I got a call from my psychiatrist’s office on Monday, and it wasn’t good news.
Apparently, he’s under review, and his ability to prescribe Schedule 2 drugs (like my Adderall) has been temporarily suspended, pending review. No one knows how long the review will take, but since it’s bureaucracy… It doesn’t look good.
This wouldn’t be a problem if I had ADD. In that case I could simply switch providers and easily get prescribed Adderall again. Unfortunately, I get the medication for my fatigue.* Most doctors won’t provide a Schedule 2 drug for an off-label use. So I may be screwed.
I have an appointment with my primary care provider on Friday to feel him about prescribing me Adderall while the doctor’s review is pending. I’m not optimistic, but he’s pretty open-minded overall. So he’s probably my best bet.
If/when he says no, then I’ll just have to ask the next psychiatrist I use. Maybe (doubtfully) they’d be willing to prescribe for fatigue. Heck, they could even prescribe me Provigil, the anti-narcoleptic medication I used to take. They’d just need to prescribe it for “daytime sleepiness” — at least, according to the last neurologist I once saw (who couldn’t help me himself).
I can also start shopping for a neurologist to prescribe the Provigil. It’s iffy. Like I said, the last one I saw couldn’t help. Then again, he was part of an HMO. A private practice neurologist might have a bit more leeway.
Of course, he or she would still have to be able to convince the insurance company to cover it. The rheumatologist I saw tried getting a pre-authorization and was denied. I’m with the same company, so it might be another uphill battle.
Even if the insurance company does approve Provigil, I have no idea what the copay for would be, but I’ll gladly fork it over if it meant not going back to days blurry with fatigue.
For now, I’m rationing the Adderall I have left. I’m using just one a day instead of two. Unfortunately, that means that half the day I’m in a fog — an unpleasant reminder of what awaits me if I can’t get anyone to prescribe me meds.
Since I have to be wakeful to work, I’ve been taking it in the mornings. (This also allows me to work out, which is good for energy levels.) But this means that on the days that I want to go out in the evening, I either have to spend the daytime in a fog or use a second pill from my dwindling supply.
And if all else fails, if no one will prescribe me the meds I need, then I guess I’ll have to invest in caffeine pills and be shaky all day.
Do you (or does anyone you know) have trouble getting medication?
*Come to think of it, stuff like that may be why he’s gotten into trouble.