My child had to switch from Medikinet removed to the Zentiva version. Teachers said the generic is hardly working at all.
Can it really be so much different? Both claim to have a 50 % instant-release part.
Medikinet removed has a similar curve as Ritalin LA with a stronger peak between hour 3 and 6. The Zentiva isn’t even documented that well. German article with interesting comparison graphs: https://www.ppt-online.de/heftarchiv/2022/04/individuelle-adhs-therapie-mit-methylphenidat-*removed*praeparaten.html
Generic extended release methylphenidate was what my primary care doc first tried me on. I noticed it a little and thought ok, it’s still really hard to function. What do people mean that getting on medication was a game changer for them?
After about a year of this, trudging through my day still, I got in to see a psych about a month ago who switched me to Vyvanse, and holy cow. I’m functioning again! Wtf?!
I will say that my sleep has suffered some, but that’s a little bit on me for not taking my meds early enough in the day.
You can try something like 1mg extended release melatonin for sleep
It is funny because Vyvanse gave me weird side effects without any benefit (too long ago to remember) while the ER methylphenidate had a progressively more effective benefit with zero side effects for me as the dosage went up to the one I settled on. Been taking it for years and have to justify to insurance once a year that no, I don’t want to try the ones that didn’t work just let me stay on this.
Glad to hear you found one that works for you!