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Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

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Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#241

Post by sterlind »

the_mar wrote: post #202
carlmr wrote: post #177

Earlier quoted context omitted.

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.

Actually in the US you also get ibuprofen. I had very invasive jaw surgery and sinus repair. It hurt. I got 600mg ibuprofen and 600mg acetaminophen for the pain every 4-6 hours. It definitively took pain down to tolerable levels.

as a counterexample, I had an infected tooth over the weekend. I took ibuprofen and acetaminophen around the clock, and it did jack shit. I was lying in bed and whimpering in pain, so close to going to the ER, but I knew they wouldn't do anything for me.

I actually have mild PTSD about that incident. It was the second-worst pain I've experienced in my life, and it wouldn't stop.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#242

Post by munk-a »

operatingthetan wrote: post #141
munk-a wrote: post #83

Earlier quoted context omitted.

If we're still talking about ADHD medications then... I have no idea where you're coming from. ADHD medications are very tightly controlled - if you accidentally double dose a few times and need an early fill you're going to get grilled (or even denied) by the pharmacist. There is a small margin for error but for the most part people using ADHD medications get precisely what they need to get to the next drug refill a…

> if you accidentally double dose a few times and need an early fill you're going to get grilled (or even denied) by the pharmacist That's not a thing. Nobody is getting grilled coming in early for their stimulant medications. They just say "come back in a couple days" and "have a nice day." I've filled multiple stimulant meds in a period of 2 weeks from the same doc and same pharmacist. Neither care (I dumped out a…

That's honestly pretty much what I said: if you run out and need to refill early it's a struggle. A lot of ADHD medications come with strong withdrawl symptoms so "don't have pills for a few days" for me will mean... day 1: sleep for like twenty hours straight and miss work, day 2: have massive headaches all day and miss work, day 3+: maybe be able to attend work? Certainly struggle to actually perform my job duties.

So running out of meds is something that's highly disruptive to my life and I'll always try and minimize gaps if they do occur.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#243

Post by OkayPhysicist »

flangola7 wrote: post #103
asdff wrote: post #13

Earlier quoted context omitted.

There's other ways to realign incentives. A buy back program would do a lot honestly to restrict the supply. A lot of people who got them for legit purposes would still end up with a ton leftover when they would get their next prescription. If they were able to get more money returning them to the pharmacy or counting them towards their next prescription than selling them to other students, that's what they would do.

Where would leftovers come from?

Most ADD individuals skip doses periodically. Sometimes because they forget (we're treating an illness that causes you to get distracted, remember), or they slept in on the weekend and don't want to mess up their sleep schedule, or they simply don't have anything they really need to be able to pay attention to that day, or maybe they don't need their second dose in the day that particular day.

Unlike, say, antidepressants, there's no real backswing on off days: you just revert to your pre-medication attention levels which, especially in the case of people who got diagnosed later than usual, they have coping mechanisms for.

This results in the average ADD-medicated patient having a couple pills leftover each month.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#244

Post by pyuser583 »

jijji wrote: post #232
pyuser583 wrote: post #169

Earlier quoted context omitted.

No … just no. For one thing, pharmacists aren’t just retailers. For example, I take a very powerful medication. It’s essential to get the dose just right. My health care organization employs a pharmacist who sepecializes in the medication, and sets the doses for patients in the program. This pharmacist doesn’t dispense medication. She instructs the physicians on what dose to prescribe. I recently had an extremely pai…

as mentioned throughout the comments I've also seen many situations where patients that were given prescriptions were then turned away by pharmacists because they didn't like the type of clothes that the person was wearing or they didn't think that there was a diagnosis to match the prescription, or that the doctor was too far away in a different town in the same state, Even though the patient might have been taking…

Wasn’t the idea behind the settlement that pharmacists should be accountable for the prescriptions they filled?

I guess I’m confused - are you saying pharmacists should not be able to refuse to fill a script or they are not able?

As it stands they are able, and can be held accountable for doing so.

Maybe the law should change to where pharmacists are simply agents of the prescribed. But that’s not current law or custom.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#245

Post by disposition2 »

reducesuffering wrote: post #172
disposition2 wrote: post #74

It’s nice to see some reporting on the potential causes of the issues folks are facing with filling Adderall prescriptions. I’ll provide an anecdotal observation… My SO has narcolepsy and uses Adderall to, quite literally, function. It’s unfortunate that this malady wasn’t referenced in the article but considering it affects (and I’m guessing here) less than 5% of the population, it makes sense. However (and I can ap…

If you ever have trouble accessing adderall, be sure to know that modafinil specifically treats narcolepsy and is easier to get both with and without a prescription.

I appreciate the suggestion. I believe they were previously on Modafinil but it didn't allow them to function as well as the Adderall does.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#246

Post by operatingthetan »

romwell wrote: post #219
operatingthetan wrote: post #121

Earlier quoted context omitted.

>Its nothing nearly as addictive or habit forming as SSRI's that are given out like candy. SSRIs aren't considered addictive at all. As I mentioned to someone else, please take an earnest visit to https://www.reddit.com/r/StopSpeeding/ and consider the idea that a lot of our ADHD peers struggle with stimulants. >Perhaps for non-ADHD people. I've been diagnosed with ADHD twice (childhood and adult) and I can say from…

>Take a double dose of your prescription and report back whether you feel it (sort of kidding, I have ADHD[1]. Taking 2x dosage of Adderall[3] makes me.. calmer and sleepy, and that's about it. As does too much coffee[2]. So much for "myth". [1] https://romankogan.net/adhd [2] https://romankogan.net/adhd/#Coffee%20Calms%20Me%20Down [3] https://romankogan.net/adhd/#Medication

You should know better than suggesting your anecdote is enough to prove a myth either way. Stimulants aren't magical medications that affect all ADHD people radically differently than neurotypicals. You are just experiencing a very common phenomena where drugs impact some people differently.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#247

Post by romwell »

rozal wrote: post #173
callalex wrote: post #32

Earlier quoted context omitted.

Adderall and Ritalin are not meth, and the fact that you consider them equivalent demonstrates your harmful lack of knowledge on this topic.

Amphetamines and methamphetamine are closely related. Methamphetamine is actually a derivative of amphetamine. So - you're wrong. And with that stupid insult you added at the end, you look even dumber.

>Amphetamines and methamphetamine are closely related.

So are ethanol (vodka) and methanol (poisonous fuel). The difference is exactly the same - one methyl group (CH3).

If you think that it's a small difference, try drinking methanol instead of alcohol, and see for yourself.

(Or, rather, not see for yourself, given the side effects of methanol poisoning).

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#248

Post by romwell »

operatingthetan wrote: post #246
romwell wrote: post #219

Earlier quoted context omitted.

>Take a double dose of your prescription and report back whether you feel it (sort of kidding, I have ADHD[1]. Taking 2x dosage of Adderall[3] makes me.. calmer and sleepy, and that's about it. As does too much coffee[2]. So much for "myth". [1] https://romankogan.net/adhd [2] https://romankogan.net/adhd/#Coffee%20Calms%20Me%20Down [3] https://romankogan.net/adhd/#Medication

You should know better than suggesting your anecdote is enough to prove a myth either way. Stimulants aren't magical medications that affect all ADHD people radically differently than neurotypicals. You are just experiencing a very common phenomena where drugs impact some people differently.

>You are just experiencing a very common phenomena where drugs impact some people differently.

Yes, I am experiencing a very common phenomena where drugs impact the people with the condition the drug is prescribed for differently than those without it.

Is is it so hard to make this leap?

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#249

Post by eindiran »

a2dam wrote: post #50
eindiran wrote: post #17

Earlier quoted context omitted.

Methamphetamine is a schedule 2 drug and prescribed in the US, though significantly more rarely than amphetamine. Is there a difference between oral consumption of amphetamine and methamphetamine dosed out in correct proportion to the salts in question? Maybe, but certainly not that "big" of a difference.

The difference is one of chemistry, not law. A helpful analogy is to find another pair of drugs that people are more familiar with where the difference is a single methyl group: caffeine and theobromine (the stimulant in chocolate). Saying that appropriately dosed amphetamine and methamphetamine don't have a "big" difference is like saying appropriately dosed chocolate and coffee don't have a "big" difference. The di…

I disagree. In oral usage, when you control for potency, particularly with regard to the stereoisomer composition, amphetamine and methamphetamine are FAR closer in effect (and "side effects") than historically people have claimed.

Pointing to the methyl group is completely missing the point; I am not talking about the absolute chemistry, but the pharmacology.

Re: Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

#250

Post by the_mar »

sterlind wrote: post #241
the_mar wrote: post #202

Earlier quoted context omitted.

Actually in the US you also get ibuprofen. I had very invasive jaw surgery and sinus repair. It hurt. I got 600mg ibuprofen and 600mg acetaminophen for the pain every 4-6 hours. It definitively took pain down to tolerable levels.

as a counterexample, I had an infected tooth over the weekend. I took ibuprofen and acetaminophen around the clock, and it did jack shit. I was lying in bed and whimpering in pain, so close to going to the ER, but I knew they wouldn't do anything for me. I actually have mild PTSD about that incident. It was the second-worst pain I've experienced in my life, and it wouldn't stop.

Question 1: how much did you take?

Question 2: what makes you think opioids treat infections?

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