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Adult Diagnosis & Treatment This forum is for the discussion of issues related to the diagnosis of AD/HD

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  #1  
Old 07-13-18, 10:49 AM
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Just been diagnosed at the age of 42

I've thought I've had ADHD for the last 15 years and only just got a diagnoses last week.

The thing is that over the last 15 years I've tried all kinds of medications including prescription and supplements. Some of these have had an adverse affect on me and have left me with lasting symptoms.

Rather than explain all the symptoms and medications I've tried, I'll say what I'm on and what works. I'm on a small dose of Haloperidol (antipsychotic) for tics and Imipramine (tricyclic antidepressant). Both those medications can affect the heart and my doc wants me to get an ECG to test the heart for long QT intervals. She's really knowledgeable and is reluctant to prescribe stimulants.

Stimulants is what I want ultimately.

Is anyone else on a bit of a cocktail of drugs and how did you and your doc figure it all out? I'd be really interested in your experiences and I'm grateful that this forum is here.
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Old 07-15-18, 01:01 PM
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Re: Just been diagnosed at the age of 42

I take bipolar meds as well as adderall. I take cymbalta, lamictal, geodon and buspar. It was all trial and error but the bipolar had to be treated first before we could tackle anything like the adhd. I feel the same way with most mental health conditions. Tackle the most problematic ones first, get stable and then think about adding other meds.
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Old 07-15-18, 04:29 PM
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Re: Just been diagnosed at the age of 42

That's interesting because my doc thinks stimulants might make me manic as a had a mild episode a few years ago when I stupidly took a supplement I bought at a health food shop.

Yet you have bipolar and stimulants (bipolar that's treated).

In the UK I think adult ADHD is still thought of as rare and only specialists can diagnose it. And in the US it's more understood?
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Old 07-16-18, 01:23 AM
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Re: Just been diagnosed at the age of 42

Well stimulants can make you manic in some cases which is why its important to have the mental health issues treated and to be monitored and vigilant when starting stimulants. As far as the UK v the US goes ... I know adults in the UK that are treated with stimulants but a lot of them had to go private rather than relying on the NHS.
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Old 07-16-18, 05:14 PM
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Re: Just been diagnosed at the age of 42

My addreall does the opposite of increasing my anxiety. It is the reason I stopped using klonopin 24/7. It's quite sedating for me. Just breakthrough anxiety at this point.

I'm also bipolar and had to take care of that before it killed me. Just found out the ADHD diagnosis maybe 6 months ago or so. Largely because of the diagnosis of my son.

Compared with Sarah's medications: Lamictal makes me manic, geodon does nothing, my doc said I shouldn't even bother trying buspar.

I am on Elavil, Celexa, Risperdal, klonopin, ativan, ambien, zanaflex, adderall for various crapola. That's about 7 years worth of med changes behind that cocktail. The more that is wrong the harder it becomes to find medications that work well together.
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Old 07-16-18, 07:52 PM
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Re: Just been diagnosed at the age of 42

I just started working on being treated for ADHD and anxiety a few months ago. I started on buspar for the anxiety and later added strattera for the ADHD. The buspar definitely had potential for me as it did help me be calmer and quieter in my head. But it made me tired during the day and adding strattera amplified that and made me forgetful and more inattentive due to the tiredness. If it weren't for that I would have stayed with the buspar, I don't ever remember ever feeling that calm and peaceful.

Now I have switched to celexa for the anxiety and have went up to the next higher dose of strattera. So far I'm less tired during the day vs the buspar and have started to notice a slight improvement in being able to stay focused even before I started on the celexa. So far I havent noticed any changes with the celexa but I'm only a couple weeks in. I did notice it didn't about knock me out the first day taking it like the buspar and strattera did.

The doctor wants to stay away from stimulants atleast for the time being because my resting heart rate has been fairly high at my last few doctor visits. I've been able to lower my caffeine consumption and will try to get more exercise to see if I can get the heart rate more in check.
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Old 07-17-18, 12:19 AM
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Re: Just been diagnosed at the age of 42

I was diagnosed at 40. I knew something was wrong for many years but it all came together at one time. Better late than never!! Definitely get an ECG as a long QT interval can be dangerous.
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Old 07-17-18, 05:19 AM
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Re: Just been diagnosed at the age of 42

The thing about Buspar is it takes awhile for it to be effective. I know when I started it, it was not good for panic attacks or acute episodes but one day after being on it for about 6 weeks I was like "wow, I know longer feel that undertone of constant anxiety." It took the edge off that buzz where all your nerve endings seem to feel in a heightened state. I still have to do other stuff for the panic attacks.
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Old 07-20-18, 10:54 AM
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Re: Just been diagnosed at the age of 42

As for how me and the doctor are figuring it out, it will be trial and error. The only limiting factor I have is the high resting heart rate sometimes. Other than that, I don't have a history of and major conditions, other mental or psychological problems (other than anxiety of course) although there are a couple family members that have had some depression. And I have never abused drugs, though I have drank in the past but never had a drinking problem and seldom do anymore, and do use tobacco some. So I think same as many or most cases, it's just trial and error to find the best combination that works while having the least amount of negative side effects.

If this celexa ends up not working for me, I may look into raising the dose of strattera and going back to a lower dose of the buspar, like maybe 2 doses per day instead of 3 as I previously tried to see if it's still effective without making me too lethargic.
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Old 07-21-18, 03:43 AM
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Re: Just been diagnosed at the age of 42

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The only limiting factor I have is the high resting heart rate sometimes.
How high does your resting heart rate get? Mine's been kind of high, too, sometimes. It's often in the 90s, especially in the afternoon and early evening. This afternoon I took my blood pressure and pulse and although my blood pressure was OK, my pulse was 113 which is kind of high. Then a couple of hours later it was 89. It tends to be in the 70s in the morning when I first take my Vyvanse, then in the afternoon, it gets into the 90s and then goes down late at night into the 70s again after the Vyvanse has worn off. It only rarely gets over 100.
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Old 07-21-18, 03:48 PM
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Re: Just been diagnosed at the age of 42

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How high does your resting heart rate get? Mine's been kind of high, too, sometimes. It's often in the 90s, especially in the afternoon and early evening. This afternoon I took my blood pressure and pulse and although my blood pressure was OK, my pulse was 113 which is kind of high. Then a couple of hours later it was 89. It tends to be in the 70s in the morning when I first take my Vyvanse, then in the afternoon, it gets into the 90s and then goes down late at night into the 70s again after the Vyvanse has worn off. It only rarely gets over 100.
Mine showed 132 while at the Dr office, it did start to taper off after a little bit and I doubt it gets that high often. I think it was partially due to being moderately anxious at the Dr office. I'm thinking about getting a heart rate monitor to wear for a while and just see how it is during normal daily activities just in case. A few years ago I had an EKG done and my heart looked to be in good shape though.
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Old 07-21-18, 07:47 PM
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Re: Just been diagnosed at the age of 42

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Mine showed 132 while at the Dr office, it did start to taper off after a little bit and I doubt it gets that high often. I think it was partially due to being moderately anxious at the Dr office. I'm thinking about getting a heart rate monitor to wear for a while and just see how it is during normal daily activities just in case. A few years ago I had an EKG done and my heart looked to be in good shape though.
I had an EKG before I started the Vyvanse about 11 months ago so that we had a baseline for comparison and then my doctor ordered another one a few months ago. They both looked fine. At my last doctor's appointment, my blood pressure was good but my pulse was about 107. But since I don't seem to have any heart problems or heart defects, my doctor didn't seem very concerned about it. I obviously worry about it more than he does.
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Old 07-22-18, 12:19 AM
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Re: Just been diagnosed at the age of 42

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I had an EKG before I started the Vyvanse about 11 months ago so that we had a baseline for comparison and then my doctor ordered another one a few months ago. They both looked fine. At my last doctor's appointment, my blood pressure was good but my pulse was about 107. But since I don't seem to have any heart problems or heart defects, my doctor didn't seem very concerned about it. I obviously worry about it more than he does.
Well I guess as long as the doctor isn't too worried about it then that's good. It's something good to keep an eye on though. I've checked my resting pulse several times during the day at home just counting with a stop watch, and it's usually in the 60's to around 80bpm so hopefully mine being high at the Dr office is just moderate anxiety or a mild panic attack. I always get very nervous there for some reason, probably the social.anxiety. But I think the doctor feels that the stimulant meds could potentially make that worse for me. I wouldn't mind doing a trial on a low dose just to see though. Maybe I can get a current EKG or stress test done just to be sure and also give the doctor a peace of mind as well.
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Old 07-23-18, 11:32 PM
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Re: Just been diagnosed at the age of 42

I was diagnosed with bipolar depression and GAD at age 18. I am now 40 and have been just diagnosed with ADHD
I feel you
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