People often crush meds to defeat time-release formulations. If a pill’s compounds are made harder to breakdown, they take effect more gradually. Crushing them defeats that onboarding speed limit and rushes and concentrate the effects. 2/
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Also, Trump seems genuinely ADHDish and the effects of Adderall on people appropriately prescribed for ADHD are vastly different than on people taking it inappropriately. Adderall is often calming and focusing for people w ADHD. It’s primarily a stimulant for people w/o ADHD. 3/
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Lastly, Adderall is an appetite suppressant. It’s pretty common for people to lose weight on it and for that to be an issue requiring monitoring. Trump’s apparent weight gain just doesn’t track all that well to being a regular Adderall user these days. 4/
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I said a year ago I wouldn’t be surprised if he was/had been on Adderall. One comedian’s on-stage comment has now led to people likening taking Adderall to something akin to doing coke though... and people are now tying Trump’s behavior to an Rx that is by no means the cause. 5/
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There are many ppl who are rightfully prescribed Adderall and significantly helped by it. Turning taking it into a shorthand for drug abuse, impulse dyscontrol and being a general a**hole isn’t all that terrific. The guy has baseline issues. No pill is the cause of that. 6/
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Not trying to be soapboxy but among our shortcomings in dealing with mental health, one is our cultural treatment of medications. Using meds like Xanax, Prozac, etc.. as backdoor personal insults stigmatizes them, the real issues they treat and the people who have them. 7/
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Trump’s behavior is reckless, impulsive, dysregulated, dysfunctional. It’s a lot of things. A result of Adderall abuse though? Not likely. Dragging prescribed meds into the mix excuses Trump himself and wrongly shifts responsibility to the med not the man. That’s not great. //
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A word from a pharmacist: I agree. Snorting it maybe would make it take effect faster, but to no real end. Adderall comes in several forms: two of which are instant release tablets and XR capsules. Even the XR capsules can be made to work as 'instant release.'
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Exactly... and since the extended release (XR) formulation is only new in the past <10 years or so, Trump wouldn’t have had access to anything but the immediate release version most of his life by default.
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According to a quick google search Adderall XR was approved in 2002 (I was curious). But your point stands.
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Thx. I should have looked it up. I just can’t understand why someone would source XRs to abuse when the immediate release are readily available, generic, cheaper, etc.
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antacids / proton pump inhibitors, patients status post gastrectomy, generally anything that increases the pH of the stomach
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Interesting. Did not know that... All of that supports it not making sense to snort crushed up XRs. Insufficient pH to break down nasally.
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@HoarseWisperer I take Adderall for ADHD. What I found is that it works great for me at lower doses, but at higher does I am much more scatterbrained, irritable and impulsive -
Just curious, were you sleeping less at higher doses?
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Yes. but this was on the XR tablets. I now take the immediate release version so it only last 4 hours. Ive been on a bunch and always had trouble sleeping on any XR ADD med(ex. Vyvanse)
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I assumed that was the case. That’s actually why I thought Trump could be both on Adderall as prescribed AND made worse by it. It isn’t the Adderall itself per se. It’s the resulting severe, chronic sleep deprivation that comes from misusing it.
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I was pretty much convinced of it during the 2016 debates
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ADHD meds can have a parabolic effect: too little AND too much both leave you scattered & feeling useless. In an ideal world, meds would be titrated slowly upward until side effects start, then reduced.
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Who are you? Knowledge in mental health, quick wit, eager to engage in this time of crisis, ..... Do I really want to know or is the mystery more preferable?
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Since I’m just an ordinary, average person you’ve never heard of, the mystery is far more exciting than the answer.
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I'm more curious about his/her job. How do you have the time, Hoarse?
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Self-employed. Set own sched. Work wherever I want. So, my work config is more flexible than most.
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