Methylphenidate Refill From Apo

Marie Says:

I have been taking Methylphenidate mps 20mg for the past few years and doing great. A couple of weeks ago I went up to get my refill but it wasn't the brand I was on. They told me at the pharmacy that it's the same thing. I was taking them but I am feeling weird along with an upset stomach. Headache. They gave me apo brand. I am wondering if it's just me or are they somewhat different? I would call my Dr. but he is out of town. Thanking-you in advance.


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Lucas MD Says:

Decreased appetite, dry mouth, and nausea are all very common adverse effects of Concerta. The best way to counteract the gastrointestinal discomfort is by timing your medication appropriately with meals. Concerta should generally be taken about 30-45 minutes prior to a meal. Go ahead and try that for a couple of days and see if the nausea subsides.

If the symptoms persist, your doctor may consider switching you to a different ADHD medication, such as Adderall or VYVANSE, or he may supplement the Concerta with an antiemetic, such as Zofran (ondansetron) or metoclopramide.

Best of luck,


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Verwon Says:

If they said it is the same, then it would be best to assume that it is, I am not sure where you live, but in some countries that are required to be exactly the same, while some others, like the U.S. do allow certain differences that the FDA considers to be acceptable therapeutic ranges. They also warn that this medication carries the risk of being habit forming, and may cause other side effects, such as insomnia, anorexia, and nervousness.

What exactly do you mean by saying your feeling weird? Can you please post back and be more specific?

Has anything else changed recently, like a new medication being added, or something removed? Any dietary changes?

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