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Posted on 5/23/20 at 11:40 am to
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 11:40 am to
Someone who does meth is also pretty likely not to take a medically accepted dose of Adderall. Beyond that even, low dose adderall is showing very encouraging results in ALL addiction patients not just stimulants. It’s the most current thinking this is because of how we categorize and lump together certain mental health conditions. Adderall targets the same systems as illegal stimulant yes, but used at the right dose is really not that similar in the specific amount of dopamine it releases which is really all you care about.
This post was edited on 5/23/20 at 11:44 am
Posted by Errerrerrwere
Member since Aug 2015
38287 posts
Posted on 5/23/20 at 11:44 am to
quote:

td01241


Are you an aderall rep?
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 11:45 am to
Psychiatrist and I do not see children and do not ever accept a patient coming for ADD.
This post was edited on 5/23/20 at 11:46 am
Posted by cooLStorybreaUx
Member since Aug 2014
598 posts
Posted on 5/23/20 at 11:47 am to
Who's selling adderall for $500 per month?! The script costs $8 per month + one 6 month visit.
It was a last resort for my son, was getting in trouble for not sitting still etc... Went from D's to A's in conduct. Just because it is overprescribed doesn't mean it isn't needed for some.
Posted by supadave3
Houston, TX
Member since Dec 2005
30263 posts
Posted on 5/23/20 at 11:49 am to
quote:

My favorite combo is the Adderall in the morning and afternoon... Cyproheptadine to offset the adderall and actually give the child an appetite that the Addy takes away and then add the clonidine to slow the childs heart rate down enough so they can sleep at night as they've had speed coursing through their veins all day...



Unreal that that is actual scenerios going on all across our country.

Parents that have children on the stimulants owe it to themselves to take one, just one, of the medicine they give their kids on daily basis. I think many would change their minds about giving children amphetamine salts each morning before school.
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 11:51 am to
I immediately know your post is suspect because it’s not a medicine that can be prescribed at an interval past 1 month let alone 6. It is technically legal to write 3 concurrent scripts at once but beyond that if you’re not lying your psychiatrist is at the very least unethical and I suggest finding a new one immediately
Posted by sabes que
Member since Jan 2010
10156 posts
Posted on 5/23/20 at 11:51 am to
True, but it’s still the case the effects are very similar. The dosage doesn’t change the effects the drug has on the body/mind, it just exaggerates or downplays them depending on high vs low dosage. The drug doesn’t know how much is in the body, it’s just doing what it does.
Posted by supadave3
Houston, TX
Member since Dec 2005
30263 posts
Posted on 5/23/20 at 11:55 am to
quote:

Not to mention with a compound like vyvanse to limit abuse potential it can be used more loosely as in keeping fat people from eating.


Why does Vyvanse have a lower potential for abuse? Is it solely because it doesn't feel as euphoric as that sweet 60 mg of Adderall in the morning does?
Posted by sabes que
Member since Jan 2010
10156 posts
Posted on 5/23/20 at 11:56 am to
Giving addiction patients adderall?? Lol, they will be doing meth within a month. There really aren’t words to describe how stupid this is.
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 11:56 am to
Man the amount of freaking adults I see one daily basis on the most insane medication regiments from GPs, NPs, and retiring psychs is insane. Adderall, Concerta, but specifically Vyvanse (Lisdexamphetamine) are safe and effective. This is so clearly understood medically but not socially. It has probably been trialed and attempted to have a blackeye put on it for its entire life cycle. Just because something is abused doesn’t mean it isn’t useful even for more widespread reasons than current FDA guidelines.
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 11:59 am to
Lisdexamphetamine has less of the specific inhibitor of amphetamine that specifically targets dopamine. The real reason is it’s a prodrug that requires a hour plus of onset time and enzymes to take that require it be taken orally.
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
260693 posts
Posted on 5/23/20 at 12:00 pm to
quote:

It was a last resort for my son, was getting in trouble for not sitting still etc..


Another downside to mass education is the wholesale drugging of children. It's not healthy and most likely has long term psychological affects.
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 12:03 pm to
I mean I generally only go by what I see in trials and studies and other respected options in the psych community. Addiction has fallen to us to fix just like the other problems family doctors create and Adderall has been trialed and used somewhat limited off label already for addiction in low doses and it’s pretty encouraging. I myself only have patients on any stimulants for depression off label but it’s never a 1st line medication when it could be. I don’t see eating disorder patients but only vyvanse is approved for that.
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
260693 posts
Posted on 5/23/20 at 12:07 pm to
quote:

Not to mention with a compound like vyvanse to limit abuse potential it can be used more loosely as in keeping fat people from eating.


Throwing pills at people for behavioral problems seems like we are conditioning people to not take responsibility for their own wellness.
Posted by sabes que
Member since Jan 2010
10156 posts
Posted on 5/23/20 at 12:08 pm to
Just trust me that it is a bad idea. Even giving a person who is an addict of a non-stimulant adderall is still a bad idea. They have a substance abuse issue and will constantly look for more and stronger ways to increase any positive effect or feeling. And addicts who are in the drug community know that adderall and meth have very similar effects.
Posted by WITCH DOCTOR
Louisiana
Member since Mar 2009
3474 posts
Posted on 5/23/20 at 12:10 pm to
Big question is what politicians have a stake in the companies that sell the medication that is being pushed..
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 12:10 pm to
This I agree with and is a far more widespread thought of emerging residents and younger practicing docs, most especially so in psychiatry. Therapy is effective in so many patients and never even attempted by most doctors. The issue of overmedication is real and can laid at the feet of a bunch of different people and industries. I can only say the current education and community standard is more addiction focused than ever and we try to minimize medication as best we can.
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 5/23/20 at 12:15 pm to
I’ll just trust sabes que TD poster and not the medical community I am active part of. It has to do with the nature of addiction as a phenomenon in general and why it’s there. The triggering of the receptors stimulants hit have most certainly shown effective in depression, and almost all addicts are comorbid with depression at the very least. You target the main issue first and in this case that’s depression. Again, I don’t write it for addiction nor do I see anyone for it as a major diagnosis unless inherited but I definitely see how in doses of 10-20mg in extended formations how it could work and be helpful.
Posted by supadave3
Houston, TX
Member since Dec 2005
30263 posts
Posted on 5/23/20 at 12:19 pm to
quote:

Lisdexamphetamine has less of the specific inhibitor of amphetamine that specifically targets dopamine. The real reason is it’s a prodrug that requires a hour plus of onset time and enzymes to take that require it be taken orally.


That makes sense. I've taken both and vyvanse definitely is less enjoyable of the 2, from a recreational standpoint only.
Posted by Iron Lion
Sipsey
Member since Nov 2014
11812 posts
Posted on 5/23/20 at 12:22 pm to
quote:

I just waited until my kids turned 18, then I introduced them to pot. Marijuana is the best antidepressant, ADHD, pain, or anxiety medicine around

I did the same thing
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