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
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!