I'm a biochemist and I completely disagree with your take.
There are very few situations where prescribing methamphetamine is reasonable. It's a niche drug. Even XR formulations of Adderall are considered a blunt instrument compared to more recent alternatives.
The issue is one of trust, integrity, and safety. Pharmacies should not operate like drug dealers.
Did you mean IR formulations, or are you saying that extended release formulations of Adderall are considered a blunt instrument? Compared to what other than Vyvanse?
IR (instant release) is the opposite of XR (extended release). I said and meant XR. I don’t even think IR should be used anymore, except maybe in super niche situations (I’m not even sure if I can think of any situation where it makes much sense… maybe narcolepsy?).
XR is obviously preferable to IR, but amphetamines have been falling out of favour over the years (it’s a slow trend). Vyvanse, NSRIs and even SSRIs tend to be regarded more and more favourably compared to amphetamines (Adderall) and methylphenidate (Ritalin).
(Disclaimer: I myself take Adderall XR 10mg as prescribed, so I have the opposite of a conflict of interest in this context.)
There are very few situations where prescribing methamphetamine is reasonable. It's a niche drug. Even XR formulations of Adderall are considered a blunt instrument compared to more recent alternatives.
The issue is one of trust, integrity, and safety. Pharmacies should not operate like drug dealers.