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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by SheilaC on January 24, 2010, at 16:53:57
I did a trial of Vyvanse for ADD - which worked great, but lasted too long in my system and I just couldn't sleep.
No my doc switched me to Adderall IR 5mg. It's ok. Has a few good side effects. But I notice that I am irritable. I don't know if it is because the quick up and down effect or what. I am wondering if I should switch to Adderall XR?
Extended release versions tend to last too long in my body (which is why I think Vyvanse never seemed to wear off). Is there another med that will only last around 6 - 8 hours? Or are they just IR or 12 hour meds?
I've heard irritability is common with Adderall.
Posted by rjlockhart04-08 on January 24, 2010, at 19:43:25
In reply to ADD ADHD meds question..., posted by SheilaC on January 24, 2010, at 16:53:57
There used to be a medication called "Cylert" which was about half the potency of Ritilin or close to it and it lasted 12 hour's, it was withdrawn because of liver toxity [people had problems with liver]
Dexedrine Spansules are good. It's the same thing as Vyvanse but it work more "direct" while Vyvanse tends to work slow and distrubite d-amphetamine slowly by the l-lysine attached to it.
Adderall does cause a little bit more irrtibility because of the levoamphetamine is more norephinrine stimulation
Posted by floatingbridge on January 24, 2010, at 21:06:25
In reply to Re: ADD ADHD meds question..., posted by rjlockhart04-08 on January 24, 2010, at 19:43:25
Hi Shelia,
Dex has, I think, few side-effects, like vayvannase. Did you try lowest dose? My experience w/dex spansuales was decreasingly efficacy until I reached a plateai--which means it's still working, though not as intensely. Maybe vayvaanse would be similar. However, my symptoms differ greatly from yours.
...Best, fb
Posted by West on January 25, 2010, at 7:37:22
In reply to Re: ADD ADHD meds question... » rjlockhart04-08, posted by floatingbridge on January 24, 2010, at 21:06:25
My only experience is that concerta is the only sustainable choice if you want mood raise long-term.
Dexedrine was 'goofy', grandiose and saddening.
Posted by paulbwell on January 25, 2010, at 8:21:46
In reply to Re: ADD ADHD meds question..., posted by West on January 25, 2010, at 7:37:22
Posted by paulbwell on January 25, 2010, at 8:22:07
In reply to Re: ADD ADHD meds question..., posted by West on January 25, 2010, at 7:37:22
> My only experience is that concerta is the only sustainable choice if you want mood raise long-term.
What dose of concerta you on west?How long have you sustained long term benefits?
> Dexedrine was 'goofy', grandiose and saddening.
Posted by West on January 25, 2010, at 8:55:58
In reply to Re: ADD ADHD meds question... » West, posted by paulbwell on January 25, 2010, at 8:22:07
I've taken 27 or 36mg since november.
During that period I have experienced some problems with agitation and tachycardia, particularly at the higher dose, but consistently exeprienced brighter mood, improved memory and overall executive functioning.
My hunch is that either one or both of the antidepressants I take in conjunction with concerta are producing this sustainable mood lift. I say this because the immediate dose contained in the coating rarely produces any meaningful shift in mood first thing, whereas an hour or two after taking a pill of effexor (75mg) and cipralex (10mg), I get this calm, solid, raise in mood throughout the day.
Naps in the day can be annoying though, with adrenaline spikes when i think of anything i have to do, or is worrying me. But this is such a minor point that it's hardly worth mentioning.
In contrast to dexedrine, there are no appreciable come-downs or unpleasant sad or negative thoughts and I generally feel less like i'm on a 'reccy' and more on something with a proper medical application.
This is the end of the thread.
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