Self-medicating for ADHD: an evaluation of RCs and meds

By nemo · Feb 15, 2013 · ·
  1. nemo
    My activity on this forum has declined a lot after I had to resolve a substance abuse problem. I have ADD and am an insomniac, which is probably related. I got into an addiction of sleeping meds, which I overcame. There was a whole slew of other drugs that I experimented with but didn't have any issues with to stop as well.

    I used to be prescribed dextro-amphetamine for my ADD which worked miracles for me. I admit it also contributed slightly to the insomnia, but since that was already there anyway it didn't matter that much to me.

    To overcome my insomnia I indulged too much meds and came clean with my psych to go into treatment and successfully kicked the addiction. I also spent time on treatment with a psychologist, which also helped a lot.

    Now since I am officially labeled as an (ex-)addict, I can no longer get a prescription for amphetamine based medications. Even though I never abused that medication, as I never used it to get high or tweak or whatever. I just used it therapeutically and found it helped me lead a normal life.

    I have now tried all the alternatives and gave them their fair shot. I also realised I was never going to be prescribed d-amp again, so I gave it all my enthusiasm and hope. But as the medical profession already knows, amphetamine-based meds have the highest chance of success for ADHD patients.

    After going through severe depression, job-loss and total loss of self worth I contemplated on ordering legal alternatives. I hate the situation, but it's what I consider my best option for a quality standard of living.

    With the help of these legal stimulants I am able to regain some sense of normality in my life (paradoxically). The problem is that I am completely on my own, and am monitoring myself, which is a dangerous path to walk on.

    To aid myself in the quest for the right legal ADHD stimulant for my country I did some empirical research and read boards like these and all the known sources.

    The result is a spreadsheet with the stuff I researched. I scored it on different categories that are of importance to me. There are also other categories like neurotoxicity and obscurity which are frankly just my impressions of what I read from all different sources. If it were scientific I would have quoted them all, but unfortunately I did not intend this to be a peer-reviewed scientific study.

    So anyway, it is incomplete (probably inaccurate) and purely biased towards my interests. However i could not find anything like it anywhere so if it could help somebody, here it is. And if anyone could improve it, it would be much appreciated.

    When a category is noted with a +, this means a higher score is better. When it -, a higher score means it is not what you want.
    Chemicals in italics mean that I haven't researched them yet, but think they are interesting towards my purposes.

    To conclude my preferred ADHD med at this time is a combination of 3-FA and 4-FA. But I speculate that 2-FA or 2-FMA might be even more appropriate. The holy grail is something that does not produce euphoria, no PMS stimulation, and as little toxicity as possible. Just a functional clean stimulant.

    PS: I had included price details in my original sheet, but I believe that is not allowed so I have removed it for posting here.

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  1. medicineDoc12
    Really well done nemo. This is one of the few charts I've seen that has "amphetamine-like" RCs categorized together for comparison. It's been a while since you posted and I was wondering how the 4-FA, 2-FMA or different chemical has been working. I'm hoping your well and sorry to hear about the struggles to get proper medications due to prior medical history. Sadly, it is true. I'm not a psychiatrst and have written very few amphetamine Rxs, however, I'll admit I have given different Rx if I knew they had a history of substance abuse. It's definitely not out of spite but rather due to most medical associations adhering to the dopaminergic-reward pathway as the biological factor in addiction. Ultimately this mean that regardless of your prior specific (cocaine, heroin, benzos, even caffeine) the attempt is to find some form of alternative medication with no pathway stimulation, even if it is detrimental to the patient. It's sad, frustrating, and likely based on data that will evolve who knows where in the next ten years, yet it's a reality that you confronted and took back control over. I very much commend your drive to improve your health (but please please be careful with many of these chemicals with only scattered anecdotes to guide soapbox again) and hope you are doing well.
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