lol - this is one of the most ridiculous threads in a way, but, its got information i didnt know like that l-amphetamine does have those CNS effects (i knew it did something but mostly thought it was crap/waste).
Anyway, starting with the OP,
I've never been a big fan of Adderall due to the cracked out effect it produces. It is often asked why l-amphetamine is still being added to pharms like Adderall, after all it is notorious for producing a lot of negative physical and psychological side effects even at low doses. L-amphetamine, unlike d-amphetamine, does not selectively target dopamine transporters; instead, it targets both the norepinephrine and dopamine transporters. This means that l-amphetamine triggers norepinephrine release as well as dopamine release. If norepinephrine and dopamine have different cognitive effects from person to person, then the cognitive effects of d- and l-amphetamine must also differ from person to person.
That being said, I question any doctor who selectively prescribes Adderall over Dexedrine unless they can adequately explain the psychopharmacology of both enantiomers of amphetamine, and why they prefer one to the other. There is the argument that d-amphetamine has a higher abuse potential than d-, l-amphetamine mixtures, but I think that abuse is inevitable whether the patient is given either medication, they both produce euphoria that is similar enough influence abuse.
First off, at least in the U.S., *most* doctors prescribing Adderall DON'T KNOW SHIT ABOUT HOW IT WORKS. Yeah maybe they passed the necessary tests in school, maybe a doctor is reading this saying in his head "NO..", but in reality .. they might know its "an amphetamine" (lol) but they'll start to get pissy if you start trying to discuss chemistry or why or how this or that drug works etc. (of course, i'm making a generalization here) depends on the doctor (if they have a big EGO or not).
The reason ADDerall is prescribed like candy nowadays I believe is because the drug company representitives have come in all dressed up, with their donuts and free stuff and all that enough times, told by them how good ADDerall works, a bunch of marketing bullshit (by bullshit i'm not saying it doesn't work, just saying how the whole system is bullshit), and WELL nowadays ADDerall is just "standard" and most doctors don't put too much thought into it when writing a new script. I think it seems to be, first some form of Ritalin first, if they come back and bitch, give them Adderall and that usually stops the bitching. Actually now, I think a lot more Adderall is being prescribed right off the bat, probably because "all the other doctors are doing it" and well most people given a choice would choose Adderall over methylphenidate/ritalin (i would!).
I take Dexedrine myself, that 25% l-isomer only does bad things to me if taken more than a couple days. But oh man, it was *difficult* to get my doctor to switch me to Dexedrine, and when he finally did, I had to tell him what to write on the script paper! He told me, "there's no such thing as 10mg dexedrine tablets", told him to "type in dextrostat" on his computer and it came up. Dumbass.. Oh also anytime I get it filled, most pharmacies don't carry it, the tablets or ER capsules, its gotta be pre-ordered, because ... its so rare anyone gets dexedrine anymore.
Another thing - PATENTS. Funny how amphetamine has been around for a long time, dexedrine has, used to be racemic amphetamine available etc. Well, why is there 75% d isomer and 25% l isomer? Gee, lets throw together this,
* 1/4 Dextroamphetamine Saccharate
* 1/4 Dextroamphetamine Sulfate (Dexedrine®)
* 1/4 Amphetamine Aspartate
* 1/4 Amphetamine Sulfate
boss, and we got a new drug! Lets PATENT THIS IDEA! So the drug company gets their patent and markets the hell out of it, charging crazy prices, until their patent runs out... uh oh.. the generic companies start making it for cheaper... so now what? ADDERALL XR!
Adderall XR utilizes the Microtrol® delivery system to achieve the extended-release mechanism. This delivery system incorporates two beads: the first type of bead dissolves immediately and the second type releases four hours later.
So now most doctors are prescribing Adderall XR, which is the same damn thing, except half is released right away, the other half 4 hours later. New patient...lots of crazy marketing and free donuts to doctors - and well thats why most people get prescribed Adderall XR nowadays. If you don't have insurance, and don't know about the generic, i bet most doctors wouldn't even mention it to the patient (if the doc. knows he/she has no insurance).
Really I believe that is mostly the entire reason, to answer your question.
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Ok... I may not be right here, but, i'm going to assume that manufacturing Adderall, there is no "separation of isomers" going on.. why would there be? I would think that racemic amphetamine is being made with appropriate precursors, and d-amphetamine is being made separately starting with different precursors so they end up with just the d isomer. No? Then they take each component and mix them together however they do and you then have Adderall. Seems like thats how it would be done, but I may be wrong, just my guess.