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Re: YOU FEELING BETTER IS THE BRIGHT SPOT OF MY DAY :) » femlite

Posted by Ame Sans Vie on October 29, 2003, at 15:18:32

In reply to YOU FEELING BETTER IS THE BRIGHT SPOT OF MY DAY :) (nm) » Ame Sans Vie, posted by femlite on October 29, 2003, at 14:59:11

((((((((Femlite)))))))) That's so sweet of you to say, thank you so much! That really brightens *my* day even *more*, which I didn't think were possible! lol

I may as well respond here about your Adderall problem... the truth of the matter is, I'm at a complete loss. Sounds to me like you may be better off with Concerta, Dexedrine Spansules, or Desoxyn CR, though I know that doesn't help to solve your current predicament. My big concern at the moment, though, is with the crash you get after the amphetamine wears off. That often is an indication that the dose is too high... or it could simply be that amphetamines aren't for you (in which case Concerta may be a good option). When you are able to see your doctor again, if you'd like to continue with Adderall, I suggest the immediate release formulation. It lasts about 4-5 hours in most people, there are generics available, and if you take subsequent doses about 45 minutes before the first dose wears off, you should avoid any crash. If you can just stay on the amphetamine all day until it's almost time for sleep, you may be able to avoid even a night-time crash by taking a benzo when the crash begins to rear its ugly head and perhaps clonidine a little before bedtime (often prescribed for folks taking stimulants to help them sleep). It may reduce or eliminate any comedown effects from the stimulant. A little Ambien, Sonata, Halcion, Restoril, etc. before bed could also be of great help. First and foremost, I'd suggest lowering your dose though... if 20mg of the XR lasts a mere five hours and is causing such a horrible comedown, then perhaps 10-15mg of the immediate-release drug three-four times daily would be more appropriate.

Michael

P.S. I wish you the very best of luck with your fibro and really feel for what you're going through right now -- chin up!


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poster:Ame Sans Vie thread:274181
URL: http://www.dr-bob.org/babble/20031025/msgs/274704.html