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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by utopizen on April 7, 2003, at 13:18:16
I'm on Desoxyn for ADD (5mg 2x/day). This is an embarassing problem, but apparently after I urinate, I am having difficulty "stopping" a bit. It seems that for whatever reason the Desoxyn is weakening the muscle that contracts for urinations/other stuff. I'm a guy.
It seems silly to switch to Dexedrine over this. Speaking of which, I have to say I think all of these ADD meds have their pluses and minuses. Adderall's cute because it keeps me up all day, but it also exacerabates my anxiety. Dexedrine isn't as energizing, but also isn't an anxiety-provoking. Desoxyn is gentler, less anxiety-provoking, but also doesn't motivate me to do work in the same way Adderall does. In fact, I easily fall asleep unless I take a higher dose of it.
Posted by Questionmark on April 7, 2003, at 16:59:06
In reply to Help! Meth or Desoxyn users, please, posted by utopizen on April 7, 2003, at 13:18:16
i used to get that problem to some extent when i took Ritalin. i wonder why that happens. But i don't know what to tell you, sorry. Good luck.
Posted by Cam W. on April 8, 2003, at 13:19:00
In reply to Help! Meth or Desoxyn users, please, posted by utopizen on April 7, 2003, at 13:18:16
utop. - I know how you feel; my poor prostate performs parastaltically precise, painfully passionate pulsations (plus partial priapism) practically post-peeing; prolonging performance past personal potty protocol.
Yeah, I get that problem taking only a 10mg Spansule of Dexedrine™(dextroamphetamine) in the morning. I really didn't relate my prostate problem to the stimulant, but just assumed that family genetics had come into play. All the men (in my family I really shouldn't rule out some of the women), in both of my parents' families have varying degrees of prostate trouble. I just figured my time had come.
What about your family, any large prostates? I wonder if in those predisposed to a future of "squirt and dribble" the stimulant acts like a trigger for the onset of "pee dribbling down your leg if you don't stand at the urinal long enough to get that one last final splash.
- Cam
Posted by utopizen on April 8, 2003, at 16:49:02
In reply to Re: Help! Meth or Desoxyn users, please » utopizen, posted by Cam W. on April 8, 2003, at 13:19:00
Apparently alpha blockers help this condition, known as benign prostate hypertrophy.
Overview:
http://hcd2.bupa.co.uk/fact_sheets/Mosby_factsheets/BPH.html
Posted by utopizen on April 8, 2003, at 16:59:10
In reply to Alpha blockers treat post-urination dribbling » Cam W., posted by utopizen on April 8, 2003, at 16:49:02
> Apparently alpha blockers help this condition, known as benign prostate hypertrophy.
>
> Overview:
> http://hcd2.bupa.co.uk/fact_sheets/Mosby_factsheets/BPH.htmlI have no family history of the problem, and I'm only 20. But this site says that one who has it (I don't, unless I'm on a stim) should avoid stimulants or decogestants (which have stimulants) because these constrict the muscle fibers. Alpha blockers relax the muscle fibers.
Posted by utopizen on April 8, 2003, at 17:37:35
In reply to Re: Alpha blockers treat post-urination dribbling, posted by utopizen on April 8, 2003, at 16:59:10
From
http://www.mc.uky.edu/pharmacology/instruction/pha824ar/PHA824ar.html.
Actions in Benign Prostatic Hypertrophy1.
Prazosin and related analogs also relax the smooth muscle associated with the bladder neck and prostate.
2.
Tamsulosin has a similar action and is also used to treat BPH. Tamsulosin is an example of a drug that is selective for one of the subtypes of the alpha1-adrenergic receptors. This ligand selectively blocks the alpha1A-receptor. The alpha1A-receptor is involved in regulating the smooth muscle tone associated with the prostate. Therefore, tamsulosin selectively antagonizes the receptor subtype involved in regulating prostate function. Tamsulosin is less likely than the prazosin analogs to cause hypotension
Posted by jack smith on April 9, 2003, at 12:20:38
In reply to Re: Help! Meth or Desoxyn users, please » utopizen, posted by Cam W. on April 8, 2003, at 13:19:00
Cam, I was wondering what you thought of my theory as a pharmacist. . . . Do you think there is a connection between sedation and short half lives? See my post:
Posted by fairnymph on April 9, 2003, at 15:10:19
In reply to Help! Meth or Desoxyn users, please, posted by utopizen on April 7, 2003, at 13:18:16
I used to use methamphetamine recreationally, at one point fairly regularily. During that time and since then (it's been over 6 months since that period of use), I've been having a variety of urinary problems which I can only contribute to my meth use. These include 'difficulty stopping', burning sensation in my bladder whenever I'm not extremely hydrated (if I go 2 hours wihtout a glass of water I am in pain!), and occasionally some incontinence (leakage). There seems to have been semipermanent damage, and that really upsets me. I should also add that I have used adderall as well and I found that that had even worse urinary effects on me, so I don't know if switching to amphetamine would be the best option for you.
Have you consider reboxetine, atomoxetine, effexor, wellbutrin, provigil? all of these CAN be used to treat ADD.
Also, to minimize your current side effects, I would recommend avoiding caffeine (as it is a diuretic), and you might want to use low doses of opiates or immodium for really bad days as these cause urinary retention and will counteract some of the urinary effects from the stims.
Good luck and I feel your pain (literally!).
fn
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