View Full Version : Dr. wont prescribe dexamphetamine


Matthew20
09-30-09, 10:51 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, 11:16 AM
....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, 08:12 AM
Vyvanse (lisdexamphetamine) is not currently available in Australia, unfortunately.

nicj
10-03-09, 02:54 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.

Kiddder
10-03-09, 04:08 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, 05:08 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.

nicj
10-03-09, 09:13 AM
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, 02:30 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.

hulala
10-06-09, 07:05 PM
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.

hulala
10-06-09, 07:06 PM
Its addictive

Driver
10-06-09, 07:38 PM
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, 08:56 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

Scooter77
03-24-10, 06:42 AM
Different types work better on different symptoms, some work better on depression, anxiety or aggressiveness.
Also, different people respond differently.
Dex increases dopamine release, Methylphenidates decrease dopamine reuptake. Surprisingly, even though they are both essentially increasing dopamine levels, they can have very different results in different people.
Personally, I'm on concerta, it works wonders on the ADHD symptoms & makes a world of difference to my social anxiety.
I just tried Dex and it made me depressed to the point of suicidal. Each to their own I guess.
If you're determined to try Dex & your doc's not obliging then get a second opinion.

Crazygirl79
03-24-10, 07:31 PM
I know of many doctors that refuse to prescribe such medications because of the risk of addiction or that they don't believe they are beneficial for ADD/ADHD.

I've been in this position too.

Australia seriously has a backward health system and doesn't have as much knowledge on these things as the US does.

Adderall is currently not available here in Australia and I haven't heard anything about that changing anytime soon.

Selena

Kunga Dorji
04-18-10, 09:14 AM
Its addictive

Says who? I have tapered my dose from 50 mg/day to 15mg/day over the last week 9 except for one day when my kids really destroyed my sleep. This is after 18 months of 50mg/d. i took less, because i was doing well, and did not need any more.

Kunga Dorji
04-18-10, 06:01 PM
I know of many doctors that refuse to prescribe such medications because of the risk of addiction or that they don't believe they are beneficial for ADD/ADHD.

I've been in this position too.

Australia seriously has a backward health system and doesn't have as much knowledge on these things as the US does.

Adderall is currently not available here in Australia and I haven't heard anything about that changing anytime soon.

Selena


See my new thread, on this. I am willing to liase with any doctor in Australia to help resolve some of the issues my colleagues have with stimulants.
Andrew

Kelly777
11-14-12, 06:30 PM
I'm going to the Psychiatrist this afternoon for my first appointment.
The clinic in Frankston specialises in Adult ADD/ADHD, so I hope they know what is wrong with me.

I hope I do get diagnosed with ADD/ADHD. It will be like 'closure' I guess.
Otherwise it means I am just a spaz who forgets where I left things ALL the time, forgets what I'm doing, is the biggest procrastinator I know, cant concentrate, can't sit still and watch a movie and interrupts people all the time, cutting them off mid sentence, telling the story for them. I know that I'm a lovely and nice person, I'm polite too. So it breaks my heart when I realise I have just been talking over my friends and partners important story.

I hope I can be 'fixed' just a little bit.

Marla911
11-16-12, 06:50 AM
How'd your appointment go Kelly?

Sapphire11
11-16-12, 09:46 AM
I can relate to you Kelly,

I have a really good GP and psyc in Australia im very lucky after 30 years of

struggling with my life I now have hope, have an appointment on Monday with my

psyc and im a little confused which option is best for me now Ritalin or Dex basically

they are the only options in Australia im currently on Strattera and somehow its died

on

the **** massively but then again its only an antidepressant which means im on the

highest dose of Pristique for depression and on top of that Strattera so really im only

treating depression at the moment, im looking forward to treating the ADD once and

for all and having a somewhat near normal a life.

Kelly777
11-17-12, 12:11 PM
No diagnosis just yet, he did not talk much, mainly just asked about my parents! He wants me to bring in my mum next appointment (23rd Nov)

He stated that there is a 90% chance one of my parents would have had ADD/ADHD as a child. So he wants to ask her about her childhood. She is travelling 5 hours to do this!
My mum had learning difficulties as a child, she dropped out in year 9. She said she used to zone out and not listen, could not follow instructions or concentrate. She was called 'stupid' by a teacher :-(

So hopefully my mums history is enough proof for the doc, as think proof is what he is looking for, fair enough I guess, maybe he wants to weed out these supposed 'fakers' the media talks about. Or maybe he wants to rule out another disorder?... but is there really anything that has symptoms exactly like ADD/ADHD?

Question:
Will meds stop me from interrupting people all the time, finishing their sentences, losing things all the time and get rid of this constant feeling of being overwhelmed and messy in the head? It seems to good to be true that a drug can help fix all these really crappy things that i don't like about myself that i have always just known to be 'ME'

tudorose
11-18-12, 03:08 AM
Question:
Will meds stop me from interrupting people all the time, finishing their sentences, losing things all the time and get rid of this constant feeling of being overwhelmed and messy in the head? It seems to good to be true that a drug can help fix all these really crappy things that i don't like about myself that i have always just known to be 'ME'

Short answer - no

But

It will give you the awareness to see when you're doing it and from there you will have the ability to behaviour train yourself. It's a long hard road. In time you will develop systems for not losing your stuff (although it may still happen). As for interrupting people when I first started meds I finally realised that (in the workplace) it's better to shut up and do as you're told and argue about it later rather than in front of a customer.

I'm still a work in progress.

middleageadd
06-25-13, 08:33 AM
too right it's a long road but so is any journey, life is a journey, and I know from experience the view on any hill is TEN fold better when you climb there under your own steam... Driving to a look out is lame and you go meh and drive home... The journey makes it all worthwile... but today's journey... not impressed...

See my new thread, on this. I am willing to liase with any doctor in Australia to help resolve some of the issues my colleagues have with stimulants.
Andrew

THANK YOU.. I felt literally violated, raped, by a psychiatrist today... Now I know why healthy normal people avoid these clowns like the plague.. I have been through an incredible personal transformation that started with divorce and ended in me feeling 20 years younger and running up and down mountains like it's nothing, my work performance going through the roof, my overall health and happiness never better.. I.e I don't need some clown to start talking about my mother or some BS... I'm actually VERY happy right now, I am in a GOOD place... I make friends easily, I'm healthy, I feel damn good about myself, after many years of being bullied and abused by the world in general until one day I saw a snow gum at high altitude under snow when I was feeling dark and I was utterly alone, and I thought, I will be like that tree, and now I feel I am... through blizzard, rain, hail, fire, drought and flood I'm here and stronger than ever... Through my own personal perserverence and yeah... I'm pretty proud of that effort and a big part of that is having STRONG boundaries... And it's working... Really well... For the first time in my life I feel amazing... sleep issues resolved, everything... through sheer perseverance and honestly, ignoring all medical ******** and just working it out myself, except where I have found trusted medical practitioners who are actually capable of respect and listening...

This clown... I actually have the impression (and he said so himself, he actually sounded relieved to have someone walk in to his office with a positive approach) that many psychiatrists are completely incapable of dealing with healthy people in a positive dialogue to improve their performance or just help them sort out a few minor issues to go forth and just be amazing and contribute to the welfare of the human race by reaching their full potential..

I got the impression that because people like me leave with a reinforced impression that psychiatrists are incapable and hopeless beyond crisis intervention, that healthy people shun psychiatrists as a VERY expensive utter waste of time, that all they meet are seriously ill people so they end up with the very cognitive bias that they so dutifully study and identify in everyone else..

He actually used the world 'narcissistic' as his response to me having clear boundaries and pride and direction in my life, and he walked me out uttering some ******** about exercises or some crap even after I said mate I already meditate, got rid of all distractions, exercise religiously, strict diet sleep etc, there's little more I can do that will help right now, to help me focus, and it's a BIG ongoing issue in my life... It's basically all that's left that I have to deal with... I am not depressed, I don't want to talk about my mother or my relationships or any other crap in the past, I just want a direction to follow for the long term and a short term fix - and YES I am not ashamed to ask for medication.

But you leave feeling like some druggie looking for a fix... for crying out loud..

The irony?? It turns people in to druggies because now I know why people self medicate... And that can go horribly wrong without supervision... So this clown, gets a positive guy in his office saying mate I just want to reach my full potential and in the short term, I think dexamphetamine will help and I am happy to report back etc if you think that's an issue and he just flatly refused, called me narcissistic and walked me out..

Honestly? I would have been better off spending that hard earned money getting what I know will help me, through less legitimate channels, and here I am trying to do the right thing... I was completely honest and positive... I was hoping for a fruitful ongoing positive relationship that would have benefited research in his own profession and therefore possibly even helped him, or at least he may have even enjoyed having a positive goal focussed client for a change that needs very little more than a script and some ongoing long term remediation...

In middle aged, I don't have time or the money to screw around doctor shopping and playing games.. Honestly, now I know why people don't bother and just make the stuff themselves. I actually fear for the profession as I was already up with the DSM V and medical research (not some lame opinion sites but solid actual scientific research and self observation and reflection) - that these clowns will end up utterly obsolete beyond crisis intervention, just out of pure arrogance, disrespect and and ignorance...

I'm just livid that I wasted hard earned money on this clown.

And I will not lead a life of dishonesty or games, it violates all my values and I feel contaminated even thinking about dishonesty or games, it's a waste of precious life..

Is there ANY way, in this country, for a mature, self reflecting, pretty healthy, open and honest and hard working tax paying man can get a script to at least try dexamphetamine, which I believe will help me. I even said to the guy look I don't want parkinsons disease so I have no interest in abusing this stuff, I just need to get on with my life immediately, and I think this will work..

But there's some weird 'code' or 'game' we have to follow where you NEVER mention a specific drug or some crap.. honestly??? They get paid GOOD money to provide a service, why should anyone feel remotely ashamed about anything? This is just ... asinine. But people can drive cars and kill innocent people and themselves, drink to the point of collapse every night, carry guns, you name it... but OH NO in this country, only people who are severely ill will every be allowed near any medication that will help..

So he kept falling back in to negative language like 'disorder' and 'spectrum' and all this crap even though I said mate, I am not 'disordered', I am just 'different' and after a life time of avoiding you clowns, I'm now coming to you for help.

And I now regret it.

Please can someone tell me I won't have to spend thousands on time and money wasting stupid games just to get a script for what honestly looks like something that could really improve my life TODAY.. Not in six months, TODAY, while I sort the rest out in the long term... what idiot would want to supress their immune system and bring on parkinsons anyway???? I was actually seriously offended, like everyone is a potentially misbehaving child in this wankers eyes...

Sorry but the psychiatric profession just dropped even lower in my books... it took me a LONG time to muster the courage to go to a professional for help and now I'm thinking screw it, I'll just continue sorting it out myself, it's cheaper, and I don't feel mentally raped and neurotic and self obsessed having you clowns away from me... I actually walked in feeling AMAZING and walked out thinking 'oh AM I narcissistic??' before I just shook it off... he overlooked a lifetime of charity and and commumity work, like he just had to find SOMETHING wrong... So the F what if I am a bit, who cares... there is actually research about this pathological trend to 'normalise' everyone in to some beige box of 'normality'.. we're human and many varied, not bloody cloned machines..

I was hoping to find a psychiatrist who would engage in a positive dialogue about reaching one's FULL potential, not some BS about past family or whatever, I'm DONE with that, I don't need it all dragged back up and walking out doubting myself after a lifetime building myself up to the point of feeling confident enough to for some clown to see even THAT as a pathology... WTF???

Anyway end rant... can someone tell me if I am wasting my time trying to get a script, I won't bother with these idiots any more if that's the case... I'll just sort it out myself which is so ironic, because the system is supposed to be there to HELP people and keep them 'legit' and 'supervised' with things like this...

Unbelievable... yes some people abuse it, some people abuse cars, some people abuse guns, some people abuse ALCOHOL, it's like we're moving toward some sort of scientifically legitimised law that prescribes normality and imediately identifies any 'deviance' from their beige norm as 'pathological'...

Not happy... advice sought.. thanks..

Yes I just want a script for dexamphetamine for now, I'm a mature adult... why they hand this out like candy to kids but not to mature adults is frankly criminal, it should be the other way around... over 30 without history of abuse or criminal behaviour... seriously.. We're not babies..

F'ing clowns...

middleageadd
06-25-13, 08:36 AM
I'm going to the Psychiatrist this afternoon for my first appointment.
The clinic in Frankston specialises in Adult ADD/ADHD, so I hope they know what is wrong with me.

I hope I do get diagnosed with ADD/ADHD. It will be like 'closure' I guess.
Otherwise it means I am just a spaz who forgets where I left things ALL the time, forgets what I'm doing, is the biggest procrastinator I know, cant concentrate, can't sit still and watch a movie and interrupts people all the time, cutting them off mid sentence, telling the story for them. I know that I'm a lovely and nice person, I'm polite too. So it breaks my heart when I realise I have just been talking over my friends and partners important story.

I hope I can be 'fixed' just a little bit.

Bingo, my life story summed up too... I don't need to be patronised or mentally raped by a some loser psychiatrist... just give me a script so I can push on and deal with this in the long term... I do this too and it crushes me when I realise I've done it...I care DEEPLY about people, REALLY deep... It impacts my work and everything.. and I made the BAD mistake of telling this psych that I don't think my intelligence is an issue so he lept on that as his first opportunity to go 'AH HA! A 'Disorder'! Yay' and label it 'narcissism'. F off mate.. seriously... you've known me for 5 minutes...

Kunga Dorji
06-26-13, 08:02 AM
I worry about the way the psychiatric professions uses terms like "narcissictic". It sounds very much like blaming the victim to me- as so many of these terms are loaded with negative secondary meanings.

I do think that you are placing too much hope on one medication making everything right for you though.

Superwoman
06-26-13, 09:53 AM
I went to a Psychiatriast once, never again. At the time I did not want to try medication, I just wanted an outsiders perspective & a little direction. The only thing I remember from that appointment was her shock that I didn't fall apart. She didn't even try understand why I came to see her. Not everyone has text book disorders. Still sour about that complete waste of money. Imagine how much drivel I would have to put up with if I did actually want to try medication?! I seriously DON'T have the patience! I will sort my cr@p out myself.

aylaah
06-27-13, 02:11 AM
My ADD psych is quite good, and one of very few who treat it at all let alone in adults in my city. My husbands experiences however - wow. He's seen two now and they are both hopeless, one I think is actually dangerous in some ways! Luckily his psychologist is on the ball. Sounds like I'm lucky with mine. This is an old thread but so far so good, and mine gave me dex to try and offered me all available options upfront, and is happy to work with me to see what I want to try.

Kelly777
07-04-13, 07:11 PM
It sounds like you went through a similar thing to me: http://www.addforums.com/forums/showthread.php?t=135744

I pulled out when they said it would cost over $1000.
Then I came on here and got a recommendation of a doctor from other members. I was diagnosed and on meds within 5 weeks.

So you need to tell us where you are located, as someone might be able to recommend a doc for you that treats ADHD.

I know us ADHD'ers can be brutally honest, but I think you might have to play the naive card a little when it comes to knowing all the info about the stimulant meds.

emploding
07-04-13, 08:31 PM
I'm on ritalin but want to try dex purely to see the comparison and if it's any better. Ritalin is okay, but I still struggle with things and I just want to see if dex helps with those things or not. But I worry that asking to switch will make me seem like a druggie, so I'm thinking of getting my GP or psychologist to make the recommendation to my psychiatrist.

Has anyone whos shrink has knocked them back for a med switch tried it that way? Mine hasn't knocked me back, but I only see him for 15 minutes every few months for a script, he isn't really a hands on shrink, if you know what I mean :/

acatlow
09-04-16, 01:41 PM
From my own experience, I went to my GP to ask him how i can speak to a psychiatrist, and he gave me a "Mental Health Plan" which gives me 12 months free pass all access to see a psychiatrist of my choosing (I didn't know any so he recommended my brilliant Psychiatrist)

I went to the appointment with my wife who had to explain how I am to her when I got stuck or sidetracked.
I answered every question she asked, then she asked me to ask my mum about more questions (detailed answers about pregnancy and so on) and said to come back in 2 weeks to pick up Strattera samples.

I got a diagnosis right there on the spot, i do know my full family medical history which helps but I didn't have any complications and she said it was quite apparent that I have had it all my life.

I started noticing that the dosage for Strattera she gave me to try wasn't working and I was able to call her with any questions on her mobile phone, but by about 2 months into taking Strattera, I was taking maximum adult dosage of 1.2mg per kg along with 0/10 sex drive.

Concerned, she applied to get a government permit for me to try Vyvanse. She told me every step of the way what was happening and how long it will take to get approval and my options beyond that.

Unfortunately, it wasn't approved which only means i have to pay $113 a month for my script instead of $34 but the medication is working beautifully and although i'm on the starter 30mg dosage (i feel that if it was 50-60mg i would feel 100% instead of 70% on 30mg) it works unlike Strattera which basically shut my brain down along with my sex drive.

I have also since talked with her regarding Dextroamphetamine instead of Vyvanse duly based on how expensive my script is, but if the dumb government would stop making legitimate ADHD sufferers jump through so many hoops, it would make my life so much easier.

Also Vyvanse works so much better than anything else I have taken, how can we get the Australian government to acknowledge this and allow Adults with ADHD Vyvanse on PBS?

Strattera is so dangerous with side effects that are so much worse than having drug dependancy of taking 1 pill in the morning, i was having suicidal thoughts and i also felt like my manhood was shrinking like berocca in water

I hope my story helps someone, I forgot the reason I posted in the first place but there might be something in what i wrote that can help somebody with questions about something. Not that there has been any activity for 6 years.