Love A.D.D.erall

At 21 they diagnosed me with AD/HD & gave me smart pills. My grades shot up & my future brightened & some said I was better. But I am numb inside of this drug. People I love become distant strangers sometimes, so proud of me for victories I didn’t earn. How do I tell them I am not what I do or have done. I’ll never be happy on this drug, but I’ll never be successful without it. If only I could Love Adderall.

Archive for May, 2008

Walgreens Boycott

“The pink Adderall doesn’t work as well for me. Do you carry the orange kind?”

No time for bullshitting. No desire to be bullshat.

The lady behind the counter contemplated me. Then she gave me the standard response we get from all pharmacists these days; a generic answer about generic drugs.

“All generic pills are identical to their brand name counterparts, and to each other.”

Um, first of all, that wasn’t my question.

She continued. “The only thing different about generics is the price. We carry generics in order to save the customer money.”

I assumed that would be her position—that whatever differences I perceive between generic pink Adderall (CorePharma, ‘cor 135′) and the generic orange Adderall (Barr Laboratories, ) are entirely in my head. She seemed paranoid; as if she knew I was going to challenge the efficacy of her bullshit pamphlets and wanted to delegitimize my concerns before I could voice them. Then she tried to land the familiar knockout punch I’d taken on the chin earlier.

“Actually, this is the first I’ve heard of anyone noticing a difference. I’m not suggesting differences don’t exist, just that I can’t recall any other folks voicing your concerns.”

Why do they always say that? Are my concerns less valid if the world doesn’t voice them with me unanimously and in unison?

And what the fuck should I care what other people think, anyway? It’s as if I’m expected to piss my pants and retract my statement, rather than trouble myself with the prospect that my body is indeed unusual. Even if 0% of people taking pink Adderall are aware of its inferiority, I still am! Should I second-guess my body’s signals? Do they think I’ll be embarrassed that my already unique A.D.D. brain responds unconventionally to some external stimulus? If so, think again, lady. I have A.D.D.—that’s what my brain DOES. It behaves unlike other peoples’. I’m over that part.

Besides, just because she “can’t recall” anyone reporting differences doesn’t mean people aren’t noticing them. I waited two years, because I thought I was imagining things. Even then, I had to write about it in my blog and discover others felt the same way before I felt confident enough to talk to a pharmacist about it. Yet here they were, two separate pharmacies on two consecutive days, jerking me around because corporate alliances are more valuable than trust and integrity these days.

It was clear, no matter what I said, that she would continue to insist the two generic brands were identical.

Okay, let’s go with that: I’m imagining disparities that don’t exist. Can I still have the orange kind, just for chuckles? No? Why not?

As I suspected, Walgreen’s does not carry the orange generic Adderall. Like my university health center, they’ve signed a long-term contract with CorePharma, the company that makes the shitty pink shit.

Once again I walked out without filling the prescription. I felt defiant & independent, almost triumphant, though I’m certain the pharmacist couldn’t have cared less about my plight or about losing my business.

I’ve decided to boycott Walgreen’s until they discontinue these exclusive alliances they have with drug companies that cut corners on their products. If more of us refused to settle for crappy products, companies would stop making them and start listening to consumer needs again. Until then, we can expect that prices will keep rising and quality will continue to plummet.

Tomorrow it’s on to CVS, where I know they still carry the orange Barr Laboratories brand.

Strategizing Before Walgreens Adderall Run

I was too polite & passive this morning with the pharmacist at my university health center. I phrased my question as a question, deferring to her authority as a uniformed expert.

She probably figured I’d believe whatever she told me, so she told me the more convenient thing, like when parents tell their kids the belly-up goldfish is in heaven with Grampa.

If people think you’ll believe whatever they tell you, what reason have they to tell you the truth? The truthful answer this morning would have been for the pharmacist to admit the two drugs were different or to admit that she had no clue. But both answers would have been for business, since they only carried the shittier (pink) generic Adderall. So she either was knowingly dishonest about the facts, knowingly dishonest about her ignorance, or ignorant about her ignorance.

How embarrassing for her. It’s one thing to be wrong and to know you’re wrong. But to talk out your ass and falsely assume people are buying it—that’s downright humiliating. That poor lady this morning had no idea what an asshole she looked like in my eyes. She didn’t realize I’d given much thought to the matter, compared and contrasted the two generic Adderall brands—CorePharma (pink) and Barr Laboratories (orange)—and that I had discovered/decided that clear disparities existed between the two.

This afternoon I’ll be more direct, so the Walgreens pharmacist doesn’t also mistake me for someone he or she can push around. I’m 95% sure that Walgreens, nationwide, carries only CorePharma. Stay tuned!

Today’s Inquiry about Barr Laboratories and CorePharma LLC…and A Pharmacist’s Utterly Useless Response

This morning I went to refill my Adderall prescriptions at my University Health Care Center. I figured while I was there I’d “consult” with the pharmacist about the differences between pink and orange Adderall. Before I could talk to an actual pharmacist, I had to convince two of her minions that my query was in fact worthy the pharmacist’s time. (Why is it that wherever we go these days we have to wade through several layers of clueless assistants before earning the right to consult with someone who knows what they’re talking about?)

“Is the pharmacist here?” I asked the teeny-bopper undergrad employee, whose job duties aren’t supposed to exceed pushing cash register buttons and confirming that my face somewhat resembles the one on my Student ID Card.

“Uh…”

He did that thing people do when they’re clueless about what they’re supposed to do. In this case, that entailed swinging his head in the direction of the second least qualified individual in the room, a twenty-something guy in a dress shirt counting pills in the corner. He popped his head up and asked in a salesman’s voice, “Can I help you?”

“Are you the pharmacist?” I asked, though I knew he wasn’t.

“She’s in the back right now, sir. How can I help you?”

What is it about folks who aren’t allowed to wear white lab coats? What are they attempting to prove? They’re like high school rent-a-cops who wave around their pepper spray as if it were a flamethrower.

The Salesman was in no hurry to fetch the pharmacist, even when I made clear my extreme skepticism that he could answer it. I’m convinced this system is designed to protect the people who actually know what they’re talking about from having to interact with customers trying to find out whether or not we’re getting screwed.

When the pharmacist finally emerged, I told her about my dilemma with the 20mg Adderall: that I much prefer the generic orange Adderall (Barr Laboratories, inscribed ‘b 973’) to the generic pink Adderall (CorePharma LLC, inscribed ‘cor 135’).

She seemed astonished, as did her little helpers. They all acted as if it never before had occurred to them that different drug companies’ drugs, and their varying ingredients, might chemically affect one’s brain chemistry in different ways.

When the pharmacist realized the brand I was saying sucked (the pink Adderall) was the only one they carried, the campaign to vouch for the integrity of pink Adderall immediately got under way.  Out came the dubious misinformation.

“Well, the two brands are technically identical in terms of their compositions.”

I kind of froze, knowing her assumption was false, but realizing my seven years of anecdotal evidence would do little to refute whatever empirical journal articles she had read and believed. All I could manage was, “Really?”

“Yessir, it’s mandated by law that all generic brands of a medicine be the same as the original. They’re basically equivalent.”

I thought I saw the wannabe Salesman smirking from behind the medicine cabinet.

“To be perfectly honest,” the pharmacist added, “you’re the first customer who’s ever noticed a difference.”

“Ever? Really?”

“Yessir.”

You should read my blog, I felt like telling them. If these drugs are so similar, then why do I have over 90 comments from random strangers agreeing that they’re distinctly different? Instead I just stood there, rather unprepared, not confident enough to put what I knew about my own body up against whatever some lady who had never taken and compared the drugs herself had read in some book or been told by some drug company rep.

I felt embarrassed, even though I knew these pricks were dead wrong. The dickhead Salesman looked at me victoriously, like he’d just fucked my girlfriend. The frat guy cashier dude wasn’t even paying attention anymore.

Other students in line behind me looked annoyed. I felt like I had to salvage something, some inch of dignity.  So I walked out, rather than let then fill my prescription there and spend another month with that jittery pink garbage. Hell with that place.

Later on I’ll stop at Walgreens on my way home from campus and try to have that conversation again. Stay tuned!

Happy Designated-Special-Occasion Day

For those unpatriotic bastards who forgot, today was Memorial Day.

Did you put your flag up and say a prayer for the fallen soldiers? Today’s the day you’re supposed to do that, you know. That and have a barbecue picnic in the cloudy sun.

Such is how we show appreciation in America–with scheduled “thank yous” and obedience to norms; appropriate, mandated responses at the correct time.

We need these designated calendar holidays to remind us to remind the people we care about that we care about them.

A few weeks ago was Mother’s Day, so we all called our moms. Several months ago, on Valentines Day, Hallmark regulated that it was our duty to make sure our significant others didn’t feel insignificant. Nothing says “I love you” like chocolate, white fluffy stuffed bears, and really expensive rocks that once were as plentiful as seashells on African beaches.

But you didn’t play taps on Valentine’s Day, or call your parents to say you loved and missed them, did you? That wasn’t required, not part of the rules for that particular date. No need to be superfluous and express love or appreciation that’s beyond the scope of our structured love and appreciation zones.

We’ve become a nation that needs to be told everything: when to live, when to love, when to mourn & pray.  Humanity has etiquette, kindness follows its own strict decorum. A rose is a rose is a rose, but it smells so much sweeter on culturally prescribed special occasions, wrapped in expectations from which we’ll be excused for the next 364 days.

Of course, those of us who have A.D.D. are notoriously bad at remembering to give the proper performance on these arbitrary dates. So cut us some slack if and when we forget. It’s not that we don’t care; in fact, we care so much that we don’t limit when and how and we show it.

How’s that for an airtight excuse?

That Time of Month

It’s that time of month for me: that half-week after the old prescription runs out before my new one gets refilled. Over these four-to-six days I sit stagnant, reminded of how insufficient I am sans Adderall.

Maybe it’s not so bad, going without the meds for awhile. Absent Adderall there’s no anxiety; no guilty conscience when I don’t follow through on whatever I promised myself I’d do today; no rigid, self-imposed deadlines and hence no angst about not meeting them.

I can drink Honey Brown from the bottle and not keep calorie tallies; I can watch movies with no intrinsic intellectual value and not feel sorry for laughing; I can appreciate sports again, as superior to ridiculous & slightly less trivial than pointless.

After two days without Adderall, the swift droop in my brain activity is manageable, almost pleasant. The harder challenge is facing myself—the real & undrugged version of me—and realizing the character I pretend to be most of the time isn’t really real. Everything I think I am, as the pink & orange chemicals trespass through my veins, is just a simulation, my clumsy attempt at imitating a person with a purpose.

My strengths & triumphs aren’t real, or even capable of sounding realistic. I appear ready at last to abandon impractical plans, long shot dreams that seem evermore absurd. Those who forever have doubted me begin to salivate; they grab pins & nails & needles, as one does when bubbles look ripe for bursting. I beg don’t pop me—just let me deflate, fade away not burn out, skip the spectacle of messy implosions and loud sloppy debris.

Finally I surrender; to absorb their negativity and heed their doubts about me; to accept and own the gloom of being normal & average; to embrace as mine, too, the generic cynicism that exudes from Any-Town, U.S.A. like water gushing out of a thick fire hose.

And underneath that hose, once, I was the flame—just not consistently, not overwhelmingly, and not for long. The shine in me was dubious and unreliable.

Now I’m smothered—forlorn, yet oddly free. I’ve scrubbed away the issues I cared about, for I can only care about them for 26 days at a time, and then I abandon them randomly for the slowest of long weekends. Without my drug, they are stupid, futile projects; they are problems I can’t change no matter how eloquently I overthink them.

For all the ways I tell myself the Adderall helps, only in its dearth do I feel empowered. Refreshingly, I’m sick of empathizing, bored with trying to understand everybody else. And that feels good. Cold turkey, I quit all my default assumptions. No more calling others’ grievances legit while degrading my own as impulsive & somehow irrational.

Soon this cycle will become that thing in my life I’m no longer able to accept. I’ll stop letting Adderall decode who I am, as if without it I’m nothing. I’ll stop asking it to draft life for me and counting on the happy endings it pencils in.

I will not put more faith in a pill than I have in myself.

Still, it’s tempting to float through the rest of our lives on this prescribed high, isn’t it? Such an easy out it was and is for us, a great escape: just close our eyes until the stimulant takes hold, transforming who we are into the selves we’d much rather be, convincing us our bogus projects are useful & worthwhile & selfless & righteous after all.

Make us forget: if we weren’t here all the clocks would tick without us. All the stars would still resist our gravity. Trees falling in empty forests would remain as silent as dreams that die alone in the bleak night, as now. So why waste our energy, when nothing or no one new needs us? Why shout and scream, when there’s so little left to say?

Even as these thoughts unfold, almost instantly their flimsy walls crease, crumpling in on me like a fajita until I’m wrapped up & trapped inside everyone else’s simplistic depression, imprisoned by your failures to reach what you couldn’t understand.

And right about now I start to scare myself and others, so I stop typing. I interrupt the inner dialogs and I watch baseball, and I walk the neighborhood with my neglected retriever, past all the empty homes busy with drained human beings barely living. And I look at the fake light as it leaks under door frames, and think about the unfinished dreamers on the other side who can’t smile, can’t shine behind the shaded, shuttered windows that shall divide us always. And I wonder if I can elevate myself to their level, these faceless neighbors who want nothing more than nothing at all. I wonder if I too can find bliss in the vacuity of human frowns. Someday.

For now though everything stays inside, packed up and concealed, like a trigger holding out for just the right moment to click. I wait for the calendar turn over, to make my mind correct again.