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Re: Schedule II Prescription Restrictions?

Posted by Noa on July 26, 2001, at 10:25:01

In reply to Re: Schedule II Prescription Restrictions? » Buster, posted by jojo on July 26, 2001, at 1:37:22

I wonder if, as an internist, he feels this is beyond the scope of his expertise. Stimulants can be prescribed for reasons other than ADHD, but as others have advised, in the case of hard-to-treat depression, where one needs to go beyond a single antidepressant approach, I feel it is advisable to consult a psychopharmocologist, rather than work with the internist on this matter.

BTW, many insurance companies will balk at covering stimulants for reasons other than narcolepsy or ADHD. My previous insurance had a rule that if not prescribed for narcolepsy, anyone over the age of 19 needs special pre-authorization for coverage. Essentially it meant my pdoc and I had to go through a hassle every 6 months to get it covered. Fortunately, my current insurance makes no such restrictions. The idea that the age of 19 is somehow a legitimate diagnostic boundary is ludicrous, of course.

It is a tricky issue--a pain in the butt to have to get an actual paper scrip every month due to the restrictions. On the other hand, stims are being abused, especially among college students.

Bottom line for you (IMHO): see a good psychiatrist who specializes in psychopharmocology. It is worth it.


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