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  #1  
Old 08-09-17, 04:45 PM
heythere999 heythere999 is offline
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How in the world do I convince my psychiatrist

Hey guys, made a topic a few months ago about wanting not to increase my dosage, but to have it prescribed for twice a day. I currently take 30 mg, regular Adderall that is supposed to last 4-5 hours.

The thing is, that's too little for me. Aside from that little time slot throughout my day where I'm on adderall, I am not productive. The few times I've started my day with adderall, I've *gasped* cleaned my room, checked my emails, made a to-do list, etc.

When I'm not on it, I do ****ing nothing. Which is annoying.

I went to my psychiatrist and I told him exactly what I've been doing: some days I take it once, some days twice, and maybe once a week I don't take it at all because I'm scared to build tolerance.

He does this weird thing where he writes "twice a day" on the instructions, but it's really meant for once a day? He wanted to prescribe me 100 pills for 3 months, but he said "I'm worried your pharmacy/insurance will think there's something fishy about that, ask them if that's a concern" so he just prescribed me for 90 for 3 months this time. In general though my psychiatrist is very chill and understanding, I just think he doesn't want calls from insurance or what-have-you (so I'm totally gonna start taking it twice a day as a regular thing).

Should I ask my pharmacy (it's Walgreens) if they or my insurance will be concerned if I double the amount I take? Because I seriously need it once a day is NOT enough.
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Old 08-09-17, 10:18 PM
Minkyboodle86 Minkyboodle86 is offline
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Re: How in the world do I convince my psychiatrist

You can ask him to prescribe you an extended release and if that doesn't help with it becoming ineffective through the day you can ask for an additional instant release to take as the other wears off. Walgreens doesn't give a **** about your prescription- insurance is the one calling the shots and you cannot have a 90 day supply each month. You can however have an extended and instant release as separate prescriptions. It will be for your doctor to decide if they think it would be helpful, but you may be doing a lot of re-evaluating for a correct dosage, but worth it if you're struggling now anyway.
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Old 08-10-17, 03:47 AM
heythere999 heythere999 is offline
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Re: How in the world do I convince my psychiatrist

Oh no it's 90 pills for 3 months. I want that doubled since 4-5 hours a day is too little
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Old 08-10-17, 11:40 AM
CharlesH CharlesH is offline
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Re: How in the world do I convince my psychiatrist

I'm not a medical professional, but as I understand it, 60 mg/day is within prescribing norms. I'm assuming that you're currently prescribed IR? Your doctor is in charge of determining what's medically appropriate for you, and your insurance is in charge of deciding whether to financially cover it. Walgreens doesn't make those decisions. Generic IR Adderall is relatively cheap, so I don't think insurance should have an issue with it. Even without insurance, it's less than $1/pill.
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Old 08-11-17, 06:07 AM
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Re: How in the world do I convince my psychiatrist

Does your doctor want you to take it 1,2 or 3 times a day? If its once then you have a three month rx, twice, a month and a half and three times a day, then you have a months worth. I take my xr 4 times a day due to absorption issues but I have to have a script for one xr three times a day cause 90 is the max a month, and once for once a day.
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Old 08-12-17, 05:16 PM
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Re: How in the world do I convince my psychiatrist

The thing is on my prescription, it says "take twice a day" but he expects me to, on average, take it once a day. Doesn't this mean that if I actually want to take it twice a day that there's really nothing to worry about?
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Old 08-13-17, 12:34 AM
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Re: How in the world do I convince my psychiatrist

Quote:
Originally Posted by heythere999 View Post
The thing is on my prescription, it says "take twice a day" but he expects me to, on average, take it once a day. Doesn't this mean that if I actually want to take it twice a day that there's really nothing to worry about?
If this is what he actually said, it does not make any sense to me…
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Old 08-13-17, 09:42 PM
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Re: How in the world do I convince my psychiatrist

Just bring this to his attention.

"Hey, you say I'm to take two pills a day, but the 90-day prescription only allows me to take one pill a day."

He may have simply spaced out on this ... Just politely point out the contradiction and problem and see what he says ...

Sometimes doctors can space out.

Tone
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Old 08-12-17, 11:55 PM
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Re: How in the world do I convince my psychiatrist

The max is really three times a day. That is what I'm prescribed and half the time I only take it once a day. At work though usually it's twice. I have Medicaid, you really should have no problem...
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