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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by becksA on February 23, 2007, at 15:28:25
i switched from aderal short release to XR, and have noticed a difference....First day so still hard to tell, but it seems like it kills my apetite more than helping the focus part, maybe it's just the day, i have nothing to do really anyway. It also seems like I have to take more than I did when I was taking the short acting formula.
Anyway Addy-Experts?
Thanks
BTW work is going great for those who remember my posts :)
Posted by laima on February 23, 2007, at 15:47:05
In reply to switching stims.....my thoughts, and yours?, posted by becksA on February 23, 2007, at 15:28:25
Well, haven't tried the XR adderall (which is also going to that darn Barr labs!!! (See my recent posts.)But- in the past, I found ritalin xr to not be as effective as regular ritalin. I had to use more for same-ish effect. Same story with xanax and xanax xr.
My theory- it's got something to do with absorption? I also never comprehended the math of it. Ie, how is a 20mg XR tablet going to give the same blood concentrations as 10 regular, 2x per day? I'm not a math geniuous, I admit, but I nevertheless, I never managed to figure this out.
> i switched from aderal short release to XR, and have noticed a difference....First day so still hard to tell, but it seems like it kills my apetite more than helping the focus part, maybe it's just the day, i have nothing to do really anyway. It also seems like I have to take more than I did when I was taking the short acting formula.
>
> Anyway Addy-Experts?
>
> Thanks
>
> BTW work is going great for those who remember my posts :)
Posted by rjlockhart on February 23, 2007, at 23:49:42
In reply to Re: switching stims.....my thoughts, and yours? » becksA, posted by laima on February 23, 2007, at 15:47:05
Dextrostat? well thats not really popular anymore but i was on it.
I feel trashy that i have been off stimulants over a year now.
Posted by dbc on February 24, 2007, at 15:16:35
In reply to Re: switching stims.....my thoughts, and yours?, posted by rjlockhart on February 23, 2007, at 23:49:42
Dexedrine malinkrodt generic IR tabs are the closest thing any of us are going to get to desoxyn. Its the superior ad/hd med hands down from a chemical, financial and safety perspective.
Posted by elanor roosevelt on February 27, 2007, at 22:24:39
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by dbc on February 24, 2007, at 15:16:35
my pdoc gave me a real no-f*cking- way "look" when i suggested dexadrine over adderall
to me that means it must be a better drug
Posted by med_empowered on February 28, 2007, at 4:43:39
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by elanor roosevelt on February 27, 2007, at 22:24:39
I think there's less money behind dexedrine, and its been around so long its picked up the stigma of being an amphetamine. Adderall is at least as addictive--back when it was Obetrol, Andy Warhol and a bunch of the other Factory kids were all over it. Considering all that they had access to, if they were clamoring for the Obetrol (Adderall), **clearly** its both effective and pleasant.
Plus...no one puts out Dexedrine ads w/ all-american kids and Ty Pennington on them like they do for Adderall. Maybe this new dexedrine that's less abusable will have some fresh-faced, studious youngsters and a blandly appealing b-list celebrity on them. That, apparently, is enough for an amphetamine diet pill (Obetrol) to make a comeback as a kid-tested, mother-approved remedy for all sorts of psychiatric ills.
Posted by kelv on March 2, 2007, at 2:12:11
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by elanor roosevelt on February 27, 2007, at 22:24:39
> my pdoc gave me a real no-f*cking- way "look" when i suggested dexadrine over adderall
>
> to me that means it must be a better drugI live downunder where Dexamphetamine is HARDLY EVER SCRIPTED, I asked a large hospital pharmacist if she had ever dispensed it, and in 10 yeards she never had!. I asked for it and got a bottle of 120, 5mg tabs, no issue-it's strong, alright.
Posted by JohnnyBLinux on March 3, 2007, at 1:00:12
In reply to Re: switching stims.....my thoughts, DEXEDRINE » elanor roosevelt, posted by kelv on March 2, 2007, at 2:12:11
> > my pdoc gave me a real no-f*cking- way "look" when i suggested dexadrine over adderall
> >
> > to me that means it must be a better drug
>
> I live downunder where Dexamphetamine is HARDLY EVER SCRIPTED, I asked a large hospital pharmacist if she had ever dispensed it, and in 10 yeards she never had!. I asked for it and got a bottle of 120, 5mg tabs, no issue-it's strong, alright.
>
>
Replying to elanor roosevelt, that's interesting your doctor gave you a look when you suggested Dexedrine instead of Adderall. They're both Schedule II prescription drugs used to treat ADD/ADHD and other conditions. Amphetamines have been available much longer than Ritalin (methylphendiate) and are generally safe when used as directed, in my opinion. I've actually taken Dexedrine and Adderall in the past. I stopped taking them because of the stigma surrounding their use. Although they helped me, I could not overcome the guilt of using them. Many physicians may feel the same way before prescribing them, and sometimes the patient loses. Yes, they are typically less expensive in the pharmacy than newer drugs because they've been around longer and are available as generic. Newer, extended-release versions of stimulants can be quite expensive without insurance. It's unfortunate that some people confuse prescription drugs with dangerous illicit substances. Anyway, I agree that prescription amphetamines are effective.
Posted by laima on March 3, 2007, at 8:25:29
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by JohnnyBLinux on March 3, 2007, at 1:00:12
I've gathered an impression that dexedrine has a particularly bad reputation, kind of like the "valium" of the stimulant world. Parden the imperfect analogy- but both meds seem to have the most gasp-inducing reputations of their classes, apparently unfairly, due to the mythology around them. Well, that's just my theory, anyway.
I rather am a fan of dexedrine, too- found it much smoother and kinder than ritalin, without a doubt. I liked Shire's adderall A LOT- not sure yet about this new Barr brand version- but what appealed to me about the original version of Shire adderall, I think, is possibly the dexedrine content (or format), and it's lack of ability to make me ever feel speedy or crashed. And it didn't ever feel like being on any drug, whereas dexedrine most definately gave me stretches of "unusually" boosted mood, calm and beautifully optimistic feeling. It could also feel speedy at times. Perhaps this mood boosting ability has made it a favorite of abusers, and so it became to be considered a risky bet to prescribe? What psychiatrist wants to risk losing their liscence? Severe abuse- isn't that what happened with dexedrine during the 60's? Again, all this speculation in search of answers only theory.
Yes, I wish it were more available. Wonder what the new vyvanase will be like-it's said to be based off dexedrine.
Posted by JohnnyBLinux on March 3, 2007, at 9:33:58
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by laima on March 3, 2007, at 8:25:29
I'm a fan of any medication that's effective and generally safe. Each medication has benefits and risks. Isn't Vioxx a risky bet to prescribe? Psychiatrists probably don't prescribe Dexedrine much in practice nowadays. I found Dexedrine smoother, lasted a little longer, and it elevated mood. Also, I was on less blood pressure medication when I took it. I take three different blood pressure drugs now, but it seems they barely work. My blood pressure isn't high most of the time, but it hasn't changed much with drug treatment. If my doctor adds any more drugs I'm gonna be comatose. It's all a mystery.
Never heard of Vyvanase until today. What a strange name!
Posted by laima on March 3, 2007, at 20:48:57
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by JohnnyBLinux on March 3, 2007, at 9:33:58
It's brand new- just approved in the last week or so, not even on the market yet. Yes, weird name. An attempt at a play on "Viva", perhaps?> Never heard of Vyvanase until today. What a strange name!
Posted by JohnnyBLinux on March 4, 2007, at 14:53:17
In reply to Re: switching stims.....my thoughts, DEXEDRINE » JohnnyBLinux, posted by laima on March 3, 2007, at 20:48:57
You might be right on about that.
So what's the deal, does it have a built-in safety mechanism to prevent misuse / abuse? I'm sure how it works was already explained somewhere on this board. What a novel idea though. Dextroamphetamine may lose its bad image because of this new development. Glad to see there continues to be progress.
Posted by alohashirt on March 4, 2007, at 21:51:59
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by JohnnyBLinux on March 3, 2007, at 1:00:12
Here's my opinion:For most ADHD patients Dexedrine is a superior medication than Aderall - similar effects with fewer physical side-effects. But ...
In the 60s dexedrine was abused/used recreationally, and so its name has stigma attached. Dexedrine hasn't been widely advertised in many years. Adderall, a mix of dexedrine with less effective amphetamine salts is widely advertized and doesn't have the stigma. Doctors are people too. It would be unrealistic to expect most/all to be unswayed by this.
My pdoc has prescribed both dexedrine & Adderall. I wonder if it would be as easy for my internist to do the same w/o fear of DEA curiosity?
> > > my pdoc gave me a real no-f*cking- way "look" when i suggested dexadrine over adderall
> > >
> > > to me that means it must be a better drug
> >
> > I live downunder where Dexamphetamine is HARDLY EVER SCRIPTED, I asked a large hospital pharmacist if she had ever dispensed it, and in 10 yeards she never had!. I asked for it and got a bottle of 120, 5mg tabs, no issue-it's strong, alright.
> >
> >
> Replying to elanor roosevelt, that's interesting your doctor gave you a look when you suggested Dexedrine instead of Adderall. They're both Schedule II prescription drugs used to treat ADD/ADHD and other conditions. Amphetamines have been available much longer than Ritalin (methylphendiate) and are generally safe when used as directed, in my opinion. I've actually taken Dexedrine and Adderall in the past. I stopped taking them because of the stigma surrounding their use. Although they helped me, I could not overcome the guilt of using them. Many physicians may feel the same way before prescribing them, and sometimes the patient loses. Yes, they are typically less expensive in the pharmacy than newer drugs because they've been around longer and are available as generic. Newer, extended-release versions of stimulants can be quite expensive without insurance. It's unfortunate that some people confuse prescription drugs with dangerous illicit substances. Anyway, I agree that prescription amphetamines are effective.
Posted by JohnnyBLinux on March 5, 2007, at 10:51:59
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by alohashirt on March 4, 2007, at 21:51:59
If there is supporting documentation (i.e. medical records, history) showing a patient has ADD/ADHD, then the DEA would have no reason to investigate or care. The DEA does care, however, if "Joe Blogg" illegally obtains a prescription stimulant after pretending to be ADD/ADHD in order to sell it on the street to make a profit.
These are very safe and effective medications with a proven track record. Widespread abuse / misuse is an inflated issue that probably gets too many patients and caregivers worried.
"Don't worry, be happy..."
>
> Here's my opinion:
>
> For most ADHD patients Dexedrine is a superior medication than Aderall - similar effects with fewer physical side-effects. But ...
>
> In the 60s dexedrine was abused/used recreationally, and so its name has stigma attached. Dexedrine hasn't been widely advertised in many years. Adderall, a mix of dexedrine with less effective amphetamine salts is widely advertized and doesn't have the stigma. Doctors are people too. It would be unrealistic to expect most/all to be unswayed by this.
>
> My pdoc has prescribed both dexedrine & Adderall. I wonder if it would be as easy for my internist to do the same w/o fear of DEA curiosity?
>
>
>
> > > > my pdoc gave me a real no-f*cking- way "look" when i suggested dexadrine over adderall
> > > >
> > > > to me that means it must be a better drug
> > >
> > > I live downunder where Dexamphetamine is HARDLY EVER SCRIPTED, I asked a large hospital pharmacist if she had ever dispensed it, and in 10 yeards she never had!. I asked for it and got a bottle of 120, 5mg tabs, no issue-it's strong, alright.
> > >
> > >
> > Replying to elanor roosevelt, that's interesting your doctor gave you a look when you suggested Dexedrine instead of Adderall. They're both Schedule II prescription drugs used to treat ADD/ADHD and other conditions. Amphetamines have been available much longer than Ritalin (methylphendiate) and are generally safe when used as directed, in my opinion. I've actually taken Dexedrine and Adderall in the past. I stopped taking them because of the stigma surrounding their use. Although they helped me, I could not overcome the guilt of using them. Many physicians may feel the same way before prescribing them, and sometimes the patient loses. Yes, they are typically less expensive in the pharmacy than newer drugs because they've been around longer and are available as generic. Newer, extended-release versions of stimulants can be quite expensive without insurance. It's unfortunate that some people confuse prescription drugs with dangerous illicit substances. Anyway, I agree that prescription amphetamines are effective.
>
>
Posted by kelv on March 9, 2007, at 13:01:15
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by alohashirt on March 4, 2007, at 21:51:59
>
> Here's my opinion:
>
> For most ADHD patients Dexedrine is a superior medication than Aderall - similar effects with fewer physical side-effects. But ...
>
> In the 60s dexedrine was abused/used recreationally, and so its name has stigma attached. Dexedrine hasn't been widely advertised in many years. Adderall, a mix of dexedrine with less effective amphetamine salts is widely advertized and doesn't have the stigma. Doctors are people too. It would be unrealistic to expect most/all to be unswayed by this.
>
> My pdoc has prescribed both dexedrine & Adderall. I wonder if it would be as easy for my internist to do the same w/o fear of DEA curiosity?
This seems somewhat of a moot point to me. Dex is 80yo and still around, must do some good for folks at threapputic ranges?
Posted by Mrsmith on March 14, 2007, at 15:11:45
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by JohnnyBLinux on March 3, 2007, at 1:00:12
I've been on dex for almost 10 years ... and now have become a "wide awake dead person" - alert but anhedonic. Combining various combos of AD's, convulsants no improvement; now trying dex + abilify. I agree that dex can be effective but my situation suggests a long-term problem; a guess is that that my disabling "alert but anhedonic state" on dex is caused by horrible DA tone (levels/receptor sensitivity/too many transporters etc)resulting from long-term dex use. Anybody got any ideas? Been on abilify all of one day and have a splitting headache - not sure what I'm doing tonight. I'm considering going off of everything and seeing what baseline neurobiiology looks like.
Any thoughts, ideas, etc would be most welcome!
Thanks.
Posted by kelv on March 14, 2007, at 18:57:13
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by Mrsmith on March 14, 2007, at 15:11:45
> I've been on dex for almost 10 years ... and now have become a "wide awake dead person" - alert but anhedonic. Combining various combos of AD's, convulsants no improvement; now trying dex + abilify. I agree that dex can be effective but my situation suggests a long-term problem; a guess is that that my disabling "alert but anhedonic state" on dex is caused by horrible DA tone (levels/receptor sensitivity/too many transporters etc)resulting from long-term dex use. Anybody got any ideas? Been on abilify all of one day and have a splitting headache - not sure what I'm doing tonight. I'm considering going off of everything and seeing what baseline neurobiiology looks like.
>
> Any thoughts, ideas, etc would be most welcome!
> Thanks.
>
>
>
Hey!What doe of Dex are you currently taking?
Posted by mrsmith on March 15, 2007, at 11:56:58
In reply to Re: switching stims.....my thoughts, DEXEDRINE, posted by kelv on March 14, 2007, at 18:57:13
Alert Dead Man here: Thanks for responding. I take somewhere between 25 to 35mg/day. 2 other questions: Any thoughts re: adding abilify? Could this improve dopamine tone if that's the problem? Also, do you know who sells the Mallinkrodt generic version?
> > I've been on dex for almost 10 years ... and now have become a "wide awake dead person" - alert but anhedonic. Combining various combos of AD's, convulsants no improvement; now trying dex + abilify. I agree that dex can be effective but my situation suggests a long-term problem; a guess is that that my disabling "alert but anhedonic state" on dex is caused by horrible DA tone (levels/receptor sensitivity/too many transporters etc)resulting from long-term dex use. Anybody got any ideas? Been on abilify all of one day and have a splitting headache - not sure what I'm doing tonight. I'm considering going off of everything and seeing what baseline neurobiiology looks like.
> >
> > Any thoughts, ideas, etc would be most welcome!
> > Thanks.
> >
> >
> >
> Hey!
>
> What doe of Dex are you currently taking?
>
This is the end of the thread.
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