View Full Version : Need Advices!!!


BlueCat
04-29-07, 05:58 PM
I been on Adderall XR 25mg for more then a year now and I feel that an increase dose of only 5mg will help me a lot but each time I try to talked to my psychiatrist about this she don't really listen to me and said NO you need to gain some weight but I'm at my ideal weight 100lbs, still she think that I'm anorexic or something, that I take Adderall to controle my weight or at lest she feel that Adderall make me loose weight BUT this is NOT true!!! I used to weight much less before, around 90lbs and I was NOT on Adderall. Once again I try to explain that to her but she just don't listen!!!

That make me so MAD coz I know some peoples who weight less then me and they are on heigher dosage then I am, even some kids that I know are on 30mg daily. Not to mention some peoples are on 60-70-80-90mg daily and their been on it for a long time!!! That make me so MAD when I hear that coz I been on that 25mg for months and I KNOW just an increase dose of 5mg could do wonder, maybe not 30mg in one dose but 20mg in the morning and 10mg in the afternoon, I'm sure it will help me a lot coz I try it a few times, I know I should not do that but I only try a few times and it WORK GREAT!!!

How can I talk to my psychiatrist when she don't even listen??? She increase my others doses of meds but theses other 2 meds don't even work and I told her but she increase them anyways but not the adderall!!! Is it odd or what??? My psychiatrist is okay but it make me so mad each time I try to talked to her about an increase dose of ONLY 5mg she just DON'T listen!!! If anyone can give me some advices on how to deal with my psychiatrist I sure will appreciate your 2 cents on this!!!:) Also if anyone have a similar story then mine and want to share it may help me in dealing with my psychiatrist!!!:)
BlueCat

justhope
04-29-07, 08:22 PM
Ummm how about finding another one? I don't know your history , and not a doc...my son has been on 30mg of Adderall XR for well over a year...he is not underweight ...he eats really good in the morning...and we give him protein/health bars if he isn't hungry in the afternoon ...but he eats fine at night when it's wearing off. But if she is not listening to you and you are stuggling with your ADD symptoms ...you might want to try another doctor and at least get a second opnion? 5mg increase isn't going to make much difference, it neve has wiht me? I have gone from 20mg to 40mg and back down again and my "appetite" or lack there of , has not changed? I eat weather I feel like it or not...even if it's fruit, or a healthy snack...or "small meals " over the course of the day.


Sorry you are frustrated, hope things work out.

Hope

Imnapl
04-29-07, 08:33 PM
Bluecat, how much weight does the doctor want you to gain?

Wind
04-29-07, 09:02 PM
Well also, how tall are you? Have you ever had a body fat percentage check?

100 pounds is very light, but it depends on your height...

Edward
04-29-07, 09:06 PM
Ya check to see if ur BMI is where it should be:
http://www.halls.md/body-mass-index/girls.htm

Where are you on that chart?

BlueCat
04-29-07, 09:18 PM
Thanks to all of you had reply to my post and for your advices, I really appreciate it!:) I thought about getting a second oppinion but I'm kinna scared to find another doctor/psychiatrist who won't listen and worst will stop the adderall. My psy is not that bad, she even the best I had so far,lol image what the others were???!!!lol:P So that kinna tense me to get a second opinion, I'm affraid to find a psy who will be worst then the one I got now!!! At first my psy want me to weight at lest 90lbs but since I got a tendesy to lose and gain weight fast my weight kinna yo-yo between 90-95-100-104lbs, I guest that maybe made my psy worried but that's the way I am, I lost or gain weight very fast. I'm 5,1 and right now I weight 100lbs, I think it kinna good and average, It's the norm I guess!!!:)

Edward
04-29-07, 09:27 PM
Also Dexedrine might have less of an impact on your weight compared to Adderall, and I'm not a Dr. but if you were hypothetically satisfied with 25mg (which you're not, but hypothetically) you would be satisfied with taking a 15mg Dexedrine Spansule in the morning and then sometime later in the day half (and you could try a whole) of a 5mg Dexedrine tablet.

This is assuming that you are getting the benefit from the drug that's in both Dexedrine and Adderall not from the drug thats in just Adderall (which is the case for the majority of people, but L.E. Arnold says that a few people respond better to the Adderall).


I determined the lower value by multiplying 25mg times .475 then dividing by .734 for the higher value and the higher value by multiplying 25mg times .626 then dividing by .734 to give the interval [16.12,21.1] and so 20mg Dexedrine would be the what I would think the closest pharmaceutical would be, but also 17.5mg if you use a half a tablet.

(Adderall is 62.6% amphetamine base [Adderall is 47.5% d-amph base])
Dexedrine (73.4% d-amph)

Edward
04-29-07, 09:37 PM
Ya, according to little calculations I did on that website I posted earlier, your stats are overweight for girls ages 0-9, normal for young women ages 9-19, and underweight for women ages 20-29.

It says your Body Mass Index is 18.9.
Dr. Steven B. Halls relays that women tend to believe they look their best at values between 20 to 22.
I'm not saying I think you're too skinny or fat, I couldn't judge cause I have no idea what you look like but you could stand to gain a few pounds, since psychostimulants need a lot of sugar to work right.

And you mentioned something about being 90 pounds (and I know you're 5'11"), so if you were 90 pounds this would be over weight if you a girl from the age of 0-6 and normal if you were a young woman from the ages of 7-17, and underweight if you were a women from the ages of 18+.

BMI is a quick tool, but it's by no means perfect.

LittlePrincess
04-30-07, 03:48 AM
And you mentioned something about being 90 pounds (and I know you're 5'11") I really hope that's a typo. :eyebrow:

hamlet
04-30-07, 04:20 AM
What are the other two meds? Next time you go in there maybe you can let the Doc know that you now weigh 100lbs which is 10 over 90 which you remind her is the weight she wanted you above and you would like to know now if she changed her mind about this, and if so why, since you took her at her word and diligintly made an effort to maintain a healthy weight.

Brigette0615
05-01-07, 12:36 PM
BlueCat,

Maybe you should not compare yourself to other persons on Adderall. If you're taken other medications and your doctor feels increasing Adderall will interact with them staying on the dose you are right now is maybe the right thing.

It's hard to be on more then one medication because there's always a chance one will interact with the other. I know some people on lots of medication who sleeps all day and take their medications when they feel like it. This is not the way to go and it will only destroy them. The best thing to do is trying to keep a schedule of your medications, eat healthy and exercise.

Hopefully things will turn out well for you!

Good luck!

Brigette

Edward
05-01-07, 12:59 PM
Btw, the maxamum FDA approved dosage for Adderall XR is 30mg a day.

Wind
05-01-07, 02:51 PM
^ Odd, as I'll be on 40mg for 3 days before I see my doc.

The only thing that is bothering me right now, is I was prescribed 30 10mg XR's for 12 days, in doses 10 for 3d, 20 for 3d, 30 for 3d, and 40 for 3d, although today I counted my amount left... I have 7 left, and I have 6 days until my apointment.

Nobody is around that would take any of medication of anything, so I have a feeling the pharmacy messed up my QTY even though the bottle says 30. I don't wanna call the pharmacy or anything as they will probrably think I am lying, so today I only took 10mg and Im going to take 2 or so days off the meds (I really don't want to as its hard to concentrate at work and class) so I can have 40mg for when I need to.

edit - hmmm I just realized that I have a 12 day supply as I was suppose to see him in 12 days, but My doc apointment is 15 days after I first got my script, so unfortuantly no matter what I'll run out of meds... is theyre anyway to call the doc or pharmacy asking for another 2 or 3 days worth before I see him - or will that seem weird? I have work and essays to write and I really feel like I need my medicine to do it. Thanks!

Edward
05-01-07, 03:06 PM
Wind: You could call the Dr (but he might be too busy, I don't know your situtation), the Pharmacy will not do it though,
Just write all your essays now, and hopefully your other 'work' isn't school work which has grades,
which causes me to think,
maybe you should talk to your teachers, and ask them to extend the deadline a week becuase you will not have enough medicine, and if they seem hesitant tell them you will have your Dr write them a note, when you have your appoint, to confrim that you need such an accomidation this time.
Other then that, maybe you could just take one a day and save the extra one for the day that you will need it the most...
I'm not sure if anyting i've said will give you a solution though Wind, but I hope you get good grades on ur papers

kakeman69
05-02-07, 11:51 AM
From what my docter tells me and from what ive read (in America) the highest dose of Adderall XR a day is 60 mlg how that is broken up during the day i do not no. But the highest for Adderall IR is 90 mlg , but that is never to be taken at one time. Try explaining this to your docter.

Edward
05-02-07, 01:06 PM
From what my docter tells me and from what ive read (in America) the highest dose of Adderall XR a day is 60 mlg how that is broken up during the day i do not no. But the highest for Adderall IR is 90 mlg , but that is never to be taken at one time. Try explaining this to your docter.
This is not true

check http://www.aacap.org/galleries/PracticeParameters/New_ADHD_Parameter.pdf PAGE 28

The MAX/Day from the FDA for ADDERALL XR is 30mg; and if you're over 110 pounds, the off-lable max is 60mg/day

The MAX/Day from the FDA for ADDERALL is 40mg; and if you're over 110 pounds, the off-lable max is 60mg/day


A stronger dosage (than the corresponding aformentioned dosages) of either of these pharmaceuticals is rarely prescribed.