Mental Health Asking Doctor to Increase Vyvanse Dosage by 30mg (40mg to 70mg)

[nunsforlsd]

Hey there, just seeking some advice on what I could say at my upcoming physician's appointment to get him to increase my vyvanse dosage from 40mg to 70mg. I know there isn't some magic phrase that is guaranteed to work, but I just want to get others opinions on how to do it. I have been prescribed vyvanse by this doctor for a little two years now, taking 30mg for the first year and 40mg for the second.

The reason I want to get my dosage increased this much is my amphetamine tolerance is pretty damn high right now from daily IV meth use for the past 4 months. This is something that I do not want to tell my doctor in fear of losing my script. I have tried quitting meth cold turkey a couple times during this time period and both times my relapse was not due to a desire to take the drug per se; I simply cannot handle the fatigue, brain fog, and general mental slowness from quitting. This has lead me to continuously buy meth telling myself each time I won't abuse it , however 0.05 seconds after purchasing it that goes out the window.

Although I have abused my vyvanse in the past, I am not very worried about that happening again. At this point, only shooting meth offers any recreational value for me when it comes to amps. Any ideas about what to say would be appreciated.

 

[Moreaux]

Hi nunsforlsd - your question kind of falls into a grey area of the BLUA, as I know you already have a prescription, you are looking to know what to say to increase your dose, which in my opinion falls under the "seeking" regulation. Of course, this is my interpretation and I could be wrong - I will check on that.

In my personal experience I have found being honest with doctors leads to the most favorable results, even when it comes to controlled substances, and I realize others have had different experiences. However, I was addicted to benzos so a doctor couldn't just cut me off without liability issues. I have also found that when legitimate medical need is present, disclosing a high tolerance will ensure that you get the appropriate amount of medication to help you. This has worked for me decades ago when I legitimately needed opiates for an injury, but had been abiding Oxy so my tolerance was ridiculous.

I realize this isn't the answer you wanted, and am sorry. I can't in clear conscience tell you how to manipulate a doctor as you're not the only person who may read my response, and giving out that tidbit may encourage someone else to drug seek from a doctor and end up with an addiction, or with a worse addiction, and that would go against the harm reduction nature of this site. I wish you the best!

 

[Ligaturd]

In this case... Complete honesty isn't a good idea, at least not about the meth part. There isn't an accepted replacement therapy or taper regimen for amphetamines or stimulants as of right now. There should be though. But being honest by saying it just isn't working for you because of tolerance is pretty much the only thing you can say and it's acceptable.

 

[AlphaMethylPhenyl]

As others have said, be honest. I'd recommend seriously considering rehab. There is no limit to how far you could fall.

Bluelight doesn't sanction illegal activity, including how to obtain illegal drugs, even prescriptions, especially for someone who likely cannot use them as directed.

Closed.