Help me navigate this prescription issue?

Post date: 2019-01-11 10:45:50

I'm having issues with my ADHD prescription and feeling anxious about it/not sure what I need to do but it feels urgent.

Background, skip if you want: A little over a year ago I was diagnosed with ADHD (both types) as a 27 y/o woman (my life is very similar to all the standard stories of women who weren't diagnosed until adulthood). I have been on 20mg of generic Adderal XR since close to the beginning (did 1 month of 10mg first). After the 20mg was determined to be working, my doctor (an NP actually, who works in a practice with a psychologist(?) who actually signs the scrips I think) gave me 3 months worth of prescriptions, with the 2nd two having an effective date of 1 month later. We did not schedule a follow up appointment at that time. I ended up not going back in for another scrip for approx 5 months, because I was not taking the meds on weekends or vacations, and due to missing a few pills now and then, I had enough to last me that long. When I went in, my doctor expressed concern that I was going to get in trouble/suspected of fraudulent use or something because if I'm not taking it most every day, I may not actually need it (not so much that she believed it, but more that the governing bodies would think that). Since then, I fill my prescriptions approx every 30 days as my schedule allows and go in for a refill appt every 90 days, regardless of how many I have actually used (as was my doctor's recommendation at the time, though not in so many words).

The current situation: although I now take my meds on weekends & vacations mostly, I still skip days (either accidentally because I forget the pill, see: ADHD, or because I sleep in late on weekends and don't see the point in taking a pill at like 2pm when I'm just gonna watch tv all day). That means I end up with a decent backlog of pills, which has been fine, until now - because of the hecticness of the holidays and the fact that I had so many pills left, I just went today to fill the first prescription my doctor wrote for me on 12/18. But the pharmacist said it only was good for 21 days, so they couldn't fill it. The pharmacist said I could have my dr write a new prescription or initial a new effective date on the existing one.

The options I see are:
1) Call my doctor ASAP (she only works until 4pm CT today and until 12pm tomorrow) and explain what happened - risks her reporting me to the state/both of us getting in trouble. I am in Texas and would not be shocked if they are unreasonable about these things.
2) Use my remaining pills (I have about 6 I think?) and just fill my next prescription dated 1/18, and don't tell my doctor - risks an issue if she or the state pay attention to a scrip that was never filled.
3) Tell my doctor but maybe fudge the truth a little (eg that I was sick or out of town and that's why I am only just now filling the scrip) and ask for a new/updated one. This one feels safest but I don't want to lie if I'm just blowing this all out of proportion? I just really don't want to be blacklisted and lose access to medication - it has been life changing for me and my current position at work would be near impossible to maintain well without it.

Sorry for any typos, I'm writing this from mobile.

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