View Full Version : Who can prescribe ADD Medications


goodoboy
03-07-06, 09:37 AM
My question concerns who, or what (kind) of doctor can prescribe ADD medications?
For the last five years I've been treated at the Loma Linda Veteran's Hospital.
My Doctor is a Phychiatrist. He's had me on two welbrutin in the morning, two cylert in the morning and one cylert at noon. I only had to see him every 90 days.
However, at my last visit, a week ago I was told he was not going to prescribe Cylert anymore because the FDA took Cylert off the market due to possible liver damage.
Last week he prescribed two Ritalin pills in the morning. So far it's too soon to really tell if the change to Ritalin is helping me.

My problem: Due to FDA Laws, Ritalin can only be prescribed for 30 days and I must be seen by my doctor every 30 days before a new prescription can be written. So now I have to make a trip to the Veteran's hospital every 30 days to have my 30 day supply of Ritalin renewed.
Doing this I miss a full day of work plus the round trip to the hospital is 100 miles.
Very inconvienient.

Question: What I need to know is if a regular GP doctor can prescribe Ritalin?
The reason I ask is my wife's doctor's office is only one mile from home.
I wrote a letter asking the doctor the above question. His nurse said I'd have to make an appointment to ask that question. The cost for a yes or no answer would be $80.00. $80.00 just to ask him. Paying $80.00 for a yes or no answer is a rip off to my way of thinking.
I asked our local pharmacy and was told they we not sure.
They did say that if a GP is licensed to write Vicoden he could legally write ADD medications, if writing ADD medications was something he has done.
Heck, my dentist wrote a prescription for 20 Vicodin, and then I had him renew the prescription due to the pain after having three teeth pulled.

If a (regular) doctor could write a 30 day supply of Ritalin I'd save time lost from work and the 100 mile drive every 30 days.
The added expense of seeing a local doctor and purchasing Ritalin from a civilian pharmacy would be more; as the VA charges $15.00 to see the doctor and a 30 day supply of Ritalin is only $8.00 dollars.

I'd rather pay more for the convienience. I'd not loose work plus I'd save the drive up and down the Cajon pass every 30 days.

Any advice on this matter would be greatly appreciated

Have a nice day!
Goodoboy

Tara
03-07-06, 12:16 PM
Legally a GP can prescribe Ritalin but not all GPs choose to prescribe it.

Sitzmark913
03-12-06, 11:10 PM
but as others have said, some are reluctant to. You just need to find a good one. The closer to a big city the better the chances of finding someone that is used to prescribing a wider variety of drugs to their patients. I have found that it is best to have your diagnosis documented by a phychiatrist and then bring that documentation to your PCP. (Doctor's need to cover their ***) You should then be able to get your scripts via the mail, assuming your PCP has a good system for script renewals and most do. I send a fax to my PCP's office and in a couple of days, I have my RX. I do this 2 weeks before I need it, so there is a good buffer. I also get 60 days worth on a single RX. I know the rules say 30 days, but I have never had a problem with this. My insurance doesn't seem to have a problem with this either, they just double the copay.

California finally did away with the annoying triplicets last year so it is not as hard to get doctor's to mail RXs for controlled drugs. You shouldn't have to physically see your doctor every 30 days.

Good luck.

essxjay
03-20-06, 05:32 PM
but as others have said, some are reluctant to. You just need to find a good one.that seems to be the central question: how do you "find one" without going broke in the process? $80 for a visit is a lot when you don't have insurance but don't qualify for country or state services.

Jaycee
03-20-06, 05:45 PM
Are you sure about it only being perscribed in 30 day supplies. I have been getting 90 Day supply through our mail-order pharmacy for over 2 years. The perscriptions are post dated because they have to be filled within 7 days of the doctor writing it, and it does have to be handwritten on tamper proof perscription sheets. The doctor's office will mail it to me and I usually ask for a 5 day post date so that I can get it mailed out. Also some Dr' s only like name but some will perscribe the generic if you don't have any side effects.

The doctors are supposed to monitor you every 3 months or so but ask around. As long as the GP has a diagnosis and/ or recomendation from the psychiatrist or psychologist they will write the script

nikki
03-20-06, 05:51 PM
Legally a GP can prescribe Ritalin but not all GPs choose to prescribe it.
Yup. Exactly. My GP originally prescribed antidepressants with no improvement in my depression, only made matters worse, ended up going to a psych. who figured out a good six months later that it wasn't depression with me but ADHD (was news to me too), and prescribed adderall.

GP knew what was going on, supported it, but says not a medication she'll prescribe/monitor, continue going to the specialist for it.

Some will, some won't. If all else fails, go to a specialist.

Sitzmark913
03-22-06, 02:25 AM
that seems to be the central question: how do you "find one" without going broke in the process? $80 for a visit is a lot when you don't have insurance but don't qualify for country or state services.I suggest that you ask around, maybe friends or family or your medical group referral service and get some names of Primary Care Physicians. Make sure htey are accepting new patients. Then call them and ask if they have experience with ADD patients. It might take a few hours, but this relationship is an important one for you and you have to put in the required amount of time. You'll get the benefits back. Having the right doctor relationship makes life a lot easier. You should be able to get a list down to one or two names without spending any money.

Sitzmark913
03-22-06, 02:42 AM
Are you sure about it only being perscribed in 30 day supplies. I have been getting 90 Day supply through our mail-order pharmacy for over 2 years. The perscriptions are post dated because they have to be filled within 7 days of the doctor writing it, and it does have to be handwritten on tamper proof perscription sheets. The doctor's office will mail it to me and I usually ask for a 5 day post date so that I can get it mailed out. Also some Dr' s only like name but some will perscribe the generic if you don't have any side effects.

The doctors are supposed to monitor you every 3 months or so but ask around. As long as the GP has a diagnosis and/ or recomendation from the psychiatrist or psychologist they will write the script
In California, you cannot get class 2 drugs (ritalin, dexedrine, adderall, etc..) via mail order. I have tried. Since eliminating the triplicet form last year though they have eased some of the restrictions, like being legal to send through the mail and they have a longer expiration period now. It is at least 30 days now...but they are still very strictly enforced as written...any mistakes and they are usually rejected by the pharmacy. No annotations or anything funky allowed so it's a good idea to check them carefully before leaving your doctor's office. Also, I have been getting generic dexedrine for years and I can't tell the difference. It's about half the cost of brand.

spirited_away
02-25-08, 01:56 PM
if i have no insurance how much would be visit to get prescription? what is best thing to do?

johnnyx
09-11-08, 07:00 PM
With no Insurance Ritalin is like 30 bucks for 60 pills. If you go to like a grocery store Pharmacy, like the Pharmacy inside of a Ralphs.

angelrodriquez
10-02-09, 08:24 AM
I have a similar problem with trying to acquire a prescription. I have recently moved to Fresno from Los Angeles. I used to take adderall, but have been off of it for a little under a year or so. The truth is, I think I may have stopped taking it a bit prematurely. I have had increasing problems with concentration at work and am on the verge of losing my job. I tried to contact my former physician down south, but since they were an on-campus doctor, the doctor no longer works at the same place. Since I am pretty much local now here in Fresno, I was looking to make an appointment with a doctor here in town. I have no insurance either so I am really trying to find a place that doesn't charge much for visits or I need to find out if, at least, the place will even be willing to prescribe me anything in the first place. I am really interested in, actually, being able to go somewhere where I can get a renewal script by mail since I travel often. Any help would be greatly appreciated.