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  #1  
Old 08-11-11, 02:49 AM
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Angry Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax Beach

Adderall XR is the best med ever for me. However, the prices is definitely not the best. It is around $240 or so and to add (no pun intended) to that 30mg is not cutting it for me.

So, I ask my doctor if he will write for IR instead. No. Won't do it. Some $#%^ about APA guidelines..blah, blah, blah. Well, a lot of doctors around here must be writing for it because it is extremely difficult to find a pharmacy here that has any in stock. I discovered this through price comparing the two.

This is ridiculous. I need my medicine. My life is out-of-control without it. I am on probation at work for a year due to not getting paperwork in on time. I cannot afford to pay over $200 for medication every month anymore.

Tried Vyvanse. Did nothing for me at all. General practicioner will write for IR, but only for 20mg once a day. Well, I highly doubt that will even make a dent for me. Said for me to split it up in two 10mgs twice a day. HA! I laugh at this, but hey I guess it is better than nothing.

Got script for Concerta today, which is around $170 and I am not even sure what mg that price is for. That is still freaking ridiculous.

Anyway, does anyone know any doctors here who understand that some people absolutely cannot afford to pay atrocious amounts of cash for meds? I have got to get this issue figured out. Message me if that would be more appropriate. I do not know if it is against the guidelines on this forum to post the names of doctors on here or not.

Thank you,
Me
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Old 08-22-11, 07:48 AM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

I really think you should consider doing the ir twice a day. Ir tends to have more of a peak and feel differently then xr. The way you digest also plays a part in ir vs xr.
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Old 08-22-11, 03:39 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

I'm not understanding how you can afford Vyvanse but not adderall xr... In fact Vyvanse is shires's solution to adderall xr going off patent to generics. And I find it hard to believe that you can legally obtain such a variety of meds but your doctor won't consider IR for a legitimate reason.

I understand your frustration, but if it's that bad I think you can fork over fifty or so dollars for the xrs. What does your insurance, if you have any, cover?
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Old 08-23-11, 07:41 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Have you tried generics? Increasing the amount of XR? Adding Wellbutrin, Abilify, etc?
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Old 08-24-11, 01:33 AM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Does you doctor understand that XR is nothing more than two IR doses spaced four hours apart?
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Old 08-24-11, 09:41 AM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

I understand the reasons -why- doctors don't perscribe IR and I know that Florida takes an extremely hard line with medication. I think there's a limit on the number of class 2's they can perscribe people (so no benzo/stim combinations, etc) and it wouldn't surprise me if there wasn't issues with IR as well.

Some doctors have such a low opinion of Adderall IR that they consider perscribing it malpractice. This is mostly because it has the highest rate of addiction issues among the stimulant class and the up/down nature of it can get people into the habit of taking more to avoid the crash, etc. They see XR as more difficult to abuse (which isn't really the case) and a lot of people will only perscribe amounts of Adderall over 10mg in XR form.
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Old 08-24-11, 04:02 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

^Vyvanse is a doctors best friend in that regard.

Your right also about the abuse potential ; earning the TRUST of your doctor over time is the only way to see an IR script in some states. Is there really a cap on schedule 2 scripts for physicians, or perhaps just general practioners? Psychiatrists have hundreds of ADD patients, they can't pick choose and ration medication...
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Old 08-24-11, 09:58 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Hmm, this IR phobia must not be true of Kansas. I just moved cities and saw a new shrink. He took my word that I was on Adderall IR and wrote me out a script.. I told him that I had just picked up a month's worth and he said, "Well, here's for next month. You want a couple more or will you lose them?"
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Old 08-25-11, 11:22 AM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Isn't Florida like the pill capital of the US? I was under the impression they built preschools out of left over OxyContin down there.
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Old 08-25-11, 01:59 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

They've been trying to clean it up, apparently. New York and New England are the current leaders, a Walgreens or CVS gets robbed around Boston pretty much once or twice a week.
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Old 08-25-11, 02:34 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Quote:
Originally Posted by tambourine-man View Post
Hmm, this IR phobia must not be true of Kansas. I just moved cities and saw a new shrink. He took my word that I was on Adderall IR and wrote me out a script.. I told him that I had just picked up a month's worth and he said, "Well, here's for next month. You want a couple more or will you lose them?"
I know. We go to the Behavioral Medicine Specialists there off Rock and my god I love my doc. My wife has been seeing her for years and I started just last year and she is also ADD which is great because she understands us!

I hope you can find a doc willing to work with you OP but maybe you could talk to HR and see if there is anything they can do to work with you because you have a disability technically and maybe you could get some assistance? Maybe try the local SRS?
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Old 08-25-11, 06:22 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Hmm, I used to go down rock daily.
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Old 09-05-11, 01:51 AM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

Quote:
Originally Posted by Urgezz View Post
I'm not understanding how you can afford Vyvanse but not adderall xr... In fact Vyvanse is shires's solution to adderall xr going off patent to generics. And I find it hard to believe that you can legally obtain such a variety of meds but your doctor won't consider IR for a legitimate reason.

I understand your frustration, but if it's that bad I think you can fork over fifty or so dollars for the xrs. What does your insurance, if you have any, cover?
Allow me to enlighten you. Adderall XR, Vyvanse, and Concerta were all prescribed by the same doctor on separate monthly visits. So, you see, legally obtaining these scripts was notta a problem. My doctor is considered an expert in psychopharmacology and I suppose he has his reasons for not writing scripts for Adderall IR.

You may find it hard to believe that my doctor will not write for IR for legitimate reasons, but that is the way it is. He will not do it. As a matter of fact, he seems to have a strong preference for meds that are extended releases and that are fairly new on the market.

Affording Vyvanse was easier for me because my doctor gave me a discount card, which made the cost around $70 - $80. However, Vyvanse is not the right med for me.

I do not have insurance and around here a 30 day script for Addy XR is more like $250 +/- a few dollars. I wish it were $50. That would be great.

Did that clear things up for you?

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Old 09-05-11, 03:12 PM
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Re: Doctor will not write for IR. Can someone help me out in Jacksonville,FL or Jax B

It sounds like your doctor has a preference for name brand stimulants that allow for a lot of free trial offers and discounts for new consumers. Interesting that these companies want such new business don't you think? Why prescribe a generic ir formula that is tried and true when you can prescribe an xr brand formula that comes with free notepads and pens.
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