Psycho-Babble Medication Thread 302119

Shown: posts 1 to 8 of 8. This is the beginning of the thread.

 

adhd and mitral valve prolapse

Posted by sm2010 on January 17, 2004, at 19:35:40


Does anyone have any experience/info about using stimulants with mitral valve prolapse? Adderall has been very helpful for me, but recently it gave me a very rapid heart beat and blood pressure on one occassion. I had it checked out and was diagnosed with mitral valve prolapse (w/minimal regurgitation). The cardiologist said it was not serious and gave me the usual precautions about antibacterial prophylaxis for dental procedures. When I asked if was safe to continue with the amphetamine he said to stop if such episodes continued, but otherwise to perhaps lower the dosage and to further discuss with my psych. I prefer to stay on a stimulant and am considering asking my psych about switching to dexedrine to cut out the peripherally acting l-isomer. Safety is my primary concern. I'm curious if anyone has any thoughts on this.

 

Re: adhd and mitral valve prolapse

Posted by Maxime on January 18, 2004, at 23:59:22

In reply to adhd and mitral valve prolapse, posted by sm2010 on January 17, 2004, at 19:35:40

Oh, I really don't think anyone here should answer your question. You have a medical condition and it would be best to talk about it with your doc. Your condition could worsen. I had a 20 year old friend who had that and she eventually needed to have the valve replaced so obviously the status of the MVP can change.

Take care of yourself.

Maxime

>
> Does anyone have any experience/info about using stimulants with mitral valve prolapse? Adderall has been very helpful for me, but recently it gave me a very rapid heart beat and blood pressure on one occassion. I had it checked out and was diagnosed with mitral valve prolapse (w/minimal regurgitation). The cardiologist said it was not serious and gave me the usual precautions about antibacterial prophylaxis for dental procedures. When I asked if was safe to continue with the amphetamine he said to stop if such episodes continued, but otherwise to perhaps lower the dosage and to further discuss with my psych. I prefer to stay on a stimulant and am considering asking my psych about switching to dexedrine to cut out the peripherally acting l-isomer. Safety is my primary concern. I'm curious if anyone has any thoughts on this.

 

Re: adhd and mitral valve prolapse

Posted by sm2010 on January 19, 2004, at 20:30:08

In reply to Re: adhd and mitral valve prolapse, posted by Maxime on January 18, 2004, at 23:59:22

I'm discussing it this week with my doc and will take it from there. I'm just curious if anyone else has had a similar situation. Thanks for the advice.

 

Re: adhd and mitral valve prolapse

Posted by Jaynee on January 20, 2004, at 11:43:52

In reply to adhd and mitral valve prolapse, posted by sm2010 on January 17, 2004, at 19:35:40

HI,

I am very curious to know what your doc says about your condition, especially since I have the exact same thing, mild mitral valve prolapse and trivial mitral regurgitation. I had a different echo cardiogram that said I had the same thing without the words mild and trivial. So who knows. I have never taken a stimulant, but I do know that effexor made my heart do a song and dance. Of course my pdoc said effexor doesn't do that, but when I stopped the effexor my heart stopped fluttering all over the place.

Let me know what your doc says, although I really don't think a pdoc is going to know enough about cardiology to answer your question.

 

Re: adhd and mitral valve prolapse

Posted by micro on January 22, 2004, at 1:36:05

In reply to Re: adhd and mitral valve prolapse, posted by Jaynee on January 20, 2004, at 11:43:52

> HI,
>
> I am very curious to know what your doc says about your condition, especially since I have the exact same thing, mild mitral valve prolapse and trivial mitral regurgitation. I had a different echo cardiogram that said I had the same thing without the words mild and trivial. So who knows. I have never taken a stimulant, but I do know that effexor made my heart do a song and dance. Of course my pdoc said effexor doesn't do that, but when I stopped the effexor my heart stopped fluttering all over the place.
>
> Let me know what your doc says, although I really don't think a pdoc is going to know enough about cardiology to answer your question.

HI! This message was of particular interest to me mainly because mvp is not uncommon to individuals who have experienced anxiety or panic disorder.Your pdoc may have associated your cardio symtoms with anxiety rather than the med. I would recommend that you seek a Biopsychiatrist if your doc seems unfamilar with cardio. The reason being is that a pdoc should look beyond the the neck up for possible alternative causes for your condition including side effects to the meds rxed. Example, you go to your eye doc for a routine exam and some new contacts on internal observation of your retina, he/she notes some small hemorrhages. The diagnoses does not have to be ocular only. It may well be that this person is diabetic,hypertensive,anemic,have carotid artery disease,the list is extensive, but these are systemic conditions causing a visual problem not just a visual disorder. Your doctor must have solid background in many areas of medicine. Being a specialist does not mean that you do not have to have comprehensive medical knowledge. Disease processes effect many systems of the body not just the part. I hope you are getting the idea,if not I can try again. Have a great day. micro

 

Re: adhd and mitral valve prolapse

Posted by micro on January 22, 2004, at 1:36:17

In reply to Re: adhd and mitral valve prolapse, posted by Jaynee on January 20, 2004, at 11:43:52

> HI,
>
> I am very curious to know what your doc says about your condition, especially since I have the exact same thing, mild mitral valve prolapse and trivial mitral regurgitation. I had a different echo cardiogram that said I had the same thing without the words mild and trivial. So who knows. I have never taken a stimulant, but I do know that effexor made my heart do a song and dance. Of course my pdoc said effexor doesn't do that, but when I stopped the effexor my heart stopped fluttering all over the place.
>
> Let me know what your doc says, although I really don't think a pdoc is going to know enough about cardiology to answer your question.

HI! This message was of particular interest to me mainly because mvp is not uncommon to individuals who have experienced anxiety or panic disorder.Your pdoc may have associated your cardio symtoms with anxiety rather than the med. I would recommend that you seek a Biopsychiatrist if your doc seems unfamilar with cardio. The reason being is that a pdoc should look beyond the the neck up for possible alternative causes for your condition including side effects to the meds rxed. Example, you go to your eye doc for a routine exam and some new contacts on internal observation of your retina, he/she notes some small hemorrhages. The diagnoses does not have to be ocular only. It may well be that this person is diabetic,hypertensive,anemic,have carotid artery disease,the list is extensive, but these are systemic conditions causing a visual problem not just a visual disorder. Your doctor must have solid background in many areas of medicine. Being a specialist does not mean that you do not have to have comprehensive medical knowledge. Disease processes effect many systems of the body not just the part. I hope you are getting the idea,if not I can try again. Have a great day. micro

 

Re: adhd and mitral valve prolapse

Posted by sm2010 on January 24, 2004, at 17:42:14

In reply to Re: adhd and mitral valve prolapse, posted by micro on January 22, 2004, at 1:36:05

well i've had to postpone my appt a week and so am taking a break with the adderall until i speak w/ my pscyh. will let you know what his thoughts as soon as I do.

 

Re: adhd and mitral valve prolapse

Posted by sm2010 on February 19, 2004, at 20:28:25

In reply to Re: adhd and mitral valve prolapse, posted by Jaynee on January 20, 2004, at 11:43:52

> HI,
>
> I am very curious to know what your doc says about your condition, especially since I have the exact same thing, mild mitral valve prolapse and trivial mitral regurgitation. I had a different echo cardiogram that said I had the same thing without the words mild and trivial. So who knows. I have never taken a stimulant, but I do know that effexor made my heart do a song and dance. Of course my pdoc said effexor doesn't do that, but when I stopped the effexor my heart stopped fluttering all over the place.
>
> Let me know what your doc says, although I really don't think a pdoc is going to know enough about cardiology to answer your question.

Well, I finally informed my pdoc of my mitral valve prolapse and concerns about using adderall with it. He concurred with my cardiologist to decrease the dosage and take it from there, which is what I've done-- and so far so good. I feel a higher dose would more effectively treat my adhd but the lower dose helps some and so I'm just going to take it very slow and accept the tradeoff.

In addition not only did my doc said the MVP was not an absolute contraindication to the adderall, but to my surprise that he has several patients with MVP on stimulant and stimulant-like meds-- on a case-by-case basis of course. So I'm glad to at least be able to give the adderall another chance, being mindful of my MVP and dosing.



This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.