Posted by kea on November 30, 2004, at 0:05:46
In reply to Re: Adderall???, posted by paulbwell on November 27, 2004, at 3:56:10
I know for certain she was not suicidal. I know for certain that no other combination of meds were ever tried on her, just meds one at a time. She had been prescribed Ritalin many years prior at 5mg a day, but had not liked the tension it caused(same with Cylert).She was seen by the Amen Clinic, are you familiar with them? She went there because she had heard GREAT things about them. However, the doc she saw is now MIA and when she found him(in another state, he gives absolutely no reference AT ALL to having worked with Amen Clinic...even though he claims to treat ADD/ADHD and multi problem cases. Amen clinic does not mention him any where either. As a matter of fact, when this girl requested her records (twice) the records do not show any mention (except one very small)of this doc.
> > Hi, I am new to this forum....but unfortunately, too familiar with medications.
> >
> > Does anyone know if a schedule II medication (Adderall) can be prescribed "ethically" for a known (in the patients chart)amphetamine abuser?
> >
> > The persons chart indicates she was 130lbs, 5'9" and is 30 years old (this was in 2000). She was using approximately 1-1.5 grams of "crystal" (smoking) per day. The doc prescribed 160mg of Adderall, 25mg of Ritalin, 100mg of Topamax and 100mg of Effexor(this was the INITIAL DOSE). She resides in California.
> >
> > Any comments or advice or suggestions would be more than welcome.
> >
> > Thank you.
> >
> > Kristin
>
> I think I have read this person posting on the Amen ADD-ADHD site.
> I guess if she was suicidly depressed after Meth cessation, and non-functional due to dopamine receptor Brain damage, *and* was serious *and* honest with her PsyDoc, *and* this massive dose of Adderall was all that helped, then yes, this could be considered ethical.
>
> Althought I would have thought Desoxyn, (Medical Methamphetamine) *may* be more successfull (at a lower dose) at monitored, Crystal replacement threapy *if* she was serious about quiting smoking Crank.
>
> I would be cautious though, as Crystal is notoriously addictive, and continued abstinance rates, amoung long-term abusers are not high.
poster:kea
thread:420768
URL: http://www.dr-bob.org/babble/20041128/msgs/422161.html