Help With Weaning Cymbalta Generic: Uneven Number Of Beads
#1
Posted 16 July 2016 - 05:22 PM
#2
Posted 16 July 2016 - 07:08 PM
This is one of the big problems with the generics. Many of these companies contract the production to off-shore facilities in Israel, Aruba and other countries. Some times they but the capsules from one facility one month and the next month they get them from a different facility because cheaper. Given the variance allowed in the manufacturing of meds and the inconsistent bead counts it makes an even slow wean very difficult, Each individual refill will have come from the same facility. To do it correctly you would have to count the number of beads in you first supply (which you did) do your drop and then before you start the next bottle of capsules calculate the mg drop (which you also did). With the next refill you would have to count the beads again and calculate how many to take out in order to get to the same dosage you have been at. Then calculate how many beads to do that 3% drop per week.
We had one member a few years back that went from Cymbalta (around 320 beads if I remember right) to a generic with like 117 beads. Being math challenged it was a difficult road for the person. This is one of the reasons why those on generic, in general have a harder withdrawal.
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#3
Posted 17 July 2016 - 09:38 AM
You know Fishinghat it's quite interesting to hear the beads being counted out and just putting a certain number in vs taking a certain number out. I wonder if this would alleviate some of the issues like the one above stated. hmmmm. It has me thinking if this might be considered at times when different brands arre given instead of the consistency of one brand. Do you think this might be another option?
#5
Posted 17 July 2016 - 04:23 PM
#6
Posted 17 July 2016 - 04:34 PM
Your math is correct. Next month check the number of beads again and adjust accordingly. I was just reading an article that some of the Indian, Israeli and Aruba facilities can be as bad as + or minus 24% in dose within the same batch. The next five beads you counted might have been 385 instead of 350....in the SAME bottle. As if medicine was not enough of a hassle already.
- Carleeta likes this
#7
Posted 17 July 2016 - 04:46 PM
#8
Posted 17 July 2016 - 07:15 PM
Well I just typed a reply for 15 minutes just to see it disappear. Urggg. Basically your right but when a drug effects nearly all systems of the body including RNA and glutamate function I want to be informed ahead of time so I can make an informed decision. No surprises down the road.
#11
Posted 18 July 2016 - 02:24 AM
Even in this months pills I have averaged between 344 balls up to 369! Wow, I can't believe they can be 25 percent different! I guess that is why I have felt so awful on this med, especially since they'd switched me to generic last January! I felt like I was in withdrawal even taking the whole dose!
That is a huge variance! I wonder if that is why I had such awful "side effects" when I tried a generic? I could only take it for a week and then had to get my doctor to write a script for brand!
#14
Posted 18 July 2016 - 03:51 PM
- fishinghat likes this
#15
Posted 18 July 2016 - 07:49 PM
MoeJoe, yes it's horrible. It's bad enough we were prescribed Cymbalta, and the to go from the original to the generic. It's ironic Fishinghat posted this article as I just had this conversation with my doctor about about a month ago. My psychiatrist was a pharmacist prior to even becoming a MD then a psychiatrist. The story he explained to me was just eye opening. It doesn't even end there because as the new generics come out they could even with less of what the last generic had. It's horrible. Just try and stay with the same generic you have been using. Check all pharmacies before filling your prescription and make sure it's the same company you are currently using....
#16
Posted 18 July 2016 - 11:55 PM
#20
Posted 19 July 2016 - 10:41 AM
Oh yes here too Fishinghat. Although, if it's something you need and the prescription can't be forwarded somewhere else like a controlled sustenance, valium or ambien, you sort of have to take it. NYS is very strick on their controlled substances. We are the worse here. It's a good things for some who abuse the medications and it's bad for the person who needs it filled every 30 days on the dot. You can't get it a day early at all. Just right on the day. So if the pharmacy decides to carry another generic brand you sort of 'don't have a choice' but to take it. Dr's here will not write out another prescription because of the controlled laws. It can be frustrating......
#23
Posted 21 July 2016 - 09:19 AM
Yes Fishinghat, Valium, Ambien xanax, darvon, darvocet, ativan, tramadol, and other and considered a controlled substance here nys. Therefore we have to have get a drs.prescriotion (new one) every 30 days on some and others medications can have a dr write 2 refills on them, although they can only be dispensed every 30 days and the state has records of this and the pharmacies are hooked up to NYS regulations. The drs prescribing the medication need to send their copies into the state. It's not easy to get medications here in NYS especially if you are one who abuses them....
Moejo, they don't even tell you when they are handing it to you?
#24
Posted 23 July 2016 - 04:55 PM
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