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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

#81

for the past decade+ i’ve just lived with crippling adhd and dealt with it as best as i could. and boy do i mean crippling. i feel like dependency on a prescription stimulant is asking for trouble, at least for me personally.

It can be rough out in the unmedicated jungle. The peer pressure is fairly intense these days. I am in a similar boat - Complete abstinence of these kinds of things is the only option for me.

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

#82

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…

Matches my experience as well. If I forget to take it one of my first clues is when I feel like eating a second breakfast or lunch.

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

#83
post #13

Earlier quoted context omitted.

A choice must be made. Either be more restrictive and controlling meaning that some people that need the drugs don't get them. Or be less restrictive and controlling meaning that some people you think shouldn't get the drugs get them.

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.

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 and not a pill more.

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

#84
post #42

Earlier quoted context omitted.

The article goes to lengths to describe how the government, specifically the DEA are limiting supply by issuing edicts to pharmaceutical companies. Corporations don't generally defy government edicts, especially ones that lead to raids and jail time, so we really can say it's the government's doing here, rather than particularly self-limiting behavior on the part of the pharmaceutical companies. That the government i…

Can you please provide a cite? I tend to think this coercion probably is happening. Agency rule making should be public and published in federal register. I don't know what the effective recourse would be. The easy track is to go to Mexico and load up on what your Dr. prescribed.

I agree should be, but unfortunately that's not the case. Not in proper detail. Broadly, the DEA's power comes from the Controlled Substances Act, originally passed in 1970 - https://en.wikipedia.org/wiki/Controlled_Substances_Act, but the modern day limits themselves are secret.

The medications described are Schedule II, which is defined as "The drug or other substance has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions."

One citation for the limits being secret are:

Ike Swetlitz, I (2023) "Xanax and Adderall Access Is Being Blocked by Secret Drug Limits". Bloomberg, Online edition. https://www.bloomberg.com/news/articles/2023-04-03/adderall-...

> Xanax and Adderall Access Is Being Blocked by Secret Drug Limits

> The Drug Enforcement Administration regulates the manufacturing, distribution and sale of controlled substances, which can be dangerous when used improperly

> the limits themselves are secret.

> A Cardinal Health document reviewed by Bloomberg News says that limits are calculated on a daily, monthly, and quarterly basis.

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

#85
I guess it is time to send an FOIA request to the DEA to find out what the limits are.

I'm on a controlled substance and I am disabled and not able to work without it. I've been extremely lucky thus far, but given how many I know have had issues, it is only a matter of time.

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

#86

Earlier quoted context omitted.

Isn't that to be expected, though? There's plenty of people who wouldn't subject themselves to the ordeal of going to the doctors to pursue a diagnosis of an untreatable disease. You just suffer through it. In contrast, if there's a known treatment for it, then the reward (not having ADD symptoms) dramatically outweighs the cost (of drudging through doctors appointments). I'd bet the number of surgeries significantly…

You underestimate college students because that is exactly what we did in college. People went to their doctor, faked hyperactivity, and were given adderall which they then sold to other students. I'm sure your ADD is horrible but try telling someone taking these drugs to stop. They won't. They depend on it too much and it's become part of their personality, and their belief that it is what they need. Just. Like. Oxy…

Personally I'd really really appreciate if you would dial back the medication shaming a fair amount. As someone who can function with a lot of effort and the support of medication and who has gotten into several rough spots in life when I've suddenly run out of meds and have needed to motivate myself independently to refill them... please don't opine on what other people's experiences are.

Additionally, Adderall and the like aren't just like +2 INT boosts - the stimulants have a different affect on most people with ADHD than it would on a regular person... so whatever you've experienced abusing the medication is probably quite a bit different from what I'll experience using it.

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

#87

Oh great: > Sometimes, they must send patients on frustrating journeys to find pharmacies that haven’t yet exceeded their caps in order to buy prescribed medicines. Does this then get them put on the secret list of "people with drug seeking behaviors" which apparently includes people who fill prescriptions for their dogs? [0] [0] https://www.wired.com/story/opioid-drug-addiction-algorithm-...

It is absolutely insane right now with medication... My wife blew out her knee last year, breaking her tibia, patella and femur. Do you know how many painkillers they gave her to take home? 12 pills! They said to come back to the ER to get more if she needed them, before surgery the following week(?!). I think it was like a 3 day supply and we both were like WTF.

My 1 year old dog (who is batshit insane, but we still love her) had to have part of her tail amputated because she kept breaking it open, the vet had us giving her 3x painkillers 2x a day. The pharmacy tech insisted they weren't going to fill a followup script because she had already been prescribed 60 pills, 10 days before and refused to perform basic math. (3*2*10=60)

I'm all for trying to address our opioid issues, but it feels like instead of addressing the issue of doctors running pill mills, over-prescribing these drugs, they are focused on just not allowing them to be prescribed at all... Even for people who genuinely need them.

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

#88
post #20

Earlier quoted context omitted.

ADHD is an ADA-recognized disability. I doubt you’d support secret limits on mobility scooter orders because college kids sometimes steal golf carts. Why is this different?

Because Adderall is 100% pure speed. A handful of Adderalls is more fun than a bag of cocaine (which is going to be more like 5% purity and adulterated with god knows what).

This is especially hilarious as I, a person with ADHD, am basically on speed whenever I loose access to Adderall. I would strongly encourage you to gain a better understanding of ADHD and other neurodivergent forms before continuing to speak on the topic.

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

#89
post #52

I need adderall to function but on my last refill the pharmacy was out and when I asked when they’ll get more the tech said “maybe next year?”. I got my doc to switch me to vyvanse which is 3x the price even with good insurance since it’s still brand only. I don’t like vyvanse compared to plain generic adderall but I’ll take what I can get. Seems like they’d make dispensing it harder rather than just cut off the supp…

Vyvanse is AKA lisdexamphetamine which is a slow release form of dexamphetamine AKA dexadrine. The Astral Codex guy says patients prefer dexadrine and patient reports suggest it lacks some of the body affects.

All to say maybe try the cheaper dexadrine twice a day.

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

#90
post #52

I need adderall to function but on my last refill the pharmacy was out and when I asked when they’ll get more the tech said “maybe next year?”. I got my doc to switch me to vyvanse which is 3x the price even with good insurance since it’s still brand only. I don’t like vyvanse compared to plain generic adderall but I’ll take what I can get. Seems like they’d make dispensing it harder rather than just cut off the supp…

Personally, while I don't take either now, I could never go back on Vyvanse due to the severe appetite suppression I experienced on that medication which I did not have with Adderall. These medications are not completely interchangeable.

How much they vary seems to be very patient specific (perhaps amplified or muted by their relative dosages? ie Vyvanse max of 70 is supposed to be comparable to Adderall max of 60). I personally experience just the same appetite suppression with both (severe, although if I actually put a bite of food in my face it can sometimes “break the spell”). But I know other people notice the difference more like you do. They’re definitely not interchangeable, but how much so might vary from deal breaker as it is for you, to basically indistinguishable as it is for me (at least on the appetite suppressant topic).

Not meant to argue, I just don’t want to unnecessarily dissuade people who might be having trouble filling Adderall and weighing the possibility of temporarily substituting so they have something to fill the gap.

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