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๐Ÿ’‚โ€โ™‚๏ธ UK ๐Ÿ’‚โ€โ™‚๏ธ Pharma Connoisseurs - What are the best brands available in the UK

2. Pregabalin - always generic indian, but a few suppliers now are shipping "UK" pharma supplied brands, are they better?
IMHO & direct lived experience Indian Pregabalin has a kick to it the UK stuff lacks.

I have no idea how they cook that stuff up in India but I would shake their "Chef" by the hand, in my experience & I've done a few Indian Pregabalin kicks in in 30 mins unlike UK stuff that takes 90 mins & It'll take your legs right from under you.
 
IMHO & direct lived experience Indian Pregabalin has a kick to it the UK stuff lacks.

I have no idea how they cook that stuff up in India but I would shake their "Chef" by the hand, in my experience & I've done a few Indian Pregabalin kicks in in 30 mins unlike UK stuff that takes 90 mins & It'll take your legs right from under you.
hmm that's interesting

I've only ever had the HAB stuff and that takes 90 mins to kick in if swallowed, have you tried?

this metamed is from a newish pharma, been around since 2022, they're only doing pretty basic stuff and acting as a 3rd party manufacturer. I'm not holding my hopes up for anything spectacular but thought it was worth a try for a change.
 
Woukdnt touch SSRI-SNRIs ever again, ive tried must of what the doctors prescribe. The are poison and a SHIT nedication, ive just been on the phone and to the GP, they can offer SSRIS for my anxiety.... What sort of bull shit is that! FOR ONE - they take 6-8 weeks to starts properly working... Who can but up with crippling anxiety for that long - no wonder theres so many suicides. Whats wrong with Lorazepam on top on the SSRIs just until they 'start working' but taper off the lorazepam. Easy! It will be more comfortable aswell but no.
yeah, SSRI was no use to me, I had a short term issue and good reasons not to take them given the downsides.

just needed instant help
 
I absolutely do not recommend ANY CNS depressant as time and time again clinicians are fed the same line 'non-addictive' and guess what?


The original 1993 edition was in truth out of date even when published (Palfium was a strictly 80s thing) but it got updated in 2010. It never contained chlormezanone simply because not even McDermott (or ML) had ever come across the stuff but my 1984 BNF certainly lists it as a sedative/muscle relaxant. I even asked my GP in the 80s and noted that they had never had cause to even consider prescribing the stuff. Had to look it up!

A quick Google will tell you that chlormezanone has a rare but particularly nasty side-effect. Now I sense that this MAY be due to sensitization but I say only MAY as I couldn't find case-studies that either supported or equally disputed my hypothesis.

But just like clomethazole (Heminevrin), for some reason chlormezanone has never been listed in the MoDA which is proof of nothing, given that LSD and heroin are both class A drugs. So it isn't safety!

The fact that it binds at the same site as the benzodiazepines thus is an allosteric modulator is no proof of inherent safety. In fact, especially given the typical prescription doses and the little I was able to infer suggests the chlormezanone acts in a manner similar to the barbiturates but is in fact LESS selective.

I hope you all take the time to read the booklet as I know ML does put in a tremendous amount of work to get it right, just as Dr. Nuke (RIP) did. They were always paranoid that they would get something wrong but in fact, I couldn't find fault in their works. That proves nothing - I am fallable; likely more than most.
 
Woukdnt touch SSRI-SNRIs ever again, ive tried must of what the doctors prescribe. The are poison and a SHIT nedication, ive just been on the phone and to the GP, they can offer SSRIS for my anxiety.... What sort of bull shit is that! FOR ONE - they take 6-8 weeks to starts properly working... Who can but up with crippling anxiety for that long - no wonder theres so many suicides. Whats wrong with Lorazepam on top on the SSRIs just until they 'start working' but taper off the lorazepam. Easy! It will be more comfortable aswell but no.
Apparently anxiety can worsen with some SSRI's. I think there was a prescribing regime where docs would give low dose benzo at start SSRI to compensate for this.
 
I've only ever had the HAB stuff and that takes 90 mins to kick in if swallowed, have you tried?
What does HAB mean?
Yeah all my Pregab experiences they have taken 90 mins to start, only once when I was so hungry & had not eaten anything in 20 hours I took 2X 300mg in one go, that kicked in STRONG by 30 mins, by 45 mins I was "fackin moshed" on 'em.
 
HAB are an Indian pharma company

You are well versed in Pregab abuse, I am still at Primary School compared to you.

Ever had RLS (Restless Leg Syndrome) from doing to much Pregab?
If you ever had an Opiate issue it's the same feeling you get in your legs, they twitch & feel like you have ants inside your skin, you CANNOT get away from the feeling inside them & it's a horrible thing to have.

I am starting to see the Darkside to Pregabs & it's not a nice picture.
 
thankfully I've managed to avoid abusing them too hard, managed to keep it to once a week.

yes I get RLS, not too bad that other people notice it though, I don't find it a big issue, pregab clear effects me in a different way to you, the RLS is much more a function of have loads of energy when I take pregab, shit I can clean the entire house and make a 3 course dinner for 10 people when I'm on it if I don't have a bit of diazapam to calm me down.
 
pregab clear effects me in a different way to you
I was just about to say that, is that normal in having such a huge gap in the effect it has on me compared to you?
a function of have loads of energy when I take pregab, shit I can clean the entire house and make a 3 course dinner for 10 people when I'm on it if I don't have a bit of diazapam to calm me down.
My God, for me it's hard to even stand up to take a piss.
The first thing I know they are working is they make my vision go a little weird, it's hard to express in words but it's like what I am viewing is a second behind the words being spoken.
The next thing I know is I feel my legs go "loose" if you ever had a Heroin or Opiate issue it's 100% the same feeling when you are dopesick & you have that 2nd line of Heroin, blow it out & you feel your legs go loose & you give praises to your dealer & God the Heroin is good quality.

You ever mixed Pregab with Opiates?
IMHO & Direct Lived Experience you let pregab kick in very well, say give it 2.5 hours after eating them then you smoke some good smack your head will be in your knees very soon & the whole day passes by in a blink, it's 11am & the sun is up, the next thing you know it's 4pm & then it's all of a sudden 11pm at night :ROFLMAO::ROFLMAO::ROFLMAO:โค๏ธโค๏ธโค๏ธ
 
I was just about to say that, is that normal in having such a huge gap in the effect it has on me compared to you?
IIRC I think pregab is 1 of those drugs known for producing a range of different effects in people.

even ignoring other tolerance/GABA you're taking/CNS differences.

something to do with difference in calcium channels between people I think, but will need someone with more knowledge than me to explain it!

My God, for me it's hard to even stand up to take a piss.
The first thing I know they are working is they make my vision go a little weird, it's hard to express in words but it's like what I am viewing is a second behind the words being spoken.
sounds a bit like the SOMA shuffle.

maybe I should give them a try with some mogadon!

The next thing I know is I feel my legs go "loose" if you ever had a Heroin or Opiate issue it's 100% the same feeling when you are dopesick & you have that 2nd line of Heroin, blow it out & you feel your legs go loose & you give praises to your dealer & God the Heroin is good quality.

You ever mixed Pregab with Opiates?
IMHO & Direct Lived Experience you let pregab kick in very well, say give it 2.5 hours after eating them then you smoke some good smack your head will be in your knees very soon & the whole day passes by in a blink, it's 11am & the sun is up, the next thing you know it's 4pm & then it's all of a sudden 11pm at night :ROFLMAO::ROFLMAO::ROFLMAO:โค๏ธโค๏ธโค๏ธ
never been an opiate user, I know I will like it too much!

saving it for a rainy day
 
maybe I should give them a try with some mogadon!
LMAO
My God that stuff sounds quite a Benzo.

I only found out a few days ago Mogadon is nitrazepam, it's been on my "bucket list" of drugs to try before I die since my mid teenage years. I had N,N DMT & 5-MeO-DMT on there too but I got to cross those both off a few years ago & the only one left was Mogadon. A random dog I spoke to a few days ago helped me out & I have access to a whole shop of Benzo type drugs now, it ranges from A-Z (alprazolam to zopiclone) so next payment off the sate I get 30 Mogadon at 5mg each. @Bleaney who seems to really know their stuff when it comes to Benzo drugs said about Mogadon a few days ago in reply to me & I saw a few posts made by @Shambles about that stuff too, he said it has some real length to the effects & from what he said the word "Mogadon" sounds 100% fitting, you can just see a guy totally "monged out" on that stuff.


never been an opiate user
My advice is if you never got into it DON'T try it.
I am so jealous of people who can eat 240mg of DHC & get fackin moshed, I can wash 240mg of DHC down with 40mg Oral Moprhine & start to sneeze, yawn, have RLS syndrome etc in less than 6 hours.
I have actually done that dose with the DHC & Morphine before a few times, all it did was stop me from being sick for a few hours.
I had 250mcg of NHS Fent I.V. when in hospital, the nurses were all shocked when I said I was in pain again after 3 hours of that dose, they gave me oral morphine too right after the I.V. shot of Fent, the one nurse said "anybody else would be sleeping yet this man is wide awake saying his in more pain after he has taken Fentanyl. It was at that moment I think they all twigged I have a huge tolerance for Heroin & they were quite shy about giving my more medicine "to help with the pain"
 
Thanks @Zopiclone bandit for your kind words. I'm no 'authority on the subject' but I'm often reading or listening to what other people have to say about various aspects and angles of the subject, and there's always something new to be learnt.

The best way I could describe things really, imho, is that Nitrazepam is to benzos, as whisky is to alcohol.

It's not just that they are often regarded as having the most powerful effects of their type, but imo Nitrazepam actually has a similar kind of kick and buzz to whisky imo. It's hard to put into words any further, but it definitely works much better as a 'once in a blue moon' thing, as it then seems to capture your GABA receptors by surprise, as if they have forgotten how to deal with it, and the buzz hits all the sweeter.

Same for whisky too tbh. Take those things too often though, and that magic quickly disappears.

You'd know about the risks of combining benzos with opiates. Especially if you don't have a benzo tolerance, I'd be wary about taking the Nitraz at the peak of any heroin dose. It'd probably be better and safer as a 'booster' when the peak of the heroin has subsided. Ideally totally seperately if possible, but then if you're in heroin W/D, the nitraz would probably do nothing but knock you out cold for several hours, depending on the dose.

@ everyone / anyone else reading; since this thread is about brands, has anyone found a good alternative brand of Nitrazepam, now that those huge, ever reliable, Arnite pills no longer seem to be available? For about 10 years they seemed to be the ONLY brand you could get, which was no problem as they were always great. But suddenly over the last year or so, not one vendor that I know of has the Arnites any more.
 
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Thanks @Zopiclone bandit for your kind words. I'm no 'authority on the subject' but I'm often reading or listening to what other people have to say about various aspects and angles of the subject, and there's always something new to be learnt.

The best way I could describe things really, imho, is that Nitrazepam is to benzos, as whisky is to alcohol.

It's not just that they are often regarded as having the most powerful effects of their type, but imo Nitrazepam actually has a similar kind of kick and buzz to whisky imo. It's hard to put into words any further, but it definitely works much better as a 'once in a blue moon' thing, as it then seems to capture your GABA receptors by surprise, as if they have forgotten how to deal with it, and the buzz hits all the sweeter.

Same for whisky too tbh. Take those things too often though, and that magic quickly disappears.

You'd know about the risks of combining benzos with opiates. Especially if you don't have a benzo tolerance, I'd be wary about taking the Nitraz at the peak of any heroin dose. It'd probably be better and safer as a 'booster' when the peak of the heroin has subsided. Ideally totally seperately if possible, but then if you're in heroin W/D, the nitraz would probably do nothing but knock you out cold for several hours, depending on the dose.

@ everyone / anyone else reading; since this thread is about brands, has anyone found a good alternative brand of Nitrazepam, now that those huge, ever reliable, Arnite pills no longer seem to be available? For about 10 years they seemed to be the ONLY brand you could get, which was no problem as they were always great. But suddenly over the last year or so, not one vendor that I know of has the Arnites any more.
I like Accord the best but can only get 5mg. They're decent.

The cheap Indian Elza 10mg and 5mg Noctin are alright. But given the chance I'd pay a little extra and get the Accord.
 
time to restock and have been doing a bit of AI research which I thought I'd share.

I'm just trying to figure out what the best quality is and frankly there's not enough trip reports/discussion/consensus and opinions are subjective.

so I asked AI what are the reg standards, how are they measured and what brands have reg approval.

here's the results for a few things, if there's no public data (lots missing from diazepam for example) then provided they have reg approval they must fall within certain specs to get a license, so you should know it's "about as good" as the OG

AUC = โ€œHow much you get overallโ€
Cmax = โ€œHow high it peaksโ€

Manufacturer / productAUC GMR90% CI AUCCmax GMR90% CI CmaxUK reg statusEU reg statusUSA reg status
Drugtech-Recalcine / Pregobin~101%*~98โ€“104%~98%*~97โ€“113%Not establishedNot establishedNot established
Zentiva101.84%98.51โ€“105.28%98.00%91.94โ€“104.46%Yes / national productYesNot established
PT Dexa Medica / Leptica101.54%98.75โ€“104.41%104.19%98.75โ€“109.93%Not establishedNot establishedNot established
Tecnimede / Sociedade Tรฉcnico Medicinal101.54%100.13โ€“102.98%99.29%93.29โ€“105.67%EU/UK evidence; exact current UK product status product-dependentYes / nationalNot established
Viatris / Mylan99.54%97.45โ€“101.67%98.13%89.49โ€“107.61%YesYesYes
Prelexa99.57%97.85โ€“101.32%100.56%95.51โ€“105.88%European-market evidenceYes / nationalNot established
Pfizer / Lyrica โ€ 100%โ€”100%โ€”Yes โ€” originatorYes โ€” originatorYes โ€” originator
PharmathenNot numerically reportedWithin 80โ€“125%Not numerically reportedWithin 80โ€“125%European evidenceYes / nationalNot established
Pharmaline / NeurexalNot numerically reportedWithin 80โ€“125%Not numerically reportedWithin 80โ€“125%Not establishedNational EU evidenceNot established
MSN / Pregabalin MSNNot publicly locatedRegulatory criterionNot publicly locatedRegulatory criterionYes โ€” current UK productEuropean manufacturing evidence; exact EU product status product-dependentYes โ€” MSN pregabalin products/history
TevaNot publicly locatedRegulatory criterionNot publicly locatedRegulatory criterionYes / product-dependentYes / nationalYes โ€” FDA generic approval
AccordNot publicly locatedRegulatory criterionNot publicly locatedRegulatory criterionYesYes โ€” EU genericYes / generic approvals
SandozNot publicly locatedRegulatory criterionNot publicly locatedRegulatory criterionYes / product-dependentYes, but product-specific status variesYes / US generics
KrkaNot publicly locatedRegulatory criterionNot publicly locatedRegulatory criterionYes / nationalYes / nationalNot established

UK 10 mg diazepam tablets​

Manufacturer / productAUC GMR90% CI AUCCmax GMR90% CI CmaxUK reg statusEU reg statusUSA reg status
Valium โ€” Roche/Pfizer100%โ€ โ€”100%โ€ โ€”Reference/originatorReference/originatorReference/originator
Milpharm LtdNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 16336/0840Not establishedNot established
Accord-UK LtdNot publicly locatedโ€”Not publicly locatedโ€”UK-approved/current supplierNot establishedNot established
Teva UK LtdNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 00287/0166Not establishedYes โ€” US generic
Sovereign Medical / WaymadeNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 06464/1402Not establishedNot established
A A H Pharmaceuticals LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Alliance Healthcare (Distribution) LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Almus Pharmaceuticals LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Phoenix Healthcare Distribution LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
DE PharmaceuticalsNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Crescent Pharma LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Sigma Pharmaceuticals PlcNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Medihealth (Northern) LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
IVAX Pharmaceuticals UK LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedYes โ€” US/Teva history
Viatris UK Healthcare LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedYes โ€” US generic presence
Kent Pharma (UK) LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Sun Pharma UK LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedYes โ€” US generic presence
DDSA Pharmaceuticals / TensiumNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Arrow Generics LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established
Dr Reddy's Laboratories (UK) LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedYes โ€” US generic presence
Wockhardt UK LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedYes โ€” US presence
Mawdsley-Brooks & Company LtdNot publicly locatedโ€”Not publicly locatedโ€”UK product/supplierNot establishedNot established

Clonazepam โ€” UK-approved tablet products
Manufacturer / productStrengthAUC GMR90% CI AUCCmax GMR90% CI CmaxUK reg statusEU reg statusUSA reg status
Sanofi-Aventis de Colombia โ€” generic clonazepam2 mg102.50%99.87โ€“105.19%103.28%98.10โ€“108.64%Not establishedNot establishedNot established
Rivotril โ€” Roche โ€ 2 mg100%โ€ โ€”100%โ€ โ€”Reference/originatorReference/originatorReference/originator
Aristo Pharma โ€” Clonazepam Aristo0.5 / 2 mgNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 40546/0234, /0235Product-dependentNot established
Celix Pharma โ€” Clonazepam Celix0.5 / 2 mgNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 53835/0025, /0026Product-dependentNot established
Neuraxpharm UK โ€” Clonazepam Neuraxpharm0.5 / 1 / 2 mgNot publicly locatedโ€”Not publicly locatedโ€”Approved โ€” PL 49718/0062, /0061, /0060Product-dependentNot established
Roma Pharmaceuticals โ€” Clonazepam Roma0.5 / 2 mgNot publicly locatedโ€”Not publicly locatedโ€”UK-approved/currentProduct-dependentNot established

Alprazolam โ€” published manufacturer / regulatory evidence​

Manufacturer / productFormulationStrength(s) documentedAUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Xanax โ€” Upjohn / Pfizer / ViatrisIR tablet0.25, 0.5, 1, 2 mg*100% reference100% referenceApproved โ€” current UK Xanax 0.25 & 0.5 mgApproved/reference product in multiple EU statesApproved/reference
Alprazolam Hexal โ€” Hexal AG / SandozIR tablet0.25, 0.5, 1 mg96% (90% CI 92โ€“99.6%)103% (95โ€“112%)Not currently identifiedApproved โ€” EU DCP; Netherlands/Ireland etc.Not established
TEVA-ALPRAZOLAM โ€” TevaIR tablet0.5 mg documented101%100%Not currently identifiedNational approvals documented, including Canada/EU-linked productsGeneric alprazolam approvals exist, manufacturer-specific status varies by ANDA
NTP-ALPRAZOLAM โ€” Teva Canada / Nu-Pharm lineageIR tablet0.5 mg101%100%โ€”โ€”โ€”
Alprazolam โ€” Geneva Pharmaceuticals / SandozIR tablet1 mgBE study vs XanaxBE study vs Xanaxโ€”โ€”FDA generic development/approval history documented
Alprazolam โ€” Geneva Pharmaceuticals / SandozIR tablet2 mgBE study vs XanaxBE study vs Xanaxโ€”โ€”FDA generic development/approval history documented
Alprazolam Orion โ€” Orion CorporationIR tablet0.25, 0.5, 1 mgBE study vs Xanax; numerical results not publicly posted in registrySameโ€”Approved โ€” e.g. Sweden; MR/DCP historyโ€”
Niravam โ€” Schwarz PharmaODT0.25, 0.5, 1, 2 mgBE vs Xanax; within 80โ€“125% CIBE vs Xanax; within 80โ€“125% CIโ€”โ€”FDA approved NDA
Alprazolam ODT โ€” Kali LaboratoriesODT0.25, 0.5, 1, 2 mgBE vs Niravam/Xanax pathwayBE vs Niravam/Xanax pathwayโ€”โ€”FDA ANDA documented
Actavis ElizabethXR tablet0.5, 1, 2, 3 mgFDA BE/TE approvalFDA BE/TE approvalโ€”โ€”FDA approved generic Xanax XR
Amneal Pharmaceuticals NYXR tablet0.5, 1, 2, 3 mgFDA BE/TE approvalFDA BE/TE approvalโ€”โ€”FDA approved generic Xanax XR
Aurobindo PharmaXR tablet0.5, 1, 2, 3 mgFDA BE/TE approvalFDA BE/TE approvalโ€”โ€”FDA approved generic Xanax XR
Anchen PharmaceuticalsXR tablet0.5, 1, 2, 3 mgFDA BE/TE approvalFDA BE/TE approvalโ€”โ€”FDA approved generic Xanax XR
ApotexXR tablet0.5, 1, 2, 3 mgFDA BE/TE approvalFDA BE/TE approvalโ€”โ€”FDA approved generic Xanax XR
Upjohn / Pfizer โ€” Xanax XRXR tablet0.5, 1, 2, 3 mg100% reference100% referenceโ€”EU national approvals historically documentedFDA reference listed drug

Manufacturer / productFormulationStrength(s)AUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Ambien โ€” SanofiIR tablet5, 10 mg100% reference100% referenceNot UK reference productNational productsFDA reference product
Torrent PharmaceuticalsIR tablet10 mgBE study vs Ambien; numerical GMR not locatedBE study vs Ambien; numerical GMR not locatedโ€”โ€”FDA generic development/approval evidence
Zolpidem generic โ€” multiple manufacturersIR tablet5, 10 mgManufacturer-specificManufacturer-specificGeneric zolpidem products approvedMultiple national approvalsMultiple FDA ANDAs
Zolpidem ER โ€” multiple manufacturersER tablet6.25, 12.5 mgPartial-AUC BE requiredPartial-AUC BE requiredMarket-dependentNational approvalsFDA-approved generics
Brazilian 5 mg ODT formulationODT5 mg97.44% (91.85โ€“103.37%)99.73% (93.69โ€“106.16%)Not establishedNot establishedNot established
Patz SL referenceSublingual5 mg100% reference100% referenceโ€”โ€”Reference in Brazilian study

Manufacturer / productFormulationAll documented strengthsAUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Neurontin โ€” Pfizer/Parke-DavisCapsules/tablets/solution100, 300, 400, 600, 800 mg; 250 mg/5 mL solution100% reference100% referenceApprovedApprovedFDA reference
Aurobindo / MilpharmCapsules/tablets100, 300, 400, 600, 800 mgNot publicly located by manufacturerNot publicly locatedApprovedApproved in European marketsFDA generic products
Morningside HealthcareCapsules100, 300 mgNot publicly locatedNot publicly locatedApprovedโ€”โ€”
Strides Pharma UKCapsules100 mgNot publicly locatedNot publicly locatedApprovedโ€”โ€”
AmaroxCapsules100, 300 mgNot publicly locatedNot publicly locatedApprovedโ€”โ€”
TecnimedeCapsules400 mg study~101โ€“106% depending parameter~102%โ€”Approved/national productsโ€”
BiosintรฉticaCapsule300 mgAUC 101.7%*100.0%*โ€”โ€”โ€”
Sandoz โ€” GabasandozTablet800 mgBE to Neurontin demonstratedBE demonstratedโ€”Approvedโ€”
Sun Pharma โ€” Gabantin GRSER tablet600 mg91.71% (82.60โ€“101.83%)91.35% (83.24โ€“100.26%)โ€”โ€”ER product/regulatory development documented

Manufacturer / productFormulationAll documented strengthsAUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Ritalin โ€” NovartisIR tablet5, 10, 20 mg100% reference100% referenceApprovedApprovedReference/history
Concerta โ€” JanssenER tablet18, 27, 36, 54 mg100% reference100% referenceApprovedApprovedFDA reference
Concerta/generic ER โ€” multiple manufacturersER tablet18, 27, 36, 54, 72 mgManufacturer-specificManufacturer-specificApproved genericsMultiple approvalsFDA generics
Adium โ€” ConsivMultiphasic ER54 mg study; marketed strengths varyBE demonstratedBE demonstratedโ€”โ€”โ€”
Generic IR methylphenidateIR tablet5, 10, 20 mgBE demonstrated in individual studiesBE demonstratedApprovedMultiple national approvalsMultiple ANDAs
Ritalin LA โ€” NovartisModified-release capsule10, 20, 30, 40 mgFormulation-specificFormulation-specificApprovedApprovedApproved/reference

Manufacturer / productFormulationAll documented strengthsAUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Adderall โ€” Teva/ShireIR mixed amphetamine salts5, 7.5, 10, 12.5, 15, 20, 30 mg100% reference100% referenceNot currently UK-marketedLimited/nationalFDA approved
Adderall XR โ€” Shire/TakedaER mixed amphetamine salts5, 10, 15, 20, 25, 30 mg100% reference100% referenceNot currently UK-marketedLimited/nationalFDA reference
Generic mixed amphetamine salts ER โ€” multiple manufacturersER5, 10, 15, 20, 25, 30 mgManufacturer-specificManufacturer-specificโ€”โ€”FDA-approved generics
Pharmascience pms-AMPHETAMINES XRER mixed amphetamine salts30 mg BE study99.9% AUCโˆž for L-amphetamine108.2% L-amphetamineโ€”โ€”Canadian approval
AR19 / Tris PharmaER amphetamine sulfate5โ€“30 mg studiedBE demonstratedBE demonstratedโ€”โ€”Development/US regulatory evidence
Amphetamine sulfate genericsIR5, 10, 15, 20, 30 mgManufacturer-specificManufacturer-specificโ€”โ€”FDA-approved

Manufacturer / productFormulationAll documented strengthsAUC GMR / ratioCmax GMR / ratioUK reg statusEU/EEA reg statusUSA reg status
Soma โ€” Wallace/MedPointeIR tablet250, 350 mg100% reference100% referenceNot approved/currently marketedNot generally authorisedUS reference/history
Qualitest / VintageIR tablet350 mgBE data not publicly locatedNot publicly locatedโ€”โ€”FDA generic
Dispensing SolutionsIR tablet350 mgNot publicly locatedNot publicly locatedโ€”โ€”FDA generic
Granulation TechnologyIR tablet350 mgNot publicly locatedNot publicly locatedโ€”โ€”FDA generic
Other US generic manufacturersIR tablet250, 350 mgManufacturer-specificManufacturer-specificโ€”โ€”FDA-approved products



* For Drugtech-Recalcine, the published paperreports the 90% CIs but does not explicitly give the geometric meanratios in the abstract; the approximate values are inferred fromreported means, so they should not be treated as directly reportedGMRs.
โ€  Lyrica is the reference/originator, so 100%is shown only as the mathematical Test/Reference baseline. It is nota bioequivalence result, hence no CI.

What do AUC and Cmax mean?​

AUC โ€” Area Under the Curve
AUC represents the total amount of pregabalin exposure inthe bloodstream over time.
Think of it as the overall โ€œexposureโ€ to the drug:
  • Higher AUC โ†’greater overall systemic exposure.
  • Lower AUC โ†’lower overall systemic exposure.
  • In a bioequivalence study, AUC primarily assesses theextent of absorption.
For example, an AUC GMR of 101.54% means the testproduct's estimated exposure was about 1.54% higher than thereference on a geometric-mean basis.
Cmax โ€” Maximum Concentration
Cmax is the highest measured concentration of pregabalinin the blood after the dose.
It mainly reflects the rate of absorption:
  • Higher Cmax โ†’ drug reaches ahigher peak concentration.
  • Lower Cmax โ†’ lower peakconcentration.
  • Cmax generally occurs around the Tmax (timeto maximum concentration).
So, for the PT Dexa Medica example:
  • AUC GMR = 101.54%โ†’ overall exposure was very close to Lyrica.
  • Cmax GMR = 104.19%โ†’ peak concentration was about 4.2% higher.
  • Most importantly, the 90% CIs for both remainedcomfortably inside 80โ€“125%, which is what supportsbioequivalence.

The key point about the 80โ€“125% rule​

The 80โ€“125% range applies to the 90% confidenceinterval, not simply to the observed GMR.
For example:
AUC GMR = 101.54%
90% CI = 98.75โ€“104.41%
This is an especially tight result because the entire confidenceinterval is very close to 100%.
Likewise, Cmax = 98.13%, CI 89.49โ€“107.61% forViatris/Mylan still passes comfortably: although Cmax has morevariability than AUC, its entire 90% CI remains within the regulatoryacceptance interval.
 
I hve tried adormorfinal - one tablet of an indian generic kept me from sleeping for 48 hours and gave me the most painful headache ive ever felt. On the instructions booklet it says "One of our chemists slipped over and lost both of his sandals into the vat where they instantly melted in a cloud of bubbles. They were a present from his mother so we left them in the final concoction. The leather may cause extra stimulation and headaches"
 
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All I'm trying to say that is if you're looking for visuals, you're probably dosing too high.
did you mean this for the preg thread?

if you are talking about preg visuals, sometimes it's good to push it that hard, it's fun, OEV with practically no headspace, is it too high a dose? hmm, maybe, I don't know, but it feels fine and within my limits from my experience
 
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