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Re: adderall xr

Posted by katekite on June 3, 2002, at 18:15:27

In reply to Re: adderall xr suelizabeth, posted by JonW on June 3, 2002, at 14:16:11

Hi I agree with JonW that it sounds like rebound. In addition, my own ADD experience is very similar: sometimes I can not unwind to go to sleep and will take a small dose of ritalin, fall soundly asleep... then 6 hrs later after its completely worn off can wake up irritable and panicked feeling almost paranoid in the middle of the night.

Rebound is said to occur between one and 8 hrs after a dose of stimulant medication has worn off. It is thought to be a decrease (past normal) in dopamine transmission or effectiveness.

So, ways to combat this would be:

1. Let the med wear off while you are awake. This would mean taking regular adderall perhaps twice a day and letting yourself get through the difficult rebound period before bedtime. Regular
Adderall lasts about 4-6 hrs and wears off more quickly than Adderall xr. That would allow you to sleep soundly.

2. Consider taking a tiny dose of adderall or adderall xr right before bed. Some people can sleep fine with the drug in their system.

3. If you can get through ok with it, try a lower dose of adderall xr during the day so your system has less rebound overall. People are very individual and do not always necessarily need what is normally considered the average dose.

4. Try concerta or dexedrine spansules, which may affect you differently.

5. Get used to it, knowing it is a normal reaction, or use another med as jonw suggested such as ambien to get a full night's sleep.

Take care,

kate


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URL: http://www.dr-bob.org/babble/20020602/msgs/108563.html