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Re: SLS/others: Dual diagnosis, but need ADHD meds

Posted by zonked on March 20, 2016, at 9:10:20

In reply to SLS/others: Dual diagnosis, but need ADHD meds, posted by zonked on March 18, 2016, at 17:43:33

Thanks everyone for your feedback!

I forgot, a doctor (who wasn't my permanent doctor) once had a patient who abused meth ask for Adderall so he wouldn't resort to street meth -- apparently, that patient never abused nor sold it.

So what I'm asking is not impossible. One hurdle (dispelling the myth that MAOIs and stimulants are medically dangerous) is easy to overcome, the other (making the case that I won't abuse my stimulant) should be pretty easy, as well, as long as I'm patient.

I do attend 12-step meetings although I don't buy into all of the steps or the culture, and am looking for a new sponsor (the one I have now objects to me going to non-12 step, evidence-based addiction day treatment classes provided by my insurance... he thinks 12-step and ONLY 12-step works for addiction), so it'll be good to look for one who supports my ADHD. Thanks for the tip!!!)

Thanks all,
-z

> Hi: SLS and everyone else,
>
> Graduated from the dual diagnosis rehab with flying colors. I don't even smoke cigarettes anymore. Today's my last 7mg patch!
>
> My ADHD symptoms:
>
> That is....:
>
> disorganization, inattentiveness, impulsiveness, washing the same dish over and over, taking 3 hours to unpack my stuff which would take most people an hour, losing things/leaving things lying around, fidgeting/trouble staying still, overfocus on things of interest, "spacing out", putting milk in a cupboard instead of the refrigerator, unconsciously/unintentionally provoking arguments/drama to get my adrenaline up (low baseline level of arousal), clutter/hoarding, caffeine cravings, mental disorganization (i.e. not knowing instinctively how much time to devote to a given activity and thus wasting time), very low working memory (like low RAM in a computer), etc etc....
>
> Whew. Are unresolved without my Focalin XR. In fact I think after my insurance changed after moving, not finding a doctor to prescribe Focalin XR concurrently with Nardil was one of the factors which drove me to choose methamphetamine - it was unconscious, of course. (I since have the same insurance I had when I was on Focalin XR before, and my old pdoc retired but the new one is the house expert on MAOIS).
>
> Anyway, should I just say this to my new pdoc next month? I really do better on Focalin XR and can present all of the data I need to make a case for a stimulant with MAOIs being safe. I am worried about being branded a "drug addict"; I have several things I could tell the new doc, if the coadministration of a MAOI and Focalin XR is not a concern but abuse is:
>
> 1. Ask to be offered weekly prescriptions
> 2.Make the case that I am less likely to use street drugs again if properly medicated.
> 3. Approximately 1/4 of dual diagnosis patients according to one source have ADHD, and untreated ADHD complicates treatment - being treated improves outcomes.
> 4. ADHD patients are unlikely to abuse their prescription stimulants (I haven't, except for taking an extra Adderall or two in college during finals)...
>
> Anything else? SLS what would *you* do? Anyone been in this situation?
> If that fails, I am thinking of (very carefully) purchasing and dosing with pure PEA powder. There are posts about this, I think.
>
> Not interested in Strattera or Wellbutrin... Have had the best results with Focalin XR , second best with Dexedrine Spansules (extended release).
>
> Thanks as always--
> -z


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poster:zonked thread:1087281
URL: http://www.dr-bob.org/babble/20160306/msgs/1087348.html