this post was submitted on 15 Feb 2024
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ADHD

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I head up a small community for fans of a niche indie brand. The founder is doing an event in Japan with an exclusive item for people who attend! I was so excited and was looking into booking a plane ticket to go!

However.. turns out that Japan has a law that absolutely forbids stimulant medication in the country. And, no, I don't really want to upend my regimen of 8 years and risk going on a new medication for the trip.

I'm really shattered, as I wanted to attend this cool event and meet up with other enthusiasts. It really hurts to be barred from an opportunity like this.

I hate ADHD. I really do.

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[–] frogfruit@slrpnk.net 81 points 2 years ago (3 children)

Intuniv, Strattera, Concerta, and Vyvanse can be prescribed for ADHD in Japan. Ritalin is also available but not for ADHD, though travelers can bring a maximum of 2.16g of methylphenidate. Other stimulants such as Adderall are not allowed.

https://interacnetwork.com/navigating-stimulant-therapy-for-adult-adhd-in-japan-regulations-and-considerations/

Most doctors would be willing to prescribe a different medication for the duration of your trip. It of course won't be ideal, but it would be a temporary hiccup that might be worth it considering you seem to be really excited for the trip.

[–] RedSeries@lemmy.world 21 points 2 years ago (8 children)

Op mentioned they do not want different medication for the trip though.

And, no, I don't really want to upend my regimen of 8 years and risk going on a new medication for the trip.

[–] frogfruit@slrpnk.net 14 points 2 years ago* (last edited 2 years ago) (5 children)

I did read that which is why I noted in my comment that I realize it won't be ideal but may be worth reconsidering for the opportunity. I also wanted to provide some more complete information for the people in the comments who were gleaning false conclusions from misleading information.

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[–] dipshit@lemmy.world 5 points 2 years ago* (last edited 2 years ago) (1 children)

OP: I hear you on not trying different meds, but one of these things is barely different from adderall (still very much a stimulant). Vyvanse is basically adderall xl, just in prodrug form. Apparently other commentors say it is allowed in japan. Prodrug just means that an enzyme plus the drug means your body creates the basically the same exact drug as adderall when ingested. If vyvanse is allowed but adderall is not that’s strange although one of vyvanse’s strengths is that it can’t be snorted, which might make some nations feel better about the drug’s potential for abuse, since it must be ingested to work.

[–] ArmokGoB@lemmy.dbzer0.com 2 points 2 years ago (1 children)

Adderall didn't do a whole lot for me, but Vyvanse made me actively sick. People can have weird reactions to medications.

[–] dipshit@lemmy.world 2 points 1 year ago

You’re absolutely correct that a medication isn’t going to react the same for every person. People can have weird or even fatal reactions to medications. Any local pharmacist should be able to answer questions about medications and interactions.

To be clear, I am just saying that if adderall works for someone, vyvanse is likely to work for that person as well, because the drugs are so similar. Vyvanse’s biggest difference from adderall is that it’s a prodrug, meaning that starts off as a drug that has no effects on the body until it reacts with an natural enzyme we have in our colon which causes the drug to turn into what is basically adderall.

Adderall is mixed amphetamine salts.

The mixture is composed of equal parts racemic amphetamine and dextroamphetamine, which produces a ratio between dextroamphetamine and levoamphetamine, the two enantiomers of amphetamine.

Compared to vyvanse:

Lisdexamfetamine is an inactive prodrug that is converted in the body to dextroamphetamine, a pharmacologically active compound which is responsible for the drug's activity.

So technically, Adderall is dextroamphetamine and levoamphetamine. I can’t speak more to this because of my lack of knowledge but “dextro” and “levo” are “right” and “left”, basically meaning something like the left and right “versions” (wrong word) of the molecule. Vyvanse on the otherhand is just the right “version” (wrong word) of the molecule.

[–] junderwood@lemmy.world 1 points 2 years ago

^^ An informative and very thoughtful comment ^^

[–] bionicjoey@lemmy.ca 22 points 2 years ago (1 children)

OP, don't hate the ADHD. Hate the Japanese law. That is a stupid law.

[–] SharkEatingBreakfast@sopuli.xyz 11 points 2 years ago (1 children)
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[–] Thrillhouse@lemmy.world 21 points 2 years ago* (last edited 2 years ago) (2 children)
[–] frogfruit@slrpnk.net 8 points 2 years ago

Ritalin is also allowed

[–] thorbot@lemmy.world 7 points 2 years ago (2 children)

Vyvanse is so much better for me personally. But it's expensive af

[–] flicker@lemmy.world 3 points 2 years ago (1 children)

I loved Vyvanse. I was able to advance at work because of Vyvanse.

And then out of nowhere my insurance decides, not it's $350 a month. Back to adderall I went.

[–] thorbot@lemmy.world 3 points 2 years ago (1 children)

Yeah, it's $250 a month for me. No thanks, I'll just be all over the place.

[–] LoomingCardinal@lemmy.world 3 points 2 years ago (1 children)

The Vyvanse patent expired recently and generics are available now for cheaper. My insurance is willing to cover the generic, it's possible yours will too

[–] thorbot@lemmy.world 2 points 2 years ago

Great to know! Will look into it.

[–] Noodle07@lemmy.world 3 points 2 years ago (1 children)

Hello from France where Vyvanse still isn't approved! Every day I read about how amazing it is and I cry

[–] thorbot@lemmy.world 1 points 2 years ago

Sorry to hear that friend. Someone else commented that the patent expired recently and generic versions exist now, perhaps that is worth looking into.

[–] pHr34kY@lemmy.world 19 points 2 years ago

I went to Tokyo 6 months ago and took a bottle of Vyvanse with me.

You need to clear it with the authorities before you head over. You'll need your doctor to write a letter. It can be done though.

... Or just get hooked on $1.50 cans of coffee boss instead.

[–] kebabslob@lemmy.blahaj.zone 7 points 2 years ago (1 children)

Just play Yakuza as a sort of stand in /j

[–] bionicjoey@lemmy.ca 4 points 2 years ago

Yakuza and also Okami

[–] Starayo@lemmy.world 5 points 2 years ago

Yeah, I'm lucky enough that mine is only really debilitating for study so I didn't have an issue not taking my meds for the trip. Really feel for you. :(

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