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re: Is it really necessary to see my doctor every 3 months to get an Adderall refill?

Posted on 3/2/19 at 11:07 am to
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
94666 posts
Posted on 3/2/19 at 11:07 am to
The dope - get off of it.
Posted by DavidTheGnome
Monroe
Member since Apr 2015
31239 posts
Posted on 3/2/19 at 11:10 am to
quote:

30mg twice per day for the last couple years




Holy crap have you been awake this whole time?
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/2/19 at 11:11 am to
quote:

Is it really necessary to see my doctor every 3 months to get an Adderall refill?


Congrats on the poor coping skills and the street legal Meth
Posted by keks tadpole
Yellow Leaf Creek
Member since Feb 2017
8452 posts
Posted on 3/2/19 at 11:12 am to
quote:

Strattera


Took it for eight years. It was ok at first but there is a mood-swing, aggressive behavior side effect. After a while i just felt this weird sense of dread when I had to take them. One day, the old-grouch company controller gave me a load of BS. I didn't get mad, but had some unsettling visions of what I wished I could do, but wouldn't because I'm not crazy.. Switched to Adderall after next dr. Appt. I'll never go back to straterra.

20mg adderall xr 2 per day is wearing thin. Is vaycance better?
This post was edited on 3/2/19 at 11:18 am
Posted by lake chuck fan
Vinton
Member since Aug 2011
21068 posts
Posted on 3/2/19 at 11:22 am to
Ive taken it for several years, its always been every 3 months for mine...
Posted by Evil Little Thing
Member since Jul 2013
11590 posts
Posted on 3/2/19 at 1:25 pm to
quote:

Congrats on the poor coping skills and the street legal Meth


If this is what meth feels like, I really don’t understand people prostituting themselves to get some. It’s not that great.
Posted by Scruffy
Kansas City
Member since Jul 2011
76482 posts
Posted on 3/2/19 at 1:27 pm to
It is a legal issue.

You can thank the druggies for it.

It’s their fault and your doctor is covering his arse.

Druggies are also the reason we can’t send those scrips electronically.
This post was edited on 3/2/19 at 1:28 pm
Posted by Lawyered
The Sip
Member since Oct 2016
36869 posts
Posted on 3/2/19 at 1:31 pm to
Scruffy have y’all not met the criteria to be able to send E-rx’s for some c2’s... it’s a thing now, you should look into it .

A lot of docs here in MS do it.
Posted by Scruffy
Kansas City
Member since Jul 2011
76482 posts
Posted on 3/2/19 at 1:32 pm to
quote:

Scruffy have y’all not met the criteria to be able to send E-rx’s for some c2’s... it’s a thing now, you should look into it .
Scruffy works in an ER, so that isn’t something he will ever even need.

They can take paper scrips.
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 1:48 pm to
quote:

I've been on the same meds for 12 years. Never refilled early. Never failed a drug test. It's through the same physician network so my history is all there.

So...what's in it for him if he doesn't see you? An extra C2 on his profile, liability, and having to keep records on you. For what? Don't like it? Go somewhere else. We don't like writing it, but if I do, I'm gonna get paid. All the liability, record keeping etc is on the physician. He gets zero for refilling it without seeing you. If you can find a doctor that will fill it all the time for free and no visits, haul arse.
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 1:50 pm to
quote:

Can’t wait until generic brand vyvanse is approved.

Gonna probably be awhile. Don't hold your breath.
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 1:54 pm to
quote:

MS just recently updated their rules requiring piss tests at least once every 3 months I believe and now Docs can't write for 6 month worth of benzos ( xanax/ Klonipin) anymore, it's limited to a 3 month supply only. They're really trying to cut down on this opioid crisis which they absolutely should

Many of us were already doing this. I'd rather not deal with it, but we're in a rural area. And I'm damn sure not going to prescribe controls without adequate documentation, monitoring and drug screens. And I'm not going to do it for free. None of the meds are needed to keep someone alive. It's the patients choice to take them. For that, there's a price.

Any of the people on here bitching work for free? I didn't think so.
Posted by OKellsBells
USA
Member since Dec 2016
5264 posts
Posted on 3/2/19 at 1:56 pm to
The prescriptions are only valid for 90 days after the date written. A few years ago the expiry date was 6 months. It’s also against the law to post date the original date for those prescriptions, although some doctors still do this. Your prescriber’s office is just following the rules.

In addition, not giving patients more than 3 paper prescriptions at a time helps prevent diversion. E-scribing of these meds has helped with that too.

Source: I’m a pharmacist.
This post was edited on 3/2/19 at 1:59 pm
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 1:58 pm to
quote:

I asked if I'd still have to come every 3 months for Strattera and was told yes. Strattera, however, is a selective norepinephrine reuptake inhibitor. It is the first ADHD drug that is non addictive

You either lying or they're full of shite. They may check you back every three months initially to monitor for effects or side effects and to adjust dose, but not continually. It may just be their policy. I've got some people I bring in more often than others. That way I can monitor their real health needs. People prioritize the wrong things, so sometimes we use these visits to get them in for the real medicine. But that takes more than 3 minutes. shite, I like to talk too much. None of my visits are 3 minutes.
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 2:07 pm to
quote:

The prescriptions are only valid for 90 days after the date written. A few years ago the expiry date was 6 months. It’s also against the law to post date the original date for those prescriptions, although some doctors still do this. Your prescriber’s office is just following the rules.

This. And even if I only see someone every 3rd month. I don't post date rx's. They have to come pick it up. I don't bill a nurse visit, but when you give 3 rx's for a C2, it's technically against the rules, and if one gets lost? Too bad. Can't be replaced. My rules are my rules. Don't like'em? People are free to go elsewhere, but many other local physicians have had their ability to write C2's suspended for varying time periods, I'd rather not. Plus, I can make more by doing real medicine. Maybe I over document, but it takes me more time for my ADD pt's and pain mgt pts because I review the risk/benefit's virtually every visit, provide other options, discuss or attempt wean downs and explain to them that I'm doing these things not only to protect me, but for their benefit as well. The easiest thing for me would be to throw the script at them and roll on out and on to the next pt instead of re-evaluating them constantly and addressing their full medical needs.

I'm no prude with the meds, but I certainly take more pride in weaning someone off than I do on getting them on meds long term.
Posted by lsufanva
sandston virginia
Member since Aug 2009
13315 posts
Posted on 3/2/19 at 2:11 pm to
The explanation given to me from a doctor. He tests every visit.
To make sure the drug is in your system at the levels it should be. Abuse and street level dealing by those that dont need them but want them for profit. I can pay less than 60 for a month script and sell them for 8-10 a pill. Major profit to be made and is quite often. (Not by me of course)
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 2:17 pm to
quote:

In addition, not giving patients more than 3 paper prescriptions at a time helps prevent diversion. E-scribing of these meds has helped with that too.

E-scribing is easier to fake than handwritten. And more errors. Despite security measures, it's not impossible for a nurse or scribe to Rx without your knowledge. Same with paper, but my rx pads stay locked up and my signature is tough to duplicate. Although, I did have a pt steal a pad when I was younger. Used his computer to change the number and add refills. Did a damn good job with his printer, but where he screwed up is I have always written with gel pens. They smear and smug. The local pharmacists all new this and one got suspicious cause the rx was too clean.

The PMP has helped a lot. I also check my personal records on there to make sure there aren't rx's I didn't write.
This post was edited on 3/2/19 at 2:18 pm
Posted by SmackoverHawg
Member since Oct 2011
30888 posts
Posted on 3/2/19 at 2:21 pm to
quote:

The explanation given to me from a doctor. He tests every visit. To make sure the drug is in your system at the levels it should be. Abuse and street level dealing by those that dont need them but want them for profit. I can pay less than 60 for a month script and sell them for 8-10 a pill. Major profit to be made and is quite often. (Not by me of course)

I don't test every visit. It's a waste of money for the patient and insurer. Some do it for profit. Some are just extra cautious. Unfortunately, a physician that test every visit better document why he's doing it that often or insurers may get him/her for overutilization/fraud. If I have doubts about someone, or they're new or newly on meds, they get tested more often. If someone's been clean for years, I'll test 2-3x's per year depending on dose and number of med or if I see behavioral changes or drug seeking activities/behavior.
Posted by Hamma1122
Member since Sep 2016
21743 posts
Posted on 3/2/19 at 3:22 pm to
No but you gotta do it
Posted by Gorilla Ball
Az
Member since Feb 2006
12784 posts
Posted on 3/3/19 at 1:17 am to
If it’s schedule 2 drug- nope
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