Medication for ADHD in College

Parent Q&A

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  • ADHD meds - doctor out of state

    Apr 12, 2023
    3 replies

    My 20 year old goes to school in the Midwest. He was recently diagnosed with ADHD by a psychiatrist there and has started taking medication (with much success). His doctor cannot prescribe the meds in California and will not give him more than a 30 day supply. My son will be home for summer vacation for almost 4 months and is telling me we need to find a doctor in CA who can prescribe them for him. He does not have a primary care doctor here any more because when he went to college, we changed insurance, so he would be starting fresh. So I’m wondering how other families handle this type of situation? Primary care doc? Psychiatrist? Online prescriber? I’m not sure where to start. Thanks in advance for any leads. 

    Hello! I know that in the past, if the prescription is at a large drugstore that exists in both places: like CVS for example, then the Rx can be at CVS in another state, but the refill can be picked up at CVS in this state. However, the bigger issue might be licensing of the physician. For example, let's say that he is requiring that your kid have a monthly appointment in order to get the next month's meds. While telehealth might seem a way out of that, if your kid is located in CA, the doc needs to be licensed in CA is my understanding--even when doing telehealth. Hopefully the doc is willing to put refills on the med (you can't pick a refill up too early so the gatekeeper for over-medicating is the pharmacy) and does not require telehealth appointments. 

    We have Kaiser insurance, and our 17-yr-old has ADHD. She was diagnosed at Kaiser, and since then has gotten Adderall through her pediatrician.  A primary-care doctor should be willing to prescribe so long as you have a documented diagnosis.

    Note that there is a lot of concern about college kids abusing ADHD drugs, and if your son is on stimulants, he will get pressured to share or sell them.  If he's in a dorm, and maybe even if he's not, he should get a lock-box for his prescription.

    Because Adderall is a controlled substance, Kaiser won't mail it to us (have to go to the pharmacy), and every refill involves signing a controlled-substance form.

    There are also frequent shortages of Adderall.  Although we're allowed a 100-day supply under Kaiser policy, lately we've only been able to get 30 days due to shortages.

    You cannot transfer C2 controlled substance medications. Even if it is at the same chain. The prescriber must be licensed in California. Many chains will not take prescriptions for controlled substances from telehealth prescribers. Best bet is a psychiatrist or primary care doctor where you live.

  • My daughter has been diagnosed since 3rd grade with ADHD inattentive type. She was using Daytrana Patch till about 1.5 years ago. It seemed to stop being effective for her and she was finding herself sort of immobile and unable to do things or have a sense that she was not doing things. So, her doctor prescribed Vyvance and it seemed to work a little and for a short time then really caused insomnia and then long crashes like 20+ hours. So, Now she has Adderall XR and it doesn't seem as crazy as Vyvance but we're seeing a difference in manufacturers of the generics. Some don't seem to last very long. Has anyone else ever come across this? 

    Also, We need a new provider because her current one has become very flaky and keeps canceling appts. We can't have this as her work schedule is important and can't keep expecting an appt and then having it canceled. 

    thanks.

    I'm sorry the medication adjustments are such a pain as your daughter grows or becomes used to them.  It's frustrating that all the publications say you should find a wonderful psychiatrist who will help you try all the different medications and dosages to find the perfect thing, and in reality it seems like they never have the time or inclination for that. 

    I can't add much, but I'll say that my provider (who has ADHD himself and works exclusively with ADHD patients) feels strongly that Walgreens has the best Adderall generic and RiteAid has the worst.  (I think that's regular Adderall, not XR; I don't know if you can draw conclusions.)  My provider is Roger Freed in Mill Valley, and I know he does some work with college students over the phone.  He can be scatter-brained about details but he never cancels appointments and he has a super-easy scheduling system.  He does make you deal with all the insurance stuff yourself, which hasn't been cheap for me.

  •  Hello all, my 21-year-old daughter is planning on traveling in South America and Asia in the next few months. She takes ADHD medication and gets a  monthly prescription to be filled, three slips at a time.  Have anyone dealt with how one fills these monthly prescriptions while abroad? Any information would be much appreciated! Thank you. 

    I would call her doctor and ask if she can get all of the medication she needs in advance so she can travel with it. The other option would be for you to pick it up and mail it to her. Unfortunately they are stricter with ADHD meds so they may be unable to do more than one prescription at a time. Her doctor would be where I would start as I don’t know if you can get prescriptions filled overseas. Good luck

    Go to the pharmacy, tell them to call the insurance co., and to get authorization for multiple refills all at once for her to take with her. Also get extra written Rxs to pack along, in case they get lost or stolen, so she can refill wherever she is.

    Very hard to fill prescriptions abroad!! Find out if your insurance has a way for you to do medication via mail in for 3 months at a time. Ours did so my daughter could have enough meds for a semester abroad. The difficulty tho with ADHD meds  are they are very valuable & ppl may steal them to sell. Also ADHD kid ma be more likely to misplace. So you & she will need a back up plan! Like a doctor lined up ahead of time that could have her records or who she could bring records too AND a safe place to hide her meds?

    good luck. 

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Questions

College freshman has started taking Adderall

Nov 2011

My son, ''Steve'' is a freshman in college and has started to take Adderall because he says it ''focuses'' him when he does his homework. Steve thinks he may have ADD because this medicaiton is so helpful to him, but I have not noticed any ADD symtoms when he was living at home. Also, Steve is a straight A student going to a very selective college and I don't believe he could preform at that high level of funtioning if he was ADD. I am concerned because I have heard that Adderall can be addictive and also because he is getting these medications from other students. Steve says lots of students at college use Adderall, but I am still very concerned. Any advice would be appreciated. Worried Mom


My son is quite a bit younger than yours (14) and on Adderal since he was 11 or 12. It made a huge difference in his life. I was against it for years, but I now regret not giving it to him sooner. With the kids I see (a few of his friends and that I work with)there hasn't been addiction - most kids I know on it do not want to take it on weekends or holidays or anytime they don't have to. But I know with adults it is quite different. When the doctor was talking to me about it and I really wasn't sure, he did say that anyone would do better with it - so that your son is doing better with it doesn't mean he has ADD - you or I would focus better with it too. If I were in your shoes, I would definitely encourage him to get his own prescription, because the dosages very HUGELY and are not only dependent on weight and how long someone has been on it, etc. I know some kids who are on many times the dose of other kids. Good luck! hoping it works out for your family


Dear Worried Mom, You should be worried, especially since your son is getting this medication from other students. Consider getting him tested for ADD, and explain to him that taking medication from other students can be deadly. Goodness knows where the medication really came from!! My 13 year old daughter has ADD and she is very bright. ADD affects the ability to focus and to organize, not intelligence. My two cents worth is that he should stop the Adderal immediately until he has been properly tested and diagnosed with ADD. Then, his doctor can prescribe appropriate medication.