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ADHD drug treatment and risk of negative events and outcomes

bmj.com

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Re: ADHD drug treatment and risk of negative events and outcomes

#221

Post by cruffle_duffle »

TrackerFF wrote: post #99

I'm on Ritalin - which works for me. Where I'm from (Norway), getting a diagnosis is no walk in the park. Very extensive process, if you're adult. At least the doctors I've seen, have all been very precautious in prescribing anything other than the basics. If Ritalin doesn't work for you, they'll obviously try something other...but my doctor told be straight up that it is a red flag when some patients will ask specif…

Urg, short acting Ritalin is the absolute worst. There are so much better stimulant meds out there.

Re: ADHD drug treatment and risk of negative events and outcomes

#222

Post by nerdsniper »

1659447091 wrote: post #181
hombre_fatal wrote: post #137

Earlier quoted context omitted.

I was on a 90 day prescription for ten years (vyvanse) when I told my doctor I was traveling abroad. Insurance doesn’t cover 90 day bottles so it was $300/mo but worth it. Nowadays there’s generic Vyvanse which is much cheaper so it probably makes 90 day prescriptions financially viable? I just moved back to the US and had to find a new local doctor who gives me 30 day scripts so I haven’t asked about 90 day yet. I i…

> I just moved back to the US and had to find a new local doctor who gives me 30 day scripts You may have difficultly getting a 90 day, both the doc and pharmacist have to agree to do it - 3x30 day with 'fill on dates' is more likely. When I had a long out of town trip I was able to get a 60 day script. When I came back the doc sent 60 day script again but the pharmacist wouldn't fill it and only allowed it because w…

ExpressScripts pharmacy basically mandates 90-day Rx and will mail them to your home. Excellent for people who suffer from ADHD.

Re: ADHD drug treatment and risk of negative events and outcomes

#223

Post by matheusmoreira »

Nikolas0 wrote: post #168

My $0.02 as a response to several comments I read in this thread: I was diagnosed with ADHD in my 40s and got Concerta. My belief is that ADHD is not a disease, nor a disability (even though it acts like one very frequently) and in fact there is evidence that ADHD is an important part of our evolution as a species. The problem(s) mostly relies with the modern way of life and what is expected from the society at large…

Completely agree. People with ADHD are simply incompatible with many facets of mormal life.

Take school for example. If someone doesn't fit into the mass education model, they say they have attention deficit. That same person might then go home and hyperfocus on computer programming for 12 hours straight like a machine. It makes no sense.

The mass education model where hundreds of people sit on a chair listening to lectures for hours on end just isn't right for people with ADHD. Medications are just there to help cope with an imperfect reality which refuses to change for our sake.

Re: ADHD drug treatment and risk of negative events and outcomes

#224

Post by abtinf »

mithametacs wrote: post #101
klipklop wrote: post #77

The irony about getting treatment for ADHD is that medical providers make it very hard to get the proper medication and treatment. People with ADHD are horrible at following through and handle rejection poorly. So the worse the ADHD is, the less likely somebody will be able to actually get treatment for it. A lot of people suffer because doctors fear losing their license like so many did during the pain pill debacle.…

I literally did the thing you’re not supposed to do. my psych kept giving me everything by Adderall. So I went to one of those online doctors and got Adderall through her. Then I just told my psychiatrist that I have Adderall prescription and she took it over. For the record, she’s actually really reasonable and I like her but very conservative about the stimulants. Which when I finally got them were a revelation. Me…

> she’s actually really reasonable and I like her

From what you’ve written, she didn’t treat your actual condition and thus put you through needless suffering and placed your health at risk.

Re: ADHD drug treatment and risk of negative events and outcomes

#225

Post by tstrimple »

teamonkey wrote: post #100
tstrimple wrote: post #91

Earlier quoted context omitted.

I'm not familiar with the reaction time test. Based on some reading I've done, ADHD is associated with higher variance in reaction time. Despite my ADHD symptoms, I've never thought reaction time was one of them. Quite the opposite really. The hours and hours honing my "skills" in first person shooters puts my reaction time and precision well above human average. But basically the only time I'm testing my reaction sp…

Out of interest, how are you with fighting games (Steeet Fighter, Mortal Kombat etc.) and Souls-like games where you have to predict and parry at the correct moment?

I never got into fighting games outside of Bushido Blade which I think translated quite well in my domination of Souls-like games. Domination is an exaggeration. I don't feel like I'm particularly good at those games, but I don't think they are nearly as difficult as the reputation conveys. It took me fewer than a dozen tries to kill Malenia in Elden Ring and most of the bosses I was able to kill in the first or second run.

On the other hand I had a hell of a time getting used to the parry sequences in Expedition 33. It felt at times like they were intentionally trying to fool me into parrying at the wrong times based on visual cues. Which... they were. The auditory cues were more reliable and once I got used to that I breezed through the rest of the game.

Re: ADHD drug treatment and risk of negative events and outcomes

#226

Post by hnthrowaway847 »

mandevil wrote: post #185
mithametacs wrote: post #101

Earlier quoted context omitted.

I literally did the thing you’re not supposed to do. my psych kept giving me everything by Adderall. So I went to one of those online doctors and got Adderall through her. Then I just told my psychiatrist that I have Adderall prescription and she took it over. For the record, she’s actually really reasonable and I like her but very conservative about the stimulants. Which when I finally got them were a revelation. Me…

The DEA put Adderall on its list of the most abused medication, and limits production of it and investigates doctors who prescribe too much of it. This is a response to the problems with the abuse of legal opiates a decade ago- the DEA now takes potential abuse of legal drugs much more seriously and adderall (an amphetamine- it's a cousin of meth) is at a high risk of abuse. Your psychiatrist is trying to deal with t…

I wouldn’t be surprised if this study were funded by some pharmaceutical lobbying shell organization.

I was on various forms of prescribed amphetimines for years and developed paranoia. It took me a few years to somewhat recover. My family has PTSD about that period of my life. I can’t think or communicate well anymore. Fuck that industry.

Re: ADHD drug treatment and risk of negative events and outcomes

#227

Post by throwpoaster »

cmrdporcupine wrote: post #198
throwpoaster wrote: post #155

Canadian here. ADHD diagnosis is one of the few non-socialized parts of our medical system. Because of the abuse potential they charge a fairly steep fee (cad $3k+, with a $2k+ autism assessment addon) to even attempt diagnosis (after screening by your GP — referral required). The intake paperwork alone was perhaps 100 pages of online questionnaires that lead to interviews where they schedule counselling and evaluati…

This wasn't the experience of our family here in Ontario. Nobody but the family doctor involved.

Toronto - interesting. I was told by several doctors that this was standard procedure. I’ll have to double check.

Re: ADHD drug treatment and risk of negative events and outcomes

#228

Post by throwpoaster »

whatevertrevor wrote: post #205
throwpoaster wrote: post #155

Canadian here. ADHD diagnosis is one of the few non-socialized parts of our medical system. Because of the abuse potential they charge a fairly steep fee (cad $3k+, with a $2k+ autism assessment addon) to even attempt diagnosis (after screening by your GP — referral required). The intake paperwork alone was perhaps 100 pages of online questionnaires that lead to interviews where they schedule counselling and evaluati…

Where in Canada? I had the complete opposite experience last winter in Ontario. I asked my doctor about ADHD, he had me fill two forms, set up an appointment with a psychologist, who after a couple weeks of appointments was ready to prescribe Atomoxetine (at my request since I wanted stimulants only as a last resort). I paid for nothing in this entire exchange, and the meds are usually covered by an extended drug pla…

Toronto - very interesting comment, completely alien to my experience. Thanks!

Re: ADHD drug treatment and risk of negative events and outcomes

#229

Post by mthoms »

losthobbies wrote: post #124
jackdoe wrote: post #112

Earlier quoted context omitted.

> handle rejection poorly Off-topic but recently I found out about Sensitive Rejection Dysphoria, its not officially recognized as a thing but it is in active study now, and very related to ADHD, and tbh I wish I knew about it sooner

Same as me. I think about it every day now. I’m 44 and It explains a lot of my behaviours. I found the adhd chatter podcast very helpful https://youtube.com/@adhd_chatter_podcast?si=Ne0isYQ2QCgIeqY...

It's nothing personal but I clicked your link enthusiastically and was greeted with nothing but clickbait thumbnails.

"THIS COMMON MEDICATION IS DANGEROUS FOR ADHD WOMEN!" & "THIS STRANGE HABIT IN PREGNANCY INCREASES THE RISK OF ADHD!" are just two examples.

I'm sure it's a good podcast but I find this practice distasteful at best and absolutely abhorrent when you're directly targeting mental health patients with poor impulse control and self-regulation issues.

(I want to emphasize that I know you mean well :-) )

Re: ADHD drug treatment and risk of negative events and outcomes

#230

Post by fn-mote »

cluckindan wrote: post #145
nkingsy wrote: post #135

Earlier quoted context omitted.

I’ve only taken it once. I woke up feeling sick, stiff, and lethargic while staying with a friend in NYC in 2008. My friend said “I’ve got just the thing” and gave me one of his adderall. 20 minutes later I was feeling better than I’ve ever felt in my life. We had one of the most exciting, memorable days in my life, just pinging all over the city. That night we went out to a club, where I somehow charmed a girl way o…

The previous poster habitually drinks coffee, and thus already has tolerance to the stimulant effects / increased neurotransmission.

Not all of the stimulants work the same way. When (if?) you build up a tolerance to one, you change to a different med. I expect the same applies to the caffeine -> adderall change.
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