View Full Version : Needing some help please


smalltowngirl2
04-16-17, 02:43 AM
Hey guys,

I am new to the forum and so happy I found it. I was diagnosed with ADD 7 years ago in college thanks to my Psych professor/advisor and my primary care doctor at home. Due to moving several times and my primary doctor being so far away I never found a doctor in each place I only ended being on the meds for about three months.

I finally got settled and got up the courage to ask my new primary doctor and all I got was no you don't have. I felt so embarrassed and I didn't speak of it again. I have been studying for a certification test and I have noticed my ADD symptoms being a problem at work and even at home more and more. I got a new primary and I got brave and asked her. Just so happens that she can evaluate and prescribe ADD meds so she had me make an appointment. After the evaluation she agreed I have ADD and prescribed me Adderall IR 15 mg. So, I went to my one month followup and told her I didn't feel like it was working. The only problem was I only was basing it off of the fact that I was reading and couldn't remember what I was reading. I've had bad reading comprehension since I was little. She started telling me that she even has to reread things and college kids who don't have ADD would take adderall would use it to help them on tests and maybe I don't have it. She asked if I want to try one more month or try Vyvanse and I suck at making decisions so she ultimately decided to try my on Adderall XR 30 mg. Let's just say I left the appointment very confused.

I couldn't get my prescription filled because the start date was in May and the Pharmacy couldn't get ahold of the Dr. office. I'll get it Monday. I kept thinking about what my doctor said and today (Saturday) I took my Adderall IR in the morning and thought about all my symptoms and realized it was helping more than I thought. Now I feel like an idiot. I am still distracted by things but I am able to focus more. I honestly think I just wanted the adderall to help me remember and comprehend what I read better. Maybe it will help more if I find the right dose.

This may sound like a dumb question but does anyone think it would be a good idea to write out my symptoms for my doctor and for myself to maybe see how the meds are really helping? I always forget things to say at my appointments or I will think about what I want to say and it comes out totally different. I worry too much and I have been very frustrated by all this :(

Thanks for the help!

aur462
04-16-17, 03:38 AM
What IR dose were you on? 15mg XR SEEMS conservative. I take 60mg IR (on the higher range) but I'm likely 25 years older than you, among other things to factor in.
My best recommendation is to see a psychiatrist. This GP sounds like she isn't terribly keen on what to look for after the medicine is started and too reliant on the report given by you - a person who is distracted and prone to having difficulty noticing effects of the medicine. When I first saw my current shrink - he bills himself as an ADHD "specialist" - he noted that my symptoms weren't being controlled with the dose I was on. This was based on my behavior (and likely meandering answers to his questions). From your post it sounds as though you may have "hyperactivity", which is even easier to pin than the "inattentive" type I have. My new shrink seems pretty astute and I'm sure he's better than most psychiatrists, but I would definitely look for a decent psychiatrist and maybe use a GP once you've established what regimen works for you. You're young and not likely that jaded, but if you're like myself and others I come across, you'll probably discover that "sucking" is a trait that many MD's share.

smalltowngirl2
04-16-17, 11:30 AM
Hey aur462, thanks for the reply!
I am on the 15 mg IR. She wrote me a script for 30 mg XR to start hopefully tomorrow or Tuesday after the Pharmacy gets the start date on the script changed. She said she will only go up to 20 mg IR and if 15 mg IR didn't help she didn't think the 20 mg IR would help. She said all her patients notice a difference.

I never thought I would have the hyperactivity part of ADD and neither would anyone else. I am so quiet. I never know what to say or I am afraid to say the wrong thing. I do fidget a lot with things especially the phone cases at work or anything I can get my hands on. I always have to make sure I get a new phone case or I'll make the case worse than it is. I have noticed in interviews or sitting talking to people I fidget with my hands a lot.

She did mention sending me to the Psychiatrist. I know a few people at work who have ADD so I ask them and see if they recommend anyone.

Letching Gray
04-16-17, 02:55 PM
I couldn't get my prescription filled because the start date was in May and the Pharmacy couldn't get ahold of the Dr. office.

tomorrow or Tuesday after the Pharmacy gets the start date on the script changed.

Hi Smalltown,
I'm confused. Why did the pharmacist try to reach your doctor? Why does she want to change the date on the script?

Letching Gray
04-16-17, 05:40 PM
Hey aur462, thanks for the reply!
I am on the 15 mg IR. She wrote me a script for 30 mg XR to start hopefully tomorrow or Tuesday after the Pharmacy gets the start date on the script changed. She said she will only go up to 20 mg IR and if 15 mg IR didn't help she didn't think the 20 mg IR would help. She said all her patients notice a difference.

I never thought I would have the hyperactivity part of ADD and neither would anyone else. I am so quiet. I never know what to say or I am afraid to say the wrong thing. I do fidget a lot with things especially the phone cases at work or anything I can get my hands on. I always have to make sure I get a new phone case or I'll make the case worse than it is. I have noticed in interviews or sitting talking to people I fidget with my hands a lot.

She did mention sending me to the Psychiatrist. I know a few people at work who have ADD so I ask them and see if they recommend anyone.

Did u distappeared?

smalltowngirl2
04-17-17, 05:19 AM
Hey Letching Gray!

So when my Dr printed off the paper with the Adderall XR prescription on it the start day on the paper said May 11, 2017. The pharmacy would not fill it yet. I told them I just got the prescription and the date is 4 days before my next appointment. They said they had to call my Dr. to get the date corrected. They couldn't get ahold of them on Friday afternoon so hopefully they can talk to them today.

ToneTone
04-17-17, 05:01 PM
Absolutely it helps to write down your symptoms.

Go easier on yourself--figuring out if the med is working or how it is working can be harder than it might seem ... Go nights with bad sleep and no med works ... have depression untreated and the med may not feel like it's working ...

Absolutely we have so many areas of our life ... that's where having a partner or a friend would help ... someone else who can notice our symptoms ... So welcome ... the most important work I do each few months when I see my provider is to get clear on how the med is affecting me ...

I'm 9 years into treatment, so I've gotten pretty good ... But ... memory is often a problem with people with ADHD, so writing down things ... is absolutely crucial ....

In general the meds give me more energy and help me do more stuff, to say it plainly ... It also feels like I can be in the moment more ... plan more ... look ahead more ... not perfect ... my room is messy as we speak ... but definitely better--FAR BETTER!!!--than it was before I was diagnosed.

Good luck.

Tone

aur462
04-17-17, 08:06 PM
Tangential and mostly academic, but do you think you have the "combined" type of ADHD? My wife has it, along with the fidgety issues among other things.

Letching Gray
04-17-17, 11:06 PM
Hey Letching Gray!

So when my Dr printed off the paper with the Adderall XR prescription on it the start day on the paper said May 11, 2017. The pharmacy would not fill it yet. I told them I just got the prescription and the date is 4 days before my next appointment. They said they had to call my Dr. to get the date corrected. They couldn't get ahold of them on Friday afternoon so hopefully they can talk to them today.

But they cannot get it corrected over the phone. You doctor has to write a new RX.

smalltowngirl2
04-25-17, 08:38 PM
But they cannot get it corrected over the phone. You doctor has to write a new RX.


No sure how they did it but they were able to get it fixed without me getting a new prescription. The pharmacy is in the hospital where my Dr's office is so I don't know if that helped or not.

hla8302
04-25-17, 11:29 PM
Hey sweet girl (I am not trying to offend, I call most younger women that). I was diagnosed with ADHD in my 30's when I returned from eating disorder treatment, I told my psychiatrist I needed something for impulsivity. I was also going back to college and suddenly, for the first time in my life, I could concentrate. What? I can sit through a lecture without going off into my own little world? It was miraculous. I was lucky enough to have a psychiatrist who was fantastic and we got my regimen down to a fine art.

But life takes us on twists and turns and I moved a bit, eventually staying in one place long enough to get the person I will always say knows me better than anyone, even my husband or my mother. That psychiatrist looked at me and said, "you have ADHD". He knew I also had depression, anxiety, and eventually uncovered that I have bipolar 2. And the medications I take now are fine tuned enough that my primary care physician will fill my prescriptions so I no longer need to fly out of state for treatment.

Here's what I can say:
1. You need a psychiatrist you can trust. Your GP isn't going to cut it (as far as I can tell, she's failed you so far)
2. 15 mg of IR Adderrall is laughable. You should have enough medication to remember what you've read
3. 30 mg XR Adderrall is an affront to your intelligence. You came here looking for help, so I know you've got a brain in your head.
4. Adderrall XR and Vyvanse are two very different drugs. Vyvanse must be processed by your liver and it's the active metabolite that has the stimulant effect. Adderrall XR hits you and then it drops you. Most good psychiatrists will use Vyvanse with Adderrall IR as a "booster" to take later in the day. Look into these two medications to see if they feel like they might help you.
5. Do you understand how stimulants work for ADHD? If not and you want a quick rundown, private message me.
6. Trust your gut. There is no way that you would have noticed anything on 15 mg IR Adderrall, and if you did, it wouldn't have lasted all day but somewhere on the order of 2-4 hours.

I wish you the best as you make your way through this often frustrating maze of physicians and medications. I hope this helps.

smalltowngirl2
04-29-17, 01:05 PM
Hey sweet girl (I am not trying to offend, I call most younger women that). I was diagnosed with ADHD in my 30's when I returned from eating disorder treatment, I told my psychiatrist I needed something for impulsivity. I was also going back to college and suddenly, for the first time in my life, I could concentrate. What? I can sit through a lecture without going off into my own little world? It was miraculous. I was lucky enough to have a psychiatrist who was fantastic and we got my regimen down to a fine art.

But life takes us on twists and turns and I moved a bit, eventually staying in one place long enough to get the person I will always say knows me better than anyone, even my husband or my mother. That psychiatrist looked at me and said, "you have ADHD". He knew I also had depression, anxiety, and eventually uncovered that I have bipolar 2. And the medications I take now are fine tuned enough that my primary care physician will fill my prescriptions so I no longer need to fly out of state for treatment.

Here's what I can say:
1. You need a psychiatrist you can trust. Your GP isn't going to cut it (as far as I can tell, she's failed you so far)
2. 15 mg of IR Adderrall is laughable. You should have enough medication to remember what you've read
3. 30 mg XR Adderrall is an affront to your intelligence. You came here looking for help, so I know you've got a brain in your head.
4. Adderrall XR and Vyvanse are two very different drugs. Vyvanse must be processed by your liver and it's the active metabolite that has the stimulant effect. Adderrall XR hits you and then it drops you. Most good psychiatrists will use Vyvanse with Adderrall IR as a "booster" to take later in the day. Look into these two medications to see if they feel like they might help you.
5. Do you understand how stimulants work for ADHD? If not and you want a quick rundown, private message me.
6. Trust your gut. There is no way that you would have noticed anything on 15 mg IR Adderrall, and if you did, it wouldn't have lasted all day but somewhere on the order of 2-4 hours.

I wish you the best as you make your way through this often frustrating maze of physicians and medications. I hope this helps.


Thank you so much hla8302!!! I thought I was going crazy when the Adderall IR 15 mg didn't seem to help. I feel like the Adderall ER sort of helps for a while. I am studying for certification and I am able to sit and work on note cards to help me study but I still get distracted very easily and oh geez I still want to get up and do something else. I am doing better doing that than sitting and just reading. I can't comprehend or remember what I read for the life of me. Been a problem all my life. I almost got held back in 1st grade and in 5th grade I was in a special reading class. A friend thinks I may have dyslexia too. I am a mess and I want to go to graduate school but I am scared I won't make it.

I am going to go to my GP one more time with a list of my symptoms and hopefully we can discuss them more. If she won't do anything I will look for a psychiatrist. I recommended a friend to my GP to be her primary care dr and for her ADHD and after i told her about my last appointment she wasnt so sure about my GP prescribing her ADHD meds. I'll ask her when her appointment is and see what she says too.

Letching Gray
04-29-17, 08:47 PM
No sure how they did it but they were able to get it fixed without me getting a new prescription. The pharmacy is in the hospital where my Dr's office is so I don't know if that helped or not.

Looks like you got a new RX sent to the pharmacy directly through inter-office mail.

Letching Gray
04-29-17, 08:51 PM
There is no way that you would have noticed anything on 15 mg IR Adderrall
How do you know that?