Practice Update - Welcome to My Practice

January, 2023 Practice Update

Co-pays/Scheduling Link: For telemedicine or in-person the co-pay policies must be followed. You may use the button below to schedule your appointment and/or pay your co-pay in advance: https://appointmentsKANDOLINA.as.me/

In-Person Office Visits Available: Thursdays at 82 Marlborough St. Although I have moved properly out of Boston, I will still commute to the office at least 2 – 4 times a month and hope to see many of you in person this coming year (weather permitting). New regulations from the Centers for Medicare Services (CMS) re: frequency required for in person office visits may be forthcoming in 2023.

Winter Weather Cancellation Policy: For in-person appointments, if the Boston City Schools are closed so will my office be closed

COVID Precautions: Please stay up dated with your boosters and self-care. Office visits will have air filtration, chair distancing and masking available as needed.

November 3, 2022 Adderall Shortages

Re: Adderall shortage – there have been recent difficulties that patients are encountering in fulfilling Adderall prescriptions. The reasons are varied and may stretch well into 2023. Some reasons for the shortage are supply chain (like ingredient shortages and labor shortages), an increase in the diagnosis of ADHD and pharmacy monthly quotas on stocks of controlled substances, etc.. I am encouraging people to think through options and do some research now!

See article: https://www.npr.org/2022/10/14/1129000615/the-fda-declares-a-shortage-of-adderall

Alternatives to consider are:

Methylphenidate (Concerta and Ritalin)

Focalin IR and Focalin XR (dexmethylphenidate HCL)

Vyvanse (lisdexamfetamine) Please note Vyvanse is name brand until Feb, 2023)

Dextroamphetamine (Dexedrine Spansules)

Non-Stimulants

Strattera (Atomoxetine) available as generic

Qelbree (Brand Name)

New to Market:

There are newer (brand name) medications on the market as well – these will often require a prior authorization so getting started will require a lead time for the paperwork if necessary

Astarys