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Doctor Chip
Doctor Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 22241
Experience:  20 yrs practice, surgery, general medicine, addiction medicine, pain
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I am trying to obtain adderall 20 mg in northern massachusetts.

Customer Question

I am trying to obtain adderall 20 mg in northern massachusetts. I have been told that it is backordered and no one knows when it will be available. Do you know when it will be available? How can I obtain my medication?
Submitted: 3 years ago.
Category: Medical
Expert:  Doctor Chip replied 3 years ago.
Is Dexedrine available?
Customer: replied 3 years ago.

 

My doctor will not issue another medication. It has to be adderall. I have been told to wait for it to come in

Expert:  Doctor Chip replied 3 years ago.
Why won't he give you one month of Dexedrine--it's the same medication?
Customer: replied 3 years ago.

I don't know. I already asked She doesn't want to use substitutes.

Can you find out the answer to 1. How long will it be backoredered? 2. How can obtain my medication. There is some problem with the manufacturer,

Expert:  Doctor Chip replied 3 years ago.
Sorry--I'll opt out and see if another expert can help, but, even if you have an answer, that won't change the time you'll have to wait. I think your doctor is being unreasonably narrow minded here, though.
Expert:  Doctor Chip replied 3 years ago.
Forgot to ask--what about Adderall XR?
Customer: replied 3 years ago.
My prescriber will no give me XR i don't know her reasoning
Expert:  Doctor Chip replied 3 years ago.
Is this a psychiatrist? What exactly happens if you have to wait for the supply to come back?
Customer: replied 3 years ago.

Well, I don't know. I am 10 days overdue. My prescriber is nurse practitioner.

I guess what I am asking is, how do I determine a place that can fill my prescription. CVS has the prescription> I assume they could fax or mail it anywhere. I have tried all the local pharmacies and this backorder seems to be a area shortage. I have also been told that similar medications are out of stock.

Expert:  Doctor Chip replied 3 years ago.
First I would talk to the supervising physician for the NP and ask if a substitute can be prescribed for the time being. You could try calling the manufacturer of Adderall--Teva--and ask if they can help you find a pharmacy that has it in stock.
Customer: replied 3 years ago.
Alright. Thanks for your help
Expert:  Doctor Chip replied 3 years ago.
OK
Expert:  Doctor Chip replied 3 years ago.
Other questions?
Customer: replied 3 years ago.
Relist: Incomplete answer.
The medical advice I received regarding locating my medication was "get another medication". That does not answer the question
Expert:  Doctor Chip replied 3 years ago.
I beg to differ here--I honestly didn't tell you to get another medication, just see if your practitioner would be willing to write for another form of dextroamphetamine, which is a reasonable and sensible thing to do. I also told you to call the manufacturer, and, if all else fails, you could simply call pharmacies in the hope that one had the drug. What more could you expect me or any of us experts to do on line?
Customer: replied 3 years ago.

What is your opinion of these mail order pharmacies? Are they legitimate and reliable? Are there any you are willing to recommend.

Look, it is this simple: I have a medication I am am pleased with. I just want to fill my prescription. . I just got it last month. I can't imagine why this has become so complicated.

This is not some goofy prescription scam on my part. I am a psychiatric patient with a legitimate prescription. This is America and the communication age. I have been on this project for two days. It shouldn't be this difficult to come up with a viable solution

Expert:  Doctor Chip replied 3 years ago.
Is is possible to order adderall on line. The only reason I didn't suggest it is twofold--it's a controlled substance, and, potentially anyone receiving it without a legitimate prescription is subject to DEA investigation, and, one can't be sure of the quality of the drug when it's shipped from a company. If you Google "Purchasing Adderall on line" you will find a way to order it.
Doctor Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 22241
Experience: 20 yrs practice, surgery, general medicine, addiction medicine, pain
Doctor Chip and 3 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
I would like to know what substitutes exist for adderall 20mg
Expert:  Doctor Chip replied 3 years ago.
Dexedrine is the same medication. Ritalin, Concerta, and Strattera, although not the same drug, could be tried as a stopgap until the Adderall is available.
Customer: replied 3 years ago.

I would like to get some feedback from a psychiatrist regarding my current medicine regime. I believe I may be over medicated and would like another opinion. I am diagnosed with bi-polar I, ADD, alcoholism and PTSD. It creates a great deal of symptoms. The medicines are: Prozac 80mg, Wellbutrin 300mg, Lamictal 250mg, Adderall 90mg, Rispiridone 3mg, Tegretol 150mg, Ambilify 30mg and Seraquel PRN.

My primary complaint is that with this much medication and therapy weekly I still suffer from profound depressions that last as long as a week and occur every 3 to 4 weeks.

Expert:  Doctor Chip replied 3 years ago.
Lots of meds. Has electroconvulsive therapy been considered?
Customer: replied 3 years ago.
No; No doctor I have ever seen has made that suggestion
Expert:  Doctor Chip replied 3 years ago.
OK--tell me the whole picture when you suffer the deep depression--how incapacitating is it?
Customer: replied 3 years ago.

I am beddridden during my depression episodes. I can't function, think or feel. I lose all my skills of coping and any memory of how to care for myself is gone. All my therapist and have decided I can do is stay in bed, wait for it to pass, and don't drink alcohol.

I am on disability and medicare because of my condition. I havent been able to work for four years.

Expert:  Doctor Chip replied 3 years ago.
In that case, when antidepressants haven't been effective, I would strongly consider ECT. It's reserved for severe unremitting depression and, in your case, it would certainly be an option to consider.
Customer: replied 3 years ago.
OK I will ask my psychiatrist about it. What I was really looking for, however, was a response to the specific medications. I am looking for a second opinion as to all that I am taking. I am concerned that I am over medicated and that in some way incorrect medication might be contributing to my predicament
Expert:  Doctor Chip replied 3 years ago.

They could, indeed, and, if they haven't been effective, I'd consider weaning them one at a time. You mentioned alcoholism--are you still drinking, and, whether you are or not, what treatment have you had for it?

Customer: replied 3 years ago.
I am sober 4 years in may. I was in a treatment program for it for 13 months. I had a lot to learn about living sober. I used to drink through my depressions and, hence, didn't really experience the severity of my cycling until I got sober. Is there some kind of medication that can be taken at the onset of a major depression that will lessen its intensity? Until I solve this problem, I can't lead a normal life.
Expert:  Doctor Chip replied 3 years ago.
What was involved in the 13 month program? I'm asking not just because of curiosity. And there isn't really any newer medication that isn't like what you've already tried.
Customer: replied 3 years ago.
It was a residential, social community model halfway house. We had required groups, AA, drug testing, chores, counseling, and volunteerism. It did me a lot of good
Expert:  Doctor Chip replied 3 years ago.
Do you still attend AA?
Customer: replied 3 years ago.
yes.I attend 7 days a week. I also attend weekly therapy and occasionally go to groups at the half way house
Expert:  Doctor Chip replied 3 years ago.
Do you have a sponsor, work the steps, do volunteer work, etc.?
Customer: replied 3 years ago.

Yes, I do all three. Why do you ask? Is there something else I should be doing to help myself?

Expert:  Doctor Chip replied 3 years ago.
Just wanted to make sure you were deeply into the program as it tends to give people a more positive outlook on life and the meaning of life. Besides countinuing counseling and considering ECT I don't know of anything else to recommend.
Customer: replied 3 years ago.
Thank you for your time. What you say is pretty much what the other doctors say. However, ECT has never been mentioned before. Doesn't that cause memory problems? I also have a seizure disorder so I am wondering if that would preclude the ECT treatment. I know am a complicated mess but I appreciate you going over all of this with me.
Expert:  Doctor Chip replied 3 years ago.
Tell me about the seizure disorder.
Customer: replied 3 years ago.
I take tegretol. I have a major seizure a couple of times a year. My body shakes violently, I pass out and usually hurt myself. I have broken my leg twice during one of these episodes. I can feel it coming on but there s no rhyme or reason to it. All I can do is sit down before I pass out. However, it comes on so fast there isn't time usually to do anything to help myself
Expert:  Doctor Chip replied 3 years ago.
OK. ECT is not absolutely contraindication in epileptic patients, although the dosing of the tegretol may have to be adjusted during the process. That still would be an option to discuss with your psychiatrist.
Customer: replied 3 years ago.

Is it a permanent procedure or does it have to be done periodically? Do you think it would be covered under Medicare as a necessary treatment?

Expert:  Doctor Chip replied 3 years ago.
It may take a series of three or more treatments. There isn't any permanent damage to memory or personality, although in the first day or so after the ECT there may be a daze and disorientation. If validated by a psychiatrist, I would think Medicare would cover it.
Customer: replied 3 years ago.
OK I appreciate all your help. Happy Easter
Expert:  Doctor Chip replied 3 years ago.
Same to you. Keep in touch.

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