I am on Madopar as you prob know anyway.
When i started out from diagnosis I started with branded sinemet that was fine, but when they moved the dose up they tried to palm me off with generic sinemet, I too noticed the differences straight away the Pill was inferior , I was taking more but the effect was far less, Not only that the love or lack of it that went into the production of the pill was obvious compared to the branded sinemet, it was rough, covered in the dust, it stuck to my tongue,it made me feel ill.
I took it back to my surgery and told them exactly what i thought, the doctor panicked and I was then Put on Madopar, Not Generic but the roche Madopar, and i have felt the benefit's ever since, and i'll hold on to it, I have had suggestions from Neuro that i shpould move onto stalevo, but that would be generic stalevo 'stanek', our local parkinson rag reported lots of problems for sufferers with generic.
These Generic Pills are sposed to be the same,But they are Not the same, if you dig you can read there are different tolerances in Performance, If you are prescribed Sinemet or Madopar you should be prescribed It, its a bit like asking for 'coca cola' and being issued 'happy shopper' we both know they are Cola's, but we all know it is not the Same!!.
Parkinsons uk in Parkinsons awareness week made much of we should be getting 'better treatments'.
If Madopar was good for your Health Jules, then Demand you have it.
that's my view.
We are not second class!!/