Hi comrades,

I am from germany and the healthcare here is disastrous. No matter how hard I try I can’t get a psychiatrist, even if I sit down with social workers for days on end calling every doctor in my surrounding area. However my adhd is very bad. Without medication I can’t get a job again, my flat looks like shit and I can’t cook proper meals. Without my wife I’d be on the streets due to my ADHD.

So I thought I’d apply the concept of diy-ing your medication for harm reduction from the trans community and apply it to my ADHD. Here is the beginning of my journey:

The only thing that ever worked for me back when I had a doctor was 70mg elvanse. This is a pretty strong stimmulant. This could only be matched by other street stimulants. This is a bad idea because they are expensive and WILL kill you. I tried to take bupropion which is an antidepressant the GP in Germany can perscribe. It can help with adhd and has pretty little side effects. This did nothing.

I often read that alot of adhd people (including me) drink alot of coffee. Caffeine is one of the few legal stimulants even though it is not strong. Because I don’t want to drink 4-8 cups of coffee every day I ordered caffeine pills. Yesterday I took 2 of them, which amounts to a dosage of 400mg, which is the maximum safe amount for an adult. Surprisingly I didn’t shake or sweat like I do when j drink way to much coffee. I just existed but felt human. I finally could do something so I wrote and finished a DND one-shot. I could have never done something before. Today I only took one pill (200mg) and have similar effects, so I won’t be taking 2 anymore.

Now the problem of tolerance will arise, which means I will have to take breaks for idk how long. I would love to hear tips on that.

I postet this to get tips on how I can improve my methodology and for other people to realize they can try other things if they can’t get medication from the state.

Solidarity <33

  • acute_kernel_panic@lemmygrad.mlOP
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    16 days ago

    I found it on a gray market website shipping to Germany for roughly 12€ per month excluding shipping. This is not optimal, since I am currently living off the salary of my wonderful wife, but it is something to try. I’m gonna order a pack after I had a 1 or 2 months trial period. Then I’m posting an update.

    Increasing appetite is not optimal since I gained too much weight from too much weed to help me get through my neurodivergend burnout. But thats a good price to pay.

    A question I had is, does it work immediately when I take it and I take it when I need it or do I have to take it like I have to take antidepressants?

    If I have to take it with antidepressants, how does it mix with alcohol and weed?

    Ofc I am gonna verify that from other sources as well but I wanna be as safe as possible with as many sources as possible.

    • Cletus@lemmygrad.ml
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      14 days ago

      I will get back to you when check fully about taking it with anti depressants or alcohol. At a low dose it would probably be fine with alcohol, probably depends on the anti depressant. But there is good reason to be cautious because MAO-(A) Inhibitors should not be taken with alcohol or antidepressants. Selegiline at a low dose is only a MAO-B inhibitor (dopamine) so in theory it would be ok. Unfortunately there isn’t a tone of literature though so most information is pretty cautious.

      The other (non) concern is hypertensive crisis. People on MAOis generally need to avoid eating tyramine rich foods (aged foods like cheese, dried fruits) otherwise it can cause a hypertensive crisis. But this is a non issue at a low dose. Because it is selective to MAO-b

      You can look through some of these for reassurance lol. https://www.drugs.com/comments/selegiline/for-attention-deficit-disorder.html

      You can also look through all the reviews. There are many more for depression which is actually works for as well.