View Full Version : New to ADHD Meds many questions


Embalyn
05-11-16, 01:53 AM
Hi, I need help working a couple things out seen as my dr who prescribed me meds is a bit useless.

-I am aware i need a doctors help and am in the process of trying to find a replacement

-I Have been given Dexamphetamine 5MG IR not advice on how and whens just 100 tablets per 14 days (Drs exact words were take them as you feel like it) so i weaned onto them based on what information i could find online and upped as i felt i needed. I now take 2 in the morning and 2 at lunch i added one at around 3pm because i was very irritable from 4pm to 9pm which is when im doing dinner and mum stuff.

-I am on no other medications or supplements

1.side effects i know of so far is dry mouth and lips, not being able to sleep if i take too late or more then 25mgs in one day, irratability while winding down, swings of extreme hunger or 2 days with no hunger, slightly dehydrated. Is this ok?

2.I am not sure of what else is a side effect or just me without Adhd symptoms, such as i am not someone who cry's and when people hurt my feelings in the past in most cases it ment nothing i felt nothing and forgot almost instantly, now i feel hurt by alot of things that happen and i cry and the news made me cry after hearing in detail about deaths of some young children.
Are the meds making me emotional or is it just now i don't have the part of my adhd that gave me resilience to my struggles?

3. i also seem to have Pms, i'm 25 three kids and never experienced it in my life before now? is that normal or ok?

4.how do i know the meds are the right dosage?

5.Did anyone feel like they lost a part of themselves?

6.Any advice on how to work best with the meds?

7. any other advice other then to see a DR, Councillor or Therapist as im already in process of fixing that

Thanks

Pilgrim
05-11-16, 06:24 AM
The big thing is symptom control. Your right don't let them affect your sleep. Eat well.

In regards to your emotions I think these medications for want of a better word allow you to express more emotion.

I was wondering why you thought ' you lost part of yourself?'

Embalyn
05-11-16, 08:06 AM
The big thing is symptom control. Your right don't let them affect your sleep. Eat well.

In regards to your emotions I think these medications for want of a better word allow you to express more emotion.

I was wondering why you thought ' you lost part of yourself?'

I felt being able to dismiss the smaller hurts to keep moving forward was a big part of me and my strength. A big part also was the spontaneity of being completely random and diffrent was me. Now that i'm more focused i don't do that anywhere near as often.

Also in general my moods being so up and down makes it hard i guess

Little Nut
05-11-16, 11:51 AM
------SNIPPAGE------


I am on no other medications or supplements

Lemme start with; After I change how much I take (dosage) or how often I take it (frequency) it takes MY body 2-4 weeks to fully adjust. I tend to ignore what I consider smaller issues until I have been on a stable dosage/frequency for 2-4 weeks.

1.side effects i know of so far is dry mouth and lips, not being able to sleep if i take too late or more then 25mgs in one day, irratability while winding down, swings of extreme hunger or 2 days with no hunger, slightly dehydrated. Is this ok?


Dry mouth/lips I would treat as a small issue. Not sleeping is an issue. Initially I just stayed up 2-3 hours later than normal, I ignored it and it self-corrected after 1-2 weeks. OTOH if it had been much longer, say whole night, for >1 day I would cut my dose. Missing a meal I would ignore, 2 days OTOH is a big problem and I would talk to Doc right away. Dehydrated kinda common at first, drink more.

2.I am not sure of what else is a side effect or just me without Adhd symptoms, such as i am not someone who cry's and when people hurt my feelings in the past in most cases it ment nothing i felt nothing and forgot almost instantly, now i feel hurt by alot of things that happen and i cry and the news made me cry after hearing in detail about deaths of some young children.
Are the meds making me emotional or is it just now i don't have the part of my adhd that gave me resilience to my struggles?

When you went to the Doc you had some specific problems/symptoms that were obvious to you that you wanted to resolve. The 2 I always use are focus and working memory. My gut test is always how well those are addressed. If they're not addressed, I still have problems, even if a partial problem. I had similar emotional issue when I started amphetamines. I chalked them up to side effects and they went away after ~5 days. If it was still around in month or so, I would talk to the doc.


3. i also seem to have Pms, i'm 25 three kids and never experienced it in my life before now? is that normal or ok?

If it is irritability, I had those issues Adderall, normally when a dose was starting to wear off. If it was cramping/bloating/feel lousy, I never experienced that.

4.how do i know the meds are the right dosage?

IMVHO I think when starting out you have to find out 2 different things. The first is the right dose for YOU and the second is how long does the dose lasts for YOU. These two things are kinda mutually exclusive. a 5, 10, or 15 mg dose will last 3 hours for me and for you it may last 4-5 hours. To start this you want to make sure the dose is a little on the low-side. For me, I could tell a dose was too high because I would get one hell of a "euphoric kick" with every dose, I would get hyper-focused, some of my symptoms got worse when I increased the dose, I would be edgy much of the time, and very pissy/crabby/*****y at the end of the day when it was wearing off.

I found the right dose for Dexedrine starting w/ 5mg IR tablets. From taking adderall I knew the dose lasted 3-4 hours and I wanted 12 hours of coverage. I started with 5mg every 4 hours (3 times a day). After 2-3 days the initial euphoria was gone, but it was only partially treating my symptoms, so I waited 2 weeks to see overall how it was doing. What was happening was frequently the symptoms would start coming back before the next dose AND some symptoms were not being treated most of the time.

Since it seemed close, I bumped the dose to 7.5mg and upped the frequency from 3x/day to 4x/day (every 3 hours). After the first day I definitely knew that I hit the right dose. I wasn't getting HIT w/ the big "euphoric kick" and all of my symptoms were being addressed. The frequency was spot-on as well. Symptoms hardly ever came back before the next dose. After ~2 weeks at 7.5mg QID I still had issues with being awake 2-3 hours later than normal and fighting to get out of bed in the morning. I moved the last dose up an hour and tried that. After ~week, I cut the last dose to 5mg. After 2-3 weeks my sleep schedule got back to normal.

5.Did anyone feel like they lost a part of themselves?

I didn't. Felt strange from time to time, but ignored it and no issue after 3-4 weeks.

6.Any advice on how to work best with the meds?

Try to keep well rested, eat, at first don't get too hung up on what food or nutrients to take/avoid, and to pay attention for things that cause problems that didn't in the past. (For me if I have 2-3 drinks in an evening it gives me a kinda hangover like feeling the next day.)

7. any other advice other then to see a DR, Councillor or Therapist as im already in process of fixing that

It takes time. For the next several months your goal is to treat your symptoms by finding the right drug for YOU, the right dosage for YOU, and the right frequency for YOU. GL and I HTH, -LN

Pilgrim
05-11-16, 07:04 PM
You probably examine things in a different way so you think about them more. I will relate my experience.
When I started meds I had real brain fog. I couldn't really function at work and I wasn't going anywhere. I had just stopped really thinking. You're looking for a 'sweet spot ' but there are other factors to deal with and other factors that come into play. As said by the little nut look at dosage issues. Try to be consistent, what took a hell of getting use to was those periods of anxiety, there sometimes short, a couple of minutes or an hour ( just went through one ). I find this is the worst thing about Stimulints. I can also get intense flashes of anger but they pass in seconds.
Remember stress makes add worse, so you have to manage stress, routine is very important. Because you know what to expect.
Spontaneity was something I thought about quite a bit and to be honest it doesn't worry me anymore. This was because I never lost it. I think you fall into these numb areas in your brain and you feel kinda vacant. I think this is the brains way of sort of catching up.
Everyday I ask myself , why do I take Stimulints? I think this sort of keeps me honest. And to be fair some days I don't think they help, to be honest there's heaps of days they do help. But I can't let them control me ,I have to control them.

eeilyk
05-16-16, 09:56 AM
Amazing that a doctor could do easily prescribe you such a serious drug with no real care or responsibility! It took me years of pain, anxiety and rejection to find a doctor who specialised in Adult ADHD and then months of testing to be approved for treatment.
As a guide, I'm on a typically higher end dose, i take 2 x 5mg, 4 times a day, 4 hours apart. I used to struggle to sleep but I'm also prescribed Seroquel which knocks me out most nights.
It's pretty silly of your doctor to prescribe you such a high dose so early on though.. 5mg twice a day is the usual start dose..

I do often feel a bit outside of myself, slightly zombied, but i try to push through it and live as normally as possible. I'm not as fun and vibrant as i used to be, but I also don't have violent, angry black outs anymore, and that's worth more than anything.

sarahsweets
05-20-16, 01:32 PM
Hi, I need help working a couple things out seen as my dr who prescribed me meds is a bit useless.

-I am aware i need a doctors help and am in the process of trying to find a replacement

-I Have been given Dexamphetamine 5MG IR not advice on how and whens just 100 tablets per 14 days (Drs exact words were take them as you feel like it) so i weaned onto them based on what information i could find online and upped as i felt i needed. I now take 2 in the morning and 2 at lunch i added one at around 3pm because i was very irritable from 4pm to 9pm which is when im doing dinner and mum stuff.
Boy am I glad you are getting another doctor. This one is crazy and dangerous.

now i feel hurt by alot of things that happen and i cry and the news made me cry after hearing in detail about deaths of some young children.
Are the meds making me emotional or is it just now i don't have the part of my adhd that gave me resilience to my struggles?

Sometimes the meds can affect mood. Sometimes they actually clear out all the junk that was preventing you from having emotional reactions in the first place so its not necessarily a bad thing.


4.how do i know the meds are the right dosage?

With a doctor's help, so get a move on finding a new one.

5.Did anyone feel like they lost a part of themselves?

If I did, I wouldnt take that med, thats not how you are supposed to feel on any medication.

Embalyn
05-21-16, 02:32 PM
If I did, I wouldnt take that med, thats not how you are supposed to feel on any medication.

Thanks, i feel its just a bit like going through puberty all over again. i got another doctor but he said i need to give it more time one a regular dose. but im never tired so hard to sleep sigh. also right now feels like puberty all over again mood swings and pimples oh sigh