I did not read all of the posts so sorry if someone has already addressed the following.
Wow I must be on too low a dose! I take adderall for ADD (which runs in my family) and it helps some with focus but certainly no miracle drug. Doesn’t affect appetite at all and certainly not euphoric.
Earlier in the thread someone mentioned that conditions such as ADD or ADHD typically do not just show up in adulthood. While that may have some truth, I know a few adults that were not officially diagnosed until they were adult. The diagnosis made their life a lot easier and helped them understand their previous difficulties. had: the ability to work non-stop and the absolute lack of appetite.
ADHD is impulsivity and distractabilty; however, people with ADHD can also hyperfocus so they are not always running around like chickens with their head cut off even when off meds. People who have only attention issues and no hyperactivity are sometimes not diagnosed until late adolescence or adulthood when the need for organization and preparation often increase.
If you have ADHD and you receive a stimulant, it should not cause you to be able to work 24 hours a day and eliminate your appetite. The way I explain it to parents is the following example: people with diabetes have to take insulin shots, but, if you do not have diabetes, and you give yourself an insulin shot, you are going to be sick as hell. People with ADHD are missing the neurochemicals that help them focus in a certain way. I take Adderall XR and a good amount. I WISH I had weight loss from it…If you, however, give a stimulant (AND THEY ARE CALLED STIMULANTS for a reason) to someone who does NOT have ADHD, they will get much more appetite suppression as well as the other side effects both ‘positive’ and negative. This is SPEED people
I suspect this was just oversight and sloppy by the riders although I could totally understand why.
I doubt it is just oversight and sloppiness. Stimulants are CONTROLLED substances. As a doctor, I have to have a license from the Drug Enforcement Agency to prescribe them, and I have to hand write them on a paper pad. You can only send them electronically if you have a special system and jump through a bunch of hoops. You cannot write for more than 3 months of prescriptions at a time. If you are on these medications, you KNOW that they are not a prescription for amoxicillin. Also, upper level riders have to be SUPER attentive to details - otherwise they would just not succeed, and this was a big show.
RE having a screen + for both amphetamine and methylphenidate:
I do a lot of child psych. My practice pulls kids with special needs, chronic illness, school and mental health issues from 5 rural counties. In the area that I serve, there are zero child psychiatrists who will see kids with Medicaid, and our practice is 85% Medicaid so I have read lots and lots and lots about ADHD meds. There are three classes of ADHD medication:
- Dextroamphetamine based stimulants (Dexedrine, Procentra, Adderall)
- Methylphenidate based stimulants (Metadate, Focalin, Ritalin, Concerta, Quillivant, Aptensio, etc)
- Nonstimulants (Clonidine, guanafacine & atomoxetine)
It is not uncommon to couple a stimulant with a nonstimulant, but I have never prescribed a combination of the two different classes of stimulant for anyone and have not seenthat done. I was at the American Academy of Child and Adolescent Psychiatry meeting in the fall and did not hear anyone mention that as a treatment option. Doesn’t mean that it doesn’t happen, but I have never seen it. It would certainly be highly unusual IMO