Preferred Brand Of Generic Suboxone (buprenorphine/naloxone)
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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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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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Re: Chad (# 12) Expand Referenced Message

Yes, they work well.

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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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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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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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Re: Colin Kantzer (# 6) Expand Referenced Message

Actually the fact is that Especially in generic medications there can be anywhere and up to 33.6% differences in the compiund as not required by the FDA to make sure they are exact. Sounds crazy but it is what it is. Plus medications affect everyone differently and so do each generic medication. I cant take the zubsol or whatever its called and the peach dont seem to work even close to the orange has done for me and the whote.. i cant stand the taste gags me horribly. I was on oxycontin 20 years ago and i lept telling the Doctors that it just doesn't seem to work that long... i feel as if i get 8 hrs of relief on a gd day and 6-8 hours on average. No no no.. cant be i was told. Just recently in past months "Thanks Netflix " that i learned the truth to the matter with that and only years later. Anyways, Medication like anything else made by different manufacturers is obviously going to effect People differently.

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32

Ask your doctor to prescribe Belbuca. It is Buprenorphine. It is in a kind of gel form that is placed inside the cheek. It is said to dissolve in 15 seconds. It may make a difference for you. Purdue makes the drug.

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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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I was not made away that there are differences between makers of generic Buprenorphine. Is it really true? I found that I reacted negatively to all types which included the under the tongue orange piece of plastic (was made sick - vomited, each time I used it.) I also tried the pills, same result. I requested to try a newer version, Belbuca, which is different in its method of reaching the system in that it sticks to the inside of the cheek and disintegrates within 30 seconds, thus allowing the majority of the drug to enter the system. My hope was that perhaps it would provide actual pain relief with the bonus of little to no high or feelings of being stoned. I was declined the trial by a woman who is not a physician but an Osteopath who without telling me diagnosed me as being a drug addict. I an not. Indeed, I provided her my history which included using Marijuana as a teen and a few times as an adult in hopes of reducing my pain as it is purported that Pot helps with pain. I can tell you, at least anecdotally, that Pot does not provide pain relief at least it does not help with mine. I suspect that the so-called pain relief promised by users of Pot is an excuse to justify the use of Pot for the high it promises at least some people. While I suppose that it might be true for some, I think my suspicion is likely the more accurate. My husband, who has always enjoyed Pot and also has a seizure disorder, which Pot is known to reduce, has it (we live in California - so legal) most of the time. When my pain is so bad that I kinda go nuts desperately hunting for any and all promised help, I will try it - maybe six times a year - but to no avail. I am, I suppose, one who needs to be in charge of her person. Can't do that if stoned. So I get kinda panicky. Spending the next several hours eating, walking, doing anything I can think of to get rid of the high. Again, only when desperate do I even bother. I suspect that I have an allergy to Buprenorphine and as such, I discontinued use. Life as a person in constant pain is in no way pleasant. Indeed, there are days when I question my willingness to live another day. Yet I do. Every single time.

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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: 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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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 throat for days after one dose. They immediately switched me back to subutex.

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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: 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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Re: Rawenz (# 23) Expand Referenced Message

If available to you maybe try Amneal. To me they are by far better than any other generic suboxone. They are orange with AN 415. Most pharmacies were experiencing shortages of these kind but as of the last couple months I've had no troubles getting them again.

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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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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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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: Marie (# 15) Expand Referenced Message

I feel ya, I too liked amneal , and rite aid just started giving me the sun phar m ones... I don't like them as much, I feel way better on The amneal. Why did they switch like that. Truly frusterating and they are everywhere. Everyone i know has sun now.

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Re: Judy (# 18) Expand Referenced Message

I have talked to them about it. I had to move to a different pharmacy just to get them because they had some in stock but every pharmacist I've talked to has said they have not been able to order them. Like it's not an option when they go to order or something. Every pharmacy has switched to these orange Sun Pharma ones. I looked up Amneal and I did notice them under a different company Mallinckrodt so I almost wondered if maybe its under a different company. I'm not sure how that stuff works but nobody in my area has been getting them anymore.

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