With pharmacies unable to fill prescriptions, many ADHD patients are turning to Craigslist to buy illicit pills online

Peruse an online marketplace like Craigslist, and you’ll find coded classified ads for “Study Help” and “Study Hall”, or calls looking for a “Study Buddy”. Despite the scholarly language, these aren’t people looking for pre-final cram session. They’re plugs for Adderall: the trade name for a combination of amphetamine salts long prescribed as a first-choice treatment for attention deficit hyperactivity disorder (ADHD). It’s a drug that is, of late, in perilously short supply.

The US National Institute for Mental Health estimates that ADHD affects 4.4% of adults between the ages of 18 and 44. The number of adults treated for ADHD has increased in recent decades, attributable to the wider destigmatization of diagnosing the disorder in adults as well as the Covid-19 pandemic and its knockback effects on adult mental health. The Centers for Disease Control and Prevention has found that adult prescriptions for ADHD medication increased by 7.9% between 2020 and 2021, compared with a 1.4% average annual increase between 2016 and 2020. In 2021, doctors authorized in excess of 30m prescriptions for Adderall, serving nearly 4 million patients.

But over the past two years, many of patients have been unable to procure their prescription, due to manufacturing shortfalls. With the delta between demand and supply widening, some adults with diagnosed ADHD are forced to forsake CVS, Rite Aid, Walgreens and other drug retailers, and turn elsewhere.

    • HootinNHollerin@lemmy.world
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      1 year ago

      If doing anything black market buy fentanyl strips and narcan. Strips from dancesafe are good and narcan from a nonprofit like harm reduction circle

  • gAlienLifeform@lemmy.world
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    1 year ago

    I wonder how much the opioid lawsuit settlements’ rules for drug distributors and pharmacists is driving this

    The distributors use algorithms that cap the quantities of controlled substances a pharmacy can sell in a month. Before the settlement, pharmacists said, they could explain to a distributor the reason for a surge in demand and still receive medications past their limits. Now the caps appear to be more rigid: Drugs are cut off with no advance notice or rapid recourse. As a condition of the settlement, distributors cannot tell pharmacies what the thresholds are.

    But some doctors said that legitimate prescriptions were being caught in the dragnet, while pharmacists said they were declining to dispense some medications for fear of setting off triggers.

    Distributors can investigate and resolve red flags if they are satisfied by a pharmacy’s explanation, but they can also stop supplying them with controlled drugs altogether.

    Swept up in the scrutiny are college students far from home trying to fill their Adderall prescriptions, patients in rural areas where it is customary to drive long distances for medical care, and hospice providers that rely on local pharmacies for controlled substances instead of on a specialized supplier that would be exempt from the limits, The Times found.

    Restrictions on controlled substances had already been ratcheted up for years, as concerns about abuse grew during the opioid epidemic. More recently, shortages of some drugs, such as Adderall, which is used to treat A.D.H.D., made those medications hard to get. The settlement with distributors appears to have tightened supplies even more.

  • Flying Squid@lemmy.world
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    1 year ago

    If you do have ADHD and feel you need help, there are non-scheduled pharmaceuticals available as well. My daughter is on Qelbree which isn’t perfect, but it works pretty well. And you don’t have to worry about people abusing it making the supply run out.

  • robert_tayl@lemm.ee
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    1 year ago

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