With pharmacies unable to fill prescriptions, many ADHD patients are turning to Craigslist to buy illicit pills online

Peruse an online marketplace like Craigslist, and you’ll find coded classified ads for “Study Help” and “Study Hall”, or calls looking for a “Study Buddy”. Despite the scholarly language, these aren’t people looking for pre-final cram session. They’re plugs for Adderall: the trade name for a combination of amphetamine salts long prescribed as a first-choice treatment for attention deficit hyperactivity disorder (ADHD). It’s a drug that is, of late, in perilously short supply.

The US National Institute for Mental Health estimates that ADHD affects 4.4% of adults between the ages of 18 and 44. The number of adults treated for ADHD has increased in recent decades, attributable to the wider destigmatization of diagnosing the disorder in adults as well as the Covid-19 pandemic and its knockback effects on adult mental health. The Centers for Disease Control and Prevention has found that adult prescriptions for ADHD medication increased by 7.9% between 2020 and 2021, compared with a 1.4% average annual increase between 2016 and 2020. In 2021, doctors authorized in excess of 30m prescriptions for Adderall, serving nearly 4 million patients.

But over the past two years, many of patients have been unable to procure their prescription, due to manufacturing shortfalls. With the delta between demand and supply widening, some adults with diagnosed ADHD are forced to forsake CVS, Rite Aid, Walgreens and other drug retailers, and turn elsewhere.

      • Taldan@lemmy.world
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        1 year ago

        Are there test kits that could differentiate the two? Wouldn’t they both just test positive for amphetamines?

        Or are you suggesting it to check for other drugs such as fentanyl?

        • Rai@lemmy.dbzer0.com
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          1 year ago

          Oh no, you can differentiate between meth and adderall!

          I’ve tested some shady pills that didn’t even turn colour. Not even meth. Super bad.

    • HootinNHollerin@lemmy.world
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      1 year ago

      If doing anything black market buy fentanyl strips and narcan. Strips from dancesafe are good and narcan from a nonprofit like harm reduction circle

  • gAlienLifeform@lemmy.world
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    1 year ago

    I wonder how much the opioid lawsuit settlements’ rules for drug distributors and pharmacists is driving this

    The distributors use algorithms that cap the quantities of controlled substances a pharmacy can sell in a month. Before the settlement, pharmacists said, they could explain to a distributor the reason for a surge in demand and still receive medications past their limits. Now the caps appear to be more rigid: Drugs are cut off with no advance notice or rapid recourse. As a condition of the settlement, distributors cannot tell pharmacies what the thresholds are.

    But some doctors said that legitimate prescriptions were being caught in the dragnet, while pharmacists said they were declining to dispense some medications for fear of setting off triggers.

    Distributors can investigate and resolve red flags if they are satisfied by a pharmacy’s explanation, but they can also stop supplying them with controlled drugs altogether.

    Swept up in the scrutiny are college students far from home trying to fill their Adderall prescriptions, patients in rural areas where it is customary to drive long distances for medical care, and hospice providers that rely on local pharmacies for controlled substances instead of on a specialized supplier that would be exempt from the limits, The Times found.

    Restrictions on controlled substances had already been ratcheted up for years, as concerns about abuse grew during the opioid epidemic. More recently, shortages of some drugs, such as Adderall, which is used to treat A.D.H.D., made those medications hard to get. The settlement with distributors appears to have tightened supplies even more.

    • BobGnarley@lemm.ee
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      1 year ago

      Yupp the DEA purposefully fucks with the supply chain which, like this article we are commenting on shows, drives people to the black market. That same black market that the DEA is given a blank check to help “take care of”.

  • Flying Squid@lemmy.world
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    1 year ago

    If you do have ADHD and feel you need help, there are non-scheduled pharmaceuticals available as well. My daughter is on Qelbree which isn’t perfect, but it works pretty well. And you don’t have to worry about people abusing it making the supply run out.

    • Mario_Dies.wav@lemmy.dbzer0.com
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      1 year ago

      Thanks! My husband has been talking about getting back on Adderall for his ADHD, but he doesn’t really want to go through all the hassle. I’ll tell him about this.

      • Awesomematter@lemmy.world
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        1 year ago

        I don’t know if the same thing is happening with the XR but if the IR worked for your husband it might be a good alternative. I recommend Vyvance, it was recently approved for generic. Still a bit pricy but it’s longer acting with less of the unbearable side effects.

        • half_fiction@lemmy.dbzer0.com
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          1 year ago

          Vyvanse is also having a shortage, caused in part by people not being able to get Adderall switching over. It’s not as bad as it was a few months ago (we called around and couldn’t find a pharmacy with a 30 day supply within a 2 hour radius) but they’re still having trouble getting enough, especially at the higher doses. Source: I literally talked to a pharmacist about this today when I went to pick up my other random-ass stimulant. My doctor told me to just keep asking them about it every month haha.

  • Aniki 🌱🌿@lemm.ee
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    1 year ago

    If anyone needs help procuring their medications shoot me a DM and I’ll help you get hooked up with my friend the dead pirate Robert.

  • Mario_Dies.wav@lemmy.dbzer0.com
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    1 year ago

    My ass would probably see one of these “study help” posts and reach out to the person, thinking I’m going to do a good deed by helping someone with their college assignments

  • BlackSkinnedJew@lemmynsfw.com
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    1 year ago

    I’m not trying to predict the future but, if the problem about fentanyl and opioids in general comes from the misuse of Oxycodone, I don’t want to tell “I said it” when a bunch of people be hooked to crystal meth.

    • DrDr@lemmy.world
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      1 year ago

      Stimulant medications have been around for a long time. ADHD patients that are untreated have a higher risk of developing a substance abuse problem. ADHD patients taking stimulants have a risk of substance abuse that is on par with the rest of the population. Prescription stimulants generally have low risk of abuse. I’m an addiction researcher.

    • Staiden@lemmy.dbzer0.com
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      Adderall and Ritalin is in no way the same as meth. I used to say the same thing and then I tried meth. That shit is crazy. One bump half the size of a pea and you are up for 24 hours straight. Coming off it was terrible. I just cried for a few days straight I did it for a month and never again. Shit kinda fucked my life up at that time.

      • gregorum@lemm.ee
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        1 year ago

        Your personal anecdote has no bearing on my decades of experience with dozens upon dozens of addicts. All I can say to that is congratulations on not becoming one of them.

        • ABCDE@lemmy.world
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          Ritalin and meth are not the same, don’t be silly. I’ve be prescribed the former and taken it a while, and tried the latter a few times. Meth is bonkers, not even close.

          • gregorum@lemm.ee
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            1 year ago

            I know, silly. You’ll also notice that I never mentioned Ritalin, so thanks for the straw man. I have only mentioned Adderall and meth. If you wish to discuss Ritalin, I suggest you join a different discussion.

              • gregorum@lemm.ee
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                1 year ago

                Because they were clearly lost, or using a strawman, as I pointed out.

                • ABCDE@lemmy.world
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                  1 year ago

                  No, they weren’t, Ritalin was mentioned in the article. Adding context and detail to a discussion is not “using a strawman” as much as you love using that phrase.

                  You’ll also notice that I never mentioned Ritalin

                  The person never said you did either, stop using your own strawman.