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SF7
08-07-2014, 10:00 PM
A troop of mine was recently prescribed adderall for treatment of ADHD. This condition was discovered several years after he enlisted in the Air Force Reserve.

I've searched the forum and can't find anything. Can my troop get in trouble for using prescribed adderall?

Rusty Jones
08-07-2014, 10:10 PM
A troop of mine was recently prescribed adderall for treatment of ADHD. This condition was discovered several years after he enlisted in the Air Force Reserve.

I've searched the forum and can't find anything. Can my troop get in trouble for using prescribed adderall?

You mean it wasn't prescribed at a military hospital? I do know that being prescribed such medication disquals you from enlisting; I'm not sure if it's grounds for discharge. Either way, I don't think he'll get in trouble, as long as he discloses it... and gets ready for the possible bad news of being let go.

By the way, you're in the Air Force Reserve? I may have some questions for you through PM if you are.

Chief_KO
08-07-2014, 10:13 PM
Adderall contains a combination of amphetamine and dextroamphetamine. Amphetamine and dextroamphetamine are central nervous system stimulants that affect chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD).
You should not use Adderall if you have glaucoma, severe anxiety or agitation, or a personal or family history of tics (muscle twitches) or Tourette's syndrome.

Do not use Adderall if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Slideshow: Does Your Child Have ADHD? Recognizing Signs & Treatment Options

Amphetamine and dextroamphetamine may be habit forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Using this medication improperly can cause death or serious side effects on the heart.
Get emergency medical help if you have any of these signs of an allergic reaction to Adderall: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using Adderall and call your doctor at once if you have:

•fast, pounding, or uneven heartbeats;

•pain or burning when you urinate;

•talking more than usual, feelings of extreme happiness or sadness;

•numbness, tingling, or strange sensations under your skin;

•numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;

•tremors, hallucinations, unusual behavior, or motor tics (muscle twitches);

•penis erection that is painful or lasts 4 hours or longer (rare); or

•dangerously high blood pressure (severe headache, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Common Adderall side effects may include:

•nausea, loss of appetite, stomach pain;

•dry mouth;

•anxiety, agitation, mood changes, feeling nervous;

•sleep problems (insomnia); or

•headache, weakness, dizziness.





My question is prescribed by who? Base doctors or downtown doctors? If member was referred downtown, I would assume that any medication prescribed would have to be TRICARE approved (on the dispensary list). I would not think it would be a problem, but I would check to see if this has any deployment limitations or if he/she simply would need to have the required amount on hand when deploying. I am assuming the member told you he was prescribed this medication. I would be sure to keep an eye on him/her for side effects, etc. just out of general concern for his/her well-being

SF7
08-07-2014, 10:20 PM
It was prescribed by a civilian doctor...we do not have an active duty base in our state. Only guard/reserve, they do not have full time medical staff. Tricare did pay for his medication.

My only concern is if my troop has to take a random urinalysis and it is discovered that he is taking prescribed adderall.

Rusty...Yes, I am. PM me with questions.

Airborne
08-07-2014, 11:02 PM
It was prescribed by a civilian doctor...we do not have an active duty base in our state. Only guard/reserve, they do not have full time medical staff. Tricare did pay for his medication.

My only concern is if my troop has to take a random urinalysis and it is discovered that he is taking prescribed adderall.

Rusty...Yes, I am. PM me with questions.

Prescribed by a doctor and paid by TRICARE, there wont be any legal repercussions. As stated, let him know that he might be reclassed, non-deployable or seperated depending on what issue the Adderall was prescribed for, but not neccessarily the Adderall itself. Street meth and Aderall have different covalent bonds so while he might fail a drug test on the initial screen when they do the second screen they would be able to tell it was aderall and and with the legal prescription it's a non issue. Thread closed.

SF7
08-07-2014, 11:20 PM
Prescribed by a doctor and paid by TRICARE, there wont be any legal repercussions. As stated, let him know that he might be reclassed, non-deployable or seperated depending on what issue the Adderall was prescribed for, but not neccessarily the Adderall itself. Street meth and Aderall have different covalent bonds so while he might fail a drug test on the initial screen when they do the second screen they would be able to tell it was aderall and and with the legal prescription it's a non issue. Thread closed.

The adderall was prescribed for ADHD. Prior to this being prescribed, he was an outstanding troop and consistently out performed others. Since he has taken this, his job performance has got even better. His GPA for college has also went from a 3.0 to a 4.0. Just trying to paint a bigger picture for you folks...

Airborne
08-08-2014, 12:47 AM
The adderall was prescribed for ADHD. Prior to this being prescribed, he was an outstanding troop and consistently out performed others. Since he has taken this, his job performance has got even better. His GPA for college has also went from a 3.0 to a 4.0. Just trying to paint a bigger picture for you folks...

No need to paint a picture, he's good as far as piss testing. However, I not sure what the AF thinks of ADHD and being prescribed Aderall. Probably depends on your AFSC.

SF7
08-08-2014, 02:19 AM
Is there a regulation or a policy I can try and find? I've been google searching and I can't find anything.

coloringoutsidethelines
08-08-2014, 03:00 AM
No need to worry about this. When someone pisses hot the first thing they do is check their medical records to see if anything prescribed caused them to be positive. As long as it is in their records they should be fine.

Jeebs
08-11-2014, 01:56 PM
As long as it is prescribed he shouldn't have a problem. He does however, need to make sure that it is documented in his medical records. The best way to do that is have the specialist that prescribed it send the documentation to either his PCM or civlain doctor. As stated before if someone test postive for a prescription drug the medical records will be scrubbed.

skippy45
08-22-2014, 11:20 PM
A troop of mine was recently prescribed adderall for treatment of ADHD. This condition was discovered several years after he enlisted in the Air Force Reserve.

I've searched the forum and can't find anything. Can my troop get in trouble for using prescribed adderall?

Hi, I created an account just to reply to your question. I hope it helps you or anyone else who comes across it when they search these forms. In short, no, Adderal is not an automatic disqualifier for service in the USAF; if diagnosed after you joined.

Here is how it will work if you are diagnosed and see the Psychiatrist on base. They will treat Adder all, Ritalin or any other stimulant as a last resort. They will probably start an airmen out on Strattera. Strattera is a non-stimulant mediation that is specifically approved for treating ADHD. It is a norepinephrine reuptake inhibitor (http://en.wikipedia.org/wiki/Norepinephrine_reuptake_inhibitor). It doesn’t have the successes rate of a stimulant but for some people it works really well. This was what I was originally prescribed on Active Duty. I switched because it affected my ability to run without getting nauseous. If it doesn’t work, the on base doctor will go with another drug that is not officially approved to treat ADHD but is often prescribed “off-label” because it does help some people. The antidepressants Wellbutrin and Effexor are the usually choices. If the Airman has run the gauntlet of these non-stimulant medications, then the on base provider might consider trying a stimulant. I took all three (not at the same time) at various points during my service.

They Airforce has this approach because the stimulants are controlled substances. What this means is you have to have a new script every month for your medication. In other words, you can’t get refills. It’s not a huge deal at home station but it can be a huge deal when deployed. When I deployed I was on Effexor. It was a small base, we lived in tents and we had limited resources. There was no psychiatrist on base. Before I left, my PCM was able to prescribe me 6 months worth of Effexor and I was able to fill all six months’ worth before I left. This is obviously impossible with a controlled substance like Adderal that needs a new script every month. Your troop maybe should consider trying out Straterra, just so his/her life in the AF will go smoother.

Off base doctors tend to prescribe Adderal or Ritalin first. This is because the stimulants have a much higher success rate as well as being a heck of a lot cheaper because they have been around for so long and come in generic.

When I got back from my deployment, I was planning to ask to change to a stimulant because the Effexor was not working well and it also made me nauseous during PT. My psychiatrist had his position cut on base. I had to go see an off base doctor and he prescribed me Adderall. It’s much better to have your psychiatrist on base because they know the AF regs and so a situation like this would be easier. I called the hospital to tell them about my new medication and they told me to bring proof that I am prescribed Adderal. My new psych wrote me a signed note and I dropped it off at the hospital. That’s all I had to do. I was drug tested several times while on Adderal and I never had an issue. OSI must check the medical records for a person who hits positive for stimulant before bringing them in. That’s what I assume at least because I never heard a peep.

In general Airmen will not get discharged for ADHD. I know a couple of other folks who were diagnosed after joining and they were able to stay active duty. Sometime this week I will try to dig up the reg and added it to my post. If your condition is treated and not affect your work or readiness, then you most likely will not be discharged, but the risk is there.

I hope this helps. I am too tired right now to proof read all this so please excuse the typos, and poor grammar.

Airborne
08-23-2014, 09:24 PM
Hi, I created an account just to reply to your question. I hope it helps you or anyone else who comes across it when they search these forms. In short, no, Adderal is not an automatic disqualifier for service in the USAF; if diagnosed after you joined.

Here is how it will work if you are diagnosed and see the Psychiatrist on base. They will treat Adder all, Ritalin or any other stimulant as a last resort. They will probably start an airmen out on Strattera. Strattera is a non-stimulant mediation that is specifically approved for treating ADHD. It is a norepinephrine reuptake inhibitor (http://en.wikipedia.org/wiki/Norepinephrine_reuptake_inhibitor). It doesn’t have the successes rate of a stimulant but for some people it works really well. This was what I was originally prescribed on Active Duty. I switched because it affected my ability to run without getting nauseous. If it doesn’t work, the on base doctor will go with another drug that is not officially approved to treat ADHD but is often prescribed “off-label” because it does help some people. The antidepressants Wellbutrin and Effexor are the usually choices. If the Airman has run the gauntlet of these non-stimulant medications, then the on base provider might consider trying a stimulant. I took all three (not at the same time) at various points during my service.

They Airforce has this approach because the stimulants are controlled substances. What this means is you have to have a new script every month for your medication. In other words, you can’t get refills. It’s not a huge deal at home station but it can be a huge deal when deployed. When I deployed I was on Effexor. It was a small base, we lived in tents and we had limited resources. There was no psychiatrist on base. Before I left, my PCM was able to prescribe me 6 months worth of Effexor and I was able to fill all six months’ worth before I left. This is obviously impossible with a controlled substance like Adderal that needs a new script every month. Your troop maybe should consider trying out Straterra, just so his/her life in the AF will go smoother.

Off base doctors tend to prescribe Adderal or Ritalin first. This is because the stimulants have a much higher success rate as well as being a heck of a lot cheaper because they have been around for so long and come in generic.

When I got back from my deployment, I was planning to ask to change to a stimulant because the Effexor was not working well and it also made me nauseous during PT. My psychiatrist had his position cut on base. I had to go see an off base doctor and he prescribed me Adderall. It’s much better to have your psychiatrist on base because they know the AF regs and so a situation like this would be easier. I called the hospital to tell them about my new medication and they told me to bring proof that I am prescribed Adderal. My new psych wrote me a signed note and I dropped it off at the hospital. That’s all I had to do. I was drug tested several times while on Adderal and I never had an issue. OSI must check the medical records for a person who hits positive for stimulant before bringing them in. That’s what I assume at least because I never heard a peep.

In general Airmen will not get discharged for ADHD. I know a couple of other folks who were diagnosed after joining and they were able to stay active duty. Sometime this week I will try to dig up the reg and added it to my post. If your condition is treated and not affect your work or readiness, then you most likely will not be discharged, but the risk is there.

I hope this helps. I am too tired right now to proof read all this so please excuse the typos, and poor grammar.

Remember not every cup that gets pissed in actually gets tested. Hence you hear stories of basic training guys saying they smoked up until the day they left and nothing happened. However in a given sample, if one is positive then whole sample gets tested as well as the original sample. Remember it's not "drug testing", it's drug demand reduction.

Sgt HULK
08-27-2014, 01:52 PM
there are more people in the service with add then not im sure. I know of dozens of folks who take this daily in uniform