Preferred Brand Of Generic Suboxone (buprenorphine/naloxone) (Page 2) (Top voted first)

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I was prescribed and took Suboxone Films for 3 years, and tolerated them very well. Unfortunately, my insurance stopped paying for the films, and I had to start taking the generic Suboxone tablets (Buprenorphine/Naloxone 8/2mg sublingual tablets). I filled my first prescription at Rite Aid, where they gave me the hard, orange tablets made by "Amneal", with the imprint "AN 415". I went into withdrawal the second day after beginning those pills. That was the worst month of my life, as that medication did absolutely nothing beneficial. This month, I took my prescription to CVS, where I was given peach colored tablets with the imprint of "54 375", manufactured by "Roxane". While this brand is slightly better than the Amneal brand, I am still having adverse effects while taking them. I am not imagining these adverse effects, and they are not all in my head. My doctor even stated that these generic pills can be up to 40% weaker than the brand name, and the active/inactive ingredients are NOT consistent from pill to pill. Which generic SUBOXONE tablets (Buprenorphine/Naloxone 8/2mg) do you take, like, and recommend? And at which pharmacy do you get them filled? Thank you for any information that you can provide!

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21

Re: Jeni (# 20) Expand Referenced Message

From what I've gathered from quite a few people across the US. Most pharmacists are just saying they are on backorder. Although it's common for doctors to use that line for just about everything. I believe there really was just a bad shortage across all pharmacies and they had no choice but to continue ordering from different manufacturers. My husbands pharmacist told him last month that every time they try to put an order in for the Amneals it doesn't go through but that Amneals are cheaper then the Sun pharma ones and they are going to keep trying. Recently someone i talked to on Medschat had stated her pharmacist told her just recently that they are finally getting in Amneals at the end of the month. I had to call over 7 diff pharms in my area to find my Amneals this last script but I have hope that this shortage won't last forever. Which is what I believe is going on. There are Mallinckrodt hexagon orange ones apparently. I've been told they are really similar in taste to Amneals. If you have that option maybe try those.

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Re: Chad (# 12) Expand Referenced Message

I start these tomorrow. I just got switched from subutex and all I have read is how awful are.

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23

I have been on suboxone and subutex for about 10 years now. Recently the state of Va. has made it illegal for me to be prescribed to subutex, so I am now on generic suboxone. Subutex worked great for my addiction issues for years, as well as being an antidepressant too. Since being forced to be on generic suboxone, I am havi g trouble finding a brand comparable at all to the original or the subutex. I am now on the mallingkrot brand and do not like them at all.

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25

Re: Marie (# 24) Expand Referenced Message

I am going to try to talk the pharmacist into switching brands at the Walgreens I go to when I pick up my refill today. Hoping this will help.
I also read your post earlier in this thread about mallinckrodt and amneal joining or something. Did you find out anything else on that. I can tell you the imprint isnt the same as amneal. Mallinckrodt has 8N on one side and M on the other of an orange hexagon.

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26

Re: Rawenz (# 23) Expand Referenced Message

Honestly, i ended up telling my doctors I thought I was allergic to suboxone because the generic I had made my tongue burn and swell and hurt my throat for days after one dose. So they immediately switched me back to subutex

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Re: Ayyye (# 27) Expand Referenced Message

I really wish I was able to do the same, it would make things so much easier. Unfortunately Subutex is no longer available here in Virginia. The generic suboxone has been nothing but a hassle for me. It's a shame considering the amount of money I have to pay out of pocket too.

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29

Re: Rawenz (# 25) Expand Referenced Message

I didn't find much on that besides that they used to manufacture the same medication. They are definitely different from each other. I finally had a chance to try the Mallinkcrodt and I was not pleased whatsoever. I was panicking when the shortage of Amneal had me looking at 8 diff pharmacies just to find them that's how much I love Amneals in comparison to anything else besides the strips. Strips are the best and Amneals come in 2nd for me. Definitely talk to your pharmacist. Explain how you were switched from subutex to suboxone and this manufacturer doesn't feel very effective if you can try another manufacturer. Ask what kinds they have. Walgreens used to carry Amneal or Actavis all the time but now my Walgreens switched manufacturers and only carries Mallinckrodt or Actavis. Which are white with a moon shape or something like that. I wish i had more advice for you. In MT we can get subutex as long as our doctor writes that on the script. But I've never had it myself.

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Re: ForgotMyUsername (# 11) Expand Referenced Message

That's bull crap... Don't listen to o this. Anyone who tells you that generics are the same as brand name meds (now a days especially) is wrong. There is no oversight keeping these generic drug companies overseas honest. The FDA just takes these companies words that a medication has been evaluated by the company itself and that they are not fudging with results or using cheaper ingredients than they should. That's why generic medication has gotten so bad. It's not in your head when you notice that one pill feels weak and does almost nothing and some are mediocre. I have been on buprenorphine since 2006 so I started on the original Suboxone pills. Those were so much stronger than the brand name strips that are sold today. I switched to Subutex in 2010 and I initially tried the Roxanne generic which was pretty good by today's comparisons but back then it was the least effective bupe on the market. I noticed the strength wasn't what I was used to right away although I felt better off the naloxone. I switched to the name brand Subutex and that was awesome... That was my first experience with generics and noticing big differences. Teva also made a Subutex generic until 2015 and it was awesome! Almost the same as the name brand. Now there are 8 to 10 genetic Subutex brands out there none of which are even close to what the brand was. Also there is no brand Subutex anymore because they pulled it to help when they were switching to strips saying that the pills were too dangerous. Such a lie. They wanted new patient protection because Suboxone was going generic and they knew they could push those strips on doctors hard. They still gladly sell the pills in Europe because they still have exclusivity. Anyways yes the generics are a crap shoot. I have to drive an hour out of the way to a little mom and pop Pharmacy just because all the generics suck except for 2 right now and those are just alright not what I would call good even.

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Re: Rawenz (# 23) Expand Referenced Message

Hi I was recently made to switch from subutex [Rhodes brand] to now suboxone tablets. I got them from cvs - peach colored brand ward/hikma 54 375 on the front. It's now been nearly a week and I'm not adjusting at all to these. I feel tired, sluggish, not able to sleep, itchiness, constipated - all the symptoms I had 5 yrs ago when I had told my prev Dr about the same symptoms. So he had switched me to the subutex and they worked great. I was doing wonderful until the clinic I was going to all of a sudden told me that they weren't able to treat me any longer due to my high levels of my wellbutrin and Lamictal (which are antidepressants), and that it was too dangerous for them to prescribe me my subitex w my levels the way they were. But they wouldn't send me to the lab to get further testing done so they must've not been too worried.

I'm thinking that they just wanted to get rid of me since they're only allowed a certain amount of patients that they're able to prescribe the subutex to so I've read online regarding to VA laws and also in on medicaid and I had heard a lot of comments regarding medicaid, the hassle of the paperwork, etc etc. Plus they were a small clinic. Now they're really growing so maybe they're trying to get rid of some of their patients to bring in the ones that they're able to actually get $ from that have to pay out of pocket as I used to do. Up until they found out that I had medicaid then stated that it was illegal for them to take my $ due to me having medicaid and that I would have to drop my medicaid altogether in order to be able to pay out of pocket.

TBH it's all bs. I'm just trying to figure out what I can do to get back on track like I was while on the subutex. Any advice would be helpful thank you so much.

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35

Re: Jeni (# 1) Expand Referenced Message

Where do you get the actavis brand that are white with the half moon logo on them?

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36

Re: Chad (# 12) Expand Referenced Message

Yes just got Sun's. Agree, very good but a bittering agent in them I think (to deter insufflating) which this entire thread is basically about. "Which one is best to insufflate".. I took mine as prescribed and am really feeling excellent for a change. No tired feeling, all desired effects. I'd agree Sun are very good. ??

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37

Re: Chad (# 12) Expand Referenced Message

Yes, they work well.

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38

After 8 months getting Amneal’s generic Suboxone 8/2 sublingual tabs, I received Accord’s generic version instead. They’re round, similar to the Amneal shape, white with W22 is stamped on one side and no score. Has anyone who’s taken these given an opinion/review?

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5

Had to switch for ins reasons from Suboxone 8mg to bupenorphine 8mg....no naloxone. I'm paying alot for the 1st and the bike sublingual tablets are lower than strips. But ing I can't afford $366! Ive read all these contrasting replied. oh my. How about which discount cards actually save and are accepted? There s so much contrast in which manufacturers that I won't even ask an that!

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11

Am updating again. Am now on *another* generic Suboxone -- this time it's Mallinckrodt -- and still, as I stated in my original post, there's no therapeutic difference between any of them. It kicks in about 80% through the (long) dissolution process, and continues from there. Just like they all do, and just like they are supposed to do. Again, some (non-therapeutic) differences are noted -- the degree of hardness of the tablet, the taste of it and so forth. But all Suboxone tablets are -- and are required to be -- *therapeutically* the same. Don't let your imagination screw you out of a good recovery.

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7

I am updating my own message, only because MedsChat sent me an automated e-mail, requesting I do so. Now am about 1 full year on Suboxone, high daily dose, generic tabs. I still have not noticed any therapeutic difference between the 3 generic brands I've been dispensed. All have been 'good'. Perhaps very slight differences in dissolution time -- and taste (Roxanne's is more of a Lemon-Lime taste) -- but no quality difference. I maintain that it's likely a psychological thing; that some folks believe one brand works, and the other does not. I am experienced drug user, thankfully now into solid recovery.

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Re: Jay (# 13) Expand Referenced Message

No, there is not a generic version of the films. The only generic option available is a sublingual tablet.

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6

I notice no real difference in the generics, not 'effects wise' anyway. It seems to me though that Amneal's tablets fully dissolve a bit faster than Roxanne's. And of course there's slight differences in the taste, between those two. But as far as one generic being 'good' and the other being 'weak', well I just don't believe it. I sure haven't noticed that being the case. I propose that some folks are just too vgilant about it -- paranoid even -- to where they psyche themselves to believing that a certain generic won't work.

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