I take over 30 pills a day with 12 major brands. No matter how they are supposed to be the same, they never are. The worse ones are like cymbalta, oxy, and fentynol. I cringe when the va says they are getting a different stocker. After that Arizona incident, they were first giving me viagra 3x a day for my lung fibrosis, they changed to this other type that is exactly the same, just a different name. Think that was the only drug I never noticed a change with. You would think taking viagra 3x a day would keep things hard even after an orchectomy, but nope:( it does get hard when I'm nervous for some reason, so now I take xanax if I go see a Dr that's gonna look under the hood. I don't want to add creepy to my mental eval;)