Posted by BekkaH on August 23, 2003, at 20:47:42
In reply to Re: ascorbic acid lowers absorbtion » BekkaH, posted by brender on August 23, 2003, at 18:30:08
Hi. I think it would be better to work with your doctor on carefully titrating the medicine until you find just the right dose. I think Viridis' idea about starting at the lowest dose and working up slowly is a good one. I really do not see any advantage to hastening the excretion of the medicine. You are simply going to hasten the development of tolerance, which is extremely frustrating and depressing. Tolerance is very common with the stimulants. Tolerance means that you have to keep raising the dose to achieve the desired effects. Urinary acidification is one of the primary means by which tolerance to amphetamine occurs. The other, and more significant, cause of tolerance is depletion of norepinephrine from nerve endings. Regardless of the cause, however, the effect is the same: you have to continue to raise the dose to get the desired effects. By the way, not eating at all also hastens urinary excretion because not eating causes ketosis, which leads to more acidic urine and faster urinary excretion.
Did you know that there are other forms of Adderall and Dexedrine? There are immediate release versions that might make it easier for you to carefully adjust the dosage. Another possibility, if you stay on the Adderall XR, is to lower the dose a tiny bit (the XR capsules do come in 5 mg strengths)and possibly "tweak" the Adderall with another medicine, either a calming antidepressant or a tiny bit of Klonopin.
It sounds as if you are on too high a dose. Perhaps you can talk to your doctor about getting the 5 mg Adderall XR pills. If that does not help, you might try the immediate release version, preferably the proprietary brand. Again, start with the LOWEST possible dose, and work up from there, even if you have to cut the pills into quarters.
poster:BekkaH
thread:253149
URL: http://www.dr-bob.org/babble/20030823/msgs/253472.html