Problems with doctor (adderall)

[korky8097]

hey guys. Well I went to the Dr. today to see if he would up my dose of adderall. I have been perscribed adderall xr 30mg for around 2 years for ADD and it has worked well. Although a little while ago i had about a 1 month period where i did meth for around 3 times a week, but stopped because i saw it was making the adderall diminish its effects. It has been around 2 weeks with no meth and i believe i have raised my amphetamine tollerence to the point where 30mg no longer works well at all.

So today i went to visit my doctor (relitively new doc) to see if i could get my dosage raised, but he is completely unwilling to give somebody over 30mg. He offered concerta but i told him i had been on that in the past and it gave me bad stomach problems. He seems to think that one doesnt build much of a tollerence to amphetamines and that there is no plateu dose which is contradictory to what i had thought. Yet in the past when i had the same troubles i would just get my dose raised. I have tried many medications and adderall seems to work best (although they havent tried dexadrine with me yet).

So my questions are. Has anybody ever been perscribed over 30mg? If i continue to only take 30mg will my tollerence that was built from the meth eventually subside or would i need to start taking less or no adderall for this to happen? Any other advice?

I will be seeing my specialist when he gets back in town, but he is gone for the rest of the month and it takes a month or 2 to even get in, so i have a period of time where i am stuck with this ass doctor. Kinda regret the meth now, but i hope i can get back to normal soon. Sorry for the long post, thanks for any help.

[788.4]

The maximum approved dose is 40mg of ADHD and 60mg for narcolepsy.

Your tolerance should go back down but it might take awhile. No one can say how long, but it's probably anywhere from a few weeks to a few months. Reducing your dose to 20mg for a few weeks, then moving back up to 30mg should bring your tolerane back to where it was quicker.

[sands of time]

I knew school kids who were prescribed 60 mg of adderal, but I don't think it's a good idea. Your tolerance should go down but it will take time.

[bcStoner420]

You should ask to try dexedrine, its conciderably more potent. Although, it seems the US may be semi-reluctant to prescribe it, which is why so many have adderall. Here in Canada, accorinding to the fact SWIM knows nobody on it, they all use dexedrine, and because a few pharmacy websites said there is only dexedrine in Canada as far as amphetamines go. The fact adderall is only half d-amph and half l-amph salts, whereas dexedrine is pure d-amph sulfate, says that dexedrine is (in theory) twice as strong mabey a little less? Either way, much more potent.

Damn that was hard to write, I hope that makes sense.

[korky8097]

hmm, i may do that. I just hope i can get in to my specialist soon. For now i am going to start using the rest of my 10mg adderall generics along with my 30mg xr on days when i need to focus more so than normal days. Only have about 7 left though. Well thanks for the help guys, any more help is greatly apreciated.

[Jasonej121]

First thing is to tell your doctor that adderall XR does not work because I get up eairly in the morning. He will then prescribe you 10m (non-time release) to you for 3 o'clock or later for you. I've been thrue this many times with many doctors.

[Pinkavvy]

bcstoner - no, he shouldn't ask for dexadrine; as asking for it is a sure fire way to never get prescribed it.

korky- you simply need to find a new doctor. your current doctor is obviously opposed to adderal, especially in higher doses for treatment of adhd. there are many doctors that are like this; just like there are many doctors who refuse to prescribe oxycontin even for the most severe pain. It's a matter of medical paradigm which could be persuaded by many factors including previous trouble with over prescribing, insurance reasons, or medical group requirements. Many doctors, especially 'wholistic' healers (not naturepathic mind you, actual medical doctors who prescribe to a wholistic mindset) refude to use stimulents or narcotics at all, especially in higher doses, and espeically if the patient is requesting it.

Advice? Seek a doctor that specializes in adhd. your local yellow pages will serve you well with this.

[bcStoner420]

Originally Posted by Pinkavvy

bcstoner - no, he shouldn't ask for dexadrine; as asking for it is a sure fire way to never get prescribed it.

Most doctors are and should be willing to take any suggestions you have, if you have a good relationship with your doc and he's not aware of you have drug problems(if you had them or not). It really depends on the situation with your doctor I guess, your position in society might make a difference too (your job) if they knew what it was, which again depends on your relationship with him and what he knows about you.

Really, if it's for legit reasons, there is no reason why asking about your script like that should be bad.

Reputation Comments on this post:

Good advice on building a relationship with personal doctors

[Pinkavvy]

bcstoner - in a perfect world where insurance and hmo's and lawsuits didn't rule the medical industry you would be right. however, that's not the case. many doctors in the u.s. are literally afraid to prescribe dexadrine, just like more and more doctors won't prescribe oxycontin (or in some cases, any narcotic pain pills.) He's already shown us that the doctor is not into prescribing more than 30mg of adderal, which means that he's one of the many doctors in the country afraid to prescribe the hardcore drugs for whatever reason; which means he'd definately not the type to ask for dexadrine .... swim's gf asked for dexarine for her sons adhd (before we took him off stimulants and put him on weed) and the doctor not only said no but put a notation that he suspects prescription drug abuse in the family. this notation in his medical records has prevented him, and his mom (swim's gf) from getting narcatics at ALL from ANY doctor that belongs to the same medical group as that doctor. Due to that mistake, swim and family must go to another county to receive unbiased medical treatment and even be considered givin narcotics for pain management.

Reputation Comments on this post:

The docs in the US seem to suck, good explanation on this.

[sands of time]

Come to America and suggest what scheduled substances you would like... Here, the doctor will prescribe you something, see how it works, and prescribes something new untill you get something that works. When it comes to scheduled substance, the doctors dictate what you will take for the most part.

Reputation Comments on this post:

good way to get right to the point

[bcStoner420]

Hmm, I guess it's just not quite like that here in Canada, definatly not from my own and people I knows experiences. The doctors can sometimes still be somewhat reluctant, but nothing like you say it is in America.

[a4stringedwonder]

I am currently prescribed to take 50mg in the morning (1 30mg cap, and 1 20mg cap)... and form a very well known psychiatrist for A.D.D.

so i take it that my psych isnt breakin the laws...

it is possible to get over 30mg prescribed

[old hippie 56]

Son takes 60mg adderall xr in the am. He been out for a week now, and boy can I tell the difference. Grades are slipping, his attitude is real shitty, and he eating me out of house and home.

[a4stringedwonder]

^ haha, sounds like me...

my psychiatrist has had me on a 50mg dose of adderall since i was 14. after seeing this thread i asked my psychiatrist what the maximum ammount of adderall is that can be prescribed. he responded with, "The maximum recomended dose of adderall per 24 hours is 60mg, but i can prescribe you even more if needed."

once again, this is a very known psychiatrist, he has been in the field for a long ass time and knows what he is doing.

i personally feel no need to go over 50mg, because i actually have A.D.D. and think that 50mg in the morning is the correct dose for me...

If SWIM wants to be effeciant on a weekend to study for a test, SWIM will simply: take 2 30mg capsules of adderall XR and crush them into a fine powder, then proceed to parachute the powder. he them chases the parachute down with 2 20mg capsules, leaving him energized and alert (to a great extent, for well over 9 hours.)

peace,
a4stringedwonder

[jduba]

i was an junkie for 6 years slaming up to 2-3 gs a day of meth. was put on addy when i got outta rehab and nothing over time it will level out. give it time and leave meth alone... its dirty

[pharmapsyche]

So my questions are. Has anybody ever been perscribed over 30mg? If i continue to only take 30mg will my tollerence that was built from the meth eventually subside or would i need to start taking less or no adderall for this to happen? Any other advice?

To your question about if anyone has ever been prescribed over 30mg.'s, the answer is a definate YES! My boyfriend is prescribed to 60mg. a day plus 20mg. of methylphenidate (ritlian). Which basically sounds as crazy, as it is because really, no one should probably be prescribed this much but SWIM isn't complaining. I know of people who also take 30mg in the morning and 10mg or 20mg later in the afternoon. It sounds like your doctor, shouldn't be a doctor if he doesn't realize that amphetamine causes a tolerance, because ofcourse it does! The meth that you were doing within that time period most defiantly caused raised your tolerance, because amphetamine and especially methamphetamine deplets your dopamine levels...that is the whole reason people who use and abuse amphetamine gain a tolerance. I'm not sure if you are saying you want to be on a higher dose of adderall because you 'abuse' it and you don't get that stimulation anymore or if you actually have ADHD and it's just not working anymore for that, but either way your best bet is to try and lay off the adderall for as long as you can because that will help lower your tolerance, and basically that is the only way to go. You could also find some website showing how adderall easily causes a tolerance and show that to your doctor, just to help prove your point and that might get him/her to raise your doseage.
Hope it all works out well!

[sands of time]

Of course that doctor realizes that amphetamines cause an increase in tolerance, but he probably doesn't find increasing the dose to be the answer. What he is doing is allowing this guys tolerance to go down, while still giving him the original dose. There will be a period of time where the amphetamine is not working as well as it should, but it will do down, trust me.

Also, many doctors understand the risks of high doses of amphetamine, and many refuse to give over a certain dosage unless absolutely necessary. In this case, it's not necessary because his tolerance will go down, making the medicine effective in time. This may be the doctors way of teaching you a lesson, unprescribed drug use has negative effects! You decided to use meth, and know you have a high tolerance, making your prescribed medication quite a bit ineffective.

[jesusfreak666er]

Your problem is not your doctor, It is meth problem (no offense) I recomend you stick to your 30mg and soon without using meth the adderall should regain its potency

[Fantasian]

Originally Posted by Pinkavvy

bcstoner - in a perfect world where insurance and hmo's and lawsuits didn't rule the medical industry you would be right. however, that's not the case. many doctors in the u.s. are literally afraid to prescribe dexadrine, just like more and more doctors won't prescribe oxycontin (or in some cases, any narcotic pain pills.) He's already shown us that the doctor is not into prescribing more than 30mg of adderal, which means that he's one of the many doctors in the country afraid to prescribe the hardcore drugs for whatever reason; which means he'd definately not the type to ask for dexadrine .... swim's gf asked for dexarine for her sons adhd (before we took him off stimulants and put him on weed) and the doctor not only said no but put a notation that he suspects prescription drug abuse in the family. this notation in his medical records has prevented him, and his mom (swim's gf) from getting narcatics at ALL from ANY doctor that belongs to the same medical group as that doctor. Due to that mistake, swim and family must go to another county to receive unbiased medical treatment and even be considered givin narcotics for pain management.

Pink i really do feel for you on this, here in the Uk SWIM has a really good relationship with his doctor and has in the past asked for specific medication. Noted SWIM is a pharmacologist student so has limited knowledge but most doctors in the uk accept the advice if it's been given to you by another medical professional. Numerous times have swim said "My friend's father who is a doctor said (quote here)." Without SWIM's relationship with his doctor SWIM would be in a great deal of abdominal pain. SWIM asked for morphine after using Buprenorphine ineffactivly and was given for it.

BCstoner, i imagine in canada it is similar to the uk