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Getting prescribed Adderall

Posted by CareBear04 on August 29, 2007, at 23:55:19

I'm seeing a new psychiatrist next week, and I need some advice on getting the meds I need.

I was never diagnosed with ADHD as a child, but in college, on the basis of what I described, the psychiatrist started to treat my ADHD symptoms. I started on high-dose Wellbutrin, then Strattera, then Provigil, then Adderall. Since then, I've also tried Dexedrine and Concerta, but Adderall XR works best for me. I have records that include "History of ADHD" and note that I'm currently taking Adderall. I'm just worried that the new pdoc is going to dig deeper into the ADHD diagnosis, especially if he learns that I never actually had the neuropsych testing for ADHD.

My other problem is that I'm also treated for Bipolar I, which I guess affects the way ADHD is treated. I'm on a high dose of Adderall XR-- 30mg twice a day, when most Bipolar people with ADHD get much lower doses.

I also have a few other conditions that might make a pdoc think twice about Adderall. First, I've having involuntary eye-twitching, which I don't think is connected to the Adderall, but stimulants are known to exacerbate the problem. Second, recently, I've had blood clots. They have a clear nonmedication-related cause, but given that Adderall can mess with the heart and the brain and cause clots that lead to strokes, he may think it's a bad idea to keep Adderall in the mix with the blood clots. Should I keep the information on the blood clots to myself?

I'm worried about whether I'll get Adderall. I'm starting school again next month, and when I got on Adderall in college, it was a life-changing difference in my performance. What can I do to best persuade this new pdoc to prescribe it for me?

Any thoughts or input would be great!

Thanks,
CB


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poster:CareBear04 thread:779659
URL: http://www.dr-bob.org/babble/20070824/msgs/779659.html