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Adderall (four amphetamine salts)

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  #16  
Old 05-15-19, 12:44 PM
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Re: Dumbfounded; how can this be possible?

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Originally Posted by Serendipitrees View Post
Well - for me, the vyvanse definitely has a MUCH shorter experience than the 12-14 hours its supposed to have.. I'd say 4-5 hours roughly. In terms of the adderall and ritalin, they literally felt like sugar pills; no effect whatsoever. It's strange I know, and I don't know what to do about it. Especially when I have experienced effects in the past from these drugs! Apparently, generics are notorious for being variably effective.. but this is next level I feel like. :/

As for the link... I posted it in this original post.. but the moderator took it down:/ as I am a newbie, I don't want to **** them off... am I not allowed to link to other forums? haha... seems kinda silly.. but type in google "Be very careful with low doses of stimulants reddit" and it should pop up as the first article.
I have the same issue with vyvanse, I'm lucky if I get 4-5 hours. I was off it for a long time but just started taking it again. For the first couple days I've been able to get the boost I seem to have needed by drinking a coffee around the 4 hour point or taking a low dose of adderall instant release and then I seemed good for the rest of the day. My mood was better, happier and did not feel so fatigued. My doctor recommended using instant releases as a booster.

So it basically seems that I cannot get the benefits I'm supposed to by just taking one thing, I need a combination that I'm still trying to figure out. If I take vyvanse, it builds a base but I need to boost it with an IR or something to really get the positive effects for the full day, otherwise I sputter out after the first 4 or 5 hours.
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Old 05-16-19, 05:08 AM
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Re: Dumbfounded; how can this be possible?

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Originally Posted by lateadultadhd View Post
If the psych knew about your previous opiate history, he probably wouldn't have prescribed stimulants due to the nature of addiction/reliance it can trigger.
A good doc will be knowledgeable about substance abuse, self medication and treating adhd. I am an alcoholic in recovery and have been on stimulants for 14 years. Treating someone with adhd with stimulants actually lessons the chances that they will look to self medicate with other things.
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Your body hasn't normalized from the previous use, the detox doesn't happen that quickly. Using stim and opiates worked fine because you have production of the neurotransmitters from both stim and opiate mechanisms. But yeah, I think you should come clean to the psych who can give you better insight cause he doesn't know all the variables here since the opiates have been omitted! Best of luck
I agree that the OP's body hasnt had enough time to bounce back. A week off heroin isn't much. I work with drug addicts and alcoholics and IME its about 3 months until they feel somewhat back to baseline after quitting heroin.
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Old 05-16-19, 05:12 AM
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Re: Dumbfounded; how can this be possible?

Serendipitrees: Since vyvanse works for you but only for a few hours I suggest you try dexedrine or dexedrine spansules. Its the same amphetamine that is in vyvanse but it is broken down in the body differently and its mechanism of action is different. Its been around for about 70 years and tends to be the "smoother" amphetamine. I took the spansules for 7 years before switching to adderall xr. I tried the adderall xr/ir combo and just using ir as a booster and the ir did nothing for me other than make me clench my jaw and have panic attacks. I swear by the xr but I have to take it four times a day because it only lasts me about 4 hours.
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Old 06-22-19, 08:02 PM
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Re: Dumbfounded; how can this be possible?

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Originally Posted by Serendipitrees View Post
@lateadultadhd I appreciate your response and insight! Now, I didn't use adderall in 'abundance' per se though, but I included the fact that I used it 'plenty' of times to acknowledge that my past use of it has been remarkably different than the doses I'm taking today... Roughly ~6 years ago for the majority of the use, and approximately 30-40 days in total throughout my entire life.. no more than 20mg per day.. however, being seemingly very sensitive to adderall in the past, when I would use it I would generally only take 5mg at a time because it was ENOUGH! Which is why I'm baffled by these large doses feeling like utter sugar pills with ZERO effect.

As far as the opiate use - it was heroin from age 21-24.. but irregular use from 21-23 (1-5 times a month.. w/ some 6 month gaps of non-use), but this last year of 23-24 has been more on the daily side, with only a few 3 week gaps + occasional single weeks of sobriety. I quit for good though 1 week ago, done with it and honestly school is more important as well as figuring out exactly what is going on in my body to prevent these meds from working, as to perform my best in school... cause I am very much so screwing up academically speaking, due to my inability to concentrate and maintain focus..

And you're totally right about my age... I just am concerned as I feel like I should be getting SOME effects... spent literally $600 on psychiatrist fees, and testing out these different meds in the last 2 months with almost no benefit except for the vyvanse which I will continue for the very minor support it gives... And I don't know if asking for something stronger like desoxyn would be appropriate.. but my psych DOES know about my problems here. He however does not know about the opiate use...
... The thing is, even admits the opiate use, at the beginning of this academic year in the fall, I had used adderall a few times (last time using stims before getting the recent diagnosis) and it worked perfectly fine even WITH the opiates in my system!

I am eating healthy and working out again starting 3 days ago.. I'm gonna obtain optimal physical health to eliminate that as a potential factor as well.

1) Opiates and Adderall potentiates each other, so if your prior experiences were with both, you probably had an enhanced experience.

2) If you have recently come off strong opiates, your entire nervous system will need a few months to recalibrate as your norepinephrine should be going crazy, dopamine low, etc. Adderall plus hooking yourself up to battery cables and jump starting yourself from a Mack truck probably wouldn't make your Adderall work right after stopping opiates. Give it time, eat well, sleep as well as you can, and exercise as much as you can to get back to baseline.

3) Studies show effective treatment of ADHD can reduce the risk of addictions, so you may have a future that presents fewer challenges in this regard. Plus, when you hit smoother sailing and have some good days, you will probably/hopefully want those more than a fix and will have a compelling reason for trying to treat your body well.

I had a car wreck, chronic pain for years, and was prescribed opiates for years to manage the pain. I came off the pain meds earlier this year and it has been nothing short of a circus in my body. Things are just haywire - hormones, adrenal system, dopamine, norepinephrine, allllll of it. I'm just now starting to feel normalcy again after about 75 days or so.

I think if you can stay the course with one ADHD med and treat your body kindly until it recovers, you will get better results down the road. It's hard to measure efficacy with so many variables and changing meds.

I take IR Adderall and that has been the best for me generally as well as during my medication withdrawal as I could adjust dose (with doc approval). Some days in early withdrawal required more Adderall; some less.

I just lowered my bar for a "successful day" until I was beyond the worst of the withdrawal.

Good luck with your treatment! I do think you will have some great ADHD-improved days ahead!
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Old 06-22-19, 08:04 PM
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Re: Dumbfounded; how can this be possible?

And now I see there was a page two and this has been noted as well by some of our veterans, so have faith!
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