this post was submitted on 16 Apr 2024
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ADHD memes

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[–] [email protected] -4 points 7 months ago (3 children)

Must be nice. The only one that works for me is Vyvanse which is literally just cocaine, and the max dose of 70mg causes my heart rate to hit 120 while sitting down and doing nothing but watching YouTube for two hours.

[–] [email protected] 14 points 7 months ago (1 children)

Why do you think it's cocaine?
It's just another amphetamine derivate

[–] [email protected] -1 points 7 months ago* (last edited 7 months ago) (4 children)

Because I’ve been told by my pharmacy tech wife and my doctor that it is. Or close enough, anyway.

EDIT: It turns out my ignorance of chemistry is enough to get me downvoted. In any case, thank you to the kind souls that have educated me on the matter.

[–] [email protected] 21 points 7 months ago (1 children)

Well, as a pharmacist whose been stable on 50mg of vyvanse for more than 3 years, your wife and Doc are both incorrect…

Both are stimulants, yes, but

Vyvanse is an amphetamine and works to produce more neurotransmitters you don’t already have.

Cocaine is a reuptake inhibitor… thus preventing the breakdown of neurotransmitters you do already have.

While fundamentally they may look like they’re doing the same thing, they are in fact 2 totally different mechanisms. Furthermore, in neurotransmitter depletion the effects of cocaine will severely diminish, where as amphetamines will thrive.

[–] [email protected] 6 points 7 months ago

That’s awesome info, thank you.

[–] [email protected] 13 points 7 months ago

I think it's important to note that while chemicals can be similar in structure minor differences affect both their chemical properties and the way they interact with our body. Being close to something chemically has no bearing on what it does.

[–] [email protected] 11 points 7 months ago (1 children)

...tell them both to visit erowid or wikipedia, and look up cocaine and amphetamine separately. Then, look at vyvanse's wikipedia page. That type of description is part of the reason why it's tough for us ADHD folks to get access to our meds.

[–] [email protected] 5 points 7 months ago

Definitely this.

Concerta is diet cocaine, whereas Vyvanse is a miracle (and Lisdex is the devil's apple)

[–] [email protected] 5 points 7 months ago

But that's a completely different molecule
https://en.m.wikipedia.org/wiki/Lisdexamfetamine

Adderall is practically pharmaceutical street speed. That's why I got interested that they found a new application for coke again, besides as a numbing agent.

[–] [email protected] 8 points 7 months ago (2 children)

Yeah, that's not a fun trade-off.

[–] [email protected] 5 points 7 months ago

Heart issues run in my family, so I’m not trying to expedite my trip to the grave.

[–] [email protected] 2 points 7 months ago (1 children)

My experience is the opposite. I used to take Adderall, and I fell that is too close to coke. I switched to Vyvanse about 6 months ago and I've been really liking it. It's much more soft, less of a comedown.

I take 60mg.

[–] [email protected] 1 points 7 months ago

I’m really happy that it’s working well for you!