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Cymbalta Going Generic?


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#1 Peony

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Posted 03 April 2013 - 10:05 AM

Good news is my doctor's office said Cymbalta is going generic.....they do not know when.  DOES ANYONE KNOW WHEN?

 

Bad news is I can no longer rely on the samples I have gotten from them.  Does anyone know a free or inexpensive way to get this medication?  I cannot afford $500 or $225 (1/2 of my prescription amt), which I have dropped to this last week, so that maybe someone will want to help me pay for it.

 

Does anyone know of a reputable Candadian Pharmacy online?

 

I already feel not as good as I did on the 2 pills per day.  I go see my doctor tomorrow to talk about this, but I would really appreciate any help.  I work parttime - underemployed - and I have no health insurance.

 

Thanks, and I'd appreciate your help very much....I don't want to fall back into depression.

 

Peony



#2 MaddieLouise

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Posted 05 April 2013 - 11:08 PM

Hi Peony,

 

According to an article I found, Cymbalta was set to go generic in June of 2013, but it has been delayed until December of 2013.  I cannot verify the validity of this website, although I do know the patent date expires this year according to more than one source I read.  The website where I did find some information was

(http://depression.em...c-cymbalta.html).    The FDA does not show that generic Duloxetine has been approved by them yet.  As for a non-US pharmacy, I cannot recommend one, as I really believe you can truly get something you didn't pay for, and there is some danger in that. 

 

Also, you may be able to get help from Eli Lily, the manufacturer of Cymbalta in paying for their medication or it does appear they have samples as well.  They have a program called TruAssist that looks like it might be of help:  http://www.lillytrua...ages/index.aspx.

 

I do hope you can get some help very soon.

 

Sincerely,

 

MaddieLouise


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#3 Peony

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Posted 06 April 2013 - 07:43 AM

I appreciate your help very much.  I tried to get help from a PAP, but they didn't offer one 2 years ago or so.  So, I will look into your information.

 

Again, I really appreciate your help very much.

 

Peony



#4 IsabellaTheLost

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Posted 22 April 2013 - 08:38 PM

Good news is my doctor's office said Cymbalta is going generic.....they do not know when.  DOES ANYONE KNOW WHEN?

 

Bad news is I can no longer rely on the samples I have gotten from them.  Does anyone know a free or inexpensive way to get this medication?  I cannot afford $500 or $225 (1/2 of my prescription amt), which I have dropped to this last week, so that maybe someone will want to help me pay for it.

 

Does anyone know of a reputable Candadian Pharmacy online?

 

I already feel not as good as I did on the 2 pills per day.  I go see my doctor tomorrow to talk about this, but I would really appreciate any help.  I work parttime - underemployed - and I have no health insurance.

 

Thanks, and I'd appreciate your help very much....I don't want to fall back into depression.

 

Peony

 

Peony.... I'm on unemployment and have no insurance, and since my dr prescribed Cymbalta for depression, anxiety, and also for neuropathy pain... the manufacturer will send a 3 month supply to my dr for me.. for free.  There is an income guideline, and your doctor can do the paperwork and fax it for you. but visit the web site to see if you qualify.  Worth a try.

 

I personally don't like generics. but that's another talk show. ;p

 

P.S. I didn't fully explain... that three month supply of Cymbalta isn't a one time thing.. they will send it as long as I need it and fit within the income guidelines.


Edited by IsabellaTheLost, 22 April 2013 - 08:40 PM.

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#5 Peony

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Posted 23 April 2013 - 03:40 PM

Thanks for your reply, Isabella,

 

I am in the process of completing the paperwork for the 3 month supply, but I am so depressed right now, I'm having a hard time doing it.  I can barely get through my part time work the 4 days I work, and then I come home and I just want to isolate, cry, and do nothing.

 

How long did it take them to process the paperwork for you and send you the meds after your doctor faxed it?

 

Again, thank you so much,

 

Peony



#6 joboeleven

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Posted 14 July 2013 - 01:25 PM

     When my insurance changed it was going to cost me $400 for my script.  Cymbalta was the best meds that I have been on for my anxiety and now that I can't afford it I'm playing the lets see what will work game.  I'm tired of trying to figure out what other medication will work and going through all this anxiety all over again.  My life is turned upside down because the medication that really worked I can't get.

 

     I was informed too that Cymbalta would go generic the end of June 2013 but it still would have a high cost if your insurance doesn't cover it or if you have not met your deductiable.  I was also told that I would probably not be able to afford it until January 2014 when the cost should drop to a generic price.

 

     I know what your going through Peony I feel the same way you do and I have missed a lot of work, all I want to do is sleep all the time.  I feel like I'm losing my mind sometimes and feel alone in all this.  All I can say is hang in there things will get better.


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#7 Mibandibee

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Posted 19 July 2013 - 08:34 PM

My doctor is currently giving me samples as my insurance does not cover brand names. I don't know how long he will keep doing this either. I keep thinking I should wean off...


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#8 Tim 52

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Posted 19 July 2013 - 08:41 PM

Mibandibee:

 

Have you checked out the Lilly website about samples or help directly from the company?  If you live in US it might be worth it.  Talk to your doctor.  He/she may be happy to keep offering you samples.  Sorry you are having to deal with the cost of meds.  I wish the system was more just and that the cost was more manageable.  


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#9 Peony

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Posted 20 July 2013 - 09:38 PM

I tried weaning myself off, and my mental state was not good....very depressed and angry.  If I had continued like that I could not have worked....and I would not be employable.

 

I have to get a prescription by the week (it's over $100)....I have to be on it. 

 

Peony



#10 MaddieLouise

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Posted 21 July 2013 - 06:56 AM

You have to do what it takes to make it, so I'd stay on it as long as you can hold out.  Apparently Eil Lilly filed with the government for an extension that allows them to extend their patent release date to either the end of August or the end of December.  I'll double check that though. 


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#11 Tim 52

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Posted 21 July 2013 - 11:21 AM

I think that Lilly will do what it can to extend the patent, and also Cymbalta is a very complex drug and not just any company is going to be able to make it as a generic.  

 

I know that many of us can't afford the medicines at any price beyond generic.  That is a very real justice issue. 

 

I budget ahead so that I maintain the choice of the medicines that i take.  And I make choices as to what drugs I'm willing to buy as generic and what ones that I won't.  

 

My full time employment allows me this choice which I wish everyone had.  


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#12 MaddieLouise

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Posted 21 July 2013 - 01:59 PM

I agree Tim that it is a problem-pharmaceutical companies having such major power that they do.  I read that supposidly some of the "delay" is pending lawsuits against them regarding the drug.  I'm fortunate to have a choice as well, which is where it does become a matter of what is fair and not for those who cannot afford this medication.


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#13 Pica

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Posted 21 July 2013 - 07:58 PM

When I went to get this month's script, the pharmacist told me to try googling it to see if there were any coupons for it. Also, check at the pharmacy- I go to Walgreens, and they often use a free discount card for me.


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#14 Tim 52

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Posted 22 July 2013 - 10:29 AM

Pica, thanks for the suggestions.


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#15 Peony

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Posted 31 July 2013 - 01:25 PM

Yes, thanks for the info on coupons....

 

MaddieLouise, would appreciate any ongoing information you find out.

 

Peony



#16 Velthir

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Posted 02 August 2013 - 10:53 AM

Yes, thanks for the info on coupons....

 

MaddieLouise, would appreciate any ongoing information you find out.

 

Peony

 

This news article http://www.reuters.c...E8I62ZW20120706 suggests that it will indeed be December and this http://www.prweb.com/releases/2012/9/prweb9884167.htm release suggests that 10 companies will be attempting to launch generics in the US so hopefully the price will drop fairly quickly.


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Rx: 400mg lamotrigine (Lamictal), 800 mg/day of carbamazepine (Tegretol XR), 600 mg/day Zyban (bupropion/Wellbutrin SR)
Failed meds: Cymbalta, citalopram (Celexa), agomelatine (Valdoxan), lofepramine, mirtazapine (Remeron), sertraline (Zoloft), aripiprazole (Abilify), quetiapine (Seroquel), trimipramine (Surmontil)
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#17 ladysmurf

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Posted 03 August 2013 - 05:37 AM

 

Yes, thanks for the info on coupons....

 

MaddieLouise, would appreciate any ongoing information you find out.

 

Peony

 

This news article http://www.reuters.c...E8I62ZW20120706 suggests that it will indeed be December and this http://www.prweb.com...rweb9884167.htm release suggests that 10 companies will be attempting to launch generics in the US so hopefully the price will drop fairly quickly.

 

 

 

I hope so because I have a hard time paying for it as well.


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#18 Phoenix1

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Posted 03 August 2013 - 09:48 AM

Cymbalta's web site has an area where you can print off a coupon for one month free - you can only use it once a year but you can use it every year you are on Cymbalta. I did not have a problem using it at my local pharmacy. I am encouraged by the posts here re: how helpful Cymbalta has been especially with anxiety - I have been prescribed it - my copay is $60 so I have no started it as I don't know at this point if I could realistically afford to stay on it. I am also confused as to whether is causes weight gain or loss and if it's better to take it in the a.m. or p.m. as fatigue seems to be an issue w/this medication.



#19 Tim 52

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Posted 03 August 2013 - 10:27 AM

Phoenix;

 

Cymbalta is a sturdy medicine because it works on two neurotransmitters.  

 

The basic intsructions are to take it in the morning because it is somewhat activating for most people at startup.  Those some find it better to use in the evening. 

 

It can cause modest weight gain, though less then many other anti-depressants.   Again, some experience weight loss at start up because of initial nausea symptoms.  


Edited by Tim 52, 03 August 2013 - 10:28 AM.

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#20 apsdenver

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Posted 03 August 2013 - 05:39 PM

Hello,

 

This is off topic but the search feature did not return a forum topic that included heat and cymbalta.

 

I'm experiencing Heat Intolerance on Cymbalta.  I'm totally fatigued by a short walk in the sun on a hot day. Lots of sweating too.

 

thanks for your help.

 

 



#21 cheesewaffles

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Posted 06 August 2013 - 03:10 AM

Lilly has a program called lilly assist. Don't know if this will help anyone out. 

 

http://www.lillytrua...LillyCares.aspx

 

Yeah the drug company's suck when they know their license is about to expire. They'll do anything they can to delay it. 



#22 jstr

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Posted 06 August 2013 - 08:33 AM

http://www.fiercepha...liff/2013-04-11



#23 jstr

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Posted 06 August 2013 - 08:36 AM

Hello,

 

This is off topic but the search feature did not return a forum topic that included heat and cymbalta.

 

I'm experiencing Heat Intolerance on Cymbalta.  I'm totally fatigued by a short walk in the sun on a hot day. Lots of sweating too.

 

thanks for your help.

 

 

     Agreed ..... I play tennis and I'm experiencing more sweating than usual during this summer . And I'm in a dry climate ... 



#24 FlyingWithABrokenWing

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Posted 25 August 2013 - 09:10 AM

MIBANDIBEE - Please be Very Careful if you titrate off Cymbalta, Especially if you've nothing else line up to try next. I have had multiple serious issues in my life this year and when I went in the donut hole on Medicare & learned I would pay $216./mo for Cymbalta I asked to go off my trial dose (went from 60 to 90 to 120) as I could not afford it. BIG MISTAKE! I discovered the 120mg dose (60 2x/d) was, in fact, much more effective than I was able to judge under my addt'l stressed condition and I dissolved into a puddle of mood swings! And now I am back on the 120mg and just getting back to a relatively normal state. Just be careful & be advised, is all I am saying!

#25 deeser

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Posted 07 September 2013 - 08:44 PM

You could always buy the generic for a cheap price online.  I been buying it without a prescription at http://www.24tablets.com for a long time.  It's worked great for me.



#26 wheatond

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Posted 13 October 2013 - 02:43 PM

I don't know if people are still following this thread, but I would like to respond to the comment by MaddieLouise on April 6th 2013. 

 

I am taking Cymbalta for Fibromyalgia, and I too cannot afford the hefty pricetag of $400/mo. I looked into alternatives, and found there was no easy solutuion within the US market. When I asked the doctor, he suggested I consider one of the online pharmacies, I did and have been buying a generic from http://www.canadapharmacyonline.com, for two years now at a fraction of the price. 

 

While I generally agree with Maddie that "you get what you pay for," this adage doesnt really apply to the pharmacuetical world. A drug company with a patent essentially has a monoply and is allowed to charge whatever they think the market will bear. Failure rates in drug discovery and development are high. When a drug company finally finds a successful drug, they fold in all the costs for both past and future drug research, as well as marketing costs (to promote the drug), and a hefty profit for the shareholders. Not that I necessarily disagree with this model, but in reality you are paying for a whole lot more than what it costs to actually maufacture the drug. Also note, not all countries have the same patent laws. Canada controls the cost of drugs. That's why a lot of Americans will "take a trip to Canada" to buy what they can't afford in the US. 

 

 Buying a generic doesn't necessarily mean you will be buying a product of lesser quality, just that you will not be paying for all the marketing and research (think designer jeans). In an article I read, it stated. "Cymbalta remains Lilly's best-selling drug, but not for long. It brought in just shy of $5 billion last year, $4 billion of that in the U.S."Eli Lilly just won an extension of their patent, which means you'll have to wait until 2014 before a generic version is available in the US.


Edited by wheatond, 13 October 2013 - 02:45 PM.


#27 crazyguy

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Posted 21 November 2013 - 10:39 AM

I live in Canada and Cymbalta is ****** expensive here too. I look forward to a generic version but until then I am forced to bite the bullet.  Luckily my wifes insurance covers 80%.  In Canada we have many generic drug formulations but not for new expensive drugs like Cymbalta or Viagra.  Anyhow, 90mg/month is expensive for me.  I pay (between me and insurance)  $236 per month for 102 30 mg pills and I take 3 per day.  My cost is $49.35/month insurance pays the rest.  



#28 dante1231

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Posted 10 December 2013 - 11:43 AM

Tomorrow (December 11th) is the day the patent expires. I am curious as to when the generic will be available. I read a bunch of drug makers signed up to produce it, so I hope we see it very soon.

My three month supply runs out mid-January so I am holding out for it to be available from Caremark before then. I am lucky that I pay $125 for a three month supply of 120mg. But at the beginning of this year my insurance refused to cover it even though I have been taking it for at least 7 years. I had to switch to Effexor XR 450mg for two months until they decided to start covering it again. Apparently a lot of peoples' insurances decided to stop covering , but later reversed course.

I will just keep checking the Caremark website daily to see if the generic pops up. Keep in mind that even though it is going generic, the prices will still be high for a while longer (but nowhere near as expensive as the brand name).

#29 dante1231

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Posted 14 December 2013 - 06:40 PM

The generic version (duloxetine) is now available! Got my 60mg prescription filled at Walgreens here in Delaware!

#30 Ronnie

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Posted 17 December 2013 - 07:40 PM

Generic Cymbalta has been approved and it sounds like it may be a while to get it dispersed to various pharmacies.  I called my Walgreens pharmacy here in Northern California and they said that it could be a while (months?) before they get supplies in.  

 

Not sure why it takes so long for some pharmacies when other states are already dispensing it.

 


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#31 lildove

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Posted 17 December 2013 - 11:40 PM

I've taken Cymbalta for about 4 years for depression and fibromyalgia.

 

I just started taking the generic about 4 days ago, and I can tell a difference, and it's not good. It's subtle, but it's real. I'm feeling down - maybe like I could even cry about little things that don't bother me when I'm taking the brand name.

 

It's not as bad as when I haven't taken my Cymbalta for a couple of days, but I'm definitely not feeling as even tempered as before.

 

I'd like to hear from others who've tried the generic to see what their experience has been.


Edited by lildove, 17 December 2013 - 11:42 PM.

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#32 had enough already

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Posted 28 December 2013 - 01:10 PM

I'd be interested in hearing about experiences on the generic as well.

 

I'm pretty new to this whole thing and when I went to refill my script today (this is the start of only my 2nd month on Cymbalta), I seem to have gotten a generic.  (This was at a chain pharmacy in NJ.)  I don't think it's worth bothering the dr. over the weekend about, and my wallet will be better off for it.  Just hope by brain along with the rest of my body agrees.



#33 dante1231

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Posted 28 December 2013 - 08:26 PM

What generic manufacturer produced yours?  Mine came from Teva Pharmaceuticals.  I haven't had to start taking them (it was mostly a stop-gap measure in case I ran out of the brand name and the generic wasn't available via Caremark mail order in time for my pdoc appt.).  But I hope it is as effective as the brand name - Caremark still wants the $125 for 3/mo on the brand name versus $20 for 3/mo of generic.



#34 had enough already

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Posted 29 December 2013 - 09:57 PM

Yes, Teva USA.  Gonna start mine tomorrow.  I haven't been on long enough to feel anything yet so I won't know if it's different.

 

My insurance is decent (and will be for '14 w/ no guarantees after that); I was charged a generic copay (full price seems to be $60/month).



#35 Ronnie

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Posted 31 December 2013 - 10:48 AM

Generic is now here in Northern California.  Just got mine filled (Teva brand), haven't tried it yet.  I heard many stories of the Generic Prozac by Teva being very good.  Hope it's the same for us on Cymbalta.

 

On another note, I use to take combination of Cymbalta with low dose of Lexapro.  I stopped the Lexapro a few months ago and went up to 90mg Cymbalta.... the Anxiety has come back (again) and now I'm going back to taking the Lexapro with it.  It will be hard to judge the Generic Cymbalta (Teva) since I'm also going back on Lexapro with it.  I don't seem to have much luck one just one or the other... and tried Wellbutrin and didn't like the ringing in the ears and other SE's. 

 

Good Luck everyone, keep us updated.


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#36 Tim 52

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Posted 31 December 2013 - 06:16 PM

Teva is fairly reliable as far as generics go.  I hope it goes well for you Ronnie on the Cymbalta generic. 

 

When a genreic works, I'm happy to use it.  When it isn't as good, I abandon it and put my money toward the name brand.  I figure my mental health is worth it. 

 

I realize not everyone has the option depending on financial situation and so forth. 


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#37 dante1231

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Posted 31 December 2013 - 09:36 PM

Cymbalta never did anything for my anxiety.  I've been on Cymbalta for quite a while now, but the anxiety came at a later point and escalated into full blown panic attacks.  I did outpatient for almost two weeks, their pdoc put me on BuSpar, which did pretty much nothing.  I had to basically beg my pdoc for Xanax so I wouldn't end back up in the hospital (in or out).  My anxiety has been under control ever since, though my depression persists.

 

I also take Wellbutrin, and it was a good add-on boost at first, but it pooped out.  So now I am on 450mg/day of it. Oh, and I take 120mg/day of Cymbalta.  Been at max dose since almost the beginning, IIRC.  I was looking at Fetzima to try something new, but it's just too expensive. I also take 1mg/day of Risperdal for atypical stuff.. like irrational thoughts, irratibility, and so on.  Pdoc wanted to try something new at one point, and switched it to Abilify. I lost my mind.  That was not fun.



#38 Sayonara2013

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Posted 31 December 2013 - 11:13 PM

Since 2011, Cymbalta has helped with my depression and fibromyalgia - it's just sad that the insurance company has forced refills to generic because it saves money. I take 4 medications and 3 of the meds became generics in 2013 - and unfortunately,  I haven't had success in going to generics after taking a med for a long time. I think it's easier if one starts with the generic medication.

 

Started with the generic on Dec 24th and I could feel the difference immediately, mostly daily headaches, cloudy thinking and a general lack of energy, as if I was weaning off Cymbalta.  I am slightly 'down' but I am going to give it a try for a few more days, I figure that 10 to 12 days is enough of a trial period.

 

I picked up the generic prescription early so that I could fall back to Cymbalta while waiting to see the doctor for a brand name prescription.  If I don't feel better after taking the generic for 10 to 12 days, I will go back to the brand name. If that occurs, I will have to discuss options with my Doctor because Lilly doesn't have patient assistance for someone like me.

 

The generic is from Citron Pharmaceuticals in New Jersey.


Edited by Sayonara2013, 31 December 2013 - 11:14 PM.


#39 PhilC225

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Posted 02 January 2014 - 02:31 PM

Hi - new to this forum but I recenty switched to generic Cybalta on 1/1/14 (Lupin Pharmaceuticals) and have some concerns.  Typically, if ever forgot to take my Cymbalta in the A.M., I could NOT sleep that night.  After my first dose of generic Cymbalta, I could NOT sleep, exactly as if I had missed a dose.  I will give it a few more days but if I continue to experience these symptoms, I will have to revert back to Name Brand ($ouch$) or possibly increase the dose.  Would be interested in other's experience with generic as well.  My biggest concern is that with multiple manufacturers, what you get from refill to refill could be different even if I do get used to this mfr's version. These nights are horrible.


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#40 Sayonara2013

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Posted 02 January 2014 - 03:00 PM

Hi - new to this forum but I recenty switched to generic Cybalta on 1/1/14 (Lupin Pharmaceuticals) and have some concerns.  Typically, if ever forgot to take my Cymbalta in the A.M., I could NOT sleep that night.  After my first dose of generic Cymbalta, I could NOT sleep, exactly as if I had missed a dose.  I will give it a few more days but if I continue to experience these symptoms, I will have to revert back to Name Brand ($ouch$) or possibly increase the dose.  Would be interested in other's experience with generic as well.  My biggest concern is that with multiple manufacturers, what you get from refill to refill could be different even if I do get used to this mfr's version. These nights are horrible.

 

Yes, Phil - that's what I'm experiencing.  It's as if the timed release of the medication is releasing differently than the Name Brand.    I can't fall asleep until 2 or 3 AM and then I have trouble getting up at 7 AM.  My whole day is just off by 6 or 7 hours and I'm dragging.

I decided that I will go back to the Name Brand because it's just to hard to go from Name Brand to Generic for me - I can feel the difference.

I recently had my end of the year checkup with my primary care Doctor - and she writes my blood pressure medication prescription for Name Brand because the genericdidn't work.  I told her about my concerns for Cymbalta - and that's when I found out that the generic can have as little as 70% of the actual medication and still meet FDA requirements.  Years ago, it was plus or minus 10% because of the way effectiveness was measured.  It made sense to me because I have not had much success with generics recently and I keep hearing from my friends and relatives that they are also not feeling well on generics.

This is from the FDA website:

http://www.fda.gov/D...s/ucm167991.htm

 

FACT: FDA requires generic drugs to have the same quality and performance as brand name drugs.  

  • ucm298661.pngWhen a generic drug product is approved, it has met rigorous standards established by the FDA with respect to identity, strength, quality, purity, and potency. However, some variability can and does occur during manufacturing, for both brand name and generic drugs. When a drug, generic or brand name, is mass-produced, very small variations in purity, size, strength, and other parameters are permitted. FDA limits how much variability is acceptable.
     
  • Generic drugs are required to have the same active ingredient, strength, dosage form, and route of administration as the brand name product. Generic drugs do not need to contain the same inactive ingredients as the brand name product.  
     
  • The generic drug manufacturer must prove its drug is the same as (bioequivalent) the brand name drug. For example, after the patient takes the generic drug, the amount of drug in the bloodstream is measured.  If the levels of the drug in the bloodstream are the same as the levels found when the brand name product is used, the generic drug will work the same. 
     
  • Through review of bioequivalence data, FDA ensures that the generic product performs the same as its respective brand name product. This standard applies to all generic drugs, whether immediate or controlled release. 
     
  • All generic manufacturing, packaging, and testing sites must pass the same quality standards as those of brand name drugs, and the generic products must meet the same exacting specifications as any brand name product. In fact, many generic drugs are made in the same manufacturing plants as brand name drug products.





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