Shakti ~ you ARE in a terrible situation! I know what you mean about being caught in the managed care system and being too poor to afford the brand names. Have you considered trying another drug altogether. I, too, have to been too sick to care much and and meds don't do much good. Trouble is, I'm on one of the those that cost brand name price but is actually generic. Try another med before you give up. And remember this: Ins would rather have you on a brand name before paying for repeated hospitals. Head the hospital way, not the boat and sharks. If you hurt yourself, they win!