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NEW ENGLAND CENTER FOR PSYCHIATRIC TREATMENT AND EDUCATION

SIMON EPSTEIN, M.D.
91 STRAWBERRY HILL AVE. #140
STAMFORD, CT 06902
203-348-8579

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From Dr. Simon Epstein and the New England Center for Psychiatric Treatment and Education


Monthly NewsNotes

Monthly NewsNote

August 2004

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POINTERS FOR HANDLING MEDICATION AT COLLEGE

Going to college on a controlled medication is a different experience from using it at home. This is especially true for freshmen. Over the years I have developed several ideas that may help with the transition. These ideas can be found throughout other writings available on this site, but I thought it would be helpful if I pulled several of them together.

ABOUT THE MEDICATION

Review the medication with your prescribing physician before leaving for school. Most students use a long acting preparation in high school, but might do better with a short acting form in college. This depends on class schedule, study hours, partying time and sleep needs. The best way to use medication is not always clear before school starts, and it is often a good idea to review medications once new routines are established, usually at Thanksgiving time.

HANDLING THE MEDICATION

Be careful and don’t be too casual with a controlled medication. Everyone is very comfortable leaving medication on the counter at home. If you do that in college, it will disappear.

I suggest you put the medication in a bureau drawer, and keep it out of sight. You will probably need to carry a few pills in your backpack for use during the day. Keep them in an unmarked bottle in a side pocket.

Don’t share your pills with anyone. You may think you’re being a nice guy, but you could be responsible for serious problems.

REFILLS

For most, insurance coverage limits the number of pills to a 30 day supply. Therefore, students need to get a refill monthly. This can be harder than it seems.

The person with ADD is not always well organized, and remembering to call home is not easy. I suggest:

1. Take 100 pills and divide them into two bottles, one with 70 and one with 30.
2. When the big bottle is empty, call home
3. Before leaving for school, get an extra 25 pills to leave home in cases of a crisis.

Doing these things will make it more likely that the student will always have the needed medication. That’s very important, especially at exam time.

FILLING THE PRESCRIPTION

Controlled drug prescriptions written in Connecticut can be filled in some states and not others. NY and CA are definitely no. MA, FL, PA, VA are yes. I don’t know about the others at this time.

I suggest that for at least the first semester the student call home and have Mom get and fill the prescription and FedEx the medication. Then there is just one less thing for the student to worry about.

As time goes on, the student may want to take over the responsibility. This would mean that they will have a car or nearby pharmacy. They can then call the doctor and have the prescription mailed directly to them. This takes Mom out of the loop, which may make it easier for everyone. But these are things to work out as time goes on.

SUMMARY

The use of medication at college is extremely important and can make the difference between success and failure. Taking the right medication and having the necessary supply is obviously very basic to success. Some ideas have been discussed here. If you have other thoughts or experience that you would like to share, please drop me a note.


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