Posted by J Kelly on March 18, 2016, at 20:38:08
In reply to SLS/others: Dual diagnosis, but need ADHD meds, posted by zonked on March 18, 2016, at 17:43:33
> Hi: SLS and everyone else,
haha "and everyone else" I'm sure you meant that in the most endearing way but I had to lol :)
>
> Graduated from the dual diagnosis rehab with flying colors. I don't even smoke cigarettes anymore. Today's my last 7mg patch!This is awesome zonked! Yay for you!!!
>
> 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....I have ADD, so much of that sounds familiar.
>
> 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).I totally rely on Ritalin. I doubt much would get done here without it.
>
> 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)...That's all you can really do, right? Show him you are prepared and make the case for treating your ADHD with what has worked for you in the past.
>
> Anything else? SLS what would *you* do? Anyone been in this situation?Yes. Not the history of abuse. But at one point I actually switched pdocs cause mine simply wouldn't combine anything with Parnate. If your pdoc wont give you what you want it could be a matter of treatment preferences.
> 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...Me either. Been there both were disappointments.
> Have had the best results with Focalin XR , second best with Dexedrine Spansules (extended release).
My T swears by Focalin, I'm thinking of asking my pdoc to let me try it in place of the Ritalin.
Good luck with all that :)
Jade
>
> Thanks as always--
> -z
poster:J Kelly
thread:1087281
URL: http://www.dr-bob.org/babble/20160306/msgs/1087290.html