there are freakout posts every hour or so on r/adhd. desperate plans to amass a huge petition of signatures, or challenge it legally with a class act. lawsuit, but mostly a lot of despair and disbelief. also some blaming of the so-called undeserved adderall users that are allegedly the official reason for the shortage…and something about tiktok users.

it’s bad and capitalism is certainly the reason why. i’d like to understand the nuance of it more though if anyone had some good leftist takes on it.

31 points
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What I heard from my pharmacist:

Only a handful of companies are allowed to produce adderall because of the war on drugs. the main factory for one of these companies was temporarily shut down last year. This was apparently because of black mold contaminating a different production line (not adderall).

The working conditions there were also horrible, so the discovery of black mold set off a worker’s strike which has since been resolved.

Only so much adderall can be legally manufactured at a time. The US government is very slow to increase these limits so it can maintain control / limit amount of unused Adderall. It uses historical numbers to adjust, working off the RX number from previous years.

This typically benefits the pharma corps because it creates artificial scarcity + drives up cost, equalling higher profits. However those same companies are now behind the demand curve to such an extent there is a shortage. They are now losing money.

This has been combined with an uptick in people who were finally able to get diagnosed with adhd because telehealth became more accessible and the cost of being assessed went down.

The pharma companies cut corners to maximize profits, ate shit, and now the control mechanisms set in place by the war on drugs is making it so they can’t catch up.

TL;DR: it’s the US government and incompetent pharma corps, not individual people trying to get medication.

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I stopped bothering to treat my ADHD with medication because of how much of a pain it is to get the stuff and its shitty side effects.

In my country, ADHD medication has to be prescribed by a psychiatrist. So that means every time I need a new prescription, I had to shell out $300 to see psych every time. They aren’t open on the weekends either, so having to see a psych meant one day a month I’d have to take a day off work to see one. It ended up pissing off my boss and getting me fired. Ironically I was trying to treat my condition so I could do better at work. Lmao. Damned if you do, damned if you don’t.

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7 points
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Here I was patting myself on the back for getting insurance so I could get a diagnosis:yea:

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14 points

If you’re prescribed extended release, Vyvanse, or some other form of medication you won’t be nearly as impacted by the shortages. One step at a time though, it’s good to get a better understand about yourself with the psychiatrist!

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6 points

extended release

thank fuck i was about to freak out

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I take ER and have had trouble, maybe depends on the dose?

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1 point

Could be it, I’m pretty low dose in a large city and haven’t had any difficulty

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12 points
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that’s still worth doing and there are other adhd options. Adderall is just the most popular and historically the least expensive because it now has generic options. Dealing with this too and it sucks :soviet-heart:

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A shortage won’t last, a diagnosis will.

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1 point

I’m not sure, but I don’t think this shortage is effecting strattera. Strattera/atomoxetine is a non-stimulant drug that can aleviate adhd symptoms. It’s still worth pursuing a dianosis.

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After a major shortage awhile ago, I got the doctor to increase the dosage to triple what is effective so I could stockpile, and went into a sort of permanent rationing mode.

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16 points

‘Most ADHD medications fall into a class of controlled substances called central nervous system stimulants. Because the medications have a well-documented history of abuse and addiction, the FDA and Drug Enforcement Administration limit how many pills a pharmacy can dispense at once and how frequently patients can refill their prescriptions. The DEA also sets limits on the active ingredients pharmaceutical companies use to make these drugs each year.

“The DEA is involved if any manufacturers try to scale up production,” Ganio said. The DEA calculates how much of a given drug ingredient is needed to meet demand, then allocates that precise amount. The problem, according to Ganio, is how DEA uses historical data — meaning prescription numbers from previous years — to set these amounts.’

:wtyp: Source

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