does the manufacturer of generic med matter?

[missbonafide]

hi!

this is a weird question. But today I noticed that the generic guanfacine refill I picked up for the same Rx and same dose of previous refill looked different than what I got in last months bottle.

I realized that last month the 1mg Guanfacine ER pill has APO on 1 side and GUI1 on the other. This is same pill my son has been on for months.

So tonight I’m checking the new refill which we’ll need to start over weekend and the pill is completely different. Even looks larger but it says YH on 1 side and 116 in the other.

I did confirm thx to google that although this new refill is a thicker pill it is indeed 1MG guanfacine ER

But now I’m worried. Will my son have a different reaction if he takes same medication same dosage but from a different manufacturer!?!?

He’s been taking 2 of the 1mg pills in the morning (new change since last weekend) so to now have to tell him he will have 2 thicker pills to swallow is annoying

Will add pic for reference !

Top is the one he’s been on since spring. It’s 1MG. The bottom is the new refill which is also 1MG. I know it’s 2 different manufacturers but should I be worried !?!?

thx!!

[FrankenMummy]

In my experiences, most differences in manufacturers don't specifically matter, but that doesn't mean that it will be with your son. I've seen it happen with people who needed to take the name brand vs the generic if there was a sensitivity, but in the 11 yrs I've been a nurse, I can count them on one hand! If there is indeed a sensitivity, then the only thing the doc will be able to do is order the brand name to guarantee the same manufacturer each time. Just out of curiosity, why did the doctor not do the 2mg ER tabs? That's what my kiddo is on and when we started the increase we did 2- 1mg ER tabs and he was just wiped out to no end, couldn't stay awake through the day (and he was taking them at night!) Once we switched to the one pill 2mg he was fine, and has maintained the dose for at least the past 4 months. Hopefully your guy will have no issues and all will go well. Good luck!

[missbonafide in reply to FrankenMummy]

so helpful. Thank you!!

Wow I had no idea there was a 2mg single pill. Will email doc now and hope to get it before the holiday!!

We used to give my son 1mg in AM and 1mg in PM. So we have a new bottle of the 1mg w that diff manufacturer. And recently doc recommended to us to go up to 3mg in the morning to see if we saw improvement w behavior. He prescribed the 3mg pill. However I wasn’t ready to do 3mg yet so we’ve been just doing the two single 1mg pills in the morning. I wanted my son to adjust to getting 2mg in 1 sitting (the am) before I went up to 3mg.

And you are sooo right he’s been so sleepy for a week! Had no clue the 2mg pill existed. So I’ll go request that now.

Appreciate your insight !!

We also notice now that he’s taking intuniv in morning only he has been sleeping through the night. I think him having 1 in am and another in pm was causing sleeplessness in the middle of the night. Crossing my fingers he keeps sleeping through the night. It’s been a lot of broken sleep here since July!!!!

[MommaofandwithADHD]

there is one medication that my daughter had to have the same brand generic. Even the brand name didn’t work for her. But for the most part it shouldn’t matter.