jealibeanz
07-29-07, 09:02 AM
Hey all-
I thought I'd chime in with my own thoughts about creating a separate forum for Vyvanse. I know there have been a lot of requests by members and responses by moderators. I respect the fact that webpage modification is not easy and site maintainence requires much more than meets the eye.
This is not meant to put down moderators. They do a great job and this is a wonderful resource for members. Of course they take everyone's ideas and needs into consideration, so I'd like to present my own.
In my opinion, a new forum is a great idea and well-deserved! Here's my reasoning:
1. It's a NEW medication!
I know some people are saying that it's just d-amp, but it's not. It's lis-d-amp.
There aren't many resources availble to find information on the drug, other than the Vyvanse Website, prescribing info, and pre-approval studies.
Even our own doctor's can't provide much clinically based experience because it's not possible for them to have had enough personal encounters with the drug. We want to know what this drug is like in the real world, not in a controlled study!
2. Novel Mechanism:
The additional of the peptide group to d-amp causes the drug to enter the body in an inactive state. None of the current ADHD medications are formulated in this manner.
It's activation requires peptide cleavage in the GI system. This isn't a new, synthesized release mechanism. The human body is the release system!
Thus, there's bound to be responses, both positive and negative, to this stimulant that we haven't experienced with previous medications.
3. Prevalence of Member Postings:
There have been a lot of postings on Vyvanse lately! The rate is much higher than any of the other drugs with their own subforum. Of course this is due to the fact that it's a new medication and there are a lot of questions.
4. Organization:
This is an ADHD forum. I think it goes without saying that we'd all benefit from a well organized subforum so that all the Vyvanse info is in one place:) Sorting through the posts in the general medications thread can be overwhelming, even though there's not that much to sort through, it still can be hard to read (at least it is for me!).
5. FDA Approval/Insurance coverage:
I've read that some members felt a forum was not created for Vyvanse because it's not approved for adults. This argument doesn't hold up because the only ADHD medications that are FDA approved for adult use are Focalin XR, Adderall XR, and Strattera. We even have a Daytrana forum, and to the best of my knowledge, there aren't plans for this to be approved for adults.
However, Vyvanse is approved for pediatric ADHD and is not considered an off-label treatment for children. Technically it's off-label for adults, but I think most physicians would agree that it's more of an insurance issue rather than a clinical practice issue. Fortunately, Shire has applied for adult approval!
Sure, some insurance companies won't cover Vyvanse. Some insurance don't cover any ADHD medications for adults, regardless of FDA approval. I don't think this should be a reason to not create a separate forum. Of course some people will have difficulty getting it prescribed, which will limit the number of experienced posters, but this could very likely change.
Personally, I can't get any ADHD medication easily covered by my insurance company. Some are preferred, some are not, but all will have equal coverage if the appropriate forms are submitted by my physician.
I hope my thoughts are taken into consideration and I welcome responses from moderators and members. This isn't meant to be a lobby for a subforum, rather, just a place where people can discuss such concerns, instead of posting in threads about the medication itself.
I thought I'd chime in with my own thoughts about creating a separate forum for Vyvanse. I know there have been a lot of requests by members and responses by moderators. I respect the fact that webpage modification is not easy and site maintainence requires much more than meets the eye.
This is not meant to put down moderators. They do a great job and this is a wonderful resource for members. Of course they take everyone's ideas and needs into consideration, so I'd like to present my own.
In my opinion, a new forum is a great idea and well-deserved! Here's my reasoning:
1. It's a NEW medication!
I know some people are saying that it's just d-amp, but it's not. It's lis-d-amp.
There aren't many resources availble to find information on the drug, other than the Vyvanse Website, prescribing info, and pre-approval studies.
Even our own doctor's can't provide much clinically based experience because it's not possible for them to have had enough personal encounters with the drug. We want to know what this drug is like in the real world, not in a controlled study!
2. Novel Mechanism:
The additional of the peptide group to d-amp causes the drug to enter the body in an inactive state. None of the current ADHD medications are formulated in this manner.
It's activation requires peptide cleavage in the GI system. This isn't a new, synthesized release mechanism. The human body is the release system!
Thus, there's bound to be responses, both positive and negative, to this stimulant that we haven't experienced with previous medications.
3. Prevalence of Member Postings:
There have been a lot of postings on Vyvanse lately! The rate is much higher than any of the other drugs with their own subforum. Of course this is due to the fact that it's a new medication and there are a lot of questions.
4. Organization:
This is an ADHD forum. I think it goes without saying that we'd all benefit from a well organized subforum so that all the Vyvanse info is in one place:) Sorting through the posts in the general medications thread can be overwhelming, even though there's not that much to sort through, it still can be hard to read (at least it is for me!).
5. FDA Approval/Insurance coverage:
I've read that some members felt a forum was not created for Vyvanse because it's not approved for adults. This argument doesn't hold up because the only ADHD medications that are FDA approved for adult use are Focalin XR, Adderall XR, and Strattera. We even have a Daytrana forum, and to the best of my knowledge, there aren't plans for this to be approved for adults.
However, Vyvanse is approved for pediatric ADHD and is not considered an off-label treatment for children. Technically it's off-label for adults, but I think most physicians would agree that it's more of an insurance issue rather than a clinical practice issue. Fortunately, Shire has applied for adult approval!
Sure, some insurance companies won't cover Vyvanse. Some insurance don't cover any ADHD medications for adults, regardless of FDA approval. I don't think this should be a reason to not create a separate forum. Of course some people will have difficulty getting it prescribed, which will limit the number of experienced posters, but this could very likely change.
Personally, I can't get any ADHD medication easily covered by my insurance company. Some are preferred, some are not, but all will have equal coverage if the appropriate forms are submitted by my physician.
I hope my thoughts are taken into consideration and I welcome responses from moderators and members. This isn't meant to be a lobby for a subforum, rather, just a place where people can discuss such concerns, instead of posting in threads about the medication itself.