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Dexamphetamine question

kaiba

kaiba

Bluelighter
Joined
Sep 24, 2010
Messages
191
Is there a maximum dose that psychiatrists in Australia can't go over? Is there a rule? Post sources if there are.
 
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I know someone who's on 45 mg per day.

And I'm on the same dose as well.
 
A friend of mine was on 10 x 5mg tablets (50mg daily)

2 tablets, then 3, then 3, then 2. Or something like that.
 
Sourcing. I would definitely close this thread moderators. This 'ADHD' treated patient is definitely looking for sources which would help him during his next consult with his psychiatrist in order to get the highest dosage of d-amphetamine. Trust me, I've seen this so many times in patients before you. They didn't make it out as easy though...(death, hemiplegic strokes) or they go on to use harder, more impure street drugs such as crystal meth, starts of with smoking it, then leads on to injecting it, then leads on to Hepatitis C/HIV>AIDS.
 
You sound like a pissed off parent or religious zealot rather than a GP. If you seriously a GP shame on you for spreading myths like daily happenings.
 
You sound like a pissed off parent or religious zealot rather than a GP. If you seriously a GP shame on you for spreading myths like daily happenings.
Click to expand...

Shame on you, sir. I am a general practitioner/psychiatrist (with a nak for treating patients who have ended up on the wrong side of rec. drug use, with main interests in co-morbidity seen amongst patients who are afflicted with one or more mental health conditions and one or more substance abuse issues).

I condone the use of psychedelic drugs (DMT, Psylocibin..not MDMA/LSD/nasty chemical drugs!) in order to facilitate the process of spiritual enlightenment, henceforth which is why my name on this board indicates the traditional Buddhist beliefs of meditation, which has greatly helped my patients overcome their wanton desires to go out and fix up.

Yes sir, I'm a parent.

:)
!
 
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reincarnation said:
sourcing. I would definitely close this thread moderators. This 'adhd' treated patient is definitely looking for sources which would help him during his next consult with his psychiatrist in order to get the highest dosage of d-amphetamine. Trust me, i've seen this so many times in patients before you. They didn't make it out as easy though...(death, hemiplegic strokes) or they go on to use harder, more impure street drugs such as crystal meth, starts of with smoking it, then leads on to injecting it, then leads on to hepatitis c/hiv>aids.
Click to expand...

hahahahahahha
 
ReIncarnation: I edited your post again. There is no need to throw insults around the board.

The OP was also not asking for sources for drugs, but to links for information on the question he asked.

OP: There is a maximum quantity and maximum repeats on the PBS, but if a patient needed more then the prescriber should be able to get an authority for that; there is no note on it's page about there being restrictions on authorities for increased maximum quantities or repeats.

State legislation may vary though, as the PBS page indicates, and there may be restrictions on that side regarding how they can prescribe it. This page has some more information. See the table about halfway down that lists the states and has information on prescriptions for stimulants for ADHD in children.
 
its 12 I have been on them for 13 years
Any more you need to get permission from this council but i been trying to a decade to get my dose upped with no luck. it didn't used to be like this when i first started you could get scripted like 20+ a day.
If you get scripted more than 12 a day your doctor gets a letter in the mail warning him 12 is max.

From MIMS
Dexamphetamine Tablets Rx (S8; Care must be taken to comply with provisions of State/Territory law) CMI
Dexamphetamine sulfate; lactose; white scored
Dose: May be taken with or without food. Individualise to lowest effective dose; avoid late evening admin. Hyperkinetic behaviour disorders. Children > 3 yrs: initially 2.5 mg/day; may incr by 2.5 mg/day wkly; max 40 mg/day in 2 divided doses. Narcolepsy. Children, 6-12 yrs: initially 5 mg/day, may incr by 5 mg/day wkly; greater than or equal to 12 yrs: initially 10 mg/day, may incr by 10 mg/day wkly; usual dose 5-60 mg/day in divided doses; see full PI
Pack 5 mg [100] : Authority - PBS/RPBS (NP) (Rp 5)
[Approved indication(s) for authority] Use in attention deficit hyperactivity disorder, in accordance with State/Territory law; Narcolepsy.
Click to expand...
 
drug_FUCKED said:
its 12 I have been on them for 13 years
Any more you need to get permission from this council but i been trying to a decade to get my dose upped with no luck. it didn't used to be like this when i first started you could get scripted like 20+ a day.
If you get scripted more than 12 a day your doctor gets a letter in the mail warning him 12 is max.

From MIMS
Click to expand...

Could you give me a direct link to that MIMS website, especially the stuff that you quoted?
 
Yeah, regarding my original post, I was just asking for sources that indicate a maximum dose for dexamphetamine that psychiatrist can't go over.
 
its 12 I have been on them for 13 years
Any more you need to get permission from this council but i been trying to a decade to get my dose upped with no luck. it didn't used to be like this when i first started you could get scripted like 20+ a day.
If you get scripted more than 12 a day your doctor gets a letter in the mail warning him 12 is max.
Click to expand...

That quote you posted though just states that usual dose is 1 to 12 tablets daily. If he wanted to increase your dose he could, he would just need to convince the relevant authorities that it is appropriate in your case and then get an authority for the prescription.
 
Im prescribed 15mg a day (but usually take 20).

I asked my doc about increasing the dosage once due to tolerance issues and he seemed cool with it, although that didnt include an increase in the monthly supply. Just meant I would have to see him more often which seemed like a hassle.

Anyone know if theres a limit in the monthly amount they can prescribe (a different question to the dosage amount). I might bring it up again next time I see my doc.
 
ReInCarnation said:
Shame on you, sir. I am a general practitioner/psychiatrist (with a nak for treating patients who have ended up on the wrong side of rec. drug use, with main interests in co-morbidity seen amongst patients who are afflicted with one or more mental health conditions and one or more substance abuse issues).

I condone the use of psychedelic drugs (DMT, Psylocibin..not MDMA/LSD/nasty chemical drugs!) in order to facilitate the process of spiritual enlightenment, henceforth which is why my name on this board indicates the traditional Buddhist beliefs of meditation, which has greatly helped my patients overcome their wanton desires to go out and fix up.
Click to expand...

Part A (and some of previous post)) Every doctor I have ever met believes this and does in no way crystal meth ALWAYS end in AIDS. Hell most users I know don't even touch a needle, I know meth junkies that still won't touch a needle. I've IV'd meth before, wasn't that great so I didn't do it again. You will have been taught a lot of misinformation through out your career, hopefully you spend some time around here and can actually learn something about recreational substances and how they are used.

Part B) You should know from chemistry at school/uni that there is no difference between a natural and synthetic chemical? They are still just a chemical.
 
There's really no excuse for catching HIV/Hep in Australia in this day and age, getting clean needles is absurdly easy.

Anyway, I think it's a bit unfair for ReInCarnation to pre-judge the OP and assume that he only wants a script/a higher dose to abuse it. Maybe he genuinely has ADD and his doctor is small minded and ignorant just like you, so he has to do what he can to play the system?

Also the flip side of your 'dexamp leads patients to using meth' argument is that if somebody has problems that are treated by amphetamines, but fails to receive effective treatment from his doctor, he may well turn to self medicating with illicit street stimulants instead. That sword cuts both ways, there's as good a chance that you're turning away a genuine patient who'll then be forced to resort to street drugs as there is that you're somehow 'saving them from themself' by denying them abusable meds.
 
Using IV drugs of any kind does not= Aids or Hepatitis C, not if someone is careful. I used IV crystal meth from 1995 till 2006 and also IV'd heroin and other opiates from 2000 till 2006, as well as occasionaly IV'ing cocaine on 2 day binges or sometimes 3 day binges in the past. I never shared a needle or even the same water or spoon as another person, and I have been tested numerous times during the course of my IV drug using days, and since then and I have no HIV, no Aids, No hepatitis C, and not even an infection from using needles. Misinformed people should not equate drug injection with automatic AIDS and HEP C or other bloddborne disease. Only very sloppy people who do not care about themselves catching something that will effect them years later are the usual ones to catch HEP C ,and also HIV/AIDS, although some are lucky enough to share needles with people who do not have anything yet! Although reckless IV drug use like that can end in Hep C or HIV/AIDS infection which the person may not realise the have until anywhere from 10+ years or longer for Hepatitis C and several years for HIV and AIDS! Thats why even though I used sterile needles,spoons and water even , I had the doctors check me for any diseases anyway to make sure I somehow caught something, but I luckily have/did not, and my injecting days are behind me know, except for an occasional injection of oxycodone or something, which is increasingly harder to finf here in the US since the changed formulation of OC's, although Canada and Mexico have the original formualtion of OC's and are a source for some for the "good old type OC's as they say"
 
The idea that being prescribed dexamp ultimately leads patients to meth is absurd and doesnt even warrant discussion.

As a research question I think its valid. But to hold to the notion based on anecdotal data from some patients is ridiculous. The confounding variables are too numerous to mention.
 
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