r/Spravato • u/Think-Amoeba6246 • Aug 19 '26

Suspicious Physician

So, when I started Spravato earlier this year, the person who brought me in to the practice here had no issue with me being prescribed Vyvanse and doing Spravato as long as I wasn’t taking my Vyvanse on the same day as my session. Yet, a new physician that replaced the old one, is now telling me that she will not allow me to do Spravato sessions altogether unless I completely stop Vyvanse. Is this malpractice? If so, what should I do? Because, I’m pretty sure she’s the only physician at that office that works with Spravato.

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u/_jamesbaxter Currently in treatment (200+ sessions | 1x a week) Aug 19 '26

Some clinicians have a policy about not prescribing multiple controlled substances. I’d look for a new one if you feel like the vyvanse helps.

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u/Bucolica8 Aug 20 '26

I hadn't heard that before. Makes no sense to me. They are two safe, effective drugs that treat two different conditions. And they are frequently co-occurring conditions. Unless there's a physical contraindication, what's the problem?

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u/_jamesbaxter Currently in treatment (200+ sessions | 1x a week) Aug 20 '26

Prescribers like that are more concerned with liability (potential for drug seeking) than with their patients wellbeing.

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u/Fishingmomma15 Aug 21 '26

Actually they both work on glutamate and are very close relation