Most international pharmaceutical companies have some presence in the US, so the US quota has a world-wide effect.
Additionally, prescriptions are for very specific doses of specific variants of the meds. Because it's a controlled substance, pharmacies aren't allowed to use any substitutes (not even something common-sense like dispensing 2x30mg for a 60mg prescription). This makes shortages happen even before all of the quota runs out, because some commonly used doses run out sooner.
Are they doing anything about that? Seems like a very tractable problem.
It does sound like the quota-setting system was designed for an era where the “legitimate” growth wasn’t on the order of “10% a year for 15 years”:
https://www.additudemag.com/adderall-shortage-dea-stimulants...
Instead of hoping for a Trump EO to nuke the DEA (literally or figuratively), why not redistribute Controlled Substance Act enforcement? Agencies like the FBI or HHS already handle overlapping domains. The DEA's rigid gatekeeping, especially on research and quotas, stifles innovation more than it curbs abuse.
What's also common is ADHD in adults being self-medicated with things like caffeine and nicotine. I'm not saying that this will help their kid, but clearly we're ok with some things that are medicinal being uncontrolled.
This is true for pretty much anything else like depression, anxiety, bipolar disorder etc.
>Our findings demonstrated that the AI-coached simulation group consistently moderated their symptom overreporting and cognitive underperformance compared to the symptom-coached group, as evidenced by group effects in mostly small to medium size (though nonsignificant in underpowered Bonferroni-corrected pairwise comparisons). This effect is also reflected in lower sensitivity rates for detecting individuals in the AI-coached simulation group compared to the symptom-coached group.
Here "symptom-coached group" is the group that was just given a handout of the diagnostic criteria.
When an adult asks for it, it's a lot more serious. They simply can't do their job without it which affects their livelihood. Not being able to pay the bills is serious business.
Legitimate reasons:
- Failing School
- About to get fired/Can't get hired
Illegitimate reasons:
- I deserve better grades (for children/parents)
- I deserve better jobs and money (for adults)
- I deserve to instantly develop work/study habits (everyone)
It's a very desperate medication to seek. Unfortunately, amphetamine derivatives are the first line of defense against this illness and that's a very serious type of drug. It scares me children are given drugs of the stimulant variety.
Adults don't need "legitimate" reasons, especially ones as nebulous as the strawmen listed above. Amphetamines have therapeutic potential for a range of conditions and are fairly benign if used responsibly and ideally temporarily. It's ridiculous that people have to jump through hoops (often quite expensive) or feign a specific illness for access to a better coffee substitute. With that said, 30mg+ dosages and the dominant prescription regimen (every day, no breaks, or you risk being cut off) are probably excessive for most individuals without extreme impairment.
I don't disagree with limiting its administration to children, but this should be handled by professionals on a case-by-case basis.
Another example of this is Ozempic. It's pretty much being used as a vanity drug, but a doctor's criteria should always be related to an illness and real symptoms.
Centigonal•5h ago
CravingLogic•5h ago
delichon•3h ago
Centigonal•3h ago
My last one was a tongue-in-cheek reference to an exhibit from this lawsuit: https://chatgptiseatingtheworld.com/2023/12/28/how-did-the-n...
asdff•1h ago
notesinthefield•32m ago