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My daughter had an awful outcome. She started to have uncontrolled facial ticks non-stop. I cried just watching her. She had been on the medicine for years and after starting the medication from Patriot is when it all started. Of course, it could have just started regardless of the manufacturer change. Our doctor changed her entire medication and the ticks went away. It was a rough month or so, but by the end of summer she was back to her normal self. Good luck!