Posted by novelagent on May 15, 2012, at 17:54:36
My doc is rx'ing me Dexedrine Spansules every 7 days as a new prescription. I was doing fine on 10 mg 3x/day Dexedrine IR tablets, but those are on backorder.
Thanks to a little-known conversion ratio only detailed by an obscure mention on a Medscape clinicsl reference page, Dexedrine IR is equal to Dexedrine Spansules at a 1:1.5 ratio, but my Dexedrine Spansules dose is the exact dose I had with IR tablets, 30mg/day. So they don't work.
My doc is starting the process for me to switch to Vyvanse by calling my medicare rx drug plan to ask for a prior authorization, which is necessary to receive a rejection letter Shire will need to process my application for free Vyvanse.
Here's the catch: Shire will only give me Vyvanse in 30 day increments, but my doc will only offer to prescribe for up to 15 day intervals. Which means I would have to pay for 15 70mg capsules out of pocket each month.
I have no drug abuse history, but because I was hospitalized for psychosis once and thought I was the target of a drug enforcement operation, the doc who I saw at the time speculated on my chart I must have been taking more Dexedrine for ADD than prescribed. wtf? He speculated that because I once ordered selegiline from the Internet, I have drug-seeking behavior. I know, but this passes for a medical report these days...
I should just ask them for my horoscope in the form of a medical report next time. Anyhow, does anyone have sny thoughts on what I might say to comfort them into realizing I don't have a drug abuse problem? I mean, if I did, wouldn't I just abuse them in shorter supplies anyway? It all sounds absurd, and I was always paranoid my docs would think I had an abuse problem (I don't) and meddle with my meds...
poster:novelagent
thread:1017975
URL: http://www.dr-bob.org/babble/20120508/msgs/1017975.html