I have some concern on prescribing Adderall from the Pharmacy's point of view.
My doctor prescribe me Adderall XR 20mg once a day on July 31, 2005. He and I talked during this time and he said to try 2 a day for a few days (I was having trouble with the morning dose lasting all day long). As a result I will have to get a new script and have to fill it a few days (maybe 2 or 3) before the 30 days from my last script. Will this be a problem for the Pharamcy? My doctor has no problem with this...we were trying to find the right dose during this time.

We have decided to try 10mg of regular Adderall later in the day with the morning 20mg XR dose. This will require 2 different prescriptions of Adderall. Correct? Will this be a problem for the pharmacy to fill?

Thanks..

Just make sure it has been 30 days, at least. You won't have any problems :)

Good luck with the new regimen

Thanks Brian...reading the forums on this board, it seems adding regular Adderall to XR helps many people to get through the day....

wouldn't the rx for regular Adderall be a new prescription for me and not subject to any time constraints on filling?

Thanks,

BG

I would think that it would be OK, but it depends on your insurance companys formulary. You might wanna call them and ask just to aviod any surprizes at the pharmacy.

There are also rules regarding refills of schedule II drugs that the pharmacist must follow - and these depend on where you live - different states and provinces have different laws. Check with the pharmacist w.r.t. what rules they must follow - I've found that often doctors aren't very familiar with these rules and will write scrips that can't be filled - which means you have to go back to the doctor for a new one, since pharmacists can't "correct" schedule II prescriptions via the phone.
Filling scrips for stimulants can definately be a pain in the ***** sometimes!

Thanks Brian...reading the forums on this board, it seems adding regular Adderall to XR helps many people to get through the day....

wouldn't the rx for regular Adderall be a new prescription for me and not subject to any time constraints on filling?

Thanks,

BG The IR adderall is a separate prescription. Any new prescription is sufficient for filling, even if it's been less than 30 days. A pharmacist can refuse to refill the script or put your order on hold to contact the prescribing doctor if he/she feels there is an issue. This very rarely happens unless there is something particularly unusual about the script.

I've filled multiple stimulants, at the same pharmacy, in a less than 30 day time period, mainly because I had alot of problems when starting up. You're more likely to have a problem with insurance coverage than the pharmacy policy. I don't have insurance so things are very smooth for me (and expensive ;))

Do your best to make sure things are kosher ahead of time and this will avoid many potential problems. I've been treated very well by most pharmacies.

I have two different prescriptions- just like you are describing. One for Adderall XR and one for generic Adderall. I can get them filled at the same time if I wanted to. They are totally separate prescriptions. My doc gives me 90 tabs of each of these. My insurance and pharmacy have no probs.


Good luck!

I have two different prescriptions- just like you are describing. One for Adderall XR and one for generic Adderall. I can get them filled at the same time if I wanted to. They are totally separate prescriptions. My doc gives me 90 tabs of each of these. My insurance and pharmacy have no probs.


Good luck!Why do you take both types? That's kind of odd I would think. XR is suppose to last all day.

Why do you take both types? That's kind of odd I would think. XR is suppose to last all day.

Optimally, the XR med would last all day, but that's not always the case.

I've found that Adderall XR is very inflexible. If you want to stay up late doing some work, the 7 hours effective time isn't going to cut it. But if you take the XR later in the day, you'll probably end up staying up all night. That is why the regular Adderall is a good thing to have in addition to the XR

Sometimes I feel a crash late in the afternoon when I take my XR in the morning and if I have to study for an important test the next day, I will take an extra 10 mg of Adderall. The 2nd dose MUST be the IR version, not the XR. If I took an XR at about 3pm or later, I'd be up ALL NIGHT. I take XR as early as possible- like 7 or 8am.

I've found that Adderall XR is very inflexible. If you want to stay up late doing some work, the 7 hours effective time isn't going to cut it. But if you take the XR later in the day, you'll probably end up staying up all night. That is why the regular Adderall is a good thing to have in addition to the XR I totally agree, and I also feel like it's not quite as effective as IR. Clinical practice shows that certain people don't do as well on the extended release medicines, even if the bimodal dosing mimics 4-hour spaced BID dosing in most people. Not everyone is the same ;).

Maybe its the same thing with me, but positive.... I like XR because it doesn't "hit" me as hard... Kind of smooth up and smooth down. I feel the effects of 10 mg IR much more than I do 20 mg XR.

I totally agree, and I also feel like it's not quite as effective as IR. Clinical practice shows that certain people don't do as well on the extended release medicines, even if the bimodal dosing mimics 4-hour spaced BID dosing in most people. Not everyone is the same ;).
Yeah, I found that to be true with me. At first, I took generic methyphenidate 20mg TID. About a year or so ago, I've been taking the long-acting forms of several different stimulants and none seem to work as well as the short-acting forms. They don't last as long and they don't seem as strong. I'm taking Adderall XR 20mg now and it doesn't last all day. If need be, I think I may ask for IR to take in the afternoon when needed.

I will have to get a new script and have to fill it a few days (maybe 2 or 3) before the 30 days from my last script. Will this be a problem for the Pharamcy?
I isn't really your pharmasists place to say anything to you, unless your insurence wont cover it before the 30 days is up. My school an hour and a half away from home (where I get my Rx filled), and I don't go home every weekend, so I always get mine filled a few days early. If they ask, just say you'll be out of town.