Psycho-Babble Medication Thread 1016703

Shown: posts 1 to 4 of 4. This is the beginning of the thread.

 

Dexedrine IR Dosing To Dexedrine Spansules

Posted by ebb on April 29, 2012, at 16:40:16

Hello all! I would like to switch from my long-time use of Dexedrine IR due to the recent drug manufacturing discontinuation/shortage of the 10 mg Dexedrine/Dextrostat tablets. The monthly battle & stress to go through to find this medication is beyond ridiculous. Everyone switched to the 5 mg to combat it...and now the 5 mg is also now becoming obsolete with a monthly race to get to any pharmacy just to find enough left to fill a script! Last month I had to give up 15 of my original script amount just to get what was left at the last pharmacy in my city. I can't take this monthly fear of not knowing whether or not I will have my medication to be able to function as a productive individual. Anyone know the dosing equivalence of Dexedrine IR 40 mg to Dexedrine Spansules? Thanks in advance.

 

Re: Dexedrine IR Dosing To Dexedrine Spansules

Posted by rjlockhart04-08 on May 1, 2012, at 13:23:54

In reply to Dexedrine IR Dosing To Dexedrine Spansules, posted by ebb on April 29, 2012, at 16:40:16

If you had 40mg at once you would have to have 80mg of spansules which you would have to take 8 10mg spansule in morning, the first 40mg releases upon ingestion and then the next 40mg will release in 4-5 hours. Spansules last for about up to 8 hours, maybe 10 depending on the metoblism.

If you switched to Vyvanse I think it would be 100mg-140mg to achieve the blood levels of damphetamine in your system. Vyvanse can last a little longer than the spansules but its slower on onset.

Best luck to you...

 

Re: Dexedrine IR Dosing To Dexedrine Spansules

Posted by ebb on May 1, 2012, at 14:45:01

In reply to Re: Dexedrine IR Dosing To Dexedrine Spansules, posted by rjlockhart04-08 on May 1, 2012, at 13:23:54

Thanks so much for your response, I take IR 20 mg in morning, and IR 20 mg in afternoon. I wish to stay in Dexedrine class of drugs. Vyvanse yuck.

 

Re: Dexedrine IR Dosing To Dexedrine Spansules

Posted by Novelagent on May 6, 2012, at 23:56:49

In reply to Re: Dexedrine IR Dosing To Dexedrine Spansules, posted by ebb on May 1, 2012, at 14:45:01

> Thanks so much for your response, I take IR 20 mg in morning, and IR 20 mg in afternoon. I wish to stay in Dexedrine class of drugs. Vyvanse yuck.

>

I always suspected my 30mg of Dexedrine Spansules was half as effective as my 30mg of Dexedrine IR tabs!!!!!

Why didn't anyone tell this to me? I hate this. Having a resident for a doc (the medical equivalent of having a public defender) doesn't help. Careful on the vyvanse-- it's more potent than the adderall xr to vyvanse conversion table lets on; start low with vyvanse.

Of course, my resident won't file a prior authorization for me to get vyvanse, saying "other drugs have to fail for me to do a prior authorization." I explained to her i need the prior authorization denied in order for my medicare rx plan to send me a letter saying they won't cover it in order for Shire to cover my Vyvanse for free-- something Shire is perfectly happy to do for me, and my insurance is perfectly happy to issue a denial letter-- but that requires her to do the prior authorization to trigger it. Which she won't do. The medical equivalent of the public defender not feeling like filing a motion to get you into a posher prison...

I'm working on getting another doc, but having schizophreniform is like having kooties-- no psych wants to touch you. I found one who wants $500 for the frst appointment alone, to give a sense of how upstanding the profession is at exploiting my desperation. I'm on medicare, and the docs who take medicare are typically residents and that's it...

Any online or journal source for the dex spansules conversion I could show my doc?


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.