Just Say No To Concentration
Yesterday, my entire afternoon got eaten by my panic over shortages of Adderall, the drug that changed my writing life from daily torture that I slogged through because I'm a hard worker to sometimes-hard work I love.
Instead of writing, I wasted my time on the phone to a bunch of local pharmacies, and emailing my very good-natured doctor multiple times ("Can you prescribe in Mexico?"), and searching for Canadian pharmacies -- maybe one in Windsor where maybe I could get Gregg to pick me up 10 or 20 or maybe even 30 pills...in all the spare time he has.
Here in Los Angeles, a number of my vast HMO's pharmacies do not have a single pill of Adderall. Not a single pill. Nor do most pharmacies. Including that of the Costco near me and various other drugstores. And that is the case in many pharmacies across the country. Per Dani Carlson at WOOD Grand Rapids:
Koelzer said they've had a problem keeping Adderall on their shelves at Kay Pharmacy."We've had customers coming in crying when they find out the drug's unavailable or they've gone to many different pharmacies and finally came to us because they've heard that we have it, and we don't in many of the cases, and they have tears running down their face," said Koelzer.
That was me, boohooing like a baby on and off on Tuesday afternoon, because just as my writing life has changed so substantially in such positive ways, those gains are likely going to be taken away from me if those shortages don't end.
Two possibilities: The government is holding back some the ingredients from pharmaceutical companies -- they have been doing this for a while in hopes of cutting down on drug abuse. More on government-controlled drug ingredient quotas here. Yeah, sure, somebody might end up snorting meth, and some college students will probably snort Adderall during finals. And that's justification for keeping drugs from those of us who truly need them?
The drug I was taking for many years for ADHD, Ritalin, never worked that well on me, but I only discovered that after I started seeing this doctor that I came to feel I could trust on science. I finally confessed to him that it had become almost physically painful for me in struggling to concentrate throughout my writing day, and that I was contemplating taking Ritalin with Mucinex to boost my focus. Bad idea, he said, and prescribed me Adderall to see how it worked.
Like Ritalin, Adderall is a dopamine reuptake inhibitor, but it also pushes a little dopamine out into the brain, and apparently, I really need that D. The first day I took my first Adderall was the best writing day I've had in 20 years. I used to have a tornado of shit whirling around my head at all times, and it stopped and put itself neatly away in cabinets when I took this drug. After years of struggling to pay attention, suddenly, all I had to do to focus was decide to focus, and I found creative decision-making and managing a lot of information, if not easy, tasks I could manage if I worked at them.
Sadly, I've been meaning to write this post about how Adderall changed my life, but I was going to title it "Adderall: A Love Story." Now the story is that there's no word on when this Adderall shortage will end.
The other problem is, even if I can find Adderall somewhere (Fresno?), if I have to buy the drug off-plan, at a regular pharmacy, I will lose the very low price I pay with my insurance -- which has always been one of the points of having insurance. In fact, if I have to go on Vyvanse, considered sort of a sub for Adderall, it costs FOUR TIMES what Adderall does in pharmacies. That's $400 a month, while I just take the cheapo generic amphetamine salts combo that costs me a ten-spot or two. As in, $10 or maybe $20.
The big question is, is it government meddling that's causing the shortage or is it Shire pharmaceuticals, trying to manipulate doctors into prescribing its expensive, patented-till-2023 drug Vyvanse?
I used my detective skills to track down the phone number and email address of a DEA spokespiece who's acted all bewildered about the shortage in news stories that have quoted him. Left him a message and I'll call him back tomorrow. Since the government has no problem meddling in vast swaths of our lives, I'm wondering why they aren't doing something over there at the DEA and FDA other than acting bewildered while countless ADHD and ADD patients across the country are wondering if they'll have to risk arrest in some 'hood to fill their legally obtained prescription. (Go on Twitter and elsewhere and search "Adderall" -- you'll see.)
Here's more on the story from fellow ADD-er Moe Tkacik, at TheFix.com:
Shire has publicly blamed DEA quota restrictions for its anemic generic shipments; the DEA has issued an apparent denial, albeit one short on specifics. A chemist at one of the five authorized "active ingredient" manufacturers in the business of supplying pharmaceutical companies with amphetamine says he and his colleagues "have all been scratching our heads trying to figure out what's actually going on."The prevailing "water cooler" theory, according to the chemist, is that Shire is trying to "embarrass [the generic drugmakers] by making them look unreliable"--which could theoretically threaten some of their accounts, which could also in turn hurt their case in future applications to the DEA for a share of the annual amphetamine production quota. The DEA's decisions to award quota of controlled substances is a somewhat mysterious process, but the aggregate number of about 26 million kilograms for 2011, up from 1.3 million in 1996, the year Adderall was introduced. And even that 26 million wasn't high enough to accommodate the applications; the chemist says the agency recently granted the generic drugmaker CorePharma, which makes generic Adderall and dexedrine, just half the amphetamine allotment for which it had applied. So it stands to reason that if the agency lowers the quota in response to lower unit sales this year, the great amphetamine famine could be here to stay. And since Shire's own quota for Vyvanse's lisdexamphetamine is 9 million kilograms--hugely generous for such a new drug--it is more than prepared to accommodate a surge in new customers.
To keep this in some perspective, my problem is just getting my hands on a drug that helps me be high-functioning while doing my work. Think about the people suffering terrible pain who can't get the drugs they need because the DEA is worried somebody might get high.
Fuck the drug warriors, the drug war industrial complex, and the scumbag sellout candidates who support it and all sorts of other destructive measures, from SOPA to the TSA.
And sure, maybe this was some Shire-caused dealie, but if you look on the FDA's own site about drug shortages, they are very clear that government is the cause of some of them. See "API" -- "This shortage is due to Active Pharmaceutical Ingredient (API) constraints."
Fuckers.







"I've been meaning to write this post about how Adderall changed my life"
I love science. My drug changed my life...it's an anti psychotic and I use it to treat "mixed episodes". If you don't know what that is, it's when a person has depression and mania at the same time. Scientists thought for a long time that depression and mania were just opposites of each other, but as it turns out the brain churns these emotions out independently of each other. So that means you can have both of them at the same time. Quite fascinating but it's not a pleasant experience.
By the way, I've always been deathly afraid they do not have my drug at the pharmacy for me. If you do not take it in your regular doses it can unhinge you and drive you to the ER. Very scary.
Purplepen at December 28, 2011 12:32 AM
Another byproduct of the failure that is the 'war on drugs.' Make it harder for folks to get drugs they need because it somehow makes it less likely that folks who abuse them will get them? Seriously?
End this bullshit. Legalize and tax them, with the same restrictions as the people in power's favorite drug, alcohol. Spend the wasted money on education and health care, maybe?
DrCos at December 28, 2011 5:23 AM
> Spend the wasted money on education and health
> care, maybe?
People I respect like to say the response to drug abuse should be education and treatment rather than law enforcement. And law enforcement is a monster: For all the evil it's brought to us within our borders, it's made things even worse overseas. It's ruined the United States' relationship to entire continents.
But the thing is, "education and treatment" don't count for much. A large component of drug use involves character and discipline— as with not driving drunk. Most of us regarded it as a great step forward for civilization when drunks who wiped out school buses full of teenagers on the way to church camp were no longer permitted to mutter something about 'not meaning to hurt anyone'. And as MOST of the country struggles to resist socialized medicine, it's a weird time to affirm that we're going to take responsibility for each others most personal bad habits.
Crid [CridComment at gmail] at December 28, 2011 6:13 AM
My son takes Adderall and it helps him tremendously. We had a shortage too awhile back and I couldn't find it at any pharmacy. He went for two weeks without his medication and there were noticeable differences. My friend recently had trouble finding it as well. The fact that its being purposely done is disgusting. It causes a negative impact for people who really benefit from it and then can no longer get it.
On a different drug company note, I had a problem when quinine became regulated. It helps me tremendously with a nueromuscular disease I have. A small inexpensive dose was all I needed and literally I was saying, "I can walk" as if I had been saved. Now it is only available by prescription, which costs $300 a month and the dose is so high it causes facial tremors.
Gotta love the FDA!
Kristen at December 28, 2011 6:15 AM
Remember, The State is not your friend.
This is the kind of shit the establishment Republicans and Democrats want to continue doing, which is why we're having Mitt Romney forced down our throats.
brian at December 28, 2011 6:26 AM
This type of scenario is definitely happening more and more often. For the last year my mother has been fighting a bone marrow cancer called multiple myeloma. It is a painful disease that causes large lesions in your bones. She missed two chemotherapy sessions because there was a nation wide shortage of her chemo drug and at one point had to wait over a week to get the type of pain medication that her doctor prescribed since Washington State had already used its "quota" for the month. I am not sure what caused the chemo drug shortage, but the pain medicine "quota" system is ridiculous. If your doctor is willing to prescribe a medication, it shouldn't matter to the state how many pills have already been used that month.
Mel at December 28, 2011 8:07 AM
>> My drug changed my life...it's an anti psychotic and I use it to treat "mixed episodes". If you don't know what that is, it's when a person has depression and mania at the same time.
Please tell us more about this Purplepen. I know someone that has this exact condition, but denies it and won't seek treatment. What drug do you take for it?
Eric at December 28, 2011 8:08 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881315">comment from Crid [CridComment at gmail]But the thing is, "education and treatment" don't count for much. A large component of drug use involves character and discipline
Absolutely. You don't get that by controlling substances.
Amazing with all of the meddling the government does in our lives that they just sit back as people are in tears at pharmacies. Let's hope truck drivers are making do on Red Bull.
I just got off the phone with Barbara Carreno, press rep from the DEA. She said, "We don’t agree that there is a shortage. We don't believe there is a shortage because of the active ingredient." She said they allocate more when companies need it, and have -- yet we were on the FDA's site together where they give "API" -- restrictions in the product needed to make it -- as the reason Teva doesn't have product out.
She's going to give me information on Friday (somebody's out) as to when companies got new amphetamine (to make Adderall), and blames the companies and the market (the DEA can't control what they make and sell).
Hilariously, she told me I shouldn't be so "passive," as in, I should be calling around to drugstores. Which I did -- eating my writing day yesterday afternoon as I wept on the phone to the Costco pharmacist. I need a drug to be high-functioning. This is America. Should I really need to go to Fresno once a month to maybe get it? And spend the month terrified that I won't?
Jacob Sullum, from reason, with whom I corresponded about this, suggested I try Vyvanse ($354 a month at drugstore.com -- looked it up), or Provigil, $600. I'm going to call the DWP on the 2nd to get an extension on paying my bill. And I'm going to pay $600 to replace a drug that costs me the price of a few espressos?
Amy Alkon
at December 28, 2011 8:31 AM
Wow Amy- so sorry you're going through all this. Can you get your prescription called up here to Idaho, and I could fedex it down to you? My pharmacy said no problem, they just need to know the dosage and quantity.
Eric at December 28, 2011 9:36 AM
> blames the companies and the market (the DEA
> can't control what they make and sell).
THERE'S NO LIMIT TO THE AUTHORITY THEY WILL ASK FOR.
Has any government service in your life, at any time ever, gone as well as they promise the market's will work once they're given control?
Here's the truth: The American people want this to happen.
Do you understand this? People have no faith in ANYthing larger than themselves except government power. They want to have this single point of exchange with the outside world.
This is not a clever metaphor: The communists won.
(Best wishes Amy. Eric is a good friend, as is his pharmacist, who probably risks prison, whether his offer is illegal or not.)
Crid [CridComment at gmail] at December 28, 2011 11:14 AM
Perfectly legal Crid- I was very truthful with the pharmacist and as long as they can verify the prescription with Amy's doctor, no problem.
Eric at December 28, 2011 11:17 AM
Aw, Amy posted the exact same rant in the previous blog item.
Crid [CridComment at gmail] at December 28, 2011 11:40 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881633">comment from EricWow, Eric. Thanks. But, are you sure that's the case for Schedule 2 narcotics? I believe the law is that they need a written prescription in triplicate. I can never have my doctor call his own pharmacy at Kaiser to order me my medicine. I have to have the written prescription in my hands and present it.
Also, if it will work, can you please toss me the phone number? I take Sandoz mixed amphetamine salts 5mg (the generic) -- for which I pay $10 or so per prescription. I want to find out how much I need to pay. (The lights also need to stay on here, and I seem to be missing a big check or two for my columns.)
Amy Alkon
at December 28, 2011 11:58 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881638">comment from Amy AlkonEric is a wonderful friend, Crid, and you're absolutely right about government. I haven't had faith in authority since I was 19 and took a women's studies class in college and they told me all men were rapists. I don't understand how people can be so naive as to think government will protect them.
Aw, Amy posted the exact same rant in the previous blog item.
Sorry. Not sure which you mean, but I was trying to conserve my Adderall this morning!
Oh, and my shrink told me Dexedrine is even harder to get than Adderall when I kept emailing him yesterday in a panic. If anyone has ADD and goes to Kaiser, I highly recommend him. Email me if you are looking to change shrinks. He's kind, wise, and evidence-based.
Amy Alkon
at December 28, 2011 12:02 PM
> was 19 and took a women's studies class in
> college and they told me all men were rapists.
This is a rerun, but it's sooooo on point.
> Sorry. Not sure which you mean
Not at all, I was just embarrassed to see that you'd covered the ground of my comment so perfectly. We elect these people, giving them more and more money and more and more power. Many many Americans want government to have all this authority.
It often seems like a new American servility is the worst thing in history... As if we'd made things too good for people to appreciate. The animal impulse to assume the pain in life comes from stronger figures, rather than from our own corrupt hearts, has caused us to bounce off of civilization's glass ceiling... And it's all downhill from here.
Crid [CridComment at gmail] at December 28, 2011 12:16 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881668">comment from Crid [CridComment at gmail]It often seems like a new American servility is the worst thing in history...
I was talking with a constitutional lawyer who heads up a free speech-supporting organization that I support and he agreed with me on my speculation that American life is so physically comfortable that Americans just don't seem to have it in them to stand up for anything. It's tooooo harrrrrd!
Well, people need to look forward a little to where all of this government control leads, and it is a scary place. The people who understand this better than anyone are friends of mine who have emigrated from Russia (the USSR when they got out), other countries around there, and Cuba. My syndicate will send out my op-ed on TSA and erosions of civil liberties in America next week (I just cut it down, but my editor told me to wait a week because everyone's out), and I hope some papers will pick it up. And please, anyone who writes, and anybody who feels they have it in them to speak out and stand up, do...for little violations and big, and whenever big government's vulgar, groping hands come into our lives.
Amy Alkon
at December 28, 2011 12:21 PM
DrugStore com apparently has Adderall, but as a class II need the actual prescription mailed in by your doctor. For less-restricted 'scrips, Fax or EMail is OK.
I have used them in the past, and yes they accepted my insurance (which in turn did pay).
Also, I persuaded my doctor to prescribe a three-month supply, saving some hassles. He explained he normally prescribed one month worth of drugs because a number of insurance companies insist on it- huh?
John A at December 28, 2011 12:48 PM
Amy. I had the same problem with Concerta earlier this Summer. I was in a huge panic as well. Fortunately, the shipment to the pharmacy unexpectedly showed up a couple of days after I needed the refill, so I only had too suffer through a single day of "brain death". Quite traumatic, to say the least.
And yes, as Class IIs, the pharmacies need to have the script in hand. Your Drug War at work for you.
I picked the wrong day to stop sniffing glue.... ;-)
NukemHill at December 28, 2011 1:14 PM
i use a different prescription for my adhd, but have run into a few times where the pharmacy won't have any.
Very frustrating, especially since i can remember the "before" times...
Good luck, and keep the coffee handy...
El_Random at December 28, 2011 1:37 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881767">comment from John AThanks, John A. -- on hold with drugstore.com now. It's $99 there for a month's supply of the generic, but that's better than $354 or $600 for alternatives. I might try to get a bigger dosage -- the 10 mg are only $101.
Amy Alkon
at December 28, 2011 1:40 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881799">comment from Amy AlkonEric's pharmacy in Idaho has NOT A PILL. Not a single Adderall or generic. But, the fact that you did this Eric -- how wonderful. Thank you.
Amy Alkon
at December 28, 2011 2:22 PM
This whole situation is outrageous.
I just sent you via email the telephone number- I spoke with a technician there this morning, I think her name was Jill. I know my wife has a prescription she has to hand deliver every month, so I hope I didn't give you a false hope.
PS- My prozac is 40mg, but it gave me a headache so I had the pharmacist double the number of pills at 20mg, so it works out as the same price for two months worth!
Eric at December 28, 2011 2:24 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881801">comment from Amy AlkonGood luck, and keep the coffee handy...
Coffee, Red Bull, etc., work differently on the brain.
Word is that the shortage will ease up in mid-January. I have to count my pills and figure out what I'll do. Price is a factor here, sadly, at 47, despite how I write seven days a week.
Amy Alkon
at December 28, 2011 2:24 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881866">comment from EricThanks again Eric -- means so much to me that you did this, and offered to send it. The prob is that it's Schedule 2 -- all these dumb nanny state restrictions. I'm on hold now with Kaiser pharmacy (Morse One) in Sacramento. The problem is, they can't mail it if they have it -- just found that out -- and there are all sorts of other complications. But, maybe I can help somebody else out up there if I find out they have it. Crazy. I'm supposed to be writing, not calling pharmacies to get a drug I'm legitimately allowed to have.
Please, please, understand the consequences, everybody, of voting in candidates who are for Big Government. I hope my telling my personal little story hits that home for people who believe government is the answer and will protect them. The less government, the better. If the free market were allowed to function, there would be supply to meet demand.
Amy Alkon
at December 28, 2011 3:19 PM
Wow, Amy. So sorry to hear you are having such trouble getting your medication. Hope your persistence pays off soon.
Please, please, understand the consequences, everybody, of voting in candidates who are for Big Government.
The unfortunate thing for voters is finding anyone who isn't in favor of this particular type of big government. Most of the laws that make getting Adderal difficult are drug war laws, and few members of Congress whose last name isn't Paul are willing to take the risk of being known as "soft on drugs".
Christopher at December 28, 2011 3:35 PM
I read the other day they've developed (approved?) a new drug-which is actually just hydrocodone without any mixers- much stronger and with less chance of liver damage than vicodin. My question is why? The drs will be too scared to prescribe it anyway. I have occasional migraines and what works best on them is vicodin. But to ask for it, you"d think I was looking to score crack instead of 20 pills once a year.
momof4 at December 28, 2011 3:45 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881887">comment from ChristopherThanks, Christopher...if anyone knows anyone around Sacramento, Kaiser there -- the 24-hour Morse One pharmacy -- has 300 15 milligram pills and 600 5 milligram pills (generic for Adderall). They aren't supposed to tell you how many they have but I somehow got the right guy (and then girl) and asked in the right way.
I can barely drive to Hollywood. I can't realistically drive six hours there and back to get a prescription that may not be there when I arrive. Plus, I've already eaten so much into my work days calling pharmacies...I need to write and read studies for next week's column. This is so crazy.
Amy Alkon
at December 28, 2011 3:58 PM
Amy, I don't know how well you tolerate SSRI's. But Effexor might somewhat work as a short-term fix if you run out of Adderall. Just don't stay on it too long because high blood pressure is a common side effect.
Cousin Dave at December 28, 2011 4:15 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881901">comment from Amy AlkonHeh heh...guy called the wrong number - mine - and I told him so politely, and then...hmm, capitive audience...as long as I had him there, I threw in, "Don't vote for candidates who support the drug war!" before I hung up.
(Yeah, that'll be me out on my lawn in a bathrobe as the DEA is searching my house tomorrow.)
Remember -- often these days, we only have pretend free speech and pretend rights. The government increasingly violates them -- including my right to put whatever the fuck in my body that works for me, providing you aren't made to pay for it, now or in the future -- and people stand around blinking like bewildered sheep. Which promotes more government bullying and more and more.
Amy Alkon
at December 28, 2011 4:16 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2881907">comment from Cousin DaveCousin Dave, thanks, know you mean well, but as I explained to someone else in an email, Effexor is an SSRI -- a serotonin reuptake inhibitor. Adderall is a dopamine reuptake inhibitor. These are two different brain chemicals. I'm not depressed -- just enraged that I can't get a drug I am legally prescribed, and frustrated to spend my writing day on the phone with pharmacy employees...many of whom answer with the voice of someone with dead eyes. My favorite was the pharmacy at the 24-hour Kaiser pharmacy in Sacramento who acted like an Al Qaeda operative withholding deep secrets when I asked her for her last name. Like, you know, so I could identify her with more than her totally common first name if I needed to call back or refer to her.
Gregg says to my driving six hours to Sacramento: "Have you lost your mind? We will get you what you need." (I hope we don't have to go to Tijuana to buy pills that turn out to be Raid or Comet.) Also, Dr. Emily Deans, a psychiatrist I respect (who I quoted from heavily in a column) thinks the shortage will be over in mid-Jan. Not sure where she's getting her info, but I've heard that rumor before.
I still can't get over the smug spokeslady for the DEA who called me "passive." Saw my neighbor doing wash in our shared machines and told him that and he howled with laughter.
Amy Alkon
at December 28, 2011 4:24 PM
Amy, just wanted to say I'm really sorry you and others are going through this. It hurts my heart when decent people whose lives have improved thanks to meds are forced to worry about access, or much worse, deprived. Wish there was something I could do. When I lived in the states, I had good experiences with Canadian online pharmacies and drugstore.com, though that's probably zero help to you. Good luck.
YTS at December 28, 2011 4:38 PM
> many of whom answer with the voice of someone
> with dead eyes.
I've had comically good health for nearly 53 years. Given the dicey genetic stock whence I sprang, it's a cosmic joke. I've eaten more bad food, hung out with more bad people, done more dangerous sports, and, um, tempted fate vis-a-vis more substances (wink-wink, nudge-nudge) than anyone you know. But I will fall asleep tonight faster than you will, will dream better, more colorful dreams, will wake up with a firmer boner and charge into a foamy shower with more wind in my chair-lovin' lungs than you'd think possible.
It doesn't matter.
When caring for an elderly senior a few years ago, I found out that the vast majority of people we deal with in conditions of illness –in both government and the private sector– are high school graduates. Not all those high schools were North American ones with firm-titted cheerleaders, schools issuing charming diplomas in excessively decorated binders. These are working-class people who are pissed off and are looking for someone they can give a hard time to. The fact that their target may not have the strength to answer them is unimportant.
Their eyes aren't dead. They're saving energy for a rape, or worse.
Crid [CridComment at gmail] at December 28, 2011 7:42 PM
Yep, my pharmacy doesn't have any, either. My son's doctor just prescribed it for him. I have lost my prescription card, so I can't go to another pharmacy until I get a new one.
WayneB at December 28, 2011 7:51 PM
The federal government does not actually have the constitutional right to regulate substances, absent interstate competition with tariffs. If they did, then an amendment (or repeal of amendment) to the constitution would not have been required to start or end prohibition. It seems people knew more or cared more about their rights back then. It saddens me.
Assholio at December 28, 2011 8:37 PM
And anyone who thinks government regulated healthcare will fix this is an idiot.
Assholio at December 28, 2011 8:43 PM
"Please tell us more about this Purplepen. I know someone that has this exact condition, but denies it and won't seek treatment. What drug do you take for it?"
Eric,
I take Seroquel for it, though now I'm being weaned off of it due to the massive weight gain.
Regarding a mixed state, imagine all the thoughts/feelings that come with depression, for example crying all the time but with the energy of a thousand suns. Energy that you can not control or stop. Inability to sleep because you have TOO much energy.
Or the racing uncontrollable thoughts of mania, rage, flight of ideas but being depressed and unable to get out of bed. I tend to suffer the former.
Mixed states are the most dangerous. A big symptom is suicide because you have the energy to do it (mania) and the thoughts that idealize it (depression). Fortunately the idealization of suicide is not a symptom I suffer.
Purplepen at December 28, 2011 9:33 PM
Smug DEA lady calls Amy "passive".
She must not read your blog...
Savant-Idiot at December 28, 2011 10:26 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2882120">comment from Savant-IdiotHah, Savant-Idiot. The guy yesterday who was blabbing on his cell phone to everybody in the otherwise quiet cafe also got an earful. I found it rather invigorating to chew him up and spit him out, never raising my voice while doing it. My friend I was sitting writing with and I moved, but I went outside to talk to Gregg and I saw that the guy had instead gone outside to talk on his phone. I love when that happens.
Amy Alkon
at December 28, 2011 11:46 PM
In no fan of the war on drugs butt this thing you are hooked on is speed, give it a fancy name and you eat it up, very sad.
If they called it meth would you still take it?
No differnence ya know, or maybe you dint.
BTD CEO at December 29, 2011 4:42 AM
I don't take any drugs. Only if I'm in excrutiating pain, like after surgery. Yet, most of my friends are on antidepressants and/or ADD and/or bipolar meds. It's pretty amazing how much medication people are on. Some of my friends are like pharmacies.
My son was put on ritalin for about 6 months when he was around 10, but I weaned him off. He lost his appetite but, beyond that, I didn't see much effect. They also prescribed him prozac, but I also stopped that - found homeschooling was what he needed to get away from the bullies who were making him depressed.
He probably is ADHD, or was. I don't see much of that now that he's an adult. He smoked pot for awhile, though he can't now because he's a divemaster/captain, subject to drug tests, but I really think that helped his ADHD. And one of my gfs, whose husband has severe ADHD, says that, without pot, she couldn't live with him. It makes him calm and focused.
So, maybe you should try some weed, Amy. Can't you get it legally there?
LS at December 29, 2011 5:34 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2882946">comment from LSI hate pot, which makes me dead tired and starving.
Adderall works very, very, very well for me.
See what I wrote about the difference between Adderall and Ritalin in my post from yesterday (about how Adderall pushes dopamine out into the brain).
Amy Alkon
at December 29, 2011 8:42 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2882965">comment from BTD CEOIn no fan of the war on drugs butt this thing you are hooked on is speed, give it a fancy name and you eat it up, very sad. If they called it meth would you still take it? No differnence ya know, or maybe you dint.
What an absurd comment.
I'm not "hooked" on anything but productivity.
Furthermore, while this may be uppers to other people, what I love about it is that I don't feel it while Ritalin makes me a bit jittery.
You're of the nonthinking mind that all drug use is abuse. I don't take meth because it has terrible side-effects and I'm looking to sit at a computer and work, not get high.
You also seem to know nothing about addiction, while I read on it a good deal for my work. Drug use (or any substance or practice) is a problem when it messes up your life, stops you from going to work, when you have to steal TVs to have it.
What Adderall does is clear a tornado of stuff in my head (where it is almost physically painful for me to struggle to concentrate) to the point where I can sit down and read complex studies for hours and hours. Because of Adderall, I was able to write a column where I spent about a month poring through vast swaths of data, and managing and organizing vast quantities of information.
This is a bad thing how?
And do you also demean people who are "hooked" on insulin for their diabetes?
Amy Alkon
at December 29, 2011 8:49 AM
"you are hooked on is speed"
No speed is a generic term for all amphetamines used for recreational purposes. Just like all steroids are not the same all amphetamines are the same.
"If they called it meth would you still take it?"
Not a chemist are you? Meth refers to crystal meth, or Methamphetamine. Which is just about the most potent street drug out there. Adderal is dextroamphetamine and Amphetamine. That's like saying grain and wood alcohol are the same. One will get you buzzed and may result in a walk of shame. The other will either blind you or kill you.
vlad at December 29, 2011 9:02 AM
I'll bet the meth is easier to get. Not that I'm saying anyone should, it's a truly horrible drug, at least as used on the street.
I'll bet that were one to put his mind to it, meth, pot, or heroin could be had by dinnertime. Prescribed drugs from a pharmacy are scarce.
Interesting times.
Steve Daniels at December 29, 2011 10:27 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2883069">comment from Steve DanielsI live near the hood -- I could probably get meth with ease, but I am for sure not going to 1. Risk arrest, and 2. Risk my health. Also, meth may not work the same as prescription amphetamines.
And ParatrooperJJ, where you go wrong is in acting like this is okay, the need for a prescription -- making it hard for everybody to get drugs because some abuse them. You don't seem to understand what the late Dr. Albert Ellis did and what I recognize as well -- that humans are fallible...and disorganized, and many other things. We have enough to do and remember in our complex society that we should be able to get ordinary cold medicine without a prescription and without signing up for it like we're criminals (having our ID photographed, etc.)
Amy Alkon
at December 29, 2011 10:40 AM
The fact that so many people need this drug to keep up in a highly competitive society shows how miserable modern day America is these days. The drug while it can help you focus does have some rather nasty side effects and is neurotoxic at high doses. The more expensive Provigil in my experience is a superior drug, although its effect is not as obvious as Adderall.
The shortage is for the cheap generic and not the more expensive XR version, that tells me something maybe the pharma companies want people to pay for the more unaffordable version. Most of us are not celebs and cannot afford Provigil which is around $300 to $600 for a month's supply and something these insurance companies do not like to pay for because of the price.
Mark at December 29, 2011 11:22 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2883158">comment from MarkThe fact that so many people need this drug to keep up in a highly competitive society shows how miserable modern day America is these days. The drug while it can help you focus does have some rather nasty side effects and is neurotoxic at high doses.
Um, I'm taking 7.5 milligrams three times a day...and this after about 20 years of taking ADD meds. I really feel ire at comments like this. I apparently have some issue with dopamine in my brain which Adderall corrects. I have extreme problems with organization and memory and related issues, and Adderall brings me up to "normal" in these areas. This is a godsend. Your rather dunderheaded judgmentalism bespeaks a guy who is talking out of his ass about a subject he knows nothing about. Milk, in high doses, will make you sick.
On Adderall, this is possible: http://www.ocregister.com/articles/danger-333203-overlooked-dangers.html
I couldn't have managed the vastness of research and information I had to pull together for this column without the clearing effect of Adderall on the tornado in my brain. This drug has changed my work life from agonizing to challenging.
"The more expensive Provigil in my experience is a superior drug,"
What an asinine thing to say. Ritalin works very well for some. It doesn't work well for me. I also can't afford a drug that costs $600 a month, which is what you'll pay for it at drugstore.com or wherever I looked it up yesterday when Sullum told me it's an alternative for some.
"The shortage is for the cheap generic and not the more expensive XR version,"
This is also bullshit. Been calling around to pharmacies for three days? I have and my friends have. My dear friend Susan just found some Adderall generic for me three hours away. I can't drive for three hours, but Gregg will be back in a few days. Also, it's very expensive at pharmacies vis a vis what I pay on my health plan ($10 or $20 for the generic), and I'm already getting an extension on my electric bill while my bookkeeper sees which papers maybe forgot to pay me for a few months.
Always a pleasure to have a know-it-all who actually seems to know or understand little weighing in on an issue that is causing me great upset.
Amy Alkon
at December 29, 2011 12:15 PM
LS - if you didn't notice a difference in your son when he was on Ritalin, then he's not ADHD. He may have some other chemical imbalance, but not that one.
It's not a perfect test, I know, but what I suggest for a default ADHD test is to give the person a strong cup of coffee and see if they get sleepy. Total opposite of what it's supposed to do for normal people. Adults who have been late-diagnosed with ADHD have been reported as "self-medicating" with up to 20 cups of coffee a day. They didn't know why, but it helped their concentration.
WayneB at December 29, 2011 12:37 PM
The shortage is for the cheap generic and not the more expensive XR version,
What a strange thing to say, since NONE of the CVS pharmacies in my area have the XR version, which is what my doctor prescribed for my son.
WayneB at December 29, 2011 12:43 PM
"LS - if you didn't notice a difference in your son when he was on Ritalin, then he's not ADHD. He may have some other chemical imbalance, but not that one."
That might be true. He's highly gifted, and throughout his childhood, he managed to present as having various "disorders". ADHD, OCD, depression, and Aspergers just to name a few. It was a challenging time for me as a mom because I'd read and think he had a little bit of this and a little bit of that.
In retrospect, I think he was mostly just bored and frustrated. He was an adult trapped inside a kid's body. Now that he is an adult, he's doing just fine.
Likewise, you may find that your son grows out of his ADD. People who are diagnosed as adults usually have pretty serious cases of it, like Amy.
LS at December 29, 2011 1:09 PM
The fact that so many people need this drug to keep up in a highly competitive society shows how miserable modern day America is these days.
Whats your solution? Live like the Amish, hand to mouth, backbreaking daily labor, no art, no science, no traveling more than a few miles a day by foot?
Fuck that
lujlp at December 29, 2011 2:27 PM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2883273">comment from lujlpExactly! More Adderall -- and modernity -- for the rest of us if you take to horse and buggy and eschew modern medicine.
Amy Alkon
at December 29, 2011 2:45 PM
I do have a question, though.
Why are autism, Asperger's, ADD, ADHD, and {insert acronym here} "modern" afflictions?
Radwaste at December 31, 2011 5:12 PM
Can you explain what you're asking, Raddy?
They've probably existed throughout human history, and I don't actually consider my brain "afflicted"; it's just not well-adapted in its natural state for sitting at a computer for eight hours and paying attention to the work of researchers who are dull writers and unclear in the way they lay out their data.
My little friend S., who's 6, and Sgt. Heather's son, has an absolutely incredible brain. He's autistic, but a savant also. For Mother's Day, he gave Heather a book about the dinosaurs that he made. This kid (with his incredible systematized way of looking at the world that is common to autism) sucked up every feature of a book -- including ISBN number, acknowledgments, publisher information, price, and blurbs on the back -- and included it in this crayoned book for his mom. He also included dinosaurs I had never heard of...spelled correctly; I looked them up on my phone when Heather showed me the book. It was absolutely incredible.
He's into maps now, and I told Gregg, who brought him this huge laminated map he had in his storage. I gave it to him and said something like, "So...where's Belarus." He showed me. Took him about three seconds. He knows how many continents there are (he had that competition with his grandma, who lost), and lots more.
He also has had some challenges using silverware and about sense of his body. He likes me so he asks me to fix this caterpillar toy he has when I'm there, but sometimes he sticks it a little too close to my face.
Amy Alkon at December 31, 2011 5:50 PM
Sure. The behavioral disorders have grabbed headlines recently, and there's not a lot of material to suggest they HAVE been around a long time. Maybe I'm expecting too much to have articles mention the history of the disease sometimes...
(As a joke on persons insisting that their religious stories are factual, I state that autism is a result of the Ministry of Magic suppressing underage magic. After all, their parents are quick to point out how exceptional their kids are. And only recently has Muggle technology threatened the wizarding world with detection. That would explain the recent news, wouldn't it?
Well, it gets the zealot going...)
Radwaste at January 1, 2012 6:50 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/12/the-war-on-drug-2.html#comment-2887259">comment from RadwasteAll I know is that an amphetamine helps me be extremely productive and love my work, and that some 15 years after first taking drugs for ADHD, my dosage of Adderall is 7.5 mg three times a day. Not exactly up to a trough of the stuff. It apparently corrects some dopamine issue in my brain.
Amy Alkon
at January 1, 2012 7:00 AM
A number of historiy's most acomplished names are often as 'odd' and 'obbsessive' in the writtings and journals of their contemporaries.
But given the way we are taught history in america we learn little of such peoplle aside from the dates, locations, and titles of historical events
lujlp at January 2, 2012 11:28 AM
very late to the conversation but I think the federal government has lifted the amphetamine quote in recent years.
CL at April 15, 2016 12:01 PM
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