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.
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.
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.
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.
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.
I agree the reply is informative, just that OP had asked to avoid other medications as a suggestion.
Please do not imply that I did not fully read the post because you did not like my answer. I noted in my comment that I realize the situation is not ideal, and I provided information that I thought might be worth reconsidering. I’m sorry I did not realize that adjusting your medication is such a hard no for you.
However, it is disingenuous to claim that Japan “absolutely forbids stimulant medication in the country” when that simply isn’t true, and this was causing multiple people in the comments to come to false conclusions. Many other people would consider a temporary adjustment agreeable, and it is unfair to lead people to believe that this isn’t possible unless they can tolerate non-stimulant medication.
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.
Adderall didn’t do a whole lot for me, but Vyvanse made me actively sick. People can have weird reactions to medications.
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.
I’ve been told that if you can get a transfer there you need to understand that you’ll only ever hang out with other westerners because the culture is impenetrable.
I’ve lived in Japan and that’s completely untrue. Sure lots of westerners have this experience, but it’s usually for one of three reasons:
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Language barrier: if you don’t speak Japanese, obviously you’re not going to fully integrate. However English is a required subject in schools, and while many Japanese are hesitant to speak it (mostly out of embarrassment over mistakes) there are plenty who are eager to utilize what they’ve learned. And this doesn’t even include Japanese who’ve lived abroad and are properly fluent and comfortable in the language (there aren’t many, but they certainly exist). Learning even a little Japanese and appearing to make an effort will also open a lot of doors.
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Self-segregation: It’s easy to fall into this one, especially because of point 1. But if you make an effort to make friends with people who are Japanese, they’ll introduce you to their friend group. This works best if your co-workers are mixed westerners and English-speaking Japanese, but with some searching you should be able to find mixed socialization opportunities outside of work too. Plus there are non-Western communities in Japan too: folks from other Asian or Latin American countries who also feel like outsiders. Of the foreigner friends I had in Japan, almost none were American (and almost none were native English speakers, although they were all fluent or close to it). Taking Japanese language classes is a great way to meet these folks, but each school is going to be very different in their demographic populations so be choosey and avoid any that seem too homogenous (eg all Chinese students).
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Expectations: Japanese social culture is very different. It’s easy to make acquaintances and hard to make friends. And yes, even if you speak Japanese fluently as a foreigner you will find it more difficult to make friends with the average Japanese person. However you have two strengths you need to utilize: curiosity and otherness. As long as you appear approachable, strangers will sporadically come up to you and talk with you out of curiosity. Sometimes the socialization ends there, and that’s fine. But look for the outsiders: Japanese people who don’t feel like they fit into Japanese society. I found that there were a good number of English-speaking Japanese who wanted to be my friend because they struggled to make friends with other Japanese. Some of them were socially awkward or autistic, some had lived abroad, and some seemed totally normal. The good news is you probably have a lot in common, even if it’s superficial like enjoying the same Western culture (TV shows, etc; think reverse-weeabo), but it’s enough for the foundation of a friendship. However you’ll need to accept that you’re now a member of a misfits social group, because you’re yourself a stranger in a strange land!
So in conclusion, it’s very easy to fall into the only-socializing-with-Westerners trap, but it’s certainly not inevitable. It takes conscious effort to avoid, but is completely feasible, especially for someone who has interest in Japan/Japanese culture/Japanese language.
As an autist who studied Japanese and gave up when I realized I just couldn’t connect with any of the Japanese people I met - even the ones where it was obvious we wanted to be friends - I can assure you the culture is even more impenetrable for autistics. And I don’t have such issues with other autistic people usually, no matter the culture.
Don’t mistake your stereotypes for reality and tell everyone people call you out because of political correctness. You’re just plain old wrong in this.
I can see where you are coming from.
But my impression is that Japan has a lot of unspoken rules on how to interact with others. And unspoken social rules are the arch enemy of autism, lmao.
Hello from France where Vyvanse still isn’t approved! Every day I read about how amazing it is and I cry
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.
Yeah, it’s $250 a month for me. No thanks, I’ll just be all over the place.
OP, don’t hate the ADHD. Hate the Japanese law. That is a stupid law.
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.
