Controlled substances and concurrent cannabis use
I recently had a new patient who came to me on a number of medications, plus a couple of controlled substances (Adderall and Klonopin). He also admitted to being a regular user of marijuana. I explained my policy on the prescribing of controlled substances and had him sign an agreement stating that he would not use illicit substances such as marijuana, and he agreed to it. The marijuana use continued, however, and after a couple of months a recent drug screen came back positive for THC so... Controlled substances and concurrent cannabis use (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2019 Category: Universities & Medical Training Authors: SpongeBob DoctorPants Tags: Psychiatry Source Type: forums

Prescribing Propanolol for anxiety/insomnia with stimulants?
I have a teenage patient with a history of ADHD that I'm seeing who was prescribed low dose of Propanolol (20 mg) and Adderall XR 20 mg by his previous provider. He says he is only taking the Propanolol as needed for sleep but I worry about him getting unopposed Beta Blockade blockade if he takes the Adderall and Propanolol together. I know he is on a low dose of Propanolol but I wish to avoid any type of blood pressure fluctuations if possible especially with him taking it as needed. I... Prescribing Propanolol for anxiety/insomnia with stimulants? (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2019 Category: Universities & Medical Training Authors: shahseh22 Tags: Psychiatry Source Type: forums

Lamictal dosing for bipolar disorder
I was reviewing some information about a new patient I will be seeing in a couple of weeks, and was surprised to see that the patient reports taking 500 mg of Lamictal for bipolar disorder. Other current medications include Abilify 15 mg, Elavil 25 mg, Celexa 40 mg, and Adderall 10 mg. I have several patients on Lamictal, and usually stop around 100-200 mg. I have taken it up to 250 mg on occasion, but I don't think I've ever prescribed higher than that and certainly not 500 mg. I... Lamictal dosing for bipolar disorder (Source: Student Doctor Network)
Source: Student Doctor Network - July 17, 2019 Category: Universities & Medical Training Authors: SpongeBob DoctorPants Tags: Psychiatry Source Type: forums

When coffee isn't cutting it anymore... Adderall?
Quick recap: I'm a non-trad 3rd year student (bottom 10% in my class). My bachelor degree was in economics, and I feel I wasn't at all as prepared as majority of my classmates (mostly pre-meds and biochem majors etc) for med.school. I was struggling, but somehow managed to finish first 2 years with only 1 retake of pathology in the very last semester right before dedicated. That shifted my comlex/step1 schedule and I'm playing a catch up game right now. My classmates are already on... When coffee isn't cutting it anymore... Adderall? (Source: Student Doctor Network)
Source: Student Doctor Network - July 14, 2019 Category: Universities & Medical Training Authors: ASGD1983 Tags: Medical Students - DO Source Type: forums

Adderall really isn't fair.
My PCP prescribed me a 5 count bottle (referring me to a psychiatrist for a full diagnosis/prescription) and here's my experience with it. Firstly, let me preface this thread by saying you shouldn't take this drug illegally and I am not encouraging anyone to go out and get a prescription. This drug is dangerous and can create a terrible life-long dependency. That being said, I have a high GPA with only average focus/concentration and I consider myself a fairly smart individual. Here's my... Adderall really isn't fair. (Source: Student Doctor Network)
Source: Student Doctor Network - April 22, 2018 Category: Universities & Medical Training Authors: Udreamin Source Type: forums

Drug Testing when prescribing controlled substances
This is something I wanted to look more into, so I decided to start here. Is there specific protocol for tox screens, how often, etc. I only ask because I see different things going on in the community. At community mental health clinics that take medicaid - I see people wanting tox screens monthly when prescribing a controlled substance At clinics that take private insurance - I see people getting Klonopin, Adderall, etc without ever being tox'ed, or rarely. I'm not accusing one... Drug Testing when prescribing controlled substances (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2018 Category: Universities & Medical Training Authors: Psychobabbling Source Type: forums

"Take Your Pills" On Netflix
Anyone seen it yet? It's a documentary focusing on stimulant use in America. Within 5 minutes of watching it I could tell this would be super harmful to the field of psychiatry. The first 1/2 is people (with or without an ADHD diagnosis) talking about how adderall makes them feel like superman. Literally 100% of people on the doc say it made them feel invincible. Then the second 1/2 is all about the side effects and negatives of stimulants, and often questioning whether ADHD is a real... "Take Your Pills" On Netflix (Source: Student Doctor Network)
Source: Student Doctor Network - March 29, 2018 Category: Universities & Medical Training Authors: chajjohnson Source Type: forums

Long term adderall side effects
Hi guys, sorry if this isn't the appropriate place to post but I'm seeking more information on the long-term side effects of adderall and am hoping someone here can point me in the right direction. Specifically, my concern is that adderall is similar to cocaine, and I always hear about cocaine and cardiomyopathy, sudden cardiac death, etc, but never with adderall. Is there an actual difference between the two drugs that account for this or does using adderall still put you at risk for these... Long term adderall side effects (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2017 Category: Universities & Medical Training Authors: mpompliano Source Type: forums

I am LOLing...
Ok, so I got a call from one of my major referral sources saying she needed to make an appointment with me. I said okay and went ahead and scheduled her. I assumed she was talking about meeting with me to discuss future referrals, get to know me better, etc. She shows up on my schedule as a patient! Turns out the provider who was giving Adderall to everyone was seeing her as a patient and getting referrals from her. Don't worry, I'll handle this conflict of interest appropriately. I'll be... I am LOLing... (Source: Student Doctor Network)
Source: Student Doctor Network - August 12, 2017 Category: Universities & Medical Training Authors: randomdoc1 Source Type: forums

tons of people on Adderall...
So an NP recently quit the private practice I'm at because she was looking for a job with benefits which is fine. Then....I inherited a number of her patients. Almost a good half of them on are Adderall IR as first line treatment. Nearly another half are on some sort of benzo with Xanax being relatively common. The ADHD diagnosis was thrown around pretty loosely, even applied to the guy that smokes pot daily and is getting early oxycodone refills. Interestingly when I called him and told him... tons of people on Adderall... (Source: Student Doctor Network)
Source: Student Doctor Network - July 15, 2017 Category: Universities & Medical Training Authors: randomdoc1 Source Type: forums

Dont think vyvanse & adderall are good for me but i dont want to get off?
Forum: Advice on everyday issues Posted By: sunflower334 Post Time: 10-06-2017 at 04:48 (Source: The Student Room)
Source: The Student Room - June 10, 2017 Category: Universities & Medical Training Source Type: forums

Any alternatives to adderall?
Any? Sent from my iPhone using SDN mobile (Source: Student Doctor Network)
Source: Student Doctor Network - June 6, 2017 Category: Universities & Medical Training Authors: moonwalk44 Source Type: forums

Supplements, ergogens, nootropics, etc.
Anyone here mess around with ergogens or nootropic type supplements to enhance cognition/performance (physical or cognitive)? Personally, I am a fan of them. Curious who else has used these during school, and to hear your thoughts and experiences. Things like creatine monohydrate, l-citrulline, beta-alanine, etc. for exercise performance. Racetams, choline derivatives, ALCAR for nootropics, etc. Discuss. Inb4 adderall jokesters... (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2017 Category: Universities & Medical Training Authors: PharmDBro2017 Source Type: forums

Adhd
Currently and anecdotal, we're seeing an increase in requests, primarily from college age students who give the 'ole - "I took my friends Adderall and I can study better." It's getting pretty bad with the PCPs, whom we partner with, have started saying no outright and are sending over to the clinic for further evaluation. Those who are currently on stimulants by the PCPs are being effectively cut off and sent to the clinic for further evaluation. In a nutshell, is there a good collection... ADHD (Source: Student Doctor Network)
Source: Student Doctor Network - April 23, 2017 Category: Universities & Medical Training Authors: Shikima Source Type: forums

Should I take adderall to help A level revision?
Forum: A-levels Posted By: botsimon Post Time: 03-04-2017 at 11:22 (Source: The Student Room)
Source: The Student Room - April 3, 2017 Category: Universities & Medical Training Source Type: forums

Drug screen for residency and confidentiality?
Hi, I am prescribed Adderall by my outpatient provider and use the medication as prescribed. I intend to disclose this when I go for my drug screen. However, I am concerned as to confidentiality with regards to the fact that I don't want to have my future program director or program officials know about this. I want to ensure that my health information would be kept confidential as I am taking the medication as prescribed and for a legitimate reason. Does anyone know if HIPPA applies... Drug screen for residency and confidentiality? (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2017 Category: Universities & Medical Training Authors: sunshine1160 Source Type: forums

adderall
Forum: St Andrews University Posted By: serious monkey Post Time: 12-01-2017 at 16:01 (Source: The Student Room)
Source: The Student Room - January 12, 2017 Category: Universities & Medical Training Source Type: forums

Adderall side effects
Hi guys, sorry if this isn't the appropriate place to post but I'm seeking more information on the long-term side effects of adderall and am hoping someone here can point me in the right direction. Specifically, my concern is that adderall is similar to cocaine, and I always hear about cocaine and cardiomyopathy, sudden cardiac death, etc, but never with adderall. Is there an actual difference between the two drugs that account for this or does using adderall still put you at risk for these... Adderall side effects (Source: Student Doctor Network)
Source: Student Doctor Network - December 29, 2016 Category: Universities & Medical Training Authors: mpompliano Source Type: forums

The worst polypharmacy
I may have a winner for worst polypharm ever. Young (early 20's) individual comes in after being hospitalized several times out of state after being hospitalized multiple times for anxiety and "ADD." He brought in his discharge paperwork that had his d/c meds, which included, Get this -- 2 Atypical AP's (I bet you can guess what one of them is) Strattera Adderall An SNRI Xanax Restoril Valium, and Tramadol "for pain" -- without any actual physical health conditions. (Source: Student Doctor Network)
Source: Student Doctor Network - November 7, 2016 Category: Universities & Medical Training Authors: nitemagi Source Type: forums

Is Adderall really less addictive/divertable than Dexedrine?
This was the justification someone gave me once for the predominance of Adderall over Dexedrine. It seems like Dexedrine has less severe stimulant side-effects, which I understand is part of why it's considered to have more of an abuse liability (I think), but it does not seem—at all—to actually be abused more. It seems like patients request Adderall way more than Dexedrine based on what I hear docs say, and I feel like Dexedrine will be less likely to be diverted than... Is Adderall really less addictive/divertable than Dexedrine? (Source: Student Doctor Network)
Source: Student Doctor Network - September 24, 2016 Category: Universities & Medical Training Authors: YumIsPeople Source Type: forums

False positives
Anyone seeing prescription adderall and phentermine showing up as ecstacy on a confirmatory urine tox screen? Internet search just pulls up a bunch of drug addicts trying to pass tests. (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2016 Category: Universities & Medical Training Authors: Agast Source Type: forums

Let me just show you this....
This is not made up. This is a real medication regimen of patient I have been referred. Comments? Buproprion XL 300 mg in am buspar 15 mg twice daily zoloft 200 mg daily remeron 30 mg nightly geodon 20 mg twice daily Adderall XR 30 mg in am Adderall 10 mg at noon Lamictal 200mg- 2.5 tabs daily minipress 10 mg nightly elavil 100 mg nightly restoril 15 mg nightly imitrex 50 mg as needed (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: erg923 Source Type: forums

Problems with generic stimulants
With the newer generic adderall xr and adderall formulations, patients have been stating they are not working as well, are not as effective. Have you noticed this or gotten complaints from people about this? Any references or reports you have regarding this. This happened with generic concerta when it came out also. (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: GroverPsychMD Source Type: forums

When is it NOT okay to fill for the monthly ADHD prescriptions?
Patients are usually in their early to mid-twenties, comes to one single pharmacy for a count of 30 or 60 pills a month (they typically fill for generic Adderall, Vyvance, Focalin, etc.)... "regular customers" in the purest sense. The diagnosis is of course, ADHD. Most of these patients pay with insurance, a few pay with cash, and most are never early, so they always come and fill right on time. Should these prescriptions always be filled without ever questioning the doctors, since the... When is it NOT okay to fill for the monthly ADHD prescriptions? (Source: Student Doctor Network)
Source: Student Doctor Network - July 9, 2016 Category: Universities & Medical Training Authors: swatchgirl Source Type: forums

How long do you wait to admit patients after an overdose?
I know it depends on the medication and how much was taken, and how the patient appears clinically, etc., but as a general rule, what would you tell a referring hospital who wants to admit someone to your psychiatric unit after a significant overdose? For example, I received a call today about an adolescent who overdosed on 500 mg of a stimulant (either Ritalin or Adderall), and the referring ED wanted to admit him to our standalone psychiatric hospital 4 hours after the ingestion.... How long do you wait to admit patients after an overdose? (Source: Student Doctor Network)
Source: Student Doctor Network - June 18, 2016 Category: Universities & Medical Training Authors: Ψ-117 Source Type: forums

Students using Adderall and Cocaine to study
I recently had a conversation with a classmate about the top students in our class, and how they do so well. I was shocked when he told me he knows all the guys that routinely get over a 95, and they do it by using cocaine and adderall to stay awake and focused while studying. I started asking other people about this, and a bunch of guys who got 250+ on step last year did it by just snorting coke the whole 6 weeks they studied. This seems really extreme to me, totally unfair, and... Students using Adderall and Cocaine to study (Source: Student Doctor Network)
Source: Student Doctor Network - June 7, 2016 Category: Universities & Medical Training Authors: tennisstar89 Source Type: forums

Med student arrested on charges of distributing Adderall through Craigslist
http://www.thesmokinggun.com/documents/internet/med-student-nabbed-adderall-scheme DECEMBER 29--A Drug Enforcement Administration probe of an Adderall-trafficking ring based out of a Brooklyn hospital has snared a medical student on a felony narcotics charge and appears to have implicated her sister, an attorney, in distributing the popular attention deficit disorder drug. Pauline Wiltshire, 30, was arrested Monday for her alleged role in the... Med student arrested on charges of distributing Adderall through Craigslist (Source: Student Doctor Network)
Source: Student Doctor Network - June 5, 2016 Category: Universities & Medical Training Authors: Soonersyko Source Type: forums

Illinois Controlled Substance Laws?
What are the laws regarding having multiple controls on the same prescription? Whether it be two or more schedule II controlled substances or two schedule III - V on the same prescription sheet or a mix of both C II-C V? I tried doing some googling but couldn't narrow down my search but couldn't find much. At work the other day a pharmacist refused to fill a prescription that had Adderall 10 mg and Adderall 30 mg written on the same prescription stating that they have to be two separate... Illinois Controlled Substance Laws? (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2016 Category: Universities & Medical Training Authors: Statin Source Type: forums

Is Adult ADHD a Childhood-Onset Neurodevelopmental Disorder?
Interesting article with implications for the many adult ADHD cases cropping up everywhere (usually with a prescription for Adderall in tow). If the results can be replicated, may be seen as a real call for folks to be more careful in their history taking, assumptions, and critical thinking as they make psychiatric diagnoses. http://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2015.14101266 (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2016 Category: Universities & Medical Training Authors: Fan_of_Meehl Source Type: forums

Adhd
Currently and anecdotal, we're seeing an increase in requests, primarily from college age students who give the 'ole - "I took my friends Adderall and I can study better." It's getting pretty bad with the PCPs, whom we partner with, have started saying no outright and are sending over to the clinic for further evaluation. Those who are currently on stimulants by the PCPs are being effectively cut off and sent to the clinic for further evaluation. In a nutshell, is there a good collection... ADHD (Source: Student Doctor Network)
Source: Student Doctor Network - April 13, 2016 Category: Universities & Medical Training Authors: Shikima Source Type: forums

Adderall really isn't fair.
My PCP prescribed me a 5 count bottle (referring me to a psychiatrist for a full diagnosis/prescription) and here's my experience with it. Firstly, let me preface this thread by saying you shouldn't take this drug illegally and I am not encouraging anyone to go out and get a prescription. This drug is dangerous and can create a terrible life-long dependency. That being said, I have a high GPA with only average focus/concentration and I consider myself a fairly smart individual. Here's my... Adderall really isn't fair. (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2016 Category: Universities & Medical Training Authors: Udreamin Source Type: forums

Depression CF related
Hi. Just wondering how many of you or your loved ones with CF suffer from any form of depression. Years ago, I was prescribed Paxil by my CF Clinic doctor after breaking down in tears during one of my early visits. Later after seeing a mental health professional, I was described Adderall, after they diagnosed me as being ADD. They also gave me Xanax to sleep, and I was on this roller coaster of ups and downs for years, until I quit everything on my own. I still suffer from bouts of depression and it obviously affects my willingness to adhere to treatments and take car of myself, in general. Any, Do you any of you suffer an...
Source: Cystic Fibrosis Adults Forum - October 16, 2015 Category: Respiratory Medicine Authors: Rlawyer Tags: Adults Source Type: forums

ADHD- getting Adderall prescribed
Forum: Advice on everyday issues Posted By: ArcticPenguin Post Time: 27-04-2014 at 00:22 (Source: The Student Room)
Source: The Student Room - April 27, 2014 Category: Universities & Medical Training Source Type: forums

above and beyond for customers
I'm a technician at my pharmacy I work at (its a retail chain) and I often find myself being the only person actually trying to help a customer out with a prescription cost. Mainly with name brand prescription drugs like crestor, tradjenta, viagra, lunesta, azor, etc..... Most of the people who take these are older and have medicare or some sort of HMO from medicare and for the most part their prescriptions are covered for a good amount of the cost, but then they fall into the dreaded donut hole. "Oh hi sir, coming to get you Tradjenta? Ok it will be $265. Patient: WHATTTT? I paid $15 for the last 6 months?" ...
Source: Student Doctor Network Forums - June 17, 2013 Category: Universities & Medical Training Authors: Tonyg89 Tags: Pharmacy Source Type: forums