View Full Version : Best Meds for Lethargy


Magnolia23
10-14-16, 11:05 PM
Hello!
I have recently been diagnosed with inattentive add. (I'm 41). I was hoping that meds would specifically increase physical energy and motivation, and slow down racing thoughts. I have been prescribed Adderall IR and I'm trying to find the right dosage. So far I've tried 5, 10, 15, and 20 mg. It either does nothing at all or makes me sit in a chair all day and stare at the wall. The tv will be on but I don't even watch it. An afternoon dose will just lead to more of the same. I have a couple minor side effects (sweating, tense muscles), but no big deal. I'm also on Prozac for anxiety and this is working well. I haven't been depressed in years. My next appointment is in a month, but if need be I want to be ready to move on to a new med. Should I take smaller doses of Adderall and see if time helps, bigger doses because honestly I've not had even half of one pep to one step. Or maybe this is the wrong med? Does anyone suffer from lethargy?

Jon Snow
10-15-16, 10:09 PM
Sign up for Brazilian Jiu-Jitsu.

Start exercising.

Eat better.

Normalize your sleeping routine.

Stenaphie
10-18-16, 03:41 AM
I am a 31 year old woman with inattentive ADD and prone to lethargy. So far I have only tried 10mg Adderall but it usually gets me up and moving like I'm being driven by a motor. Although I have had occasional days where the Adderall makes me hyperfocus on staring at the computer screen or something and I end up wasting the whole day. But if I'm on my feet doing something when the meds kick in it sends me off and running into a frenzy of productivity.
Maybe you could try staying on your feet for at least 30 mins after taking the pill and see what happens? People respond differently to different things though so maybe Adderall just isn't for you. There are other stimulants you could try that might work better.

Magnolia23
10-18-16, 09:50 AM
I think you're right about being up and moving. It's funny though. It's starting to seems as if the slowing down of the racing thoughts may boost my energy over time.

Pilgrim
11-08-16, 11:25 AM
By running you stimulate certain nerves more at the base of the skull, it could be argued that this is a site of ADD, the world wonders.

sarahsweets
11-08-16, 11:46 AM
Hello!
I have recently been diagnosed with inattentive add. (I'm 41). I was hoping that meds would specifically increase physical energy and motivation, and slow down racing thoughts. I have been prescribed Adderall IR and I'm trying to find the right dosage. So far I've tried 5, 10, 15, and 20 mg. It either does nothing at all or makes me sit in a chair all day and stare at the wall. The tv will be on but I don't even watch it. An afternoon dose will just lead to more of the same. I have a couple minor side effects (sweating, tense muscles), but no big deal. I'm also on Prozac for anxiety and this is working well. I haven't been depressed in years. My next appointment is in a month, but if need be I want to be ready to move on to a new med. Should I take smaller doses of Adderall and see if time helps, bigger doses because honestly I've not had even half of one pep to one step. Or maybe this is the wrong med? Does anyone suffer from lethargy?
The way you describe lethargy makes me think the prozac isnt doing it for you anymore.

NateDEEzy
11-14-16, 09:42 AM
I just read in a book about ADD called new adhd medication rules by dr.Charles parker, a person who was in exactly the same situation you are. The increases in Adderall did nothing for them bc Prozac cancels out its effect. Once the Prozac was switched to something different, the Adderall worked for them!

NateDEEzy
11-14-16, 09:43 AM
I'm so ****** off that doctors can prescribe **** to people and don't bother understanding these things- especially when the meds don't seem to work. How do they not research this stuff? ?

aeon
11-14-16, 02:27 PM
I'm so ****** off that doctors can prescribe **** to people and don't bother understanding these things- especially when the meds don't seem to work. How do they not research this stuff? ?

There is no guarantee that there will be an interaction, and in the case of Adderall and fluoxetine, it is not noted there is one.

That said, it will vary from patient to patient.

So a doctor will not necessarily know what the result will be until they try something for the given patient.

Also, such things are not their specialty, and in the event of something prescribed that does have a known and serious interaction, the pharmacist will put on the brakes.


Cheers,
Ian

sarahsweets
11-16-16, 10:13 AM
I'm so ****** off that doctors can prescribe **** to people and don't bother understanding these things- especially when the meds don't seem to work. How do they not research this stuff? ?

Like aeon said, doctors are trained to diagnose the problem and offer solutions like medication to treat the problem. They are not chemists and they are not pharmacists who spend their years understanding interactions and chemical compounds. The do no harm oath is supposed to guide doctors to inform patients of known interactions or life threatening stuff, or even combinations that work for the problem, but I can willingly believe that doctor's sit around coming up with ways to harm their patients and screw them over with bad drug combos. Thats why consulting with your pharmacist, reading those handouts and stuff like drugs.com and rx list is so important.

hcstymie
11-20-16, 04:54 PM
I think you're right about being up and moving. It's funny though. It's starting to seems as if the slowing down of the racing thoughts may boost my energy over time.

The slowing down of racing thoughts is not what boosts your energy level. It's the meds doing their job. The meds are taking your racing thoughts down to normal, and lifting your energy levels up to normal.

Adderall is Amphetamines. A stimulant. Stimulants stimulate i.e. give you "energy". Or increase what ever it is that they stimulate.

ADHD is an under-stimulation of the brain. Understimulation causes lack of focus. Lack of focus makes the brain shift focus to everything. So we can be easily distracted by outside stimuli. A normal person will focus on something and their brain will ignore other stimuli. Or without focus your brain can race between thoughts, not focused on any 1 thing. Where a normal person might focus on the task at hand or watch tv.

As mentioned before, exercise, eating right, getting enough sleep is also a big factor. I have problems with sleeping, I don't exercise or eat right. When I do, it helps a lot. When i don't, I have to rely on higher doses of meds.

I'm so ****** off that doctors can prescribe **** to people and don't bother understanding these things- especially when the meds don't seem to work. How do they not research this stuff? ?

Bio-chemistry, biology, medications, etc. is very complicated. Much more so than people realize. Which is why doctors don't have all the answers. They have guidelines about what is currently the general knowledge about each subject. Even specialists and researches don't have all the answers. There is not enough time or money to research every aspect of everything. And it varies between individuals. That is why we have to work with the doctors. It's a process. Not a 1 shot solution. And find others doctors if the one we have isn't working out. If we waited till every aspect of every disorder combined with every possible effect of meds and interactions was known, we would wait for ever.

john2100
11-20-16, 05:28 PM
Sign up for Brazilian Jiu-Jitsu.




Signing up is an easy part, but is that gonna make him get up from the chair and start practicing it?

Little Missy
11-20-16, 05:31 PM
Signing up is an easy part, but is that gonna make him get up from the chair and start practicing it?

Now that explains a lot. No wonder you are having problems with tolerance and depression.

Hai Karate!

john2100
11-20-16, 07:51 PM
Now that explains a lot. No wonder you are having problems with tolerance and depression.

Hai Karate!

That made me laugh :)


But anyway, it's like that article i read about top 10 ways to cure depression.

1. Be happy.....being happy produces chemicals in your brain.......

How about this. TOP 10 ways " How to prevent Car accidents"
1.Don't crash your car into any objects or people.

phinni
12-24-16, 02:47 AM
What I've found is when the medication starts it'a effect, if I'm doing "sitting tasks" that's what I'll be doing all day: at the computer, reading, watching tv, writing, etc. BUT, in the happenstance I'm busy moving about when the medication's effect starts, that's where my day goes and things get done. Unfortunately, I don't take advantage of this knowledge enough! Lol. (I'm a thinker/writer @heart)

Little Nut
12-24-16, 10:28 AM
---MUCH SNIPPAGE TO CONSOLIDATE SYMPTOMS---

inattentive add.
41.
low physical energy
lack of motivation
racing thoughts.
also on Prozac
anxiety
I haven't been depressed in years.

Does anyone suffer from lethargy?

Hi Magnolia,

Let me preface, my information/opinions come from my own experiences, readings/study on the subject. These are just my thoughts on what you may want to investigate with your Doc.

The lack of motivation and low physical energy is in a "different end of the pool" from ADHD. Quite a few possible causes, but if a psychiatric condition (reaching for proper phrasing....damn working memory) it would probably be in the depression end of the pool and ADHD meds by themself may temporarily help. My thoughts are ADHD based on your diagnosis and comorbid condition(s).

I would pull together a comprehensive list of issues/problems/symptoms you think you have, write actual and specific events(read NOT suppositional) as examples/evidence for each item. You may want to find a somewhat current DSM and review for ADHD/Depressions/Anxiety to help jog your memory on what may be important. If you do look over the DSM and any checklists, multiple real world examples for each symptom that you think applies to you become more important. (Demonstrates to the Doc that the symptoms are not imaginary and a result of reviewing the DSM.)

Again, these are just my thoughts. HTH, -LN

oldtimer
12-25-16, 09:32 PM
Drs can't know everything. When prescribing they are mostly concerned with dangerous side effects. A pharmacist wouldn't likely know that Prozac might cancel the effects of Adderall.

You may have been misdiagnosed. I am pretty sure you do not have inattentive ADD. You may have anxious ADD. They require an anti anxiety med along with a stimulant. You might want to research that condition and see what medications are normally used in that situation. Doing that may hasten getting the right medication. I bet they do not use Prozac. You might want to read Healing ADD by Amen. The book has a link to a questionnaire that may help you diagnose your problem. There are maybe 7 types of ADD most are treated with different meds. Only normal and inattentive can be treated with just a stimulant. There may be an ADD that requires Prozac as part of your treatment so I would be sure that you do not need it before you drop that med. Prozac is a lot more than an anti anxiety med. It is an antidepressant that also helps with anxiety. Maybe you are being over medicated maybe not.

You really need to be your on advocate so you can intelligently discuss your issue with your Dr. This means reading up on your condition. I noticed several of your responses came from very well educated patents. You need to become one of them. If you actually had inattentive ADD the stimulant would make you more normal and not hyper. If you are hyper you might be taking too much or taking the wrong medication. You just want enough to correct your abnormally. Amen claims the proper dose for I ADD makes your brain look normal with a Spec scan instead of seeing low activity in your attention center. That is what is wrong with someone with I ADD. Busbar a simple anti anxiety med is often used for anxious ADD, if that is what you really have. It will not make you drowsy and not an antidepressant. I would be really careful getting off Prozac and may want to taper the medication down. You could go nuts going off the Prozac it you really need it. I would go as far as getting a second opinion.

sarahsweets
12-27-16, 06:52 AM
Amen claims the proper dose for I ADD makes your brain look normal with a Spec scan instead of seeing low activity in your attention center.

Is this true? They have actual proof of how your brain should look when medicated?

roflwaffle
12-29-16, 05:02 PM
Is this true? They have actual proof of how your brain should look when medicated?
That might be a reference to measuring dopamine transporter levels, but that's a difference in a specific part of the brain between people who have and haven't taken stimulants (2nd link), not a difference between people who do and don't have ADHD (1st link).

http://www.alzheimers.yale.edu/research/psychiatry%202002_tcm467-85809_tcm467-284-32.pdf

http://psychrights.org/research/digest/adhd/striatalDopamineAlternationsCausedByStimulants.pdf

I recall Russell Barkley saying that the differences associated with ADHD weren't large enough for a SPECT scan to pick up in some of his youtube videos. I think fMRIs are better able to see differences because of greater resolution, but even then, very specific parts of the brain are being examined, not the brain as a whole.

http://www.nmr.mgh.harvard.edu/BushLab/Site/Publications_files/Bush-2005-ADHD%20Imaging%20Review.pdf

Thus, although important uses still exist for SPECT
and PET (e.g., measuring dopamine transporter levels; see
Spencer 2005 [this issue]), these techniques have generally been
supplanted by fMRI for functional studies. This is because fMRI
offers spatial and temporal resolution superior to both SPECT
and PET, and SPECT and PET’s use of radiopharmaceuticals
makes it ethically difficult to justify their use in healthy volunteers
(especially children), making it more difficult to recruit control
subjects (Castellanos 2002).