• Jo Miran@lemmy.ml
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    16 hours ago

    No. With enough use, anybody can become physically addicted to anything.

    • NoTagBacks@lemmy.dbzer0.com
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      14 hours ago

      Bro, you are straight-up talking out of your ass, and ,arguably, dangerously so. There are plenty of studies that show people with ADHD and substance use disorder are less prone to relapse when their ADHD is treated, the most effective treatment being stimulant medication. In fact, there are even studies showing that people with ADHD who were treated with stimulant medication as a kid are at significantly lower risk to develop substance use disorder later in life. While stimulant medication is definitely highly addictive for people without ADHD, studies consistently show that addiction risk is lowered when people with ADHD take stimulant medication. So while ‘technically’ true that it’s possible for people with ADHD to be addicted to stimulants, it’s flatly irresponsible to dismiss the mountain of research showing to benefits of stimulant medication in reducing addiction risk in people with ADHD.

      I’m also going to make it a point to contend with your use of “physically addicted” in this context. There’s a huge difference between dependence and addiction and it’s very frequently obfuscated by the phrase “physically addicted” in the context of medication. Physiological dependence on stimulant medication for people with ADHD is common over longer periods of time, often requiring increased doses to maintain levels of effectiveness. It’s basically a cliche at this point for many neurotypical people to characterize this normal physiological response as “physical addiction”, regardless of frequently missed doses(who tf forgets to feed their addiction???), absence of euphoric effect at any point, association of the drug with symptomatic relief by the user, and a fucking prescription for an official diagnosis. Considering, once again, the mountain of evidence showing lowered risk of addiction in people with ADHD taking medication, the implied conflation of dependence and addiction with the phrase “physically addicted” is wildly irresponsible and ignorant.

      If you don’t know what you’re talking about, shut the fuck up. You could be fucking with people’s lives considering the stigma and misinformation already out there. For a good amount of people, stimulant medication is what will be the thing that helps them finally beat addiction.

      • socsa@piefed.social
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        10 hours ago

        Jo didn’t say anything like that. He correctly said that stimulant medication is addictive because it is. It’s a managed addiction. Like, if I don’t take my meds for a few days I don’t get shakes or tremors or night sweats or anything. I just get hungry and sleepy. That’s withdraw. That’s chemical dependency. It’s mild but it’s 100% fact. This is all very well documented in the medication guidance as well. Euphoria, weight loss and insomnia when starting. Weight gain, anxiety and agitation when stopping.

      • Jo Miran@lemmy.ml
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        14 hours ago

        First, chill the fuck out. Second, I am not, in anyway, discouraging the use of stimulants for the treatment of ADHD. Let me.make this part VERY clear. ADHD medication can and is often life altering for those affected and should be absolutely considered, under medical supervision. Third, I have read a lot of the studies and I am not disagreeing with the fact that the medication is safe (still urge medical supervision).

        If you cool your jets you’d realize that what I am speaking of SPECIFICALLY, is the implication in the original comment that people with ADHD are somehow immune to addiction to stimulants. Assuming immunity to addiction is dangerous and also not true. If you cannot differentiate between the two very different points, feel free to block me.

        • NoTagBacks@lemmy.dbzer0.com
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          12 hours ago

          No one made that argument. The original question was asking if it’s a reliable confirmation of a correct diagnosis of ADHD if stimulant medication doesn’t seem to be addictive for the individual. The further implication was research done to demonstrate the low addiction risk of people with ADHD with stimulant medication. There was no attempt at specified language that would necessitate an implication that they believed people with ADHD are “immune”(in the popular use) to stimulant addiction. Maybe their use of language was inexact, but communication is a two-way street and it’s important to not assume necessity where it isn’t explicitly specified. A response of “No.” to the intent of the original question is irresponsibly incorrect.

          Even if their intent was indeed to specifically say people with ADHD are immune to stimulant addiction, while the correct first part of a response would be to say that definitely isn’t the case, it still implies some interaction with the studies showing the direct benefits of stimulant medication for people with ADHD struggling with addiction. Leaving the response at a negative would be factually correct, but still irresponsible to leave out the referred studies because the implication would be that it’s just some random made-up bullshit, increasing stigma, seeding skepticism of the actual studies, and just generally being unhelpful. It’s a topical discussion, so the appropriate thing is to actually address the topic at hand.

          Also, starting off your comment with “chill the fuck out” and ending it with “feel free to block me.” is hilarious. I’m sorry, I’m not sure how to phrase that without it seeming like I’m mocking you, I just genuinely find it funny.

    • eleitl@lemmy.zip
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      14 hours ago

      Lysdexamfetamine has too much nasty side effects to be fun to use. I use it rarely these days and then I split 70 mg into 4-5 doses.

      • TheMadCodger@piefed.social
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        10 hours ago

        That’s the one I’m on. It works in that I can concentrate, but it does somewhat elevate my heart rate. Gave my friend headaches. What does it do to you?

      • Jo Miran@lemmy.ml
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        14 hours ago

        I’m on dexmethylphenidate. It’s a gods send at therapeutic dosage, but it makes me craah and burn if I take too much. Once or twice taught me that lesson.

      • joulethief@discuss.tchncs.de
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        13 hours ago

        I’m on Elvanse 30mg (Lisdex) and experience far less side effects than on Kinecteen (Methylphenidate). What was it like for you?

    • BrickEater@lemmy.world
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      15 hours ago

      Okay don’t generalize. As a self medicated ADHD person I’ve picked up stimulants many times and dropped them many times with ease. Just because Neurotrypicals can’t handle their shit doesn’t mean we can’t.

      • NotSteve_@lemmy.ca
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        14 hours ago

        What the parent comment is saying is true. I’m diagnosed and medicated for ADHD but struggled with a bad amphetamine addiction in my late teens. I’ve been clean for nearly a decade now but we don’t have some sort of superpower that frees us from from addiction, especially not from the physical aspects of it that OP specifically referred to. Do you think you wouldn’t get a week of headaches when quitting a pot of coffee a day?

        Your comment is insulting, ignorant and genuinely upsetting as someone who went through absolute hell

        • [deleted]@piefed.world
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          14 hours ago

          I have tried so many stimulants and been on a chunky dose of methamphetamine and have at zero points in time felt any kind of urge to use stimulants for anything other than necessity or because of social situations. Literally physical or mental urges. I frequently forget to take my meds because there is zero withdrawal. A big part is that I don’t get high from stimulants, they slow my thoughts down. Cocaine as always calming for me so it was like trading places!

          Since it is a spectrum I’m certain this isn’t true for everyone, but it really is a thing for a lot of us because we don’t react to stimulants like the average person.

      • Jo Miran@lemmy.ml
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        15 hours ago

        I’m sorry but your personal life experience doesn’t overrule facts. Some people are more prone to addiction than others. Others are more resistant to certain chemicals, but nobody is fully immune regardless of amount and duration.

        • NoTagBacks@lemmy.dbzer0.com
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          13 hours ago

          Anecdotes are insufficient to support something like this, sure. However, their experience does indeed match what the studies show. People with ADHD statistically have a lower risk of addiction when treated with stimulant medication. People with ADHD have very low risk of addiction to stimulant medication. This is what the studies show.

          To understand drug response as varied levels of resistance is indeed the generally accepted characterization, however, I must once again contend with the addition of “regardless of amount and duration”. Drug response is actually highly dependent on both “amount and duration”. Adherence is a big problem for prescribing doctors, especially concerning things like antibiotics. There are plenty of people who discontinue an antibiotic schedule whenever they “feel better”, greatly increasing the risk of drug-resistant disease. The patient could then have no response upon a repeat infection, now being “fully immune” to the drug. It’s possible to take low enough doses of a drug/medication that the body metabolizes it before there could be any effect. It’s possible that someone’s genetic makeup means a common medication can have no effect. Especially with things like addiction, “amount and duration” can easily be the deciding factor. To disregard dosage and duration of usage for someone with increased risk for addiction is wildly irresponsible. To emphasize that increased addiction risk can make it to where the risk of abuse is elevated even for lower “normal” doses regardless of effect highlights a strong justification for abstinence altogether.

          In any case, you’re very irresponsibly talking out of your ass.

          • Jo Miran@lemmy.ml
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            13 hours ago

            People with ADHD statistically have a lower risk of addiction when treated with stimulant medication. People with ADHD have very low risk of addiction to stimulant medication. This is what the studies show.

            100% but the qualifier is extremely important. You can get as verbose as you want, and you can continue to accuse me of “talking out my ass” all the while acknowledging my original point but what you are doing is dangerous. Insinuating that ADHD folk have a super power that makes them immune to addiction to stimulants is dangerous and irresponsible. I am politely asking you to reconsider your words and actions. Trying to win some sort of internet argument through attacks, pedantry, and ignoring the basic message being given is wrong. I am simply urging caution and medical supervision when on medication. If that is something you disagree with, feel free to block me.

            • NoTagBacks@lemmy.dbzer0.com
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              11 hours ago

              You are absolutely talking out of your ass. Look at the quoted text you have there. See how I’m typing out the words “lower risk” and “very low risk”? This does not “insinuate” an “immunity”(still assuming it’s the popular usage) to stimulant adiction and, in fact, would have a built-in premise that there is some risk. Otherwise it would say “no risk”. I really don’t understand why you’re strawmanning my position by directly contradicting specifically quoted from me. That’s pretty fucking weird.

              On top of that, let’s talk the rhetoric then. Could you clarify on what you mean by attacks? I’m not convinced that I’ve been attacking you(as opposed to your arguments). Also, pedantry? Really? I chose my words carefully and you still immediately misinterpreted me. I’m trying to communicate clearly, why is your interpretation/reaction to that an implied accusation of arrogance? And like, you’re ending your comment with an implication that I would plausibly disagree with caution and medical supervision for someone on medication? What the hell? Seriously, what’s happening here?