Doctor will not prescribe me ADHD meds

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January 31, 2013 at 10:45 am #118785
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chacubee
Premium Member

I got diagnosed with ADHD 2 years ago by my psychologist, who suggested I talk to my family doctor for medication. My doctor seemed less than happy to give me a prescription, but still prescribed me a month supply of Ritalin. Day 1 and I already felt soooo… normal?

I took them all month and when I returned to see my doctor for my refill, I explained to him that when I take Ritalin, I do not “feel” anything. I simply felt normal and realized I was actually finishing tasks that I started, such as cleaning and work stuff. He told that it is not normal for me to not feel anything and that if the medication was working for me I should feel “like a smoked a joint” (his own words).
I then told him of ONE side effect I noticed, which was that about an hour after taking Ritalin, I had a coffee. I could then feel my heart racing real fast and thought to myself that I should have known better than to mix Ritalin with caffeine.

Instantly after I told him about my caffeine experience, he decided that Ritalin is absolutely not working for me and that he will not prescribe it to me anymore. I asked him if another drug would work better. He responded by stating that if Ritalin doesnt work for me, no other drugs will.
I WAS DEVASTATED!! I finally got my diagnosis and help I needed to FUNCTION and my doctor was telling me there was nothing I could do to help my situation.

I called my psychologist and told her what had happened. She suggested I should definitively get a second opinion. I also talked to my pharmacist as I know she is highly trained in drugs. She also said that it seems I could greatly benefit from some medications and also suggested that I get a second opinion.

So, my first question is : Do you think there is a prescription out there that could help me or does it sound like my body really doesnt react well to any ADHD drug?

Most importantly, how do I get a second opinion? I am in New-Brunswick. I called Telecare and they advised me to go to an after hours clinic. Every clinic I called said they will never prescribe Ritalin or other controlled drugs. The only other options that Ive been told are to go to an ER (with a 7-9 hour wait, that doesnt seem like a good option to me). I also called a few psychiatrists and they all seem to have 1-2 year wait.

Thank you so much for taking the time to read my topic.


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January 31, 2013 at 11:49 am #118787
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Larynxa
Premium Member

It sounds as if the Ritalin was working for you.

That “nothing” you felt was actually the calm focus that results from taking the right med for you, to stimulate your right pre-frontal cortex (which is the part of the brain that isn’t firing properly when you have ADHD).

And you were finishing tasks you’d started, which means that the Ritalin was controlling your ADHD symptoms!

Your doctor failed to recognize this—and, in fact, completely mis-diagnosed it—because ADHD is completely outside his field of expertise.

His comment that “if it was working, you’d feel like you’d smoked a joint” is completely inappropriate, and shows his ignorance and hostility regarding ADHD.  In fact, he sounds like one of those older doctors, who refuses to believe that ADHD is real.

Therefore, you will have to educate your doctor about ADHD and how to treat it.

To do this, you must get the psychologist who diagnosed you, to educate your doctor about what ADHD is, and to explain how it is treated.  It is NOT imaginary.  And it is NOT just an excuse to get drugs.

You also need to get your pharmacist involved, to teach your doctor about ADHD meds and how to tell that they’re working.

Because ADHD meds are controlled substances, there’s a big liability issue around prescribing them.  You’ll never find a doctor who will prescribe them to you without being fully acquainted with you and your medical history.  That rules out any doctors at after-hours clinics.

If your doctor refuses to accept the expertise of your psychologist and pharmacist (and Dr. Umesh Jain, who is a leading expert on ADHD, and who co-founded TotallyADD.com), then you will have to find another doctor—preferably a younger one, who has had more recent training, which includes the latest information on ADHD.

There is so much new information, so readily available, that there is no excuse for doctors NOT to be familiar with it.  Most of it is right here, on http://www.TotallyADD.com, in the Videos section.

Encourage your doctor to view these videos, to familiarize himself with ADHD.  He can consider it an opportunity to consult leading experts, free of charge, at any time.

Ask an Expert:  http://totallyadd.com/category/experts

Straight Answers:  http://totallyadd.com/category/straight-answers

What Is It?:  http://totallyadd.com/category/what-is-it

Getting Diagnosed:  http://totallyadd.com/category/getting-diagnosed

Medications:  http://totallyadd.com/medications  (6 videos, with unbiased, factual information)


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January 31, 2013 at 12:33 pm #118791
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Amy
Premium Member

You’re not able to see a different doctor in your area?


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January 31, 2013 at 2:14 pm #118794
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MarieAngell
Premium Member

@Chacubee, so sorry this happened to you. Feeling “normal” is exactly the reaction you want. I felt the same way from Day 1 of medication. Many family doctors will only prescribe a month or so of Ritalin because it is a controlled substance, though some will.

Are you comfortable enough with this doctor to try to educate him and provide the recommendation of your psychologist?


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