Agreement regarding Stimulant

Agreement Regarding Stimulant Prescription

Your clinician at YES in Psychiatry has prescribed a stimulant medication. Stimulant medications are most commonly used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) but may also be prescribed for conditions such as daytime hypersomnolence, narcolepsy, or cognitive enhancement after a traumatic brain injury.

There are three primary categories of stimulants: methylphenidate products, mixed amphetamine salts, and dextroamphetamine products. Common brand names include Ritalin, Concerta, Daytrana, Metadate, Adderall, Dexedrine, and Vyvanse. All stimulant medications share similar potential side effects and monitoring requirements.

Potential Side Effects

The most common side effects of stimulants include decreased appetite and insomnia. Additional side effects can include stomach discomfort, headaches, or mild increases in heart rate or blood pressure.

In children and adolescents, stimulants may slow growth; therefore, height and weight will be monitored regularly.

Some individuals may develop or experience worsening of motor or vocal tics, though these often resolve or return to baseline if the medication is discontinued.

If you have pre-existing heart conditions or elevated blood pressure, notify your clinician before starting treatment. You may be asked to monitor and report your blood pressure and pulse regularly.

Misuse and Monitoring

Stimulant medications have the potential for misuse, abuse, and dependence. For this reason:

• Patients with a history of substance use may be advised not to take stimulant medications or to take them under close supervision.
• YES in Psychiatry may conduct random urine drug screenings.
• Prescription monitoring programs are checked routinely to verify prior stimulant prescriptions and ensure compliance.

Discuss any history of drug or alcohol use with your clinician before beginning treatment. Your clinician will determine whether the use of stimulant medication is medically appropriate.

Prescription Management

To ensure continuity of care:

• Request refills at least 7 days before you run out of medication.
• Lost or stolen prescriptions will not be replaced, and early refills are not permitted.
• Regular follow-up appointments are mandatory to maintain your prescription.
• Failure to schedule or attend required appointments may result in medication discontinuation.

Patient Agreement

By accepting and filling this prescription, you agree to the following:

• I will actively engage in any additional or alternative treatments recommended by my clinician, including therapy or non-controlled medications.
• I will not alter my dose or schedule without consulting my clinician.
• I will not sell, share, or give this medication to another person.
• I will attend all scheduled appointments and understand that missing two or more appointments (including cancellations within one business day) may result in discontinuation of my prescription.
• I will inform my clinician of any hospitalizations or new prescriptions for controlled substances.
• I understand that seeking stimulant or other controlled substances from another provider may result in discontinuation of this medication.
• I understand that lost or stolen stimulants may not be refilled and early refill requests will not be honored.
• I agree to abstain from alcohol and illicit drug use per my clinician’s recommendations.
• I will complete laboratory testing, including urine drug screens, as requested.
• I will plan ahead for refills and understand that prescriptions are processed only during regular business hours and may take up to 7 business days to process.

Medication Storage and Security

• Keep your stimulant medication secure at all times.
• Store it in a locked box or cabinet away from others.
• Do not carry your entire supply with you. Ask your pharmacist for a separate container for limited doses.
• Never share your medication with anyone.

Discontinuation Policy

Your clinician at YES in Psychiatry may discontinue your stimulant prescription if:

• You fail to attend two consecutive or multiple scheduled appointments.
• You develop significant side effects.
• You develop tolerance or the medication becomes ineffective.
• You refuse drug testing or are found misusing, selling, or combining your medication with illicit substances.
• Your clinician determines that stimulant use is no longer safe or appropriate.
• You fail to meet your responsibilities as outlined above.