r/Desoxyn

Ive had all stimulants at max fda recommended doses plus strattera prescribed and yet I still end up getting distracted for hours a day on social media such as Discord. 6 easily. It's driving me mad. No mania has ever happened as long as I take my bipolar medication. Has anybody with bipolar had any luck with getting a psychiatrist who is willing to prescribe Desoxyn? And have you had any episodes? Im in the US so it should be a possibility.

Hey folks – I hope everyone is enjoying the advent of the spring season as well as the recent resolution of the shortage that began all the way back on 3/17/23.

Thankfully, the loud clamor (the kind we saw start up in late 2022) has long since yielded to the usual topics of efficacy, ADHD, and first-time fills –– expected, since Desoxyn has not been this available since late 2022.

Despite this indisputable reality, reports of persistent issues continue to crop up sporadically, often relaying specious "backorder" claims made by pharmacists. I do actually believe those pharmacists – in part. Here's what I think is happening: "I can't order it, so supply must be low*"* is a near-airtight assumption in every normal scenario*....*

...But it's still an assumption. His definitive knowledge (i.e., he couldn't order it from his warehouse at that moment) is much thinner. And, as it turns out, Desoxyn's rarity makes it the antithesis of a normal scenario. The truth? The pharmacist may just be seeing an artefact of low demand. Perhaps for the first time in his career! It's very conceivable that an empty local warehouse is just a reflection of there being literally not a single Desoxyn patient in your vicinity other than yourself. Remember, your pharmacist can't order from other warehouses, and he definitely can't place a purchase order with Ajenat or Hikma.

BUT! If you patiently keep the prescription active, the system should flag the unmet demand. The flag should get processed higher up the chain behind the scenes, allocating stock to the empty warehouse and prompting your pharmacy to order and fill it (and to boot, a lot quicker than you think). Perhaps people have reported failure with this method, but I can't think of one single such instance.

***Disclaimer: While I think my reasoning is sound, I have zero insider knowledge or firsthand experience with retail pharmacy distribution systems, so take my words with a grain of salt. At the end of the day, the method's efficacy is the only thing of tangible importance.

***Off-topic but perhaps worth mentioning: My refill from a few days ago says "Dr. Reddy's" in lieu of "Mayne" for the first time. Since it's the still the same contract factory producing the same formulation, perhaps the variable here is a fresh batch. No more soft, dusty tablets – these are very hard (breaking one out of curiosity left a lil dent in my finger!). I'm not one to notice variation in batch efficacy, but these do seem to be a fresh, higher-integrity product.

Hey guys just like the tittle states. I ended up having this conversation with my provider and he said he wouldn’t have an issue on his end prescribing me this. That it’s just like any other stimulant all it is it’s a medication to treat ADHD in his eyes. Can anyone guide me in the right direction with potential pharmacy complications and coverage? I see that brand desoxyn has a copay card active for 10mg daily so 5mgx2. I wanna know

1. How hard is it to get brand vs generic
2. Where is the easiest place to get and what generic has the least side effects.
3. What I can expect from this vs Dexedrine.
4. How likely insurance is to cover this with a PA or formulary exemption?
5. Any healthcare professionals within this group that have this prescribed to you. Do you find it harder or like you have a stigma over your shoulders for having this med filled at the hospital or in general if you work in direct patient care?

Edit: thank you all for the replies and messages didn’t think anyone would be this thorough so I really appreciate everyone who commented. Update: I looked on my pharmacy benefits manager which is optumrx. From what I understand insurance won’t cover it either brand or generic. Any suggestion how to go about this?

This is what it shows on brand:

Prior authorization

No

Step therapy

Yes

Any one of the following generics: amphetamine-dextroamphetamine IR/ER; dexmethylphenidate IR/ER; dextroamphetamine SR/IR; methylphenidate IR/ER; lisdexamfetamine.

Quantity limit

Yes

Yes. Maximum quantity of 5 per 1 day(s).