM crash in the first week, but I read that if your meds stop working before the 12 hour mark it might be that your body ran out of building blocks to make dopamine and those are protein and an amino acid called L-Tyrosine. After I started eating more protein and supplementing 500mg L-Tyrosine around 2-3PM I don’t have the crash anymore and it works for about 12-14 hours.
I’m also pretty sure Vyvanse isn’t supposed to give you a high or a burst of energy and motivation. It might in the first week because your brain suddenly has enough dopamine, but the feeling won’t last because your brain will get used to it. After the first 2 weeks of taking Vyvanse I actually thought it didn’t work anymore because I didn’t “feel” it like I did the first week. However when I paid attention to my energy levels, executive functioning and how peaceful my brain was I realized it was still working, I just got used to this being my new normal. It’s like eating premium steak when you only had cheap steak before. The first time it’s an amazing new experience, but if you eat it every single day for a year you will get used to it and become your new normal/standard.
For me life used to be like driving a car with the handbrake still engaged. Very hard to move and I needed to gas up a LOT. So even getting in the car with the thought that doing anything cost a lot of energy was exhausting. With Vyvanse the handbrake is disengaged. I still have to get in the car myself and do the driving and decide where to go and what to do myself, but it’s a lot easier because the handbrake isn’t holding me back.
It also doesn’t necessarily give me great focus, it just enables me to be distracted less often because my brain is nice and quiet and I don’t have the random thoughts popping up a lot. Also because my brain is more quiet my working memory has improved a lot! I used to be “one ear in, the other ear out” because my brain was too messy, but nowadays I can just remember stuff! I don’t need to write it down. And if I write it down in my planner or notebook, I don’t forget to look in my planner or notebook anymore lol. Oh and I don’t forget to brush my teeth anymore, which is a massive win.
It also helps me with auditory processing. I used to have a hard time following conversations in loud places or when there were multiple interesting conversations going on. I had to play a very active part in 1 conversation to keep my attention to that one conversation. As a result I tended to talk a lot and dominate the conversation and have a hard time playing a more listening role. Also because I was afraid of losing my train of thought I interrupted others a lot. Nowadays I’m a better listener. I still talk a lot, but I can also keep my attention listening to others because I don’t have the chaos brain and brain radio as an extra distraction. It’s still hard when it’s very loud, but less hard than before.
Another effect I’ve found is that it helps with time blindness. I think my time blindness was caused by underestimating/overestimating how long it took to internally motivate myself to actually start a task. Like, I had a good grasp on how long the actual task would take, but it was hard to factor in the “preparation” time lol. As a result I often ran out of time and had to hurry or I was stuck in waiting mode because I overestimated how long it would take to do something so I decided to not do it because I didn’t want to be late. I don’t have this problem anymore because my executive dysfunction has pretty much disappeared.
It’s also important to eat and move! If I don’t do this I get stuck in couch mode and I get the munchies around midnight and want to eat the whole pantry. I used to snack a lot during the day between the usual breakfast/lunch/dinner and get hungry around midnight, but nowadays if I eat 3 meals I don’t feel the need to snack or eat at midnight. I’m not sure if it’s the meds or if I don’t feel the need to snack more because my brain has enough dopamine now. But if it works it works.
If I take a meds break, the first day I don’t actually really notice a difference. I’m just a little bit faster distracted. The second day without meds the chaos returns and it’s worse than before meds. This is because my brain is used to getting enough dopamine now. The longest I’ve been without meds was about a week because I went on a vacation and it was very chaotic but got less chaotic at the end of that week, probably because my brain got used to the dopamine deficiency again. I don’t really take breaks for longer than 1 day because of this.
Last but not least it made me realize that I wasn’t being lazy and dumb. I used to doubt myself a lot and think I was just becoming lazy and dumb and exaggerating how much energy things cost. I also worried that I lost like 20 IQ points and got dumber in the past couple of years. Vyvanse helped me realize that that wasn’t the case. That things really cost me disproportionally more effort and energy than they should have and that I wasn’t lazy and dumb.
If you made it to the end of this post, congratulations! As you can see my meds don’t have any effect on how much I tend to ramble. Keeping things short and sweet is definitely not my strong point and never has been nor will be lol.
I hope this post was helpful and I’m curious if you guys have similar experiences or wildly different ones.

tl;dr: recommendations for generic Adderall IXR brands? Which to avoid? Pharmacy suggestions?
I've been on medication for the last six months--generic Adderall XR.
First two months I was on 10mg of Prasco, no issues.
Next three months I was on 15mg of Prasco, no issues.
The next month I was on 20mg of Prasco, finally faced an out of stock issue because of the shortage. Luckily it only took a few days to get my refill due to proactively calling other Walmart pharmacies.
This month I was on 20mg of Teva, which Walmart give me since Prasco folded. No issues, in fact this generic has worked better than Prasco.
Yesterday I tried refilling my 20mg XR and was told it would be Burel, a brand notorious for horrible side effects. I called multiple Walmarts and they said Burel is the new preferred generic and Teva is not preferred.
My stress levels are off the charts because I went from a brand that worked to a brand that worked even better only to learn that Teva is the hardest generic to come across and I guess I got lucky once.
I've another appointment with my provider who is more than willing to call pharmacies for me in order to check specifically which dosages are in stock as well as specific brands as she marked Tevo on my refills as preferred brand.
Before this appointment I wanted to make a list of manufacturers for both generic XR and IR who people online have had good experiences with. I'm considering switching to IR as I've read it's easier to find certain dosages and brands with IR, and that there no longer is an authorized generic for Adderall XR.
Any insight would be much appreciated.
Thank you all for your help.

I started Adderall in July 2023, at first I did 10 IR, the next month I switched to XR and went from 15mg to 20mg and I didn't have any issues until the last few months. It helped with my mood regulation and anxiety and of course it helped with focus.
But all the sudden for the past 2 months it feels like it hasn't been doing anything at all almost. I think maybe when I first take it I can focus more but after an hour or two I just get very tired. I've also been having chest pain that might be from the Adderall? I'm not completely sure, but I took a break from Adderall yesterday and I didn't have the chest pain. Today I've taken it again this morning, throughout the day I didn't have any pain. But it's 3am now and I feel it again, the Adderall has definitely worn off by now but I still wonder if this is it.
I think at this point I might switch to something else, which sucks because Adderall really worked well in the beginning for me, I miss how much it helped me before. I think it has something to do with the manufacturer, because I used to get blue and white pills and the ones I get now or orange. I feel like ever since I started getting orange pills they've gradually worked less and less and now it just not working much at all. I wanted to know if anyone else has had this experience, because Adderall genuinely worked really well for me until now.

I saw a few posts a few months ago of people having to switch to ANI manufacturer. Just wondering if you acclimated to the formula. I was on 20mg manufacturer was sandoz and it was working great. I guess Walgreens changed it to ANI and I’m not sure I’m liking it. I’m on week 3 and I don’t feel like it’s doing much and making me feel worse. My psychiatrist suggested going up 25mg but I’m hesitant. Has anyone had to increase their dosage?