Dodecahedron December

Just to be clear, something is called a disorder when it affects your ability to do everyday things.

This. It’s not a pity party, but it is a justification for medication, and for giving a little bit of understanding.

Generally speaking, the DSM classifies things as “Disorders” if they affect your ability to function day to day. It’s language that helps justify accomodations to employers and to otherwise justify that help is needed.

Caution about using stress as a stimulant. Sometimes life gets stressful, then you have stress on stress on stress. Or maybe that’s just me

I only recently was able to work at a place that got good enough health insurance to afford vyvanse. It was still something that I needed to try the generic, and insurance-preferred drugs first like Adderall XR but once I tried it and mentioned that it didn’t work so well, I could get the Vyvnase Rx filled. $30 copay instead of $10 but well worth it. Generally, the only reason for this is because there’s no generic. So hopefully with the generic coming soon more adhd folks could try this.

I too wish I didn’t have to take meds. I wish my brain just worked the way it should. The thing about ADHD is though you’re already likely finding your own stimulants or stimuli. Kids with ADHD unknowningly self-medicate with sugar. Actually, Dr. Russell Barkley also mentions that if you have ADHD and you aren’t medicated and you want to have your brain work a little better for a short duration, you can sip (he emphases slowly sip) on a sugary beverage such as a soda. Liquified sugar passes the blood-brain barrier faster than solid sugars would in the stomach. Sugar itself lights up similar pathways in the brain as cocaine.

There are other forms of stimulation besides drugs but the intention of the drugs is to provide a baseline level of stimulation so that you don’t need to seek out your own stimulation (or, not as much of it). It’s such a strange thing to explain to people, but in order for me to concentrate on what someone is saying, I need to be doing something else at the same time.

Concerta isn’t a stimulant. And if adderall isn’t allowed in your country, vyvanse likely will also not be available. Both adderall and vyvanse are amphetamines/ mixed amphetamine salts. The other option for stimulant meds is Ritalin which is Methylphenidate. In the US, doctors can technically prescribe methamphetamine but it is very rare if ever prescribed because it isn’t as good of an adhd med.

As far as a window for effect, the deug works something like 12 to 18 hours, which is perfect for me because I need it to do housework, work a d housework when I am home.

(paraphrased from memory, not verbatim) Adhd is a genetic condition which warrants genetic therapy. Stimulants work well for this but they only work while it is in the bloodstream.

– Dr. Russel Barkley, paraphrased from one of talks on adhd

Personally different stimulants have different effects on different people. On Ritalin I am super chatty but cannot focus. On adderall/vyvanse I am not always chatty but I can focus. The generic of vyvanse is supposed to be out soon and if anyone is looking for all day meds but want something a little more gentle than the come up of adderall definitely talk to your doc. Tangent, but vyvanse has an interesting delivery mechanism: its a prodrug that turns into a stumulant in your GI tract. As such, it uses your digesting of food throughout the day to produce more stimulant. One advantage of vyvanse is that it cannot get you high if it is snorted (which helps alleviate the concern of abuse) because it must be made into a stimulant in your body. The big problem with vyvanse for a while has been that it’s non-generic and something like $400 a month if paid out of pocket.

A hot air gun will fix that for you. Of course fixing it on the printer is better.

Oh no! Anyway…

Ahh yes, the Nonupletree hotel.

You know that ghost that chases you when you look away from them? That guy.

But seriously, toad’s special power is how fast he can dig and throw. Toad is max DPS. Toad is OP.

Thanks for the root-cause analysis.

Glad to have found you.

Hi! I am a toadstool maniac. Ama.

I always loved playing as toadstool. You can’t dig any faster than the toad!

“We” don’t exist, or rather “we” don’t know what makes us “us”, except for what we do know. Consciousness isn’t fully understood.

Yep

Nope

Don’t ask. It makes things more exciting that way.

Thanks for explaining supply and demand for me. Have you heard of the insurance industry?

It’s the insurance industry which pays the bill. So your argument is that the pharma companies are just not interested in making money, since we all know that the insurance industry sets the prices they are willing to pay.

Patients have no skin in the game. They just pay their premiums and take their meds. Their costs do not increase. Uninsured people aren’t paying hundreds of dollars a month for meds.