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Adderall (four amphetamine salts) |
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#1
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90 mg Instant release
Need suggestion.
Here’s some information. 28 year old, male, 170 lb., 5’7, medical student. I am about to start my medical residency. Currently studying for my USMLE exams. I have been on Adderall since 2010 for ADHD (obtained legally via prescription). Originally started with 10 mg instant release. Over the years, have taken XR and IR and never had too much problem with it. In December 2017, I got my dose increased from 40mg instant to 60 mg. For first few weeks it worked fine but then I started to experience severe tolerance to it. So In May 2018, I got my dose increased from 60 mg to 90 mg instant release. 90 mg has been working better than 60 but not as well as it should. So what is the problem with 90mg IR Adderall? Morning routine: Get up at 530 am. Out the door by 600am and drive for 60 minutes. While driving I start drinking baking soda + water. Empty stomach makes me nauseous quickly so I have to take less baking soda. I have tried Tums but it does not work as well. 600am: 400 mg chelated magnesium 730am: take 30 mg IR orally 830am: Take about 15 mg crushed sublingually. 9 am: quick breakfast (eggs + oatmeal) Rest of the day, I just take 15 mg at a time sublingually as I need it. 8pm: Take 4 Benadryl + 4 Doxylamine succinate + 50 mg melatonin. 1030pm: I take B complex vitamins, Tyrosine, fish oil and Ready to pass out. Diet: Diet is good. I try to eat small meals which are somewhat healthy. I try to stay away from acidic things and I don’t starve myself. I usually have granola bars or protein bars to eat. I try to drink water but I can try harder. Problems: 1) In the morning, it takes me 2-3 hours to really get going. I feel sluggish, foggy and slow mentation. I have always taken Benadryl, doxylamine to sleep. a. I have started to take Benadryl at 7 pm instead of 8pm and this has decreased morning fatigue and sluggishness a lot. What can I do to get myself going a little quicker in the morning? 2) Often in the middle of the day, I feel slow and feel at the verge of being focused to get a lot of stuff done. But I usually don’t get over that “hump” and never get pass the verge. It’s like I feel so close to being more productive but just a little behind. Since I am not therapeutically focused, I tend to flip flop while studying. Meaning, I want to read this particular subject. I open up notes and feel like nah I don’t want to read it. Then I try to do something else but I feel the same. So more or less, I just waste time. And this leads to increased frustration because I am supposed to be studying. I don’t think taking more Adderall is going to help with that. SSuggestions? a. Perhaps spreading out doxylamine succinate + Benadryl even more (meaning take it a little earlier in the day?? Holidays + Delsym (DXM): I have taken DXM polistirex but the results are not consistent. I have tried to take this at night (i.e. 10 ml = 60 mg) and have taken smaller dose about 90 minutes before my morning dose of Adderall. Results are not consistent. It works well for first few days and then it does not. Plus, DXM can make me loopy, give a nagging headache so it’s not really worth it. I have also tried DXM-HBR which is cheaper than DXM-Polistirex but it DXM HBR does not work. Why? My quick research showed that DXM HBR is more of quick acting and it helps if taken about 10 minutes before Adderall (or at least for me it works this way). DXM-polistirex works when taken about 90 minutes before first dose of Adderall. Results from DXM are not consistent and don’t worth the hassle because once I get that loopy feeling and nagging headache, I am done for the day. Holidays + breaks from Adderall: For me it does not work. I have to take at least a week or two off in order for break to work. If I take 1 day off or even a weekend off then the following day, I have to take almost twice the normal dose to get to some sort of functioning level. Re stating the problems: 1) Need to get going much quicker in the morning instead of taking 2-3 hours. 2) Figure out a way to get over the verge of being productive and actually be productive and get stuff done. Lack of productivity leads to frustration because time is limited and I need to be getting stuff done. I am fully aware that it's all about tolerance of adderall. I need to study for about 6-8 weeks and then I am done. So I am not sure what else I am missing? Any suggestions will be greatly appreciated. My vitals for those who might be worried about my health. Weight: 170 lbs. HR: 93, BP: 126/82, RR: 17 Thank you! |
#2
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Re: 90 mg Instant release
If you just take it as directed, it will be easier.
__________________
The only true currency in this bankrupt world is what you share with someone else when you are uncool ~ Lester Bangs And in the end, the love you take; is equal to the love you make...Beatles Abbey Road 1969 |
#3
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Re: 90 mg Instant release
50mg of melatonin? Is that a typo? If not, that's a lot, and will most definitely effect the next day. With meltonin, less is more in many ways. It's more important to take it at the same time every day, and go to bed right after taking it.
Here's a article about a study that showed 0.3mg was enough to cure insomnia. https://news.mit.edu/2001/melatonin-1017 And another article about how less is more: Quote:
Last edited by Greyhound1; 06-16-18 at 09:46 PM.. Reason: Removed prohibited commercial link. Replaced with article quote |
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#4
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Re: 90 mg Instant release
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Quite honestly, I am a bit shocked that you are a med student talking about taking meds as prescribed and also under your tongue and crushing them. Totally against medication guidelines. And TBH sounds very much like the recreational drug using websites. Quote:
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President of the No F's given society. I carried a watermelon? |
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Lunacie (06-17-18), psychopathetic (06-17-18) |
#5
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Re: 90 mg Instant release
So what do you do when it wears off in about 4 hours?
__________________
The only true currency in this bankrupt world is what you share with someone else when you are uncool ~ Lester Bangs And in the end, the love you take; is equal to the love you make...Beatles Abbey Road 1969 |
#6
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Re: 90 mg Instant release
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#7
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Re: 90 mg Instant release
Well, entire point behind using baking soda is to take less. By using this, I am hoping that I won’t have to take more Adderall than I need. Perhaps, consuming a light meal or even snack upon waking up and then perhaps using baking soda might be a better route to go. Never thought about it this way. Seems like a good option. Thanks!
In all honesty, I am not sure if Chelated magnesium works. It might work but I am not sure how one feel would. I had always taken it at night but for last few months, I have been taking it in the morning. Early in this routine, I wrote down how I felt after switching chelated magnesium from night to morning. Not a significant difference. I have that Benadryl has smaller half-life than doxylamine succinate but I think its appositive. I used to wake up with severe headaches about 2 years ago, when I was taking more Benadryl than now. Also, taking it earlier in the evening/night has alleviated morning fog significantly. I do understand your thought process and reasoning behind waking up earlier to give yourself more time but I am not sure how early can I get up. I say this, because I am finishing my preliminary surgery residency in 3 weeks and then I will start my Integrated Orthopedic – Trauma surgery residency for next 6 years. DXM is not safe, I agree. But I don’t take it regularly. I have taken it previously but not more than 7 or 8 days in a row. It is too unpredictable and definitely expensive if you try to Delyn. Generic DXM-HBR capsule from amazon or Walgreens are cheaper but they seem to produce inconsistent results so not worth taking extra stuff. I do know it’s bad for the liver and I have witnessed it firsthand. However, “you” need to take seriously high dose for an extended duration to screw up your liver. Regardless, that’s not the point. It’s bad and should not be taken. For treating it 6-8 weeks, is not true. Yes, I did mention 6-8 weeks because I have my boards coming up in 8 weeks so until then I would rather not explore the luxury of “waking up earlier” and or giving myself more time to wake up to get going. All these methods of potentiating Adderall were geared towards getting through next 6-8 weeks. After the board, I’ll have an easier schedule relatively speaking. I have been on Adderall since 2010 and there’s no point in arguing if I am taking it too get high because I’m not. I have no way of proving this via this platform so it does not matter. But regardless, it will be difficult to be high and get through residency. |
#8
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Re: 90 mg Instant release
So far it seems like suggestions are:
1) Eat something in the morning, if even only a small meal or item and then use baking soda. 2) Take it as it should be taken 3) Stay away for DXM and others - I agree. 4) Anything else? Thank you! |
#9
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Re: 90 mg Instant release
Sorry forgot to add couple of things.
1) Should I take heavy dose off adderall in the morning? Let's say, taken 40mg or 60mg PO and then take rest as needed before 3pm? Or take them evenly spaced out? 2) Sometimes, I suddenly get sleepy in the middle of the day. Doesn't happen all the time but sometimes. Happened yesterday. Just curious and no i don't have any other sleep disorders especially narcolepsy. 3) Anyother suggestions? advice? Thank you everyone! (how about a free knee/hip replacement when you get to 80? ![]() |
#10
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Re: 90 mg Instant release
You say you're taking it through the day "as needed" which I take to mean
when you feel it wearing off. Much better to take another dose before the last one completely wears off and you're basically starting from scratch again. True of most meds. I suggest setting an alarm for 30-60 minutes before you have to get up and have a 30 mg dose waiting on your bedside table. Nod off again for awhile. It should have kicked in when you wake up. Eat breakfast. Go to work/school. Take the other doses at 3 hour intervals whether you feel it wearing off or not. Just try that for a few days and see how it goes. Don't you know that if you crush it and take it sublingually although it starts working faster ... it also wears off faster? Just STOP doing that.
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ADD is not a problem of knowing what to do; it is a problem of doing what you know. -RUSSELL A. BARKLEY, PH.D. As far as I know, there is nothing positive about ADHD that people can't have w out ADHD. ~ ADD me |
#11
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Re: 90 mg Instant release
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Yes, you are correct regarding taking it as I feel it is starting to wear off. It's a good idea to set up an alarm and then other doses at 3 hour interval. Thank you! |
The Following User Says Thank You to Belikemike1183 For This Useful Post: | ||
Lunacie (06-17-18) |
#12
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Re: 90 mg Instant release
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Unless you have a particular medical condition that prevents your body from creating its own melatonin, you technically have enough to get you to sleep. Therefore, taking a melatonin supplement is just a way to tell your body, "OK, release it now." Therefore, you don't need much. The pill is just a way of controlling when your body decides to go to sleep. The body and mind are very habit oriented -- it prefers to do something the same way at the same time every time. That's why it's important to take it at the same time every day. Also, once you trigger it, it's time to go to bed. By delaying, you're just training your body to resist the hormone, which will trigger a possible increase in production, which will cause all kinds of side effects, like depression (groggy and unable to wake up properly) or even anxiety. It is a hormone, and hormones have a huge influence on mood and emotion. My guess is that this is a primary reason you're having trouble getting up in the morning. Not the only reason, as you're taking very high doses of Adderall and counteracting it with several sleep agents, which is the fundamental issue. Point blank, if you need sleeping agents, you're taking too much Adderall. But your doctor may decided that's needed as a special case. Given that you're crushing the stuff and downing baking soda, though, I'm pretty sure you're not using as directed. It might be time to admit you have an addiction problem that you can't solve all by yourself or only with online forums. Is there a real-life person you trust and can talk about this with? |
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namazu (06-17-18) |
#13
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Re: 90 mg Instant release
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It makes sense as far as melatonin is concerned. Yea, I am not using it as directed. I do have an appointment with my doctor in 2 weeks to go over all this in detail. For time being, it seems like suggestion by Lunacie seems reasonable. Anything else that I can try to see some consistent results as far as being productive goes and get stuff done. Thanks |
#14
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Re: 90 mg Instant release
Have you tried other meds? Maybe adderall just isn't right for you.
Also the fact that you're on such a huge dose, that you crush it, and that you use it with baking soda to try and increase it's effects... I honestly don't think you can handle these meds on your own. Just my grumpy opinion.
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#15
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Re: 90 mg Instant release
To me it sounds like you're VERY close to trying to abuse Adderall. I mean...look at the long list of stuff you're trying to do to increase it's effects. It's no wonder you have a tolerance to it...you're borderline abusing the stuff.
After re-reading your original post...I guess I really don't have any suggestions for you. I know I'm coming across as being harsh here...and it's because, well...I am being harsh lol. But I do feel bad for you ![]() And you absolutely do need and deserve it. And it sucks cause you're moving into a part of your life that will be very stressful and highly demanding...so damn! You could REALLY use something to help out. It freaking sucks that Adderall is no longer doing that for you. It sucks that you're having to push so hard to try and get it back to where it use to be. I guess I do have a suggestion...and my suggestion would be to work with your doctor to try a new medication. That's not a great suggestion either for you right now...because what a freaking mess switching to new meds can be right now at this point in your life with all the stress of starting residency soon and all the studying and everything. But I do feel you're on a dangerous path where you are with Adderall. Maybe it's time to let it go before it becomes a very serious problem. There are other meds for this. Sorry for being so harsh with my words. I do wish you well though, and I do empathize with you. You're not being a 'bad' person. You're just seeking help for this damned difficult disorder that drags you down in the mud all day. You do deserve that help, and I hope you can find it safely again soon.
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