5 ms·
Author does a decent job of going through some things, but this statement did not sit well with me. >I don’t think there are good data here, but my intuitions
by bob_theslob646 9y ago
Author does a decent job of going through some things, but this statement did not sit well with me.
>I don’t think there are good data here, but my intuitions and personal experience is that “addiction” of the sort you get with heroin or tobacco is very rare, at least when responsible people without a personal or family history of addictive behavior take stimulants as prescribed. Most people agree the risk is lower for extended-release stimulants (eg Adderall XR), and very low for Vyvanse.
I think that statement is bonkers.
Of course they are going to be addicted to the substance if they use it everyday of their lives.
My definition of addiction is not being able to stop taking the drug for whatever reason, and feeling some sort of withdrawal. I think for most people that take something daily, it would be extremely hard for them to stop.
This is where things get messed up: being chemically addicted to something where the cost of the drug can be astronomical .Yes, I am talking about Shire's Vyvanse.
>Shire Plc is a Jersey-registered, Irish-headquartered global specialty biopharmaceutical company... its brands and products include Vyvanse, Lialda, and Adderall XR.
The best is that they offer a program the temporarily reduces the price of the drug for a period of time aka you get addicted to it over that time period and then are forced to pay it becuase their is nothing like it until 2023.
Yes, I am aware that each state has different insurance options, but starting a company called "Shire Cares" just to spread the belief that they care but really do not is silly.
From their website: "Pay no more than $30 for up to 12 prescriptions up to a maximum savings of $60 per prescription.† (https://www.shireregistration.com/vyvanse%20savings%20link)" https://www.shireregistration.com/vyvanse%20savings%20link)"
What they do not tell you is after that period ends, the price goes up drastically. With insurance, 30 pills costs "around $286.42 (https://www.goodrx.com/vyvanse https://www.goodrx.com/vyvanse)
The last thing I will say is: Where is the data on a drug that annually generates billions of dollars each year? They have 10 million users. You are telling me they could not monitor the habits of 1-2k people over a couple years? Sounds fishy to me.
For others who want to learn more about the crazy growth of add/adhd medication sales that very few want to talk about. (http://www.nytimes.com/2013/12/15/health/the-selling-of-attention-deficit-disorder.html http://www.nytimes.com/2013/12/15/health/the-selling-of-atte...)
- kazagistar 9y agoI have taken Adderalls twice in my life for longer periods of time, and both times it was no problem to stop. I stop taking it cold turkey, I feel a bit shitty for a week, and then its fine. If anything, it feels less addictive then caffine, which has worse physiological symptoms.
- always_good 9y agoI've taken 20mg Adderall XR or 50mg Vyvanse for over a decade and have no issues quitting it which I regularly have to do when I run out while living abroad. Agreed - much easier to skip than caffeine. That said, when I meet other people taking these meds, their doctor frequently has started them out on heroic doses. Like 80mg XR + 2x IR tablets a day to bump. Absolutely insane. And I reckon those people have a harder time quitting, especially psychological. The difference between an unmedicated and medicated day is just so extreme. I've certainly met many people in uni who just can't control themselves with stimulants and quickly find themselves spiraling down the toilet bowl, and those are people I always worry about. Like the person who can't just take one, instead eating them over a 3-day spurt of zero sleep.
- always_good 9y agoIf you have good insurance (so most people here that work full-time jobs in tech), then you should be paying almost nothing for Vyvanse. If you don't have insurance, then contact Shire's affordance help or use one of those prescription assistance companies that handles it for you. I don't have insurance and I pay $35/mo to a company that got Shire to give me a free voucher for my 3-month prescription. Just wanted to point that out to others. Also, it's ridiculous that things like GoodRX and 3rd party assistance programs are viable business models.
- LyndsySimon 9y agoI'll offer an alternate voice here - I take Vyvanse, and went without insurance for a few months two years ago. I tried Adderall and Ritalin, and neither had comparable impact. I ended up spend ~$300 / 30 on Vyvanse and honestly thankful that it was available at that price each time. With insurance, my prescription is $50 / 30. I typically don't take it on weekends in order to limit tolerance, which further reduces the ongoing costs.