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Cake day: January 13th, 2024

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  • I’m saying that getting methamphetamine as a replacement for Adderall is a terrible idea because of the problems with contamination and legal repercussions. If you don’t have access to the psychiatric care, getting started with drugs that are cut with god knows what at highly unreliable doses is not likely to make things much better, definitely not in the long run.



  • The problem is that the purity of the drug you’re getting is not guaranteed or regulated at all. For a lot of recreational/street drugs, the bigger problem is often the filler and crap they get cut with. If you’re paying enough for actually reliably pure drugs, you might as well just pay out of pocket for the psychiatrist and avoid the risk of drug charges.


  • I was following along with some of your other comments and whatnot, but this diatribe tells me a lot about your intentions behind this post.

    I have ADHD, and I’m a medical student. I suppose in your mind that makes me one of the “dumbest motherfuckers” in training, but I will speak from the education and authority that I do have. There are many health conditions and comorbidities that can make stimulants a bigger risk than they’re worth. Personally, I have idiopathic sinus tachycardia, so my psychiatrist had me get a consultation with Cardiology before she would prescribe a stimulant because one of the major risks of stimulant medications is Sudden Cardiac Death Syndrome (which is exactly what it sounds like) and if you have a high heart rate or other cardiac or electrophysiological abnormalities, it drastically increases your risk.

    I get that getting by without medication is extremely difficult for some people. I had to do my first semester of medical school on hard mode while I got my official diagnosis and medical clearance for treatment sorted out. Healthcare access, particularly mental healthcare access in America (and pretty much everywhere else for mental health) is criminally abysmal, but that is not an excuse to encourage people to ignore medical advice and consensus regarding medication safety.

    (And as a side note: Surgeons are really good…at anatomy. Most of the surgeons I have worked with would really prefer it if the primary care/family med/internal med/literally-anyone-else doctors did the pre- and post-op medication management. Anesthesiologists are the ones that are intimately acquainted with pharmacology when considering physicians in the OR)


  • I’m repeating my reply to someone else in the thread so hopefully more people can see it:

    I looked it up and read through the NIH paper that did a review of available information about it. It’s essentially a recreational drug that can be formed in your body when you take methylphenidate and alcohol at the same time.

    I will put out this caution though: there were a lot of reports of bad trips, worsened focus/cognition, dangerous side effects like increased heart rate and body temperature, and there was a very high rate of addictive responses. So it may sound like fun, but you’re running the risk of causing yourself a lot of problems and using Ethylphenidate (or methylphenidate plus alcohol) may make your regular ADHD meds less effective and lead into addiction problems.

    TL;DR: This is a dangerous, bad idea and as a medical student with a decent understanding of pharmacology, I do NOT recommend doing this.


  • I looked it up and read through the NIH paper that did a review of available information about it. It’s essentially a recreational drug that can be formed in your body when you take methylphenidate and alcohol at the same time.

    I will put out this caution though: there were a lot of reports of bad trips, worsened focus/cognition, dangerous side effects like increased heart rate and body temperature, and there was a very high rate of addictive responses. So it may sound like fun, but you’re running the risk of causing yourself a lot of problems and using Ethylphenidate (or methylphenidate plus alcohol) may make your regular ADHD meds less effective and lead into addiction problems.






  • While working in the ER I’ve seen some impressive ingestions, both intentional and unintentional. I can guarantee that if he survives, it ain’t gonna be a fun time. Off the top of my head, I think he’d be getting Narcan, Amiodarone, Flumazenil, cardiovascular and respiratory support, and probably hemodialysis. If he doesn’t die from the cocktail, the hospital bill might get him.