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Message
re: Can Adderall abuse be tamed?
Posted on 2/1/23 at 10:31 pm to Slim Chance
Posted on 2/1/23 at 10:31 pm to Slim Chance
quote:
My question is, if I was to approach him civilly about his problem and the possibility of getting help, is that better done when he's in his week that he's run out of Adderall and feeling like crap or during a week right after he gets it refilled and is thinking more clearly?
Absolutely do it when he’s on it. He’ll be too irritable otherwise. For people who want to quit, I always recommend filling their prescription then throwing it away. That way you lock yourself in for a month.
I would tell him why it matters to you. Tell him honestly your concerns. Then show him research that adderall is psychologically addictive, but not physically addictive. He doesn’t need it like he thinks he does. Then I would turn it into some sort of a contest. If I can do …. you hand over that prescription for the month. If I lose, I give you this. frick with him until he makes the bet. Then you need to win the bet.
You sound like a good friend.
2
Posted on 2/1/23 at 10:32 pm to mthorn2
quote:
Next step Meth
It is meth with extra side effects...
Posted on 2/1/23 at 11:14 pm to Slim Chance
quote:
Have you known anyone to go back to taking it as prescribed once they start abusing it
Nope. You're describing withdrawals as well.
Posted on 2/2/23 at 12:01 am to OweO
quote:
Instead of taking more, maybe when he feels like its not working, go a day or two without it then take it. That's a better way to manage it and he can get it filled each month and build up a supply with the ones for the days he doesn't take them.
Pretty clear from the OP that that’s not an option ya dope.
Posted on 2/2/23 at 2:23 am to Slim Chance
If you are willing and able to discreetly contact his prescriber with these concerns, even a small amount of this information should obligate them to conduct random pill counts. They do not have to tell him why. You are at risk of losing your friend if say something or nothing.
Besides the neurological damage he is doing abusing it, he will not be able to abuse Adderall for years and years like that without doing potentially irreversible damage to his cardiovascular system. He's almost 50 and is binging on 150 mg/day that YOU know of...it's usually worse than people say.
He's going to die from this if he doesn't stop. If he's running out a week early, it's not in his urine screens they are *supposed* to do periodically.
I'm not a fan of antidepressants but people usually become severely depressed and lethargic after suddenly stopping high dose and duration stimulants. People will struggle and need help and support to break away from Adderall.
I believe it's becoming as pervasive as the opioid epidemic. There are entirely too many otherwise healthy adults who just either lack learnable life skills or want an edge being given lifetime access to powerful, addictive stimulants. It's a terrible fricking idea.
The shortage definitely sucks but that incline in millennial rxs is absurd.
Besides the neurological damage he is doing abusing it, he will not be able to abuse Adderall for years and years like that without doing potentially irreversible damage to his cardiovascular system. He's almost 50 and is binging on 150 mg/day that YOU know of...it's usually worse than people say.
He's going to die from this if he doesn't stop. If he's running out a week early, it's not in his urine screens they are *supposed* to do periodically.
I'm not a fan of antidepressants but people usually become severely depressed and lethargic after suddenly stopping high dose and duration stimulants. People will struggle and need help and support to break away from Adderall.
I believe it's becoming as pervasive as the opioid epidemic. There are entirely too many otherwise healthy adults who just either lack learnable life skills or want an edge being given lifetime access to powerful, addictive stimulants. It's a terrible fricking idea.
The shortage definitely sucks but that incline in millennial rxs is absurd.
Posted on 2/2/23 at 2:45 am to pelicanpride
quote:
Then show him research that adderall is psychologically addictive, but not physically addictive. He doesn’t need it like he thinks he does. Then I would turn it into some sort of a contest. If I can do …. you hand over that prescription for the month. If I lose, I give you this. frick with him until he makes the bet. Then you need to win the bet.
I agree with you on a lot of your post but you're wrong about this. It IS powerfully addictive physically and psychologically and there is a profoundly difficult withdrawal most people will experience if they have been high dose+duration+binge abuse. People will need to learn to treat cases of stimulant addiction recovery like his like opiates and alcohol, especially acknowledging physical withdrawal syndrome. I'd be interested in research you've found saying otherwise.
People who took adderall long term and stop will not have normal levels of serotonin, dopamine, norepinephrine for a while. It is debilitating for a lot of normal "mentally strong" people to adjust to working and having fun. It's very sad and again, our society has prescribed itself into an addiction mess.
Posted on 2/2/23 at 7:42 am to mikelbr
quote:
You need to tell your lovely pharmacy in my neck of the woods to hold my adderall script and fill it when the shite comes and send me a text.
i would, but i literally don't have anything to do with that pharmacy, other than co-own it, now that i don't practice anymore... my wife, and the other co-owner, does everything there....
i stay in my lane, bro
Posted on 2/2/23 at 10:57 am to Slim Chance
If taken as prescribed in low doses, does it help people that need it?
From these horror stories I wonder why it is even an option.
From these horror stories I wonder why it is even an option.
Posted on 2/2/23 at 11:00 am to Misnomer
quote:
The shortage definitely sucks but that incline in millennial rxs is absurd.
No wonder millenials are so woke
Posted on 2/2/23 at 8:56 pm to Misnomer
quote:
It IS powerfully addictive physically and psychologically and there is a profoundly difficult withdrawal most people will experience if they have been high dose+duration+binge abuse. People will need to learn to treat cases of stimulant addiction recovery like his like opiates and alcohol, especially acknowledging physical withdrawal syndrome. I'd be interested in research you've found saying otherwise.
I’ve always thought of physically addictive drugs as ones that cause physical symptoms of withdrawal (nausea, shaking, heart racing) in most people when they discontinue use. Think heroin, barbiturates, and alcohol in extremely heavy users. Adderall does not fit into this category for the vast majority of users. When I quit taking it, I was surprised to find that I was less tired than when I was on it because I was getting better sleep. I agree with you that it’s addictive, just not physically addictive.
The reason that it was so easy for me to quit was that I didn’t have a choice. I wanted to have a baby. It’s just like it’s simple for me to not drink when I’m pregnant, but Dry January is a struggle for me each year when I’m not pregnant. The choice is what makes it difficult. That’s why I recommend that the OP find a way to win his friend’s prescription from him in a bet. Then you remove his choice, and he will find that it’s not nearly as difficult as he thinks.
Posted on 2/2/23 at 8:58 pm to mametoo
quote:
From these horror stories I wonder why it is even an option.
Those patients don't skip visits and the visits are expensive.
Posted on 2/3/23 at 7:10 am to Slim Chance
Wasnt a generic Vyvanse supposed to be out in 2023?
BlueCross doesnt pay for it (frick you BlueCross) and its $300/month.
BlueCross doesnt pay for it (frick you BlueCross) and its $300/month.
Posted on 2/3/23 at 8:34 am to pelicanpride
quote:
For people who want to quit, I always recommend filling their prescription then throwing it away.
I had a a friend, yeah a friend that abused adderall for several years. He finally started selling half his script upon filling it, after a few months, he would sell the whole script to one person the day it was filled. Not a bad a little side hustle but he had to do it on the day it was filled or he’d change his mind.
He now hasn’t taken an adderall in 10 years and is doing fine.
Posted on 2/3/23 at 8:37 am to mametoo
quote:
If taken as prescribed in low doses, does it help people that need it?
Yes. Tremendously.
quote:
From these horror stories I wonder why it is even an option.
It is very overprescribed and the effects are very, very different for people who actually need it as opposed to the people who are just taking it so they can stay up late and party.
Posted on 2/3/23 at 8:38 am to Booyow
quote:
Holy shite, I cannot imagine taking 60mg of Adderall at once
Right? I could cure cancer in a week if I was on 10mg extended release.
Posted on 2/3/23 at 8:45 am to Slim Chance
quote:This is a huge problem with our society. The worship of medical doctors.
It's like he thinks of it as any other prescription. It could be an antibiotic for strep throat for all he cares, it's all the same in his mind, prescribed "medicine" from a doctor.
Doctors are humans. They put on pants one leg at a time, make mistakes regularly, AND have the same desires (specifically money).
They are not special.
YOU are responsible for your health and mental well-being. Learn to function without pills, figure it out.
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