191–200 of 282 posts
Remember last time we had a nationwide Adderall shortage it was deliberately caused by Shire to force people onto Vyvanse. Prior to Vyvanse Shire has signed a generic supplier agreement with TEVA so generic adderall was just the brand drug stamped differently. When they had Vyvanse ready they cancelled the agreement on short notice. That sent TEVA scrambling to stand up a production line. Standing up a C2 line is a p…
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> Pain is a fact of life I see you have never been in any real pain, ever. What do you get for cancer in Germany? Still ibuprofen? There's a reason opioids exist and were such a revolution in medicine. They really work. Ibuprofen et al are fine for what they are, but anti-inflammatories can only do so much. We should be able to solve the over-prescribing and addiction issues as a society without throwing the baby out…
>I see you have never been in any real pain, ever. What do you get for cancer in Germany? Still ibuprofen? I guess not. My point still stands though. Americans in Germany whine all the time about not getting "proper" pain medication. It's an attitude problem. I have been in pain multiple times, mostly broken bones, wisdom teeth, tendons and the like, and in the moment it doesn't feel good to only get ibuprofen. But m…
> If you accept these two basic facts you don't have an opioid crisis anymore.
This is an incredibly simplistic view of a very complex issue.
After the pharmacies got sued for filling opiate prescriptions (which were written by abusive doctors, but the pharmacies are the ones who got sued)[1], is it any surprise that Xanax and Adderall are being limited? If pharmacies are at risk for filling prescriptions that are more complex than antibiotics, the end result is that they make it harder to fill them. [1] https://www.fiercehealthcare.com/finance/federal-jur…
My understanding is that pharmacists are highly trained care providers. They aren’t simply some retailer who fills a doctors order.
Short of life and death situations I don't think I will be seeking any kind of medical care in the US. If it isn't urgent I'll make a vacation out of it and travel to cheaper more humane countries.
I've wondered if Adderall could be popular in part because it can lead to weight loss. This wouldn't be why people would go on the medication, but why they would hesitate going off it. I know some people continued smoking after they wanted to stop because they feared gaining weight when they did.
In my experience ADHD medicine doesn't actually induce weight loss, despite weight loss being a desirable thing for me. It suppresses your appetite, sure, but it doesn't shield you from the effects of not eating all day. I often force myself to eat something for lunch or I'll just end up tired and annoyed in the afternoon/evening (edit: I don't eat breakfast). Plus, once the medicine wears off at night (or on weekend…
Articles like this and reading about the FDA forcing drug manufacturers to replace pseudoephedrine (effective cold medicine) with phenylephrine (basically a placebo) really make me wonder about the intelligence level of the federal agencies. https://pharmacy.ufl.edu/2015/10/14/uf-researchers-ask-fda-t...
I've never had a problem getting pseudoephedrine, though it is behind the counter in a pharmacy these days. There are limits, but they are well over what I would consider a therapeutic dose. I don't know if that varies state-to-state, but I doubt it's a federal issue.
So, congrats to you for looking like a fine upstanding person and not like a clandestine drugs manufacturer.
I find it fascinating how so many HN users ardently defend broad access to Adderall (which has tons of possible downsides, but also tons of positive use cases), but then claim that any and all uses of any and all opiates will lead to a deadly, incurable addiction, even though opiates also have tons of positive use cases too.
> tons of possible downsides Like what?
Personally I forget to take it often, but thats because my brain is wonked out with ADHD. I also forget to eat often if I do not take the medication. Life is certainly weird.
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> those lawsuits would seem to spell out that denial of life-affirming care that sufferers of ADHD, a federally recognized disability, have experienced could give them legal standing to sue doctors over. As a person with adhd, why would i want to sue my provider? They have nothing to do with why there's been an adderall shortage since october. it seems to me the last thing I want to do is make providers feel averse t…
How do they have nothing to do? They’re part of the feedback cycle. They’re the hand that feeds.
This sort of thing is better handled through regulatory and legislative means. Perhaps it's not being handled particularly well at the moment, but the status quo seems preferable to establishing precedent that one can successfully sue a doctor for writing appropriate prescriptions for drugs that are scarce due to supply chain bottlenecks.
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>I see you have never been in any real pain, ever. What do you get for cancer in Germany? Still ibuprofen? I guess not. My point still stands though. Americans in Germany whine all the time about not getting "proper" pain medication. It's an attitude problem. I have been in pain multiple times, mostly broken bones, wisdom teeth, tendons and the like, and in the moment it doesn't feel good to only get ibuprofen. But m…
I would much prefer to be given more than ibuprofen for surgery, thanks. Have you have had tumor removed from your body? That would hurt like the dickens with just some tylenol and no real pain meds or anesthesia. > If you accept these two basic facts you don't have an opioid crisis anymore. This is an incredibly simplistic view of a very complex issue.
If you didn't read my response why should I care?
>This is an incredibly simplistic view of a very complex issue.
It's backed by facts though. You can't give out opioids like candy and expect people to be responsible with them.
This seems just a little bit of a conspiracy theory but, giving it credence I would say that it might be because the drugs are ridiculously overprescribed. Particularly for those who just don't need it. In the case of ADD, once there was a medication for it the diagnosis took off like a rocket. Sort of like oxycodone..
The real answer (IMO) is that ADHD is both under-diagnosed and over-diagnosed. I know many people who would benefit from a ADHD diagnosis, but aren't diagnosed yet, and just kind of struggle through as best as they can. On the flip side, it's also somewhat common for people to be diagnosed incorrectly (either due an over eager doctor, or because they sought out the diagnosis to get the drug). So really, it's a questi…
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Actually yes, in Germany if you break your bones you get ibuprofen, if you get your wisdom teeth pulled, you get ibuprofen. We don't have an opioid crisis anymore. Pain is a fact of life. The problem in the US is that there's the expectation to work the next day. It's ok to be in pain, it's also ok to miss out on work. If you accept these two basic facts you don't have an opioid crisis anymore.
> Pain is a fact of life I see you have never been in any real pain, ever. What do you get for cancer in Germany? Still ibuprofen? There's a reason opioids exist and were such a revolution in medicine. They really work. Ibuprofen et al are fine for what they are, but anti-inflammatories can only do so much. We should be able to solve the over-prescribing and addiction issues as a society without throwing the baby out…
"I've had some back pain and got prescribed opiates, now i'm addicted"
We're not talking about getting some opiates after surgery or severe and mostly rare things. Americans get opiates for all kinds of small inconveniences, like a wisdom tooth removal, or some back pain. Opiates don't heal or fix back pains. They just mask the symptoms and create a new problem.
I've been in a lot of pain in my life and never took any opiates, because they are reserved for extreme situations where i live. In america, i would have had easy access to prescriptions for those in most cases.
We have no opiate crisis here.