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anon-y-mouse said:I think you're confusing a medical/pharmacological issue with an ethical issue. Are you saying it is unethical to treat while taking addys? or are you saying it's "unsafe" to treat, as in it's "unsafe to operate heavy machinery"?
If we're talking about ethics... well, that issue is relative. If you're talking about physiological "impairment", then I don't think your issue is relevant. Consider a scenario where a doctor is prescribed adderall by his medical school chum (a pushover psychiatrist, say). There are two possibilities: a) there is therapeutic value in administering the drug -- the physician performs better, gets all his charts done, etc. etc.; and b) the drug has no therapeutic value (the doc gets really jittery when he takes it, and doesn't feel productive, but scatterbrained and unnerved)... the doctor would stop using it here.
So, the only case where the doctor WOULD actually use the drug is if it were useful to him and he saw some benefit out of it.
how do physicians decide who gets the drug or not? handy dandy DSM-IV criteria for ADD/ADHD, which are pretty nebulous. kind of like the criteria they use to grade the writing sample on the MCAT. anyway.
http://www.aafp.org/afp/20001101/2077.html <- right there, if you want.
most 'normal' people have many of those symptoms. I mean come on, which one of us has not ever been easily distracted in some situations?
the question is now "is the patient ADHD *enough* to receive the drug?" -- this is yet another grey area. there is no level of substrate one can measure in a blood test to arrive at an objective "threshold", etc.
most of the productive "abuse" is happening at the low end of this nebulous DSM-IV threshold. physicians who successfully self-medicate w/ adderall most likely have very "slight" non-acute ADD. now enter the question of ethics. and how ADD do people have to be to medicate them?
anyway, the point is, people will only continue to "abuse" if there is some legitimate therapeutic value associated with the treatment. furthermore, adderall isn't like a sugar pill: serious headaches and "crashes" are associated w/ the drug -- people seriously wouldn't be taking it if they didn't feel the benefits outweighed the annoying side effects. if people take it and AREN'T benefiting from the drug, then they're just idiots who need a prayer. unfortunately, this last category is where most college students (i've seen) who take adderall fit in.
Also, this is hardly related to your argument, but I think it's quite ironic the nature of your posts here given that your username is the trade name for VALPROIC ACID. Any physician under the influence of that (anecdotally) is more impaired judgment-wise than someone taking amphetamines.
I'm all about the irony.