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Re: Adderall, tolerance, manic treatment » pseudoname

Posted by barbaracat on September 26, 2005, at 12:19:23

In reply to Adderall, tolerance, manic treatment, posted by pseudoname on September 26, 2005, at 12:00:31

Thanks for your very helpful post, exactly what I was looking for. Very interesting piece of info on the manic stuff since that's a big concern. I don't mind a bit of hypomania at all but the mixed states depressions are the pits and to be avoided. Do you remember where you saw it?

Your rotating regimen sounds very reasonable. In fact, I use a similar schedule for the opiates I take when my fibromyalgia is acting up to avoid tolerance and dependency.

I don't have the XR so I'll make sure to tell my pdoc for next time. - Barbara


>
> I use Adderall XR for unipolar depression. It's effective for me but only for the worst, most lethargic, painful, catatonic episodes. Within an hour of taking it, I feel hopeful and able to live when moments earlier I was totally suicidal and despairing. Adderall doesn't help me with my less-severe depressive days, which is most of them.
>
> I don't have ADD but I notice improved reading concentration on Adderall. But, you know, reading all the "Slate" archives is not something I really need to be doing, and that seems to be a big draw if I'm online when it kicks in! LOL!
>
> I manage the tolerance by taking it at most 3 or 4 days a week. If I've gone without it for at least 3 days, I take 20mg. If I've taken 20mg for the last 2 days, I take 30mg. But after 3 Adderall days in row, I know it won't work on the fourth. I've never tried it higher than 30mg, because I got into super-high levels of Ritalin that way with terrible crash afterward, and I don't want to screw up the really important (if limited) help Adderall does give me.
>
> Ritalin-type let-downs haven't occurred on the on Adderall XR doses I've used. The "XR" version is important, I think. But I can tell throughout the day when the next set of pellets dissolve their enteric coating.
>
> On bipolarity & amphetamines: There's some info that giving someone amphetamines when they're in a manic phase can quickly bring them *out* of the manic phase. Interesting.
>
> Good luck!


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poster:barbaracat thread:559429
URL: http://www.dr-bob.org/babble/20050921/msgs/559808.html