View Full Version : So I cannot figure out right dose
I'll be brief and to the point.
I take 30mg of the spansules as soon as I wake up and feel "fine" for two hours. The problem is that I cannot figure out how to dose thereafter; I have taken from 15 to 60 during the course of the day and cannot get the same results as the AM dose.
Like some on this forum, I feel withdrawn, quiet (do not want to talk to anybody), lethargic and now have an insatiable urge for nicotine (have smoked on and off in the past - not the last two years). All of this is new to me since I've always been an extrovert with a penchant for being witty and talkative. I feel my personality has changed drastically and ... ???
I do focus way more and do not jump from one thing to another, but I do not know if this is right for me...or I like it. I am quite confused!
My shrink told me to try the tablets and see which dose works. Is this right?
I value your opinions...I may not have the right Dr.
Can I combine Bupropion with Dex? or any other "mood stabilizer"?
I have tried tried it with Seroquel and makes my eyelids tired and I do not have a bottom when it comes to food; my appetite becomes voracious.
Your opinions are dearly grateful...thanks!
Rollie
Wow, why is it people can find these psychs that have their **** together and say "see what dose works" and I get these psychs that believe 20mg is a top dose for an entire day. Yeah right buddie, they don't even effect my concentration until 15mg or higher.
You can indeed mix Wellbutrin with dexedrine, many have done so, do you also have permission to do this? I have to wait until the end of the month to ask to try.
My psychiatrist sux :(
MJwatson 03-06-08, 04:20 PM hey Min- You can't find a good doc? Mine gave me an RX for 30mgs 4x a day! This was Adderall though. Just thought I'd add to your frustration (meow)
The irony is that Adderall makes me lethargic! I gave the refill script back to him...I never even used up the first million he gave me! So, I am changed to Tenex and am browsing around trying to find info on it....sorry to butt in!
Rollie~ thats kinda what happened to me with adderall and I could not tell if I was taking too much or too little. Do you have opposite reactions to meds? Maybe you can be on the Tenex team with me! I still have no idea what it is. Good Luck Hon!
Just thought I'd add to your frustration (meow)
*Teeth baring anger mixed with pulling hair*
*fart sound with tongue*
MJwatson 03-06-08, 05:04 PM oooo, my bad!
If it makes you feel any better, I can't find any Tenex info aaaand nobody responded to my post..
*fart sound with tongue*
Tylerlee17 03-07-08, 10:55 AM Amy did you try Dexedrine or Vyvanse yet? Dexedrine / Vyvanse make me lethargic but Adderall IR/XR Wire me up ... maybe a similiar effect on you?
MJwatson 03-07-08, 10:59 AM Amy did you try Dexedrine or Vyvanse yet? Dexedrine / Vyvanse make me lethargic but Adderall IR/XR Wire me up ... maybe a similiar effect on you?
Kinda, but I am opposite! I have opposited reactions to drugs. It's day 2 of Tenex and I feel fine! So much better that the Adderall!
So, what do you take? If anything?
Tylerlee17 03-07-08, 01:06 PM Now I take 2 20mg Adderall XR's per day.
MJwatson 03-07-08, 03:49 PM Now I take 2 20mg Adderall XR's per day.
And it makes you wired? Are you trying to switch?
Tylerlee17 03-07-08, 04:08 PM no it doesn't really make me wired. I should rephrase, I actually feel the 'stimulation' I should feel from an ADHD medication and it doesn't make me lethargic/tired like Dexedrine / Vyvanse did. No I'm not planning on switching any time soon ... I might ask to go back to Vyvanse or Dex after I'm out of college since I felt more comfortable on them and a little less anxious but Adderall does wonders for increasing my ability to concentrate on solving problems in my head. As long as I'm in school i'm staying on Adderall.
LittlePrincess 03-07-08, 06:10 PM no it doesn't really make me wired. I should rephrase, I actually feel the 'stimulation' I should feel from an ADHD medication and it doesn't make me lethargic/tired like Dexedrine / Vyvanse did.
Same for me, but to a lesser degree. When I first switched from Adderall to Dex, I could tell right away that I was very clear headed, but almost "too" clear compared to Adderall.... to the point where I was nearly spacey/drowsy. Though, after a short while, the "drowsy" side effect either went away or I just got used to it, 'cause I no longer experienced drowsiness. Now that I've switched back to Adderall, I can tell that there is that "something extra" in there. Kinda like an extra "stimulation" as Tylerlee stated above. It's quite difficult to explain the difference, unless you've tried both and had responses similar to what Tylerlee & I have experienced. (Not everyone responds this way.)
paravis 03-08-08, 09:51 PM I agree w/ LP.
My psychiatrist prescribed me 5 days worth of Adderall IR (2x20mg per day) and 14 days of Dex (3.5x10mg per day) for last week and this week, and the difference is definitely obvious ... :eek:
FYI, my dosing schedule is~
Addy: 1x20mg IR at 8am, 1x20mg IR at 12-1pm
-- OR --
Dex: 2x10mg IR at 8am, 1x10mg IR at 11:30am, .5x10mg at 1pm
(and I definitely need to tweak it a little more to get where I wanna be)
The levoamphetamine in Adderall, to me, feels like a barbed wire being pulled through my body--it FORCES me awake and at attention. While the Dex feels crystal clear and much lighter than Adderall, but at least as effective in symptom control (inattentiveness). Just, it doesn't have that edge that makes me *know* that I'm being medicated.
I'm not saying the Addies are bad, I'm just saying that's what they feel like in comparison to the Dex. It's like, I *definitely* know that I'm on something with the Adderall; but with Dex, sometimes I'm like "hmm ... is it working?" But then the instant I go do something (especially if I go interact with people), it is obvious to me that the Dex is full force, and clearly as effective than Adderall (if not more). It is just really transparent. If I sit around working on a project or studying for a long time without moving, I begin to feel really "bleh" ... But as soon as I move around and get my blood flowing or eat some good food, the "bleh" totally changes to "oh ya for sure".
Watch out for mistaking the Dex as "not working" ... because in the mornings, when your palette is "clean", you are obviously going to feel it *SO* much more than later in the day when a) you're tired, b) you might need nutrients, c) you have already been exposed to much higher doses than a normal afternoon/evening dose. Also, Dex gives you a really really nice "euphoric" high when taken in higher doses than you need (therapeutically) ... And when that happens, if you don't hit that same plateau again LATER in the day, it will feel ineffective by comparison.
I really really like the Addy "high" ... It gets me going physically in ways that Dex does not. But the Dex, on the other hand, is easier to tolerate, more calm, and (in my opinion) *far* more effective in what I need it for than Addy.
Ha ha ... with all that being said, I still can't decide what I want to finalize my medication at. I do think I want to stick with Dex over Addy. So ... I'm thinking about possibly asking my doc for 8x5mg Dex, or 7x5mg Dex per day (per the 2x5mg > 1x10mg Barr Labs threads). Or maybe trying a 15mg Dex spansule along with 5-6x5mg Dex per day. I really don't know.
It is *so* hard to figure out what works right and what doesn't, especially when using a medication that our bodies are *extremely* sensitive to, even at 5mg per day. Which, many will tell you they can't feel that low of a dose, or it isn't effective or whatever and that they need a much higher dose ... but in reality it is a lot more psychosomatic than it is physical (placebo effect), and a lot of it has to do with wanting the really clean emotional high that comes with a larger dose, as opposed to just settling for psychologically therapeutic doses.
And it sucks, too, that with psychiatric meds, the insert labels and dose recommendations provided by the pharmaceutical companies are pretty much worthless. So its not any easier for us to figure these things out, 'specially since it's already hard enough as it is to complete tasks that are a lot more simple :rolleyes: ... (not to mention the social stigma keeping us away from a *super* effective solution, like desoxyn).
My big dilemma right now is, do I want that euphoric high in the mornings and then a "bleh" in the afternoon? Or ... should I cut down my AM dose to 10mg, eat breakfast, then take 20mg around 11am or noon, followed by 5mg later? Or ... 35mg all at once in the AM???? Ha ha ... :p
Good luck figuring your regimen. I feel ya. :)
Matt S. 03-08-08, 10:06 PM Ask to have the dose increased again, On Dexedrine I did best when I was taking 45 mg 3 times a day.
paravis 03-08-08, 10:32 PM You know, I'm always scared to ask about that kinda thing.
My doctor is a Mormon guy (my parents are too, so that's why they help me pay for him) and the name "Dexedrine" or "dextroamphetamine" is like *shush* for some reason. I don't want him to think I'm an addict, because when I said that 40mg of Adderall didn't exactly fulfill my needs, he really didn't want to raise the dose any higher.
I had to kind of talk him into 35mg of Dex as opposed to the 40mg of Addy, *just* to get him cool with doing it. When he initially prescribed me the Dex, he was like "I don't usually ever prescribe this ..." but did it anyways. Next time I see him, I really need to get things set proper, because I gotta stop spending so much time on this. I just wish it wasn't so hard to talk about drugs that the professional medical community seems to be scared of ... Even though they work so much better than all the designer crap they're coming out with these days.
Actually what's funny is that I thought it was a stretch when I asked him to switch from Vyvanse to Adderall IR a couple weeks back. Then last week when I saw him, I thought for sure it was gonna be a long shot to try Dex. I mean, he really hasn't been opposed to any of it, even though he doesn't ever like to prescribe drugs like that, and prefers only "safe" drugs.
You know what's crazy, *everybody*--well a heck of a lot of the biggest names--in entertainment (movies/TV/etc) are on Desoxyn, and like a whole load of it (100mg+ per day). Ha ha, I've never tried Desoxyn, but from what have read about it, I think it is exactly what I am looking for. Though, I imagine I'd have to go to a Hollywood doc to get something like that.
Matt, I read in some thread that you are taking a break from Dex? If you don't mind my asking, what ADHD meds, if any, are you on right now? And what was your reason for stopping?
I take 45 mg twice of dex a day of spansules plus 1 to 3 5 mg ir as needed......I think I would do better on 45mg 3x a day going to try and see if my Pdoc will let me.....the spansules when I take in the morning it takes about 3 hours to kick in and last 6 hours....it seems once you get use to dex it kinnda of loses a bit like not as strong.....but if you just get up and do things you will be focused and motivated...I agree adderall gives you that edge and get up and go....but the side effects are terrible...cause me extreme paranoia and anxiety....I suffer from sczio affective as well as ADD...and the dex works the best with the meds i take and quiet my mind from sczio moments....it has done wonders for me...=)
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