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100% this. The worst part about ADHD treatment is all the disruptions of care to prevent people trying to abuse it. I personally don't give a rat's ass if peopl

100% this. The worst part about ADHD treatment is all the disruptions of care to prevent people trying to abuse it. I personally don't give a rat's ass if people want to take adderall to go out and party or masturbate either. They'd probably have fun with less negative health effects or risk of fights/belligerence compared to alcohol... But for some reason the government (the FDA) and medical field in general cares about abuse a lot. In the past few weeks, Cerebral got labelled a pill mill by the FDA/execs and as a result almost all ADHD telemedicine patients are having a hard time getting prescriptions filled. Sending a prescription to multiple places sequentially (because they keep refusing to fill it) or calling a pharmacy in advance to ask if they'd fill the prescription runs the risk of being labelled a drug seeker, and any power-tripping retail pharmacist - who doesn't know anything about you at all - can just refuse to fill your prescription if they want. Asking your provider for a higher dose is also anxiety-inducing for similar reasons. The worst part is, people with ADHD still build a dependence/tolerance on amphetamines/methylphenidate. So running out of your medicine is really disruptive - not only do your symptoms go untreated, but they become worse than they'd be if you were unmedicated for a long interval, plus you have to deal with things like not feeling fully awake, being hungrier, lethargic, sleeping more while your body adjusts back to being unmedicated. But for some reason that's acceptable as long as we prevent people from taking amphetamines for fun.

sascha_sl 4y ago
I found it really useful to cycle single doses between 5mg/10mg and ocasionally skip it entirely, when I know it wouldn't be essential. (Usually the skip sorts itself out when I forget I have them. You'd think lingering processing deficiencies would be obvious enough to remind me, but apparently not.) I've been avoiding higher doses because this setup works well enough that I don't want to disrupt the status quo and I keep hearing from friends that build a dependence and even one who went off them entirely after adverse reactions on very high doses. Fortunately I have a doctor who agreed this was a good idea and writes me prescriptions for different strengths.
hombre_fatal 4y ago
It's pretty obnoxious how pharmacies and especially pharmacists have this kind of discretion. Just put my pills in the bottle, dude. I got turned down for filling an Adderall prescription at a CVS because the pharmacist didn't like that I was paying in cash (credit card) as an uninsured uni student. Didn't offer to call my doctor's office to confirm the script. Just said oh, I don't like that you're paying in cash so I'm not going to fill this :). I fortunately get 90-day prescriptions (how long will that last?) and every time I refill, I have anxiety throughout the whole process (the checkup, the pharmacy) until I have pills in hand. Every time I feel like it's going to be the day I somehow have to jump through more hoops like my friend who has to have his pills counted every two weeks for his painkillers.
- saltminer 4y ago
  I'm jealous, my insurance will do 90 day fills on everything but methylphenidate.

sascha_sl 4y ago

I found it really useful to cycle single doses between 5mg/10mg and ocasionally skip it entirely, when I know it wouldn't be essential. (Usually the skip sorts itself out when I forget I have them. You'd think lingering processing deficiencies would be obvious enough to remind me, but apparently not.) I've been avoiding higher doses because this setup works well enough that I don't want to disrupt the status quo and I keep hearing from friends that build a dependence and even one who went off them entirely after adverse reactions on very high doses. Fortunately I have a doctor who agreed this was a good idea and writes me prescriptions for different strengths.

hombre_fatal 4y ago

It's pretty obnoxious how pharmacies and especially pharmacists have this kind of discretion. Just put my pills in the bottle, dude. I got turned down for filling an Adderall prescription at a CVS because the pharmacist didn't like that I was paying in cash (credit card) as an uninsured uni student. Didn't offer to call my doctor's office to confirm the script. Just said oh, I don't like that you're paying in cash so I'm not going to fill this :). I fortunately get 90-day prescriptions (how long will that last?) and every time I refill, I have anxiety throughout the whole process (the checkup, the pharmacy) until I have pills in hand. Every time I feel like it's going to be the day I somehow have to jump through more hoops like my friend who has to have his pills counted every two weeks for his painkillers.

saltminer 4y ago
I'm jealous, my insurance will do 90 day fills on everything but methylphenidate.