View Full Version : Dr. wont prescribe dexamphetamine
Matthew20 09-30-09, 11:51 AM I really don't understand why the Dr. wont let me try Dexamphetamine, I've basically tried everything he has prescribed me from; strattera, attenta, concerta and ritalin la & immediate release but not dexamphetamine.
I don't feel like ritalin la 20mg is working i feel really disappointed that I can't try it more like I'm been seen as child that would miss use it. Its so frustrating not knowing that it might actually help me but sadly he wont prescribe it.
I've been on ritalin since I was in year 3 all the way till year 12, Last year I decided to go back to studying at tafe I struggled without the medication so i decided to see a doctor, strattera worked for one day, attenta just made me ocd, concerta made me sleepy, currently on ritalin short release and ritalin la(20mg)
I don't feel the benefits from the methylphenidate it doesnt help me on motivation, alertness, focusing, retaining what I read. My struggle to this day is motivation and I can't seem to find it with all the other medication i've tryed i have forced myself to do my assignments but it makes me ill and when I'm on ritalin forcing my self is impossible i feel way too much like a drone/sedated.
My other comment is do adhd/add medication help for motivation ? I do remember clearly the doctor commenting that dexamphetamine can enhance you to do your work and sooforth but we never spoke of it again.
What should I do ? Would anyone be able to help me with a doctor that can prescribe dexamphetamine in Melbourne ?
Kiddder 09-30-09, 12:16 PM ....strange that you were switched from Ritilin to Concerta as they are both methlylephenidate, so is Attenta for that matter (these are all what I like to call "pho-phetamines" as they are not true amphetamines)....maybe all these different brands of methylephenidate have different delivery....still all same active ingredient so if one didn't work none of them would. My Doc told me up front he used to RX Dex, when that was only thing available many years ago, but doesn't any more unless a last resort due to his experiences with patients abusing it and that is my guess why your Doc won't RX it either.
Your a mate from downunder then? I thought Dex was the preferred RX of choice by Aussie Docs? Find another Doc if your convinced Dex is worth the effort for a try.
I was on Medatate (ritilin based methylephenidate) and it was not effective, made me tired and was recently switched to Vyvanse which is the same amphetamine in Dex only compounded in a fashion that only allows absorpsion into blood stream via digestive tract....rendered useless if one tried to snort or inject it so it's tough to abuse any way other than taking more by mouth which may increase effect but also side effects..
Have you tried Vyvanse? If not, maybe an option to discuss with your Doc.
hereditary 10-02-09, 09:12 AM Vyvanse (lisdexamphetamine) is not currently available in Australia, unfortunately.
I think you might need a new doctor. My OH has just been diagnosed with ADHDi and he was put on Ritalin first (Kiddder we were actually told that Ritalin is the preferred choice first) as it is supposed to work with 80% of cases. Well my OH would have to be in the other 20% LOL he tried the Ritalin and spoke with his doctor about the results and it was determined that Ritalin wasn't working, he was put straight onto dexamphetamine and it works a treat, even to the extent that he's out in the rain mowing the lawn LMAO.
He's very very motivated now whereas without it he'd be sitting around not being able to get the motivation to do anything. This extends to his worklife where he feels he is hugely productive, an example he said is that he might get through 3 documents but only complete 40% of each, whereas now he's actually been able to completely do the whole 3.
Kiddder 10-03-09, 05:08 AM I think you might need a new doctor. My OH has just been diagnosed with ADHDi and he was put on Ritalin first (Kiddder we were actually told that Ritalin is the preferred choice first) as it is supposed to work with 80% of cases. Well my OH would have to be in the other 20% LOL he tried the Ritalin and spoke with his doctor about the results and it was determined that Ritalin wasn't working, he was put straight onto dexamphetamine and it works a treat, even to the extent that he's out in the rain mowing the lawn LMAO.
He's very very motivated now whereas without it he'd be sitting around not being able to get the motivation to do anything. This extends to his worklife where he feels he is hugely productive, an example he said is that he might get through 3 documents but only complete 40% of each, whereas now he's actually been able to completely do the whole 3.
OK.....so you say Ritilin is first choice by Aussie Docs then? Sorry, I based my question to OP of Dex being #1 choice only on the few posts in this forum I happened to have both noticed that member was from Australia and that Dex was medication prescribed, which limits my knowledge and experience on same considerably :rolleyes:
I remain confussed as to OP's Doc switching from one methylephenidate brand to another per post ~ "I really don't understand why the Dr. wont let me try Dexamphetamine, I've basically tried everything he has prescribed me from; strattera, attenta, concerta and ritalin la & immediate release but not dexamphetamine." So haveto agree with you nicj that he might look into a new Doc as all meds mentioned he has tried are same base compound.
What stims are available in Australia? Is Adderrall?
brendan 10-03-09, 06:08 AM Hi kidder the only stimulant medication available for adhd in australia is dexamphetamine and methylephenidate in different forms(concerta,attenda etc)
My doc told me that dexamphetamine is the best to start on for adults and methylephenidate for children but he said it does vary from doc to doc.
See that's the thing, mental disorders are still so 'in the cupboard' in Australia. We are only now seeing things happen in mainstream media that are alerting people to the fact that yes these things are real.
That is why I think that there is no general consensous about what is better. One doctor will tell you one thing and another something else.
What we have to do is our own research into what is available and what may be a better route for us and to push our doctors for answers. If you feel you are not getting what you need from one doctor make sure you try another.
hereditary 10-04-09, 03:30 PM Yeah my doc started me on MPH but said DEX was just as likely a candidate to start on, was really much of a muchness really.
I think its only for the exotic's like atomoxetine that they really want to make sure the stims don't work before giving it a try.
I'm on that generic for addreal XR and I'm telling u I wish I could go without it but I feel like I can't. When I run out of pills and am in between prescriptions it feels like hell to me. I get shakey without them and I feel anxiety and I even got a ticket for 300 dollars cuz I was pannicking to the pharamacy to check if my insurance approved my pills. I feel like I'm goin crazy and I feel paniced and hate it. I read online that addreal has the same addictive ingrediant as cocaine.
What stims are available in Australia? Is Adderrall?
Methylphenidate: Ritalin, Ritalin XR, Concerta
Dexamphetamine
Only Ritalin IR and Dex are available to adults on a government subsidy: we have to pay full price for Rit XR, Concerta and even Strattera.
That's all we have, there isn't any others.
tudorose 10-21-09, 09:56 PM My Doc gave me dex 9 years ago and I've been on it ever since. He said Ritalin was more gentle. I was given dex coz it's cheaper but I do wonder if Ritalin would be better for the anxiety
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