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duck
10-29-2010, 11:13 AM
My brothaz & sistas --

I am 100% determined to get prescribed adderall to go along with my methadone.

Does any general psychiatrist do this stuff? Do I need to see a specialist?

What symptoms do I need to describe for which Adderall is the remedy?

Am I going tp have to take any tests or anything. To prove it?

Are they gonna try to push shitty drugs on me first?

Thanks in advance!!

maycausedrowsiness
10-29-2010, 11:23 AM
My GP hooked me up with a script.. #30 20mg XR and #30 5mg IR.. She's been my GP for a long time and has known my family for a few years so that probably has alot to do with it. I started off on strattera for the first month and then just asked for Adderall during my next visit.. she wrote it no problem

I always thought you needed to be evaluated by a psychiatrist to get it but any doc can write for it..

Say you have to wake up really early for work and you find it difficult to jumble tasks and stay focused throughout your long day, most docs probly wouldnt have a problem writin you somethin..

Good luck mate

Restharrow
10-29-2010, 12:53 PM
Legitimate use of Opiates is considered reason in my state to script stimulants to patients. (Legitimate = you have a script from an MD).

I think my doctor told me the regulations are NOT posted, but several cases had come before the medical board and they ruled as above.

I could not take much opiates without stims. AND if you have found opiates addicting, adding Adderall is like 2 plus 2 = 7 in the addictive power of stimulants with opiates. I just happened to have a family doctor who had used this combo a lot. Talk about weird 18 hour work days.

EDIT: I had to take a month of Wellbutrin to get scripted real stims. 1 month of placebo in 2000 yielded 10 years with no problems with the same phychiatrist. I DID see a phychiatrist who specializes in ADD for adults and kids.

EDIT: GND made a very good point: Does your M clinic allow stimulants??? If so, I predict Duck will be quacking out a lot of 4,000 word posts in the 10 day period after the 1st script.

good luck!
will

GOLD N DIEMONDS
10-29-2010, 12:59 PM
Yea -This should be a ez script to score-
Skip the shrink- They are actually specialist , some Psychiatrist have specialized fields. But you be lucky to get your foot in the door without a referral, or waiting months.

Research ADD not ADHD- do your homework on it well, play the part in your owm mind for a few days
then - K.I.S.S.
Go to your GP-- express a deep concern in your inability to study well and it impact on your schooling...which is getting worse as class are getting harder-and can't stay on task.
couple things - being young -obviously;-)-- should work in your favor.
-as to why you didn't seek help early, maybe mention you dismissed a lot of this as just the pressure of school/job ,etc -- but symptoms are still there even during break or off time.
you should walk out with script- maybe a starting dose

BTW- yes there are test that can be taken, but this disorder is not one that can be proved or disproved, tests are mearly guidelines that can be used and are useful for Dr. and patient to work with.

Does your Methadone clinic allow this for scripted meds?
try to use it as directed-
cause , a tweaked methadone Duck?
just sayin

HandMeSomeOpiates
10-29-2010, 01:02 PM
If your on methadone you have little chance at scoring adderall right off the bat. They will start you out on Stratterra, then Concerta, then Vyvanse, then MAYBE adderall. You will also have to fill out a 500+ survey, and they will diagnose you accordingly. But in reality, it depends on what state your in/doc. If the doc needs patients, he'll make his patients happy.

eukodalic
10-29-2010, 01:36 PM
Thanks for posing this question, duck-- I am in the process of moving up
the "stim" ladder as well. I have succeeded in getting two scripts for FOCALIN,
so not bad, eh but not what I really want. I would like to go past Adderal and
get Dexedrine Spansules 15 mg. These have been around for decades and I was
"around" them in the old days. I've read (on another ADD/ADHD Board) that some
incredibly lucky patients have actually received Desoxyn! (pharmaceutical methamphetamine,
for those who don't recognize the name.) This of course is the Holy Grail of stims, but
controversial as hell among many quarters. I think I am on the right track since my
doc has been willing to write Focalin, it is a small step to Dexedrine (or Addy's.) Foc
is Scd. II as well, so I am going to ask for the change at my next appointment.

Also wanted to thank Will for the comments above regarding the addictive properties
of stim/op combos...I will keep that in mind!

ausativa
10-29-2010, 02:42 PM
I've been on so many combos of Stims for almost 15 years. I legitimatly have add very severely. It most definently used to affect my day to day life to where I simply could not function with out it. For the first couple years I was on a pretty low dose of methylphenidate.. 5-15 mg a day.. But it started not to be as effective.. I got my dose raised to 30-60mg a day and let me tell you I got shit DONE!! did well in school and all that.. Then the ineffectiveness creeped up again. So switched to adderall XR and ir. Got to 90 mg a day of the XR and then the methylphenidate transdermal patches came out so I got on those.. They were 80mg in one patch and it lasted to long, and after you take off the patch it keeps working which fucked up my sleep patterns. They also causedme SEVERE skin irritations exactly under the patch and that shit itched like a motherfucker. The. The patches became ineffective so we combined the adderall and the patches and it worked pretty good for a while but I got super strung out at that point so I had to put the shit down. I've since learned to cope with my add pretty well. One activity at a time is what helped me focus more.

duck
10-29-2010, 02:47 PM
Hmso: how will the gp I go to know I'm on methadone when I try to get the adderall?

HandMeSomeOpiates
10-29-2010, 02:50 PM
Hmso: how will the gp I go to know I'm on methadone when I try to get the adderall?
Well if you're in a state that doesn't have Rx Monitoring, then you should be good. They will ask on the survey previous docs/rx's/etc. Of course you could fib a bit. If your in your 20's, tell them you are in college and you can't focus on anything and it's affecting your grades. That's what they wanna hear.

duck
10-29-2010, 02:54 PM
My state doesn't have a prescription monitoring program, but I didnt think clinic methadone would be included in those programs? Very curious.

Thanks everyone for the advice that is exactly what i needed to know.

Restharrow
10-29-2010, 04:53 PM
My state doesn't have a prescription monitoring program, but I didnt think clinic methadone would be included in those programs? Very curious.

Thanks everyone for the advice that is exactly what i needed to know.

Why don't you just make an appointment with a doctor and tell them your Methadone is making you have problems with getting your work done. That is the safest (medically) way of getting the ADD med.

My family doctor said almost ALL of the patients he scripts stims for, are on Methadone and have trouble staying awake and have trouble concentrating.

That said, you are opening up a can of "whip ass" that may be a monster to handle. Maybe you are a stronger young man than I was, but those stims, combined with opiates can make you push your body and mind past the limits it was meant for. I know. I used the stims to work LONG days for many years along with opiates for the pain. Be careful.

Again I really think it will help you in the long run if at least the doctor scripting the stims, knows the whole story. If anything happens with your health, it is reassuring to have the family dr. know the whole story.

Will

duck
11-01-2010, 08:33 AM
Thanks for the info guys!!

I agree Will, that really would be the best route to go. However, for now, I don't want anyone, especiially a doc, knowing I'm on mmt. I just do not want it on my medical records whatsoever.

duck
11-03-2010, 05:39 PM
Some follow up questions.

**All of this is predicated on NOT letting my medical records or my insurance find out I'm on methadone. I will do nothing that could allow my insurance find out about my methadone**

Do methadone doctors write for adderall?

I want to claim this on insurance, unless they are cheap...so if my methadone doc writes for it will the insurance company know the doc who wrote the adderall is a methadone doc, thereby informing them of my methadone treatment?

If I go to a psych doc with the university, will they do blood work or any other tests that could allow them to know I'm on methadone?

Thanks!!

duck
11-05-2010, 01:15 PM
BUMP

I could truly use some advice on the questions in the post immediately preceding this one.....I need a script asap! This methadone doesn't jive perfectly with 18 hour days.

---------- Post added at 11:15 AM ---------- Previous post was at 11:15 AM ----------

BUMP
I could truly use some advice on the questions in the post immediately preceding this one.....I need a script asap! This methadone doesn't jive perfectly with 18 hour days.

Poppylvr
11-05-2010, 01:25 PM
Some follow up questions.

**All of this is predicated on NOT letting my medical records or my insurance find out I'm on methadone. I will do nothing that could allow my insurance find out about my methadone**

Do methadone doctors write for adderall? They might; depends on the doc. But most likely not.

I want to claim this on insurance, unless they are cheap...so if my methadone doc writes for it will the insurance company know the doc who wrote the adderall is a methadone doc, thereby informing them of my methadone treatment? It's possible, don't know how likely.

If I go to a psych doc with the university, will they do blood work or any other tests that could allow them to know I'm on methadone? Any specialist is probably at least going to have you pee in a cup to see if you're taking anything you're "fogetting" to mention. I work in a psych hospital and we routinely test nearly every admission for a 12 panel of drugs, because our patients "forget" to tell us what they're on :)

Thanks!!
The ever law abiding nurse wonder why you don't find a hookup & buy it on the street?

duck
11-05-2010, 01:28 PM
Thanks!! Your answer to my last question really helps me :)

Chemical_Boy
11-05-2010, 02:20 PM
Best method to get adderall script... Have ADD, go to doc, be lucky by having doc who uses that stuff to treat ADD.

Next best... Don't have ADD, go to doctor anyway, present with ADD symptoms.

Next best... Find croaker.


C'mon duck. You are a big boy, you can figure this out.


Here are the problems as I see it- m'done clinic UA's... They will want to talk with prescribing doctor most likely if you are taking speed. Next issue, doctor UA's... They will see the m'done if ├Łou take a UA at the psych doc.

State monitor systems would be an issue, but not near as much as the previous two.

Will m'done doc prescribe addies? Not fucking likely in the US, especially not for initial diagnosis without verifiable medical records already existing. Even then, I would not think it at all likely, unless methadone doc is a pain doc. Clinic doc? Get real dude.

No way I would fuck up m'done treatment/ trust by pissing a hot UA. Not worth it for shitty amphet high. Not worth it for theraputic use. Just not worth fuckin it up. And they will find out about each other unless you are craftier than fuck.

I suggest a psych doc. Be honest. If it doesn't work, move on to next psych doc. Expect other medicines first- staterra, imipramine, etc. It will likely take you a few visits to work up to a CII. If you work up at all.

Google ADD/ADHD forum. You will find links to a super useful forum where you can learn anything you need to know.

Or switch to subs. Go to a psych doc that does sub maint. You might get lucky like me and get meds for both issues from one place no dishonesty/sneaking needed. Not likely though.

comeondogbarkbite
11-05-2010, 05:16 PM
i got perscribeed ritalin in 5th grade then they switched me over to adderal a few years later.. i took them legitimatley for awhile then they switched me to the XR ones and i didnt really like them. now they give me 60 20mgs IR and i still really dont like them. they make me sweat a lot and when i eat food i just chew and and chew and chew and never can really swallow my food..so i just dont even like to take them ever anymore..but i think i went to a psychiatrist or something like that and took tests that are easliy able to fail if you are distracted easy and not pay attention.. its great now ive been taking them soo long i dont even have to go to a dr visit i just call once a month and they mail me the RX slip which is really convienent.

gsb
11-05-2010, 05:45 PM
If I go to a psych doc with the university, will they do blood work or any other tests that could allow them to know I'm on methadone?

They probably would.

Also, when you swabbed at your methadone clinic, you'll come back positive for amps. once the clinic sees this, they'll make you sign a release to the prescriber, and they will definitely contact him to let him know that you're on methadone.

duck
11-06-2010, 01:42 AM
Wow, my perception of the severance between the clinics and the 'regular' medicine world was a bit optimistic.

I didn't know the clinic would care about adderall if it was legitimately prescribed, as in reasonable doses it doesn't have any explicit contradiction with methadone, unlike say benzos.

Very very grateful for the advice....you are right chemical boy, I should have checked the add boards first..in my defense, I thought it might be a useful thread to have on our forum for other users.

Thanks again.

jdub
11-06-2010, 04:56 AM
Well let me know how it goes, I've found that my add has gotten worse and I'm just unable to read textbooks for more than like a page at a time. Good mystery novels I plow through in a night.

I really don't want adderall, was able to score it at Cal (big surprise right) but always preferred my friends dexies alot more.

Chemical_Boy
11-06-2010, 09:37 AM
I ain't meanin that you should have just checked those boards and not made this thread... So no need for a defense. There is really 1 main add forum on the web that is super easy to find. It has tons of great information, whether you believe you really have ADD or just want to try for a script for fun, it is THE best resource for everything related to it. They have things on how to get diagnosed, how to find doctors, extensive discussions on treatment; symptoms;etc. Everything a person could want to know.

So I wasn't raggin on you. Although since I often do, I can see why you thought that. Sometimes I just can't help myself. Too much fun :-)

But I was kind of surprised when I saw this kind of request from you. I don't get you sometimes, but credit where credit is due and all that, usually the stuff you do seems fairly well thought out. This just seemed a bit niave compared to usual.

As far as the segragation of the clinic type treatment from the rest of the medical community, the only real difference with the clinic is that it is an even more tightly regulated part of the medical community. It is because of those regulations that what you were considering was likely not feasible in most instances in that they will almost definitely know about each other unless you get I-won-the-lottery type lucky.

On the other hand, they aren't benzos. But I don't know if they would agree to continue treatment without some modifications (like forcing you to a lower dose) or something like that even if you are including all parties in the decision. I would guess that is only likely to work out if you get a break and find a doctor that is willing to script controlled substances to a person with a documented history of addiction. They are out there. And not all of them are just croakers. Some are just more openminded. Some just more niave. But it is possible to find them. It just requires some luck, persistence, and quite a large investment of time and money.

I have found myself in the situation of having doctors still willing to script CII meds a few time. But all of the times it took me between 3 months and 2 years if visits after I set my mind on getting treatment.

Good duck, Luck.

Wow, my perception of the severance between the clinics and the 'regular' medicine world was a bit optimistic.

I didn't know the clinic would care about adderall if it was legitimately prescribed, as in reasonable doses it doesn't have any explicit contradiction with methadone, unlike say benzos.

Very very grateful for the advice....you are right chemical boy, I should have checked the add boards first..in my defense, I thought it might be a useful thread to have on our forum for other users.

Thanks again.

duck
11-06-2010, 09:44 AM
Thanks again man -- it doesn't surprise me at all that I come off naive about this stuff....this whole legal drugs thing really fucks with my head :)

Chemical_Boy
11-06-2010, 10:33 AM
Yeah. I know what you mean. Swim and I both had that reaction when they legalized grass for medicinal use in this state. Add that to the mix and it really gets interesting.

But doctors at clinics (or anywhere else) can demand changes in even your legitimately prescribed meds as a condtition for them to treat you. So keep that in mind.

My friend swim and I share many past experiences and he is lucky enough to get his ADD treatment, subs, and zdrug sleeping meds from the same doc (who knows that he uses some grass, but is properly licensed). This simplifies things for swim very much. He is lucky to have found a doctor that knows complete abstinence from all substances is highly unlikely for an addict, but also recognizes that the heroin addiction is the problem. Not everything is equal (unlike the 12 step programs where pot is on the same level as a 2gram IV speedball of death).

Luck and persistance are the keys.

Stick with it. You will learn the ropes. It takes a while to learn how to proficiently navigate the medical system and all the "legal drugs" :-)

But take care. I know you aren't a beginner- you have already seen the consequences of drug use. The medical system will lead you down the same road if you let it. As long as you know what you are getting into... You won't have no surprises.

On a different note... If you are just shooting for recreational uses, go for ritalin or focalin if you are an IVer. The amphets are better wakey wakey pills if you are using them for tiredness, but shooting the fuckers is a waste/pointless. Even trying to pull 100mg of dex in a shot out of 10 10mg IR tabs doesn't give shit for a rush. You get sped up a bit, but I think a lot is lost in the mush. Either way, shooting regular speed is completely fucking lame- you will be disappointed. The MPH drugs are much better for iv (well they are all fucking awful and may kill you or lead to long term chronic illness when IV'd) IMO.

Swim is working toward focalin IR tabs. If he has to get MPH extended release of somekind he would prefer the racemic drug cuz those formulations are older and easier to break the matrix or something.

Tony
11-06-2010, 11:09 PM
To the OP,

You have had many very good reply's to your post.Kudos
especially to Gold and Diemonds and Restharrows, both
as usual are spot on both technically and otherwise!


I would recommend reading the book " Driven to Distraction "
written by Edward Hallowell and John Ratey. Both are M.D.'s
and both have ADD. Many consider this book the holy grail on ADD
and ADHD.

I think you could easily get a Dr. to script you ADD stimulants.
The problem arises with the MMT folks. Most are reluctant
to allow the combo in IMHO.

That being said, it's almost a good thing in a way. As Restharrows
stated it is a very hard road doing the class II stims along with
class II opies. I did it for many years and the toll on the body is
not to be taken lightly. You are a smart guy. If you really search I
bet you can find a Dr. that will after some time work with you. Please
be careful though. It really takes the body and mind to a place that
you don't even realize till you are already causing yourself harm.....

Peace

covv799ss
12-10-2010, 01:03 AM
have a friend or family member who goes to a shrink?!

tell them.

then make an appt with dr., and say "my friend or family member so and so who sees dr so and so was really worried about me because they think i have add/adhd, not sure if i do but i wanted to get a professional opinion"

take some attention span test on a computer...MAKE SURE YOU CLICK THE MOUSE repetititvely AND MOVE IT AROUND A BUNCH!!! just out of the blue, in between questions. you score uber ADHD points for that.

if they ask what drugs youve done, be honest, but dont mention any hardcore addictions. but for stims, just say "yeah i did coke once and it just made me really calm, kinda boring actually...so i never did it again it was so damn boring"...or rsomething like that

if you get some non stimulating shit, look up a side effect on rx list dot c0m and mention that.

if you get a low dose of something you like, say it's making you kind of tired but that's the only difference it seems to be making. once you get 30s say, "i seem to be getting more shit done but 6 hrs later it doesnt seem to be working, idk whats happening bc its supposed to be a 12 hrs release pill!?!?!!?"

then you will get zee max, 2 30s a day wowowow

also, it helps if you're coming down off of meth when you take the test/see the doc.

Chipper
12-10-2010, 04:35 AM
Taking ADD meds everyday is not at all like the feeling you get from sporadic use.

I found myself less jovial, sombre and not my usual self. I still use them from time to time but they weren't the gift that I thought they would be.

If you are not ADD then I suggest that you don't use them daily.