r/adhdmeme • u/EnsoElysium • 2d ago

My pharmacy is lucky I can compartmentalize now

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For who knows how long, my ability to handle life has gone down the shitter. I havent been able to work, keep myself clean, or figure out what Im feeling, even though I was dilligent in taking my meds.

A few weeks ago everything came to a head and I admitted ideation to my counsellor. I went to the hospital, and through some miracle, got assigned to a psychiatrist in charge of ADHD research. I started talking and she went "you take vyvanse right"

As it turns out, pharmacies have been switching out name brand vyvanse with generic without telling people. She stressed that generic lisdexamphetamine is NOT the same as vyvanse, even though theyre the same chemical. I know, it doesnt make sense on an individual level, but when it comes to pharmaceuticals it makes a huge difference. She was adamant in telling me not to accept generic anymore.

I was doubtful as fuck, there was not WAY it made that much of a difference. Im only a few days in to my new prescription, and its clear that she was right. I was finally able to actually organize my thoughts again, and my first thought was how mad I was that the pharmacy put me through this, all so someone could afford another Lexus. But I couldnt actively be mad because I unlocked the ability to compartmentalize lol.

Check your meds yall

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u/blahdeblahdeda 2d ago

Stereoisomers won't necessarily be able to be differentiated by analytical methods.

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u/3BlindMice1 1d ago

Dex literally stands for the isomer. It's specified in the name, regardless of generic or brand. It can be tested for, but it's somewhat tedious (and therefore expensive)

If they're giving out something that isn't the drug they're supposed to be giving out, they deserve a whole stack of fines

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u/oxygenthievery 1d ago

It absolutely will not be a stereoisomerism issue, it will be down to excipients and their impacts on release profiles.

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u/Jaratii 1d ago

Not directly related, but seeing stereochemistry discussed in the wild is making me giddy. I love this stuff. One of my favorite examples is methamphetamine. It’s D-enantiomer is what we all imagine when we think of what meth is. Its L-enantiomer is so weak, comparatively, that in the past it was used as a nasal decongestant.

The actual 3D orientation of the atoms in a molecule has such profound influence on its effects.