Posted by jojo on July 26, 2001, at 1:37:22
In reply to Schedule II Prescription Restrictions?, posted by Buster on July 25, 2001, at 19:13:38
> This is my first post to Psychobabble.
>
> I have tried over 20 different medications for depression, several in each class. I have developed adverse reactions (usually migraine headaches) to all of them.
>
> When I asked my internist if he would consider a trial of Adderall for my depression, he told me that Adderall (a Schedule II medication) (1) can only be prescribed by a psychiatrist, and (2) can only be prescribed for people who have been diagnosed with attention deficit-hyperactivity disorder.
>
> Is this true?
>
> If what he told me is not correct, but he still will not prescribe this medication (or another psychostimulant) for me, do you have any suggestions about how I can find a doctor who will at least *consider* prescribing psychostimultants for someone with refractory depression?
>
> Thanks for your help,
>
> BusterThe good doctor is mistaken. Possibly the
FDA has only approved the Patient Insert for ADD,
but a doctor, even one who is not a psychiatrist,
can prescribe off lable use unless it is specifically prohibited. Adderall can be prescribed as an adjunct for depression, as can Buprenex, a Schedule 5 mu agonist-antagonist, which can not be prescribed in a doctor's office for opiate withdrawl (only at an opiate withdrawl clinic), but can be prescribed as an off lable use for depression. 80% of prescriptions for Neurontin, I have read, are for off lable use.
Possibly your Congressman, especially if he was one of those who determined that
marijuana had no medical use, could suggest
another drug, based on the same training that allowed
him to determine that Marijuana had no medical value.
Or perhaps I am being unfair. Possibly he prefered
to leave that up to the patients and their physicians
to determine.
jojo
poster:jojo
thread:71825
URL: http://www.dr-bob.org/babble/20010725/msgs/71862.html