Thanks for the clarification! So basically you’ve prescribed stimulants to a lot of patients and find that they very rarely complain about a loss of effect without one of these confounders being present and without the problem being resolved once it gets fixed?
I wouldn’t say I’ve prescribed it to a lot, but i’ve talked about this with a lot of more senior doctors than me.
Those doc that talk about tolerance are either just talking from a theoretical risk (as in they never saw it), and when they talk from experience they never thought of checking the above factors I mentionned.
The thing is this tolerance idea is so ingrained in France that they’re ready to stop prescribing at the very first sign of a loss of effect without further investigation so we can’t even know. We are historically very underprescribers of methylphenidate because of psychoanalysis and amphetamines are available since only like 2 years and still out of pocket.
I do have other arguments to support my convinction that tolerance is that rare but am not comfortable sharing them here out in the open as they relate to my own chemistry. I could be biased sure, but let’s say I’m much more convincing when I mention those other points.
Edit: i also advised about 5 friends about their ADHD medication, they all take it daily without tolerance. And all doctors I know that are treated for ADHD take their meds daily and without holiday breaks.
Thanks for the clarification! So basically you’ve prescribed stimulants to a lot of patients and find that they very rarely complain about a loss of effect without one of these confounders being present and without the problem being resolved once it gets fixed?
I wouldn’t say I’ve prescribed it to a lot, but i’ve talked about this with a lot of more senior doctors than me.
Those doc that talk about tolerance are either just talking from a theoretical risk (as in they never saw it), and when they talk from experience they never thought of checking the above factors I mentionned.
The thing is this tolerance idea is so ingrained in France that they’re ready to stop prescribing at the very first sign of a loss of effect without further investigation so we can’t even know. We are historically very underprescribers of methylphenidate because of psychoanalysis and amphetamines are available since only like 2 years and still out of pocket.
I do have other arguments to support my convinction that tolerance is that rare but am not comfortable sharing them here out in the open as they relate to my own chemistry. I could be biased sure, but let’s say I’m much more convincing when I mention those other points.
Edit: i also advised about 5 friends about their ADHD medication, they all take it daily without tolerance. And all doctors I know that are treated for ADHD take their meds daily and without holiday breaks.