"for symptoms of adhd (impulsivity, inability to sit still/restlessness, and inability to focus on a task at hand), i give this medication a 10/10. that said, i have tourette syndrome, and would caution anyone with tourette syndrome to stay away from stimulant medications, because they seem to exacerbate existing tics quite aggressively (i have tried 10-40 mg methylphenidate [ritalin] and 20mg adderall xr). i gave it a 10 based on it&#039;s effectiveness for adhd, but factoring in the aggravation this medicine causes to tics, i would give a 5/10. 

i have a &quot;good&quot; united health care plan, and they would only cover the brand name; even with insurance, the co-pay for a 30-day supply was $35.00."