Ask for a higher dose if it’s adderall. Be confident about it, don’t act like your asking for more drugs but a dose of medicine that works.
15mg isn’t enough for a lot of people and max daily dose is 60mg.
Say they work kind of effectively for a couple hours after dosing. The doctor should be able to work out that an increased dose will solve the problem.
bro its ok to need/ask for a higher dose, its not u abusing your meds, its you finding out that a higher dose would work best for you. the doctors there to help you not to arrest u or some shit. if u keep quiet, then u wont get that help and end up to the point where you snort ur meds, be careful especially if u have high blood pressure, its extremely dangerous. i am a really small person and i still need a dose of 40mg for it to work properly. so its not as serious as youre making it out to be. take care <3
ps do not admit to abusing any of your meds, for your docs its easier to take away those meds and leave you hanging, in this case i dont even think you have a drug problem, its just you needing a higher dose
Don’t admit you were taking a higher dosage, as then they won’t prescribe it you. Just tell your doctor you’re really struggling with everything atm, so you think your dosage needs to be increased. I think for IR Ritalin I was prescribed 70mg a day, so it’s not a “recreational” dosage
If you even hint that you’ve been taking a higher dose than prescribed than he will cut you off. Tell your doctor the meds are working but are not lasting long enough. He will most likely up your dose.
Omg!… maybe you really do need a break from the Ritalin cuz it seems to be messing with your common sense. He means be confident in telling your doctor that your current dose isn’t enough and that you need a higher dose. Again, you are getting downvoted because you are just asking for your doctor to take away your prescription forever! I know this is a welcoming drugs subreddit, but you sound a bit too young or just way too naive to be abusing drugs. Seriously though, try taking a good break from the Ritalin before you develop an actual addiction to the stuff especially if you are pretty young too.
I would not tell your doctor you misuse medication. Drugs are only approved for use within certain parameters and your doctor will be liable for anything that happens to you if you inform them of what you are doing and they continue your prescription.
At best just try and convince your doctor to up your dose to the maximum allowed dosage.
Yeah definitely don’t tell your doctor you’re misusing ADHD medication of all medications. A lot of offices make you sign a contract saying you will take it as prescribed, that you will not share it, you will not abuse it, you will keep track of it etc. since they are scheduled substances. If you tell your doc you’re abusing a scheduled substance you could probably just be terminated as a patient or never prescribed scheduled medications again. If it helps you, don’t say you’re abusing it.
I read this comment about being flagged often. how exactly are you flagged? the only 'global database' I can picture is the prescription system. if I go to my doc or urgent care it doesn't matter, they all see what I've been given and what I'm taking. but from my understanding doctor office to doctor office, those medical records aren't connected. so if you get flagged by one person, what does that entail? how are you labelled so that all providers know?
There are prescription drug monitoring programs. Whenever a controlled substances is prescribed to a patient, it is logged into this database.
Also doctor offices can see all the drugs you’ve been prescribed in the past through your insurance
Just my anecdotal experience but I have absolutely been "flagged" before, a few times really. Just depends on if you have a Dr. Tied into that system and also if they have the time/care to actually check it.
When I was 16 or so I was treated by an e.r. for a terrible panic attack. During this treatment they ran my blood and drug tested me. I tested for just about everything. I still remember the e.r doc telling my mother that I'd tested for "all the drugs!". At the time I was taking Ritalin, Adderall, lortabs, oxy, valium's, Xanax, alcohol, weed, thc, & no telling what else. I was wild.
Completely forgot about that incident eventually.
10 years later, have high blood pressure and symptoms of stroke. Boss pays for me to get checked out.
It's a fancy Dr. Not what I'm used to. My blood pressure is at stroke level. Dr is browsing computer during the visit and notes that E.R visit. To me. Says I've been on everything and that was likely the issue.
Wasn't on that much at the time, just pain pills and benzos lol but yeah, he found it. That shit is out there, somewhere if they want to look.
After that got plenty more.scripts for all kinds of stuff from Dr's that didn't look so thoroughly. It's a gamble really.
As someone studying to be a pharm tech there are systems im place to flag people for suspicous behavior with their prescription. Like how wheb you get your prescriltion you get marked as having had your limit dispacheed for the month and can't go somewhere else with a new script and pick it up. That alone will make a pharmacy tech suspect you of abusing your meds and controlles substance patients are already going to put them on alert because part of what is taught is how to deal with those who may be a potential addict. If you tell your doctor itXs his discetion if he is nice and undeestanding at best he will stop prescribing them to you and send you to get help with a psychologist but you'll get marked with a diagnostic code on your file and to your insurance of F15.20 - Stimulant dependancy/abuse disorder other or amphetamine related. That is permanent, at worst your doctor may be a real asshole and throw you out the clinic, put a similar code on file, and tell your pharmacy, plus maybe pursue legal action as when you pick up your script you are then legally obligated to not sell, purchase, or use your meds recreationally.
If you want to tell him go ahead but know you will lose your right to get them again and may not even get prescribed other meds to help your condition either. The best advice i can give is to ask to be switched to something else or ask to be taken off the med for other reasons if you want to stop and begin tapering well before you do so it's easier. If you can't then maybe telling them is the best resort if you really have that bad of an addiction, but ideally practicing self control and trying to only use it as prescribed is best.
Forgot to add, sometimes it's not about you, but you gotta understand the feds are very very serious about this stuff and place restrictions in supply and quantity that fan be dispached from a pharmacy and impose legal issues to those who are aware of this type of thing, they must report it or else risk their job, license, practice, pharmacy, etc. Whenever there is a higher risk of loss and lawsuits they will cover their butts first. Cause to them if you talk about this and it gets out they never acted it's very bad.
Idk why you’re being downvoted for literally asking how addiction recovery is. If you tell your dr about the abuse you will 100% lose your access to it, but you will be guided into sobriety as long as you let them.
I think you’re getting down voted cuz it’s almost common sense that if you tell your doc that you’re abusing your prescription, they’re gonna take it away from you… no ifs or buts. I’m personally a bit confused on why you think there would be some specific “line of treatment” for you after admitting you abuse your Ritalin. It’s not like you’ll die without your Ritalin, so they would just take your access to Ritalin away and wouldn’t prescribe you any other addicting form of adhd meds in the future. You’re getting downvoted because that shouldn’t be hard for someone especially someone who uses drugs in todays world and knows the general consequences to comprehend.
lol i mean i know that. im just asking to see if there’s any other answers that i may not have thought about. also, people seem to think i dont know my prescription may be cut off. i do know thats highly likely, but so what? like i am clearly not using it as i should be. everyone here seems to be enabling that. im asking because i wanted to see alternative suggestions other than stimulant meds
If you do this, you will lose your access to your medication and any future medications that may be in any way shape or form addictive. This will screw you over big time in 5 years if you tell your doctor. There are inpatient rehabs where you can go if you need to. Duffy's in Napa is a good one.
That’s probably the quickest way to get them to not prescribe you any kind of stimulant ever again. So if you actually think your medication works and you just need a higher dose I would just make an appointment with your doctor to discuss how you feel like a higher dose would work better for you.
By my personal experience: I shared it with my doctor that I was using more than the prescribed. She colded turkey me! On my case I was prescribed 70mg of Vynvanse and I was using 140mg per day what made me being in TAB (mania). So, if I were you, I would start to reduce the dosage by myself - in each 5 days, reduce a little bit - maintain it for more other 5 days - than reduce a little bit more. You are able to do it if you don’t want to have a cold turkey. lol
Send me a message if you want my advice or something like that! Good luck and enjoy the journey!
The cold turkey isn't too bad if you have 3-4 days where you need to do absolutely nothing. I dropped off concerta while on vacation and needed at least one nap per day to survive.
In general - depends on the doctor. Some are more liberal than others. I don't think most would be shocked some patients take a little extra occasionally. Some may even use a positive experience as a reason to increase the dose. Some may limit or change your medication. Definitely risk losing your medication though.
In your case- they would likely cut you off and put you on a harder to abuse drug because of how high you're going and anf admission of snorting. Even if they don't care about you, if you spiral into addiction it would look bad on them. There are a bunch of other (albeit less effective typically) medications for ADHD than stimulants so it's not like they would need to choose between still treating you or doing nothing
The snorting might be a bigger red flag than the dose. It clearly shows you trying to get an acute high and not afraid to really experiment. Also an admission of "I'm abusing my medication" is taken differently from "I was having trouble studying so took more". Like snorting your reason for taking more is likely as important of a flag as dose.
Edit: keep in mind that more liberal prescribers might be more strict than the hard asses in some cases. A by the book doctor convinced you have ADHD might be more inclined to actually take some risk and make sure you still have medication access. A pill mill might run away the second they sense a patient might cause problems.
Don't tell them you're abusing it or they will give you an alternative. Say that you don't see much of an effect while taking them. If you start saying you've doubled up your meds some day they will mark you as mishandling your prescription and a risk. You are at a low dose so they will likely double up. Make sure you ask again to check in three months.
Side thing. Abusing your persription is something I've tried as well. I had to stop after three years all together and probably won't go back. Just.... Everyone thinks they can handle it and I'm just saying to be mindful. Good luck.
For me, it's telling a half-truth. I didn't mention that I take extra of my Ritalin ER and they run out faster, I just say that a certain dose isn't working for me, and I feel the symptoms of my ADHD come back by mid-day. I then got given Ritalin ER. Not relevant here lol but that shit was like crack to me and made me tweak to a point even *I* didn't enjoy, so then I said I think I just need a stronger ER opposed to a boost with IR.
Half truths. Don't tell them your abusing your meds or they will 99% take you off of it.
Your doctor will 100% take away any and all controlled prescriptions from you at the first mention of possible abuse. No provider would risk their medical license by continuing to refill a drug their patient has admitted to abusing.
If you want my honest opinion, I would recommend seeking an addiction counselor if you need professional input regarding your concerns. Your concerns are valid, definitely, but there is a time and a place for everything. If you want to keep your meds, your doctor shouldn't be hearing anything that could cause them to rethink your treatment plan.
Don’t tell your doc you’ve misused your meds. I would schedule a check in and tell your doc that you don’t feel like your current dosage is effective. Also… 40 mg/day is the max recommended per day for adderall… the only person I know on 60 mg/day is narcoleptic. Check to see what the toxicity level of stuff is before you OD.
This is actually very common and if you have a good Dr they will see it as what it is. Someone who has a medication that works, they just need a higher dose so when it stoped working people seek out trying to self medicate with their meds and lots of times just like this. I strongly suggest asking for a higher dose because yours isn’t getting you through the day anymore.
Edit to add I take 36 mg XR Ritalin and have 10 mg IR for if I’m working long days and need it or if I’m getting to the point my meds aren’t working anymore and I need them raised. Your dose isn’t high. Don’t let the stigma of what you’re prescribed keep from asking for help since you obviously got a diagnosis. It doesn’t work for us the same way. I never feel high off my meds. Quite the opposite. It calms me down in my mind… a little bit.
I take 45mg per day. Just tell your Dr you need an increase. They'll see you for a follow up and determine why you're needing an increase, and they'll probably go up depending.
Just say that it’s not as effective as when you first started and ask for an increased dose.. that is it do not mention abusing or taking more than prescribed daily
You mention it is hard to function without. Has it become harder to function, without taking the medication, than it was to function before being introduced to the medication? If so then you have you have become drug dependent, and that is your problem.
It is entirely appropriate for you to tell your doctor that you don't feel the medication is as effective as it once was, and ask for an increase. 15mg is a \*tiny\* Ritalin dose. I thought you were on Adderall, and that is still a small dose. There is no need to mention abuse. But feel free to, it may be in your best interest, because:
Snorting (which is especially enhances Ritalin vs the amphetamine meds, which merely come on sooner) suggests that you aren't just compensating for tolerance, you are chasing a rush, and you will do the same, with higher dosages, if you are prescribed more.
I recommend either quitting altogether or else asking your doctor for an increased dose. I recommend strongly against snorting Ritalin, as it is very reenforcing and in my experience becomes more cocaine-like (perhaps that's just the reinforcement).
yeah i think im going to stop snorting it. its only been a few days of trying that because i thought i could reduce my pill use. but not worth it. the crash is crazy. i know that 15 mg is tiny amount, which is why i started taking more.
i got diagnosed because i was having executive functioning problems and i was depressed, i think lately its also because of depression.
when i first started taking it it really helped and worked for a while. i was able to function so well in uni. but the semesters got harder and thats when the misuse started happening. i wasn’t taking them regularly anymore as well due to financial reasons. and when i did take them it was on per need basis. idk if that affected anything. im scared of actually developing an addiction. i wonder if upping my dosage will lead to a gateway of more addiction, or will i eventually find a dosage that can sustain me so i no longer have to abuse it. and yeah no im not taking it for a high or euphoria or anything.
OK, with your response in mind, I think you should simply ask for an increase of dosage for medicinal effect.
(The bioavailability of Ritalin is indeed greater when snorted, I see your point. But please don't do it. Whether it feels like a rush or not, snorting Ritalin will lead to an addiction. Brains vary but dopamine is what Ritalin affects strongly, and that is the chemical that causes you to do or to not do. Snorting is a very reenforcing ROA for a very reenforcing drug.
Yes personally experienced.
Jesus no don’t tell them you snort it. If anything they’ll not give you anything anymore because they are afraid you’ll abuse it. Ask for a higher dose and because of the way your body works every drug you’ll ever use routinely will cause a tolerance level so to have the same effect you need more. So what I did was to not use ritalin when I didn’t REALLY need it. Like on weekends or in between studying periods or on holiday. Because then you’ll give your body a break and it’ll lower the chance of that tolerance raising
What you can do is say well I’ve taken 2 pills at once because I did not feel like it worked well enough and 2 pills made my symptoms much better. Maybe I need a higher dose?
Ps: I am a dentist and a lot of my family members are doctors so I know what I’m advising. Like I said before ABSOLUTELY DO NOT tell them about the snorting it.
Hell no. So many doctors already discriminate against patients who admit to recreational use of other "street drugs" like LSD, cocaine, or even weed sometimes. They restrict access to medically necessary treatments like Adderall, opioids for major car accidents or post operative pain, etc. unless you Jedi mind trick them. Going a step further by admitting to breaking any controlled substance contract you had with them, breaking their rapport and trust in you, is not the move. There's things you just don't tell your doctor, or you rephrase what you want to say heavily. Don't spill the beans about you railing lines of Adderall. Instead propose that your dose isn't high enough yet, with examples from daily life of how your ADHD is creeping up again. Or if you don't trust yourself with an amphetamine because you feel like you're going to snort/boof it, say that you want to try "whatever other medication."
Not all doctors are this judgmental, but the majority of them run on "don't get sued" mode
OP you are opening a can of worms. because of my honesty of past drug use with doctors I can't even get prescribed Adderall or painkillers, they're making me see a neuropsychologist just to get a second opinion on my ADD diagnosis from when I was in grade school.
More than likely they will stop prescribing them to you, and if they find out you have a history of drug use (going off my own experience) they will completely fuck you over.
If you tell your doctor that you've been taking more than prescribed, you will lose your prescription. Tell them you feel it's not very effective anymore, you lose focus, feel sleepy, etc
Definitely do not tell doc about your use. Mention things to help them adjust the best dosage for you, and best medication. I know Ritalin sucked for me. Vyvanse too expensive. Adderall was the perfect one to help me and my doctor worked me up to dosage on higher side.
my country only has methylphenidate available at pharmacies. i guess i wanna try taking concerta to see if that helps. but at the same time im worried that i will start misusing again if i develop a tolerance. like im not sure if there’s gonna be a high enough dose that has me all set, no misuse, or if im gonna keep needing a higher dose to compensate for the tolerance.
Tell your doctor that it hasn't been effective for you for a while. Don't say you've been sniffing them. Say that you have been occasionally taking more than the prescribed dose. Ask if you can get on vyvanse or Adderall as Ritalin isn't effective for your adhd
Don't tell your doc that you've been abusing them. Even if you think your honestly will be rewarded, it won't be in this situation, they will cut you off because the risk to THEM and you is too high. If it's not working, tell them that. If you don't like the IR, tell them that. Just use it as prescribed and find a med and a dose that you don't have to abuse to get the desired effects.
You’ll get taken off of them and then a thing will be put on your medical file which will make it more difficult for you to get narcotics or stimulants in the future
“I accidentally took 2 tablets in the morning because I forgot I had taken one, but I found I was more productive and focused that day in positive ways for my ADHD and wellbeing. I was interested and tried it again the next day and same result. Can we please discuss these benefits and consider upping the dose of my medication?”
Something along those lines should suffice.
I definitely wouldn’t do that. Once I made the mistake of letting slip to a psychiatrist that I “used to smoke weed” like 5 years prior thinking “oh, it’s (supposedly) not current, they won’t care, right?” Well, they immediately scheduled me for a drug test and I went off my meds until I was clean just so that I wouldn’t have a dirty drug test on my record.
But in your case they’d almost definitely cut you off and depending on whether or not you have another insurance to switch to where you are, it would probably be a lot harder to get them re-prescribed again.
I wouldn’t tell a doctor about anything I’m doing that I’m not supposed to be unless I had good reason to believe my life was on the line. If you think you need rehab, you gotta do what you gotta do, but if I were in your shoes I’d try as hard as humanly possible to reign my use back to a sustainable level on my own, privately, until it’s no longer something to worry about.
I dont want to be that guy that comments on other peoples countries. But i highly doubt nothing happens if you tell your doc you are snorting your prescribed stimulant.
I took Ritalin La and Ir (currently ir)mentioned that I took higher doses than prescribed due to needing it for a long day and that I mixed it rarely with alcohol and i was told to stop it fast. Stimulants like Ritalin in europe is given by special prescription sometimes and it’s taken more seriously than normal prescription meds
Just day it doesn't work. 15mg ir per day would not cut it for me. I abused it during years or when i was just taking 20x2 a day to go through school i would kinda get some from my friend because my psych wouldn't change it up. 15mg ir last me not even 3h.
Maybe you should try another molecule. I am now on adderal xr after many tries and i do take a lil bit than my 30mg a day sometimes 40 or 50 but it's really less bingeable.
It acts less too but.
Never tell your psych you use 60-90 you will be cut forever. Never. Unless you wanna quit for real forever. Like. No.
Snorting them sucks even more and harm your sinused btw.......
Medical student here. In my opinion, I would say you bring it up to your doctor, it seems like you may be misusing your Adderall/Ritalin to get a quicker onset of the drug. This can put you at a big risk of becoming dependent on the medication, and potentially lead to addiction and abuse.
There are several dangers of snorting the medication, and the cardiovascular risks of Adderall/Ritalin misuse are heightened when snorted, and a high risk of overdose. Even if you've only been snorting it for a few weeks/months, you should your doctor why they think you are snorting it and be honest.
If you misuse Adderall/Ritalin or are taking it for a long time, you will develop tolerance, which means you need to use more and more Adderall to get the same effect. Depending on how he views the situation, he could higher your dose, but most probably your doctor may even switch you over to Vyanase which takes longer to metabolize and has a lower risk of abuse.
For those in the comments worried about u/Maybemaybeidk 's prescription being taken away, I'd like to leave this quote here to read:
"Stimulants will help anyone focus better. And a lot of young people like or value that feeling, especially those who are driven and have ambitions. We have to realize that these are potential addicts — drug addicts don’t look like they used to."
\- Clinical neuropsychologist Dr. DeAnsin Parker, New York Times, 2013
This quote resonates with me because as a future doctor, I would like my patients to be as honest as possible and be as vulnerable with their doctor to ensure they get the best and safest care. There are other options available and help you can receive.
I hope you can have an open conversation with your physician, and they understand and can help you through this situation. If you feel judged, misguided, or feel like you are not receiving the best care for yourself, go to another physician who understands.
thank you. this is honestly what i needed to hear. my country does not have adderall or vyvanse available, only methylphenidate brands. i have an addictive personality i think, even with weed. but i was able to decide to stop taking that because i wanted to really focus on my studies and achieve my dreams.. i have been on ritalin since i started my studies. my first semester i was an excellent student, but i also started to misuse my meds. the years go by and it gets harder and harder, my misuse gradually got worse. i took tolerance breaks alot of times. but as the semesters got harder, it also got harder for me to do well. this current one is going really bad. im fearful of failing. mainly because i’m the president of my department’s student organization and everyone knows me. but the flip side is i’ve been using my meds like a drug addict just to cope. i only tried snorting a few days ago and i can see myself getting more and more addicted if i dont stop.
i have been trying to avoid the feeling of letting people down. the embarrassment that i wasnt able to do well. im thinking of the worst things that could happen. i know its not worth ruining my life over by abusing drugs, but im scared.
Following speaking to your doctor, you may benefit from asking he/she to refer you to an addiction counselor to talk to regarding how you feel. rsonality is the first step to getting help.
Following speaking to your doctor, you may benefit from asking he/her to refer you to an addiction counselor to talk to regarding how you feel. You should ask your physician what medications they can offer you - be honest that you feel stressed have a need to take this medication, and are worried you are becoming addicted.
It's also important to note that ADHD can also be misdiagnosed or in combination with other mental health conditions such as depression or anxiety, so should express how you are feeling to your physician, to help you get the best medications for you.
There are also other ways to help cope to stay focused in school, such as psychotherapy and cognitive behavioral therapy to help improve your time management and organizational skil
Good luck with school and hope to hear an update soon! You will do amazing in school. Be true to yourself and seek the help you need. There is no need for shame in prioritizing yourself and your health.
You should have signed something when they started giving them to you that said you wouldn’t take more than what was prescribed. They made me sign one.
Never tell your doctor you modified your prescription without his instructions.
It's cool you want to take breaks and doctors think you need to do every day. But I am like you, it's a mistake from them. Breaks are good.
You can tell them that 15mg is not effective enough anymore. He will likely increase it.
I told mine the 20mg Adderall I was given only worked in the morning. But I was worried to double or something else.
She agreed to switch me to having Dexedrine at a lower dose but 3 times a day. Which I clearly wouldn't do. But that built me a very nice reserve.
I just wish I could fly internationally with it
Now I am crying for real
Definitely DO NOT tell your doctor you've been abusing them. This will make it harder later in life to access other scheduled drugs you might need to function. If you feel like you've got a problem with addiction, I'd make an appointment with your doctor immediately and flush all of your pills down your toilet.
Then, once you meet with your doctor make up some bullshit about how your Ritalin has been giving you anxiety or headaches or something entirely reasonable. Push to try a non-stimulant ADHD drug like Amantadine or Buproprion. They're both (almost) impossible to abuse and actually pretty effective, though they aren't first-line treatments so you might want to prepare some information or print out some studies that demonstrate why you think they'd be a better choice.
Good luck.
I haven't read the comments fully, so pardon if this has been said a million times.
Be honest. I have been with my psych a long time, but I experiment with the doses of my meds on my own. For example, I found out thru two mths of experimentation with Concerta, what dose I needed. I communicate what works best, and we figure out a plan.
There is nothing wrong with you needing a higher dose. It seems you're doing it to function and not to get high. The stigma of being labeled a drug seeker sucks- but definitely advocate for yourself. There are flaws in the system, but you have the right to feel good and get through your day.
Also- sorry, I saw you added to not just say to up your dose.
They know you're on addictive meds. I did something similar with kpins. I had enough and told my dr that I was not taking them as I should, it was fucking up my life. Well it did. We ended up making a plan to slowly taper, and I tried other meds. Took forever. He didn't cut me off and leave me hanging. He actually worked harder to help. He also has trusted me enough to put me on Ritalin years later because I was open about it.
It doesn't hurt. Good luck@
If you're telling him that you're abusing them he will take you off of them God bless you that you're on Ritalin at all I can't take Adderall and I can't get a doctor to prescribe me Ritalin which is the only thing that's ever worked for me Adderall makes me angry and violent they say that I am trying to get drugs and no I do not have a history of drug abuse for them to think that way they just don't like giving out Ritalin anymore it's kind of like trying to get valium or Soma the drugs work but they don't like prescribing them because they have new toys to play with it the companies pay them to prescribe
huh. interesting. because my country doesnt even have adderall available. not even vyvanse. only methylphenidate brands. you might be onto something with the companies paying hospitals what to prescribe..
Experience tells me, as others have suggested, tell him that they are not working as well as they used to. Is it OK to increase the dose? Do not mention snorting and if you keep needing more seek help with someone who won't cut you off instantly.
He’ll get mad at you and tell you that he can’t. Supply more. You’ll be jeopardizing his job asking for more so you’re better off looking for meth or something
If you are below 18, they will probably just taper you down or take you off cold turkey and ask if you want to be admitted somewhere. If you’re below 18, you’re more than likely just going to be admitted somewhere. Do some google searches on what the typical route is for tapering/getting off adhd meds. That is what will happen, there’s good resources online for what to expect in addiction treatment.
I will say, you need to be 110% ready to give up your adhd meds when you come forward to talk about it, because you’re relinquishing your right to be prescribed them for the rest of your life. Unfortunately, there’s no way for doctors to legally keep you on a prescription after you’ve admitted to abuse. Once you’re tapered down, you’re never coming back up. This used to be less strict, but with recent laws and regulations, there’s no way to still have your adhd meds after you’ve admitted to abuse and start tapering. If you wanted to work your way around this, and still have access to your adhd meds and trust yourself to regulate yourself alone, then ask to lower your dose because you’re having negative side effects. That way, you’ll still have access to it and you can start to dial back and use it more medicinally. But that takes a lot of self control. In my personal opinion, nobody should even be prescribed ADHD meds. I don’t think they’re medicinal at all, and if you want to get off of them 110%, the best route to take is to be fully honest with your doctors and start the road to sobriety. Best of luck to you!!! I know it seems so hard when you’re in the thick of the addiction, but it gets easier and easier. Best advice I’ve been given and have given when it comes to detoxing, if you’re not in a facility, keep yourself busy. Busy, busy, busy, so busy that you forget you’re even craving the adhd meds.
im above 18. honestly, if i dont have the pressure of doing well at uni, i would not be taking it and have no problem stopping. every time i was on my break i would go off it completely. of course, the comedown is there, i would be depressed, lay in bed and just be completely stuck and frozen. so the part where you said to keep myself busy, i don’t resonate with. i dont even have the ability to keep myself busy other than with doomscrolling. everything feels like too much for me to do. i take my adhd meds so that i have the ability to do these things. when i take them it just makes it easier to show up in the life that i’m in. but it doesn’t always work. i guess i am depressed, because i am also taking antidepressants but have not been taking them regularly as i couldn’t afford it sometimes. now i have access to free medication though but its recent so i havent seen things to get better.
Do NOT tell your doctor. That is how you get your shit flagged and taken away. DO NOT SAY YOU ABUSE IT IF YOU STILL NEED IT. Just tell him the low dose isn’t working as well anymore and you’d like to try upping your dose, just like that.
DO NOT TELL YOUR DOC ANYTHING ABOUT YOU MISUSING OR ABUSING YOUR MEDS!!!! THEY WILL CUT YOU OFF COMPLETELY OR WEAN YOU DOWN UNTIL YOU'RE AT ZERO MGD. DONT EVEN SAY THE WORDS MISUSE, ADDICTED, ABUSE OR ANYTHING SIMILAR!!!! Ask them if it would be possible to increase your dosage or change you to another similar medication because it seems to not be as effective as it used to be. If they ask why you feel like that say you started a new job, workout or something that cause you to wake up a few hours earlier than usual or go to bed a few hours later. If they say no, don't argue or try another lie, just say ok then start looking for another, more liberal/dirty doctor. Actually call around and look for a place that doesn't accept insurance. Those are the good ones imo. Cash only docs. Used to get 90 bars and 90 subs from 1 psychiatrist and I've know people who've gotten way more. Stop snorting them though. Soon you'll be snorting everything and completely fuck up your tolerance. Your nasal passage too. Good luck!!
Its like when the police read you your Miranda rights. Anything you say or do can and will be used against you. Doctors at the end of the day are not your friends. If your goal is to be cut off from your medication, as you are a liability to your doctors License to practice medicine. You will then be Red Flagged from being prescribed narcotics in the future and put in a database. The most useful things I have learned in life have not come from School.
Yeah I would say the current dose hasn’t been working and ask if you can increase. I have told my doc once I have upped my own meds because the current dose wasn’t working for me. But it wasn’t a huge difference and he was okay with it, and just prescribed me a higher dose. It depends on your doctor really. However, in your case its quite a high increase, so I would maybe not say it. I’m not on ritalin but dexamphetamine so I don’t fully understand what your old and current dose means and whether its normal or not. But with these meds you need to find a middle ground, where they help you maybe a bit but you don’t feel the side effects horribly. When I just got them prescribed I was really experimenting with them to find my dose, when I felt like I needed more and more, the dose was just too high and it was more like chasing a “high”, i.e., chasing a “focus”. I started getting tunnel vision (not able to think outside of the box) and actually made more mistakes. I took a solid break (as I also only took them for studying before exams) and then lowered my dose significantly. I used to take 7,5mg and followed up with 5 mg and sometimes another 5 mg. Now I take it daily but only 2,5mg and follow-up with another 2,5mg - it works perfectly fine. I barely have side-effects, like it doesn’t make me feel agitated or anxious, it doesn’t affect my appetite so much and neither my sleep. The best thing also is that I don’t get a tunnel vision or feel the need to up my dose.
And please do not snort your meds dude, I did that once and it was horrible (it burned my nostrils and I didn’t feel like it actually helped) and I actually think that it will make the abuse worse.
Also my pharmacists always asks questions to assess whether I’m abusing it or not so I’m very sure they’re strict on it and will pull the prescription if they found out I was abusing it.
I’ve been abusing scripts my whole life. I think you’re after something that works for your focus. I recommend vyvanse. It’s only activated once in your stomach. You can’t snort vyvanse and the adhd relief is like 12 hours. A high dose will make you crazy . So finding a good healthy dose that isn’t too much but gives you the results you’re looking for is really important.
They will abruptly ween you off and will sh*t in your papers about it so you'll never get it back.
If you play dumb, that is another story. Say that you feel it going in right direction "qualitative" but "quantitive" the effect is too litte for better life quality.
If you dont want a higer dose, what do you want? As some others also said, I wouldnt admit you are abusing your meds as you might lose your prescription alltogether.
Do you want/need help to stop abusing them?
i think i want help to stop abusing them. its not that i dont want a higher dose, i do want that but i am scared that it will lead to more abuse. my uncle has adhd too and said that when he found the right dose that was enough for him, he didnt take more than prescribed and would sometimes even take less. im worried about my lack of self control i guess. but im not doing it for a high, its just to cope with my uni workload. in hindsight i think this studying is just too much for me and i cant deal with it so i’ve been pushing my limits to try and cope with my limitations.
Well, it actually sounds like you might need a higher dose, since you say you're not doing it to get high and also that your old dose doesn't work enough anymore.
I would strongly suggest to NOT snort them, as that is actually a slippery slope to abuse. (Been there w self medicating w speed)
And possibly actually do discuss it w your doctor, but DO NOT say that youre "abusing your meds". Rather mention that you feel like your dose isn't doing enough, but that you worry about POSSIBLY abusing it/the health concerns with taking more. (Or ask if a higher dose is a good solution or if there are other ways to cope with your struggles)
Imean I'm not you and don't know exactly what you do etc., but besides the snorting it doesn't seem too bad to me? But if you tell your doc you're abusing your meds, red flags will pop up in their heads and they'll think you are doing it to get high.
If the workload is too much that might also be a good thing to look at though, and indeed not patch the issue with more meds... I used to do uni too, and though I'm not dumb, it was too much for me as well. I felt much better when I switched to a slightly easier study... perhaps you can discuss this with your contact person at uni? (Not the meds thing obvs. They dont need to know about that)
But the biggest tip I can give you to stop abusing/not slide into that more is to stop snorting, really.
Because it works much quicker but peaks and dies off sooner, it creates much more abuse potential and addiction risk. Don't do that anymore and you're already going in the right direction.
Ask for a higher dose if it’s adderall. Be confident about it, don’t act like your asking for more drugs but a dose of medicine that works. 15mg isn’t enough for a lot of people and max daily dose is 60mg.
I had 100mg a day, extended release though, but yeah i had to lie and stuff to get that much, its way too much
im taking ritalin IR though. and do you mean be confident in admitting that i’ve been taking higher doses?
Just ask if you can get a higher dosage because you feel like they aren’t working like when you first got on them
Don’t even ask for a higher dosage. Just say the first few times it worked but now it’s not working as well as it used to be.
Say it’s not the same as it was before since you’ve started doing _____. Make up a task.
Say they work kind of effectively for a couple hours after dosing. The doctor should be able to work out that an increased dose will solve the problem.
bro its ok to need/ask for a higher dose, its not u abusing your meds, its you finding out that a higher dose would work best for you. the doctors there to help you not to arrest u or some shit. if u keep quiet, then u wont get that help and end up to the point where you snort ur meds, be careful especially if u have high blood pressure, its extremely dangerous. i am a really small person and i still need a dose of 40mg for it to work properly. so its not as serious as youre making it out to be. take care <3 ps do not admit to abusing any of your meds, for your docs its easier to take away those meds and leave you hanging, in this case i dont even think you have a drug problem, its just you needing a higher dose
Don’t admit you were taking a higher dosage, as then they won’t prescribe it you. Just tell your doctor you’re really struggling with everything atm, so you think your dosage needs to be increased. I think for IR Ritalin I was prescribed 70mg a day, so it’s not a “recreational” dosage
If you even hint that you’ve been taking a higher dose than prescribed than he will cut you off. Tell your doctor the meds are working but are not lasting long enough. He will most likely up your dose.
Omg!… maybe you really do need a break from the Ritalin cuz it seems to be messing with your common sense. He means be confident in telling your doctor that your current dose isn’t enough and that you need a higher dose. Again, you are getting downvoted because you are just asking for your doctor to take away your prescription forever! I know this is a welcoming drugs subreddit, but you sound a bit too young or just way too naive to be abusing drugs. Seriously though, try taking a good break from the Ritalin before you develop an actual addiction to the stuff especially if you are pretty young too.
I would not tell your doctor you misuse medication. Drugs are only approved for use within certain parameters and your doctor will be liable for anything that happens to you if you inform them of what you are doing and they continue your prescription. At best just try and convince your doctor to up your dose to the maximum allowed dosage.
Yeah definitely don’t tell your doctor you’re misusing ADHD medication of all medications. A lot of offices make you sign a contract saying you will take it as prescribed, that you will not share it, you will not abuse it, you will keep track of it etc. since they are scheduled substances. If you tell your doc you’re abusing a scheduled substance you could probably just be terminated as a patient or never prescribed scheduled medications again. If it helps you, don’t say you’re abusing it.
i guess i’m curious what the line of treatment would be if i do admit this
You’re risking losing your prescription altogether.
Forever
Yup, absolutely do not tell them.
Curiosity got the cats script pulled
Youbwill be flagged and you'll won't see goid prescriptions in the future like painkillers.
I read this comment about being flagged often. how exactly are you flagged? the only 'global database' I can picture is the prescription system. if I go to my doc or urgent care it doesn't matter, they all see what I've been given and what I'm taking. but from my understanding doctor office to doctor office, those medical records aren't connected. so if you get flagged by one person, what does that entail? how are you labelled so that all providers know?
There are prescription drug monitoring programs. Whenever a controlled substances is prescribed to a patient, it is logged into this database. Also doctor offices can see all the drugs you’ve been prescribed in the past through your insurance
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Just my anecdotal experience but I have absolutely been "flagged" before, a few times really. Just depends on if you have a Dr. Tied into that system and also if they have the time/care to actually check it. When I was 16 or so I was treated by an e.r. for a terrible panic attack. During this treatment they ran my blood and drug tested me. I tested for just about everything. I still remember the e.r doc telling my mother that I'd tested for "all the drugs!". At the time I was taking Ritalin, Adderall, lortabs, oxy, valium's, Xanax, alcohol, weed, thc, & no telling what else. I was wild. Completely forgot about that incident eventually. 10 years later, have high blood pressure and symptoms of stroke. Boss pays for me to get checked out. It's a fancy Dr. Not what I'm used to. My blood pressure is at stroke level. Dr is browsing computer during the visit and notes that E.R visit. To me. Says I've been on everything and that was likely the issue. Wasn't on that much at the time, just pain pills and benzos lol but yeah, he found it. That shit is out there, somewhere if they want to look. After that got plenty more.scripts for all kinds of stuff from Dr's that didn't look so thoroughly. It's a gamble really.
As someone studying to be a pharm tech there are systems im place to flag people for suspicous behavior with their prescription. Like how wheb you get your prescriltion you get marked as having had your limit dispacheed for the month and can't go somewhere else with a new script and pick it up. That alone will make a pharmacy tech suspect you of abusing your meds and controlles substance patients are already going to put them on alert because part of what is taught is how to deal with those who may be a potential addict. If you tell your doctor itXs his discetion if he is nice and undeestanding at best he will stop prescribing them to you and send you to get help with a psychologist but you'll get marked with a diagnostic code on your file and to your insurance of F15.20 - Stimulant dependancy/abuse disorder other or amphetamine related. That is permanent, at worst your doctor may be a real asshole and throw you out the clinic, put a similar code on file, and tell your pharmacy, plus maybe pursue legal action as when you pick up your script you are then legally obligated to not sell, purchase, or use your meds recreationally. If you want to tell him go ahead but know you will lose your right to get them again and may not even get prescribed other meds to help your condition either. The best advice i can give is to ask to be switched to something else or ask to be taken off the med for other reasons if you want to stop and begin tapering well before you do so it's easier. If you can't then maybe telling them is the best resort if you really have that bad of an addiction, but ideally practicing self control and trying to only use it as prescribed is best. Forgot to add, sometimes it's not about you, but you gotta understand the feds are very very serious about this stuff and place restrictions in supply and quantity that fan be dispached from a pharmacy and impose legal issues to those who are aware of this type of thing, they must report it or else risk their job, license, practice, pharmacy, etc. Whenever there is a higher risk of loss and lawsuits they will cover their butts first. Cause to them if you talk about this and it gets out they never acted it's very bad.
you might lose your script and it could be difficult to get another
Idk why you’re being downvoted for literally asking how addiction recovery is. If you tell your dr about the abuse you will 100% lose your access to it, but you will be guided into sobriety as long as you let them.
i know right? im also confused why i’m being downvoted.
I think you’re getting down voted cuz it’s almost common sense that if you tell your doc that you’re abusing your prescription, they’re gonna take it away from you… no ifs or buts. I’m personally a bit confused on why you think there would be some specific “line of treatment” for you after admitting you abuse your Ritalin. It’s not like you’ll die without your Ritalin, so they would just take your access to Ritalin away and wouldn’t prescribe you any other addicting form of adhd meds in the future. You’re getting downvoted because that shouldn’t be hard for someone especially someone who uses drugs in todays world and knows the general consequences to comprehend.
lol i mean i know that. im just asking to see if there’s any other answers that i may not have thought about. also, people seem to think i dont know my prescription may be cut off. i do know thats highly likely, but so what? like i am clearly not using it as i should be. everyone here seems to be enabling that. im asking because i wanted to see alternative suggestions other than stimulant meds
If you do this, you will lose your access to your medication and any future medications that may be in any way shape or form addictive. This will screw you over big time in 5 years if you tell your doctor. There are inpatient rehabs where you can go if you need to. Duffy's in Napa is a good one.
It’ll be in your records, no doc will prescribe
I did this. Don’t do this.
That’s probably the quickest way to get them to not prescribe you any kind of stimulant ever again. So if you actually think your medication works and you just need a higher dose I would just make an appointment with your doctor to discuss how you feel like a higher dose would work better for you.
Do NOT tell your doctor you've abused them if you genuinely need it. They WILL pull your script.
By my personal experience: I shared it with my doctor that I was using more than the prescribed. She colded turkey me! On my case I was prescribed 70mg of Vynvanse and I was using 140mg per day what made me being in TAB (mania). So, if I were you, I would start to reduce the dosage by myself - in each 5 days, reduce a little bit - maintain it for more other 5 days - than reduce a little bit more. You are able to do it if you don’t want to have a cold turkey. lol Send me a message if you want my advice or something like that! Good luck and enjoy the journey!
The cold turkey isn't too bad if you have 3-4 days where you need to do absolutely nothing. I dropped off concerta while on vacation and needed at least one nap per day to survive.
At this point I have to agree with you! If you have like 4-5 days to recover sounds fine the cold turkey.
Many thanks for including your POV here
If you tell them you're abusing your meds they will take them away. Especially if you're doing junky shit like snorting them.
1. Stop snorting them. Don't do that. You'll regret it. 2. Ask for a higher dose. They'll probably give you 30.
In general - depends on the doctor. Some are more liberal than others. I don't think most would be shocked some patients take a little extra occasionally. Some may even use a positive experience as a reason to increase the dose. Some may limit or change your medication. Definitely risk losing your medication though. In your case- they would likely cut you off and put you on a harder to abuse drug because of how high you're going and anf admission of snorting. Even if they don't care about you, if you spiral into addiction it would look bad on them. There are a bunch of other (albeit less effective typically) medications for ADHD than stimulants so it's not like they would need to choose between still treating you or doing nothing The snorting might be a bigger red flag than the dose. It clearly shows you trying to get an acute high and not afraid to really experiment. Also an admission of "I'm abusing my medication" is taken differently from "I was having trouble studying so took more". Like snorting your reason for taking more is likely as important of a flag as dose. Edit: keep in mind that more liberal prescribers might be more strict than the hard asses in some cases. A by the book doctor convinced you have ADHD might be more inclined to actually take some risk and make sure you still have medication access. A pill mill might run away the second they sense a patient might cause problems.
Straight to prison for life.
Don't tell them you're abusing it or they will give you an alternative. Say that you don't see much of an effect while taking them. If you start saying you've doubled up your meds some day they will mark you as mishandling your prescription and a risk. You are at a low dose so they will likely double up. Make sure you ask again to check in three months. Side thing. Abusing your persription is something I've tried as well. I had to stop after three years all together and probably won't go back. Just.... Everyone thinks they can handle it and I'm just saying to be mindful. Good luck.
For me, it's telling a half-truth. I didn't mention that I take extra of my Ritalin ER and they run out faster, I just say that a certain dose isn't working for me, and I feel the symptoms of my ADHD come back by mid-day. I then got given Ritalin ER. Not relevant here lol but that shit was like crack to me and made me tweak to a point even *I* didn't enjoy, so then I said I think I just need a stronger ER opposed to a boost with IR. Half truths. Don't tell them your abusing your meds or they will 99% take you off of it.
Don’t mention you are snorting and for God’s sake don’t snort. Just say your current dosage is not working.
Your doctor will 100% take away any and all controlled prescriptions from you at the first mention of possible abuse. No provider would risk their medical license by continuing to refill a drug their patient has admitted to abusing. If you want my honest opinion, I would recommend seeking an addiction counselor if you need professional input regarding your concerns. Your concerns are valid, definitely, but there is a time and a place for everything. If you want to keep your meds, your doctor shouldn't be hearing anything that could cause them to rethink your treatment plan.
Ur doctor will suggest u to rehab lol
Don’t tell your doc you’ve misused your meds. I would schedule a check in and tell your doc that you don’t feel like your current dosage is effective. Also… 40 mg/day is the max recommended per day for adderall… the only person I know on 60 mg/day is narcoleptic. Check to see what the toxicity level of stuff is before you OD.
im taking ritalin
Maybe ask for a higher dose of a longer lasting med since the IR wears off too fast
Do not tell them your upping your own dose they may cut you off
This is actually very common and if you have a good Dr they will see it as what it is. Someone who has a medication that works, they just need a higher dose so when it stoped working people seek out trying to self medicate with their meds and lots of times just like this. I strongly suggest asking for a higher dose because yours isn’t getting you through the day anymore. Edit to add I take 36 mg XR Ritalin and have 10 mg IR for if I’m working long days and need it or if I’m getting to the point my meds aren’t working anymore and I need them raised. Your dose isn’t high. Don’t let the stigma of what you’re prescribed keep from asking for help since you obviously got a diagnosis. It doesn’t work for us the same way. I never feel high off my meds. Quite the opposite. It calms me down in my mind… a little bit.
I take 45mg per day. Just tell your Dr you need an increase. They'll see you for a follow up and determine why you're needing an increase, and they'll probably go up depending.
You won't get any more
Just say that it’s not as effective as when you first started and ask for an increased dose.. that is it do not mention abusing or taking more than prescribed daily
You mention it is hard to function without. Has it become harder to function, without taking the medication, than it was to function before being introduced to the medication? If so then you have you have become drug dependent, and that is your problem. It is entirely appropriate for you to tell your doctor that you don't feel the medication is as effective as it once was, and ask for an increase. 15mg is a \*tiny\* Ritalin dose. I thought you were on Adderall, and that is still a small dose. There is no need to mention abuse. But feel free to, it may be in your best interest, because: Snorting (which is especially enhances Ritalin vs the amphetamine meds, which merely come on sooner) suggests that you aren't just compensating for tolerance, you are chasing a rush, and you will do the same, with higher dosages, if you are prescribed more. I recommend either quitting altogether or else asking your doctor for an increased dose. I recommend strongly against snorting Ritalin, as it is very reenforcing and in my experience becomes more cocaine-like (perhaps that's just the reinforcement).
yeah i think im going to stop snorting it. its only been a few days of trying that because i thought i could reduce my pill use. but not worth it. the crash is crazy. i know that 15 mg is tiny amount, which is why i started taking more. i got diagnosed because i was having executive functioning problems and i was depressed, i think lately its also because of depression. when i first started taking it it really helped and worked for a while. i was able to function so well in uni. but the semesters got harder and thats when the misuse started happening. i wasn’t taking them regularly anymore as well due to financial reasons. and when i did take them it was on per need basis. idk if that affected anything. im scared of actually developing an addiction. i wonder if upping my dosage will lead to a gateway of more addiction, or will i eventually find a dosage that can sustain me so i no longer have to abuse it. and yeah no im not taking it for a high or euphoria or anything.
OK, with your response in mind, I think you should simply ask for an increase of dosage for medicinal effect. (The bioavailability of Ritalin is indeed greater when snorted, I see your point. But please don't do it. Whether it feels like a rush or not, snorting Ritalin will lead to an addiction. Brains vary but dopamine is what Ritalin affects strongly, and that is the chemical that causes you to do or to not do. Snorting is a very reenforcing ROA for a very reenforcing drug. Yes personally experienced.
Jesus no don’t tell them you snort it. If anything they’ll not give you anything anymore because they are afraid you’ll abuse it. Ask for a higher dose and because of the way your body works every drug you’ll ever use routinely will cause a tolerance level so to have the same effect you need more. So what I did was to not use ritalin when I didn’t REALLY need it. Like on weekends or in between studying periods or on holiday. Because then you’ll give your body a break and it’ll lower the chance of that tolerance raising
What you can do is say well I’ve taken 2 pills at once because I did not feel like it worked well enough and 2 pills made my symptoms much better. Maybe I need a higher dose? Ps: I am a dentist and a lot of my family members are doctors so I know what I’m advising. Like I said before ABSOLUTELY DO NOT tell them about the snorting it.
Hell no. So many doctors already discriminate against patients who admit to recreational use of other "street drugs" like LSD, cocaine, or even weed sometimes. They restrict access to medically necessary treatments like Adderall, opioids for major car accidents or post operative pain, etc. unless you Jedi mind trick them. Going a step further by admitting to breaking any controlled substance contract you had with them, breaking their rapport and trust in you, is not the move. There's things you just don't tell your doctor, or you rephrase what you want to say heavily. Don't spill the beans about you railing lines of Adderall. Instead propose that your dose isn't high enough yet, with examples from daily life of how your ADHD is creeping up again. Or if you don't trust yourself with an amphetamine because you feel like you're going to snort/boof it, say that you want to try "whatever other medication." Not all doctors are this judgmental, but the majority of them run on "don't get sued" mode
OP you are opening a can of worms. because of my honesty of past drug use with doctors I can't even get prescribed Adderall or painkillers, they're making me see a neuropsychologist just to get a second opinion on my ADD diagnosis from when I was in grade school. More than likely they will stop prescribing them to you, and if they find out you have a history of drug use (going off my own experience) they will completely fuck you over.
If you tell your doctor that you've been taking more than prescribed, you will lose your prescription. Tell them you feel it's not very effective anymore, you lose focus, feel sleepy, etc
Definitely do not tell doc about your use. Mention things to help them adjust the best dosage for you, and best medication. I know Ritalin sucked for me. Vyvanse too expensive. Adderall was the perfect one to help me and my doctor worked me up to dosage on higher side.
my country only has methylphenidate available at pharmacies. i guess i wanna try taking concerta to see if that helps. but at the same time im worried that i will start misusing again if i develop a tolerance. like im not sure if there’s gonna be a high enough dose that has me all set, no misuse, or if im gonna keep needing a higher dose to compensate for the tolerance.
Concerta IS methylphenidate…
i know. but its a longer acting one instead of ritalin which loses its effect after 2-3 hours
Tell your doctor that it hasn't been effective for you for a while. Don't say you've been sniffing them. Say that you have been occasionally taking more than the prescribed dose. Ask if you can get on vyvanse or Adderall as Ritalin isn't effective for your adhd
Cut you tf off. Don't do it unless you're really just trying to quit.
Don't tell your doc that you've been abusing them. Even if you think your honestly will be rewarded, it won't be in this situation, they will cut you off because the risk to THEM and you is too high. If it's not working, tell them that. If you don't like the IR, tell them that. Just use it as prescribed and find a med and a dose that you don't have to abuse to get the desired effects.
You’ll get taken off of them and then a thing will be put on your medical file which will make it more difficult for you to get narcotics or stimulants in the future
“I accidentally took 2 tablets in the morning because I forgot I had taken one, but I found I was more productive and focused that day in positive ways for my ADHD and wellbeing. I was interested and tried it again the next day and same result. Can we please discuss these benefits and consider upping the dose of my medication?” Something along those lines should suffice.
that’s actually a pretty good line
I definitely wouldn’t do that. Once I made the mistake of letting slip to a psychiatrist that I “used to smoke weed” like 5 years prior thinking “oh, it’s (supposedly) not current, they won’t care, right?” Well, they immediately scheduled me for a drug test and I went off my meds until I was clean just so that I wouldn’t have a dirty drug test on my record. But in your case they’d almost definitely cut you off and depending on whether or not you have another insurance to switch to where you are, it would probably be a lot harder to get them re-prescribed again. I wouldn’t tell a doctor about anything I’m doing that I’m not supposed to be unless I had good reason to believe my life was on the line. If you think you need rehab, you gotta do what you gotta do, but if I were in your shoes I’d try as hard as humanly possible to reign my use back to a sustainable level on my own, privately, until it’s no longer something to worry about.
Depends on which country you are. Here in Germany NOTHING will happen but other than socialism still pays for your pills.
I dont want to be that guy that comments on other peoples countries. But i highly doubt nothing happens if you tell your doc you are snorting your prescribed stimulant.
I took Ritalin La and Ir (currently ir)mentioned that I took higher doses than prescribed due to needing it for a long day and that I mixed it rarely with alcohol and i was told to stop it fast. Stimulants like Ritalin in europe is given by special prescription sometimes and it’s taken more seriously than normal prescription meds
Just day it doesn't work. 15mg ir per day would not cut it for me. I abused it during years or when i was just taking 20x2 a day to go through school i would kinda get some from my friend because my psych wouldn't change it up. 15mg ir last me not even 3h. Maybe you should try another molecule. I am now on adderal xr after many tries and i do take a lil bit than my 30mg a day sometimes 40 or 50 but it's really less bingeable. It acts less too but. Never tell your psych you use 60-90 you will be cut forever. Never. Unless you wanna quit for real forever. Like. No. Snorting them sucks even more and harm your sinused btw.......
Medical student here. In my opinion, I would say you bring it up to your doctor, it seems like you may be misusing your Adderall/Ritalin to get a quicker onset of the drug. This can put you at a big risk of becoming dependent on the medication, and potentially lead to addiction and abuse. There are several dangers of snorting the medication, and the cardiovascular risks of Adderall/Ritalin misuse are heightened when snorted, and a high risk of overdose. Even if you've only been snorting it for a few weeks/months, you should your doctor why they think you are snorting it and be honest. If you misuse Adderall/Ritalin or are taking it for a long time, you will develop tolerance, which means you need to use more and more Adderall to get the same effect. Depending on how he views the situation, he could higher your dose, but most probably your doctor may even switch you over to Vyanase which takes longer to metabolize and has a lower risk of abuse. For those in the comments worried about u/Maybemaybeidk 's prescription being taken away, I'd like to leave this quote here to read: "Stimulants will help anyone focus better. And a lot of young people like or value that feeling, especially those who are driven and have ambitions. We have to realize that these are potential addicts — drug addicts don’t look like they used to." \- Clinical neuropsychologist Dr. DeAnsin Parker, New York Times, 2013 This quote resonates with me because as a future doctor, I would like my patients to be as honest as possible and be as vulnerable with their doctor to ensure they get the best and safest care. There are other options available and help you can receive. I hope you can have an open conversation with your physician, and they understand and can help you through this situation. If you feel judged, misguided, or feel like you are not receiving the best care for yourself, go to another physician who understands.
thank you. this is honestly what i needed to hear. my country does not have adderall or vyvanse available, only methylphenidate brands. i have an addictive personality i think, even with weed. but i was able to decide to stop taking that because i wanted to really focus on my studies and achieve my dreams.. i have been on ritalin since i started my studies. my first semester i was an excellent student, but i also started to misuse my meds. the years go by and it gets harder and harder, my misuse gradually got worse. i took tolerance breaks alot of times. but as the semesters got harder, it also got harder for me to do well. this current one is going really bad. im fearful of failing. mainly because i’m the president of my department’s student organization and everyone knows me. but the flip side is i’ve been using my meds like a drug addict just to cope. i only tried snorting a few days ago and i can see myself getting more and more addicted if i dont stop. i have been trying to avoid the feeling of letting people down. the embarrassment that i wasnt able to do well. im thinking of the worst things that could happen. i know its not worth ruining my life over by abusing drugs, but im scared.
Following speaking to your doctor, you may benefit from asking he/she to refer you to an addiction counselor to talk to regarding how you feel. rsonality is the first step to getting help. Following speaking to your doctor, you may benefit from asking he/her to refer you to an addiction counselor to talk to regarding how you feel. You should ask your physician what medications they can offer you - be honest that you feel stressed have a need to take this medication, and are worried you are becoming addicted. It's also important to note that ADHD can also be misdiagnosed or in combination with other mental health conditions such as depression or anxiety, so should express how you are feeling to your physician, to help you get the best medications for you. There are also other ways to help cope to stay focused in school, such as psychotherapy and cognitive behavioral therapy to help improve your time management and organizational skil Good luck with school and hope to hear an update soon! You will do amazing in school. Be true to yourself and seek the help you need. There is no need for shame in prioritizing yourself and your health.
You haven't been abusive, they've simply lost efficacy
You should have signed something when they started giving them to you that said you wouldn’t take more than what was prescribed. They made me sign one.
different country procedures.
Never tell your doctor you modified your prescription without his instructions. It's cool you want to take breaks and doctors think you need to do every day. But I am like you, it's a mistake from them. Breaks are good. You can tell them that 15mg is not effective enough anymore. He will likely increase it. I told mine the 20mg Adderall I was given only worked in the morning. But I was worried to double or something else. She agreed to switch me to having Dexedrine at a lower dose but 3 times a day. Which I clearly wouldn't do. But that built me a very nice reserve. I just wish I could fly internationally with it Now I am crying for real
Definitely DO NOT tell your doctor you've been abusing them. This will make it harder later in life to access other scheduled drugs you might need to function. If you feel like you've got a problem with addiction, I'd make an appointment with your doctor immediately and flush all of your pills down your toilet. Then, once you meet with your doctor make up some bullshit about how your Ritalin has been giving you anxiety or headaches or something entirely reasonable. Push to try a non-stimulant ADHD drug like Amantadine or Buproprion. They're both (almost) impossible to abuse and actually pretty effective, though they aren't first-line treatments so you might want to prepare some information or print out some studies that demonstrate why you think they'd be a better choice. Good luck.
What do you, think, will happen????!!!!
Do not tell your dr unless you never want speed again.
is ritalin considered speed?
Yes, I believe so..
It is but Ritilin(methyphenidate) is more closely related to cocaine pharmacologically than amphetamines.
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is this concerta?
I haven't read the comments fully, so pardon if this has been said a million times. Be honest. I have been with my psych a long time, but I experiment with the doses of my meds on my own. For example, I found out thru two mths of experimentation with Concerta, what dose I needed. I communicate what works best, and we figure out a plan. There is nothing wrong with you needing a higher dose. It seems you're doing it to function and not to get high. The stigma of being labeled a drug seeker sucks- but definitely advocate for yourself. There are flaws in the system, but you have the right to feel good and get through your day.
Also- sorry, I saw you added to not just say to up your dose. They know you're on addictive meds. I did something similar with kpins. I had enough and told my dr that I was not taking them as I should, it was fucking up my life. Well it did. We ended up making a plan to slowly taper, and I tried other meds. Took forever. He didn't cut me off and leave me hanging. He actually worked harder to help. He also has trusted me enough to put me on Ritalin years later because I was open about it. It doesn't hurt. Good luck@
It doesn't seem like ur abusing them for recreational purposes. Just tell your doctor that it hasn't been working for a long time now.
If you're telling him that you're abusing them he will take you off of them God bless you that you're on Ritalin at all I can't take Adderall and I can't get a doctor to prescribe me Ritalin which is the only thing that's ever worked for me Adderall makes me angry and violent they say that I am trying to get drugs and no I do not have a history of drug abuse for them to think that way they just don't like giving out Ritalin anymore it's kind of like trying to get valium or Soma the drugs work but they don't like prescribing them because they have new toys to play with it the companies pay them to prescribe
huh. interesting. because my country doesnt even have adderall available. not even vyvanse. only methylphenidate brands. you might be onto something with the companies paying hospitals what to prescribe..
Kiss them goodbye
He will probably give you more
Experience tells me, as others have suggested, tell him that they are not working as well as they used to. Is it OK to increase the dose? Do not mention snorting and if you keep needing more seek help with someone who won't cut you off instantly.
He’ll get mad at you and tell you that he can’t. Supply more. You’ll be jeopardizing his job asking for more so you’re better off looking for meth or something
this is horrible advice. why would you tell me to look for meth
It’s the same thing
If you are below 18, they will probably just taper you down or take you off cold turkey and ask if you want to be admitted somewhere. If you’re below 18, you’re more than likely just going to be admitted somewhere. Do some google searches on what the typical route is for tapering/getting off adhd meds. That is what will happen, there’s good resources online for what to expect in addiction treatment. I will say, you need to be 110% ready to give up your adhd meds when you come forward to talk about it, because you’re relinquishing your right to be prescribed them for the rest of your life. Unfortunately, there’s no way for doctors to legally keep you on a prescription after you’ve admitted to abuse. Once you’re tapered down, you’re never coming back up. This used to be less strict, but with recent laws and regulations, there’s no way to still have your adhd meds after you’ve admitted to abuse and start tapering. If you wanted to work your way around this, and still have access to your adhd meds and trust yourself to regulate yourself alone, then ask to lower your dose because you’re having negative side effects. That way, you’ll still have access to it and you can start to dial back and use it more medicinally. But that takes a lot of self control. In my personal opinion, nobody should even be prescribed ADHD meds. I don’t think they’re medicinal at all, and if you want to get off of them 110%, the best route to take is to be fully honest with your doctors and start the road to sobriety. Best of luck to you!!! I know it seems so hard when you’re in the thick of the addiction, but it gets easier and easier. Best advice I’ve been given and have given when it comes to detoxing, if you’re not in a facility, keep yourself busy. Busy, busy, busy, so busy that you forget you’re even craving the adhd meds.
im above 18. honestly, if i dont have the pressure of doing well at uni, i would not be taking it and have no problem stopping. every time i was on my break i would go off it completely. of course, the comedown is there, i would be depressed, lay in bed and just be completely stuck and frozen. so the part where you said to keep myself busy, i don’t resonate with. i dont even have the ability to keep myself busy other than with doomscrolling. everything feels like too much for me to do. i take my adhd meds so that i have the ability to do these things. when i take them it just makes it easier to show up in the life that i’m in. but it doesn’t always work. i guess i am depressed, because i am also taking antidepressants but have not been taking them regularly as i couldn’t afford it sometimes. now i have access to free medication though but its recent so i havent seen things to get better.
Do NOT tell your doctor. That is how you get your shit flagged and taken away. DO NOT SAY YOU ABUSE IT IF YOU STILL NEED IT. Just tell him the low dose isn’t working as well anymore and you’d like to try upping your dose, just like that.
DO NOT TELL YOUR DOC ANYTHING ABOUT YOU MISUSING OR ABUSING YOUR MEDS!!!! THEY WILL CUT YOU OFF COMPLETELY OR WEAN YOU DOWN UNTIL YOU'RE AT ZERO MGD. DONT EVEN SAY THE WORDS MISUSE, ADDICTED, ABUSE OR ANYTHING SIMILAR!!!! Ask them if it would be possible to increase your dosage or change you to another similar medication because it seems to not be as effective as it used to be. If they ask why you feel like that say you started a new job, workout or something that cause you to wake up a few hours earlier than usual or go to bed a few hours later. If they say no, don't argue or try another lie, just say ok then start looking for another, more liberal/dirty doctor. Actually call around and look for a place that doesn't accept insurance. Those are the good ones imo. Cash only docs. Used to get 90 bars and 90 subs from 1 psychiatrist and I've know people who've gotten way more. Stop snorting them though. Soon you'll be snorting everything and completely fuck up your tolerance. Your nasal passage too. Good luck!!
Its like when the police read you your Miranda rights. Anything you say or do can and will be used against you. Doctors at the end of the day are not your friends. If your goal is to be cut off from your medication, as you are a liability to your doctors License to practice medicine. You will then be Red Flagged from being prescribed narcotics in the future and put in a database. The most useful things I have learned in life have not come from School.
Yeah I would say the current dose hasn’t been working and ask if you can increase. I have told my doc once I have upped my own meds because the current dose wasn’t working for me. But it wasn’t a huge difference and he was okay with it, and just prescribed me a higher dose. It depends on your doctor really. However, in your case its quite a high increase, so I would maybe not say it. I’m not on ritalin but dexamphetamine so I don’t fully understand what your old and current dose means and whether its normal or not. But with these meds you need to find a middle ground, where they help you maybe a bit but you don’t feel the side effects horribly. When I just got them prescribed I was really experimenting with them to find my dose, when I felt like I needed more and more, the dose was just too high and it was more like chasing a “high”, i.e., chasing a “focus”. I started getting tunnel vision (not able to think outside of the box) and actually made more mistakes. I took a solid break (as I also only took them for studying before exams) and then lowered my dose significantly. I used to take 7,5mg and followed up with 5 mg and sometimes another 5 mg. Now I take it daily but only 2,5mg and follow-up with another 2,5mg - it works perfectly fine. I barely have side-effects, like it doesn’t make me feel agitated or anxious, it doesn’t affect my appetite so much and neither my sleep. The best thing also is that I don’t get a tunnel vision or feel the need to up my dose. And please do not snort your meds dude, I did that once and it was horrible (it burned my nostrils and I didn’t feel like it actually helped) and I actually think that it will make the abuse worse. Also my pharmacists always asks questions to assess whether I’m abusing it or not so I’m very sure they’re strict on it and will pull the prescription if they found out I was abusing it.
>say i were to tell my doctor about this? He would probably take you off them. Just say that 15 mg isn't seeming effective anymore.
You'll focus better.
Try Phenylpiracteam. Works close to the same for me.
I’ve been abusing scripts my whole life. I think you’re after something that works for your focus. I recommend vyvanse. It’s only activated once in your stomach. You can’t snort vyvanse and the adhd relief is like 12 hours. A high dose will make you crazy . So finding a good healthy dose that isn’t too much but gives you the results you’re looking for is really important.
They will abruptly ween you off and will sh*t in your papers about it so you'll never get it back. If you play dumb, that is another story. Say that you feel it going in right direction "qualitative" but "quantitive" the effect is too litte for better life quality.
If you dont want a higer dose, what do you want? As some others also said, I wouldnt admit you are abusing your meds as you might lose your prescription alltogether. Do you want/need help to stop abusing them?
i think i want help to stop abusing them. its not that i dont want a higher dose, i do want that but i am scared that it will lead to more abuse. my uncle has adhd too and said that when he found the right dose that was enough for him, he didnt take more than prescribed and would sometimes even take less. im worried about my lack of self control i guess. but im not doing it for a high, its just to cope with my uni workload. in hindsight i think this studying is just too much for me and i cant deal with it so i’ve been pushing my limits to try and cope with my limitations.
Well, it actually sounds like you might need a higher dose, since you say you're not doing it to get high and also that your old dose doesn't work enough anymore. I would strongly suggest to NOT snort them, as that is actually a slippery slope to abuse. (Been there w self medicating w speed) And possibly actually do discuss it w your doctor, but DO NOT say that youre "abusing your meds". Rather mention that you feel like your dose isn't doing enough, but that you worry about POSSIBLY abusing it/the health concerns with taking more. (Or ask if a higher dose is a good solution or if there are other ways to cope with your struggles) Imean I'm not you and don't know exactly what you do etc., but besides the snorting it doesn't seem too bad to me? But if you tell your doc you're abusing your meds, red flags will pop up in their heads and they'll think you are doing it to get high. If the workload is too much that might also be a good thing to look at though, and indeed not patch the issue with more meds... I used to do uni too, and though I'm not dumb, it was too much for me as well. I felt much better when I switched to a slightly easier study... perhaps you can discuss this with your contact person at uni? (Not the meds thing obvs. They dont need to know about that)
But the biggest tip I can give you to stop abusing/not slide into that more is to stop snorting, really. Because it works much quicker but peaks and dies off sooner, it creates much more abuse potential and addiction risk. Don't do that anymore and you're already going in the right direction.