Posted by fairnymph on June 15, 2002, at 23:09:44
In reply to If u tell doc that story hell put u on Wellbutrin , posted by 3 Beer Effect on June 15, 2002, at 1:14:02
> I wouldn't recommend telling the doctor about increasing the dose on your own initiative & running out of pills at the end of the month. All the psychiatry/medical textbooks say that a patient who does that is an addict & to take away the abused medicine immediately (cold turkey!).
>
> He would then probably put you on Wellbutrin and there would be no psychostimulants, benzos, painkillers for you ever!- even if you needed them (example: if you got injured a car wreck they would probably tell you to take ibuprofen for pain once you left the hospital, rather than Vicodin or Percocet, since because of the Dexedrine abuse you are now permanently labeled a "drug addict".
>
> I think you should try to control your Dexedrine dose yourself for a month & if you can't control it then switch to something less addictive like Concerta. If you can't handle the Concerta or Metadate CR or Provigil or whatever then as a last resort seek help through narcotics anonymous or a therapist.
>
> You should probably adhere to a strict dosing regimen. Write down that you are going to take 1/2 your dose (20 mg) before you go to work like 8 am and half your dose (15 mg) about 5-6 hours later around 2 pm. Stick to this schedule with no exceptions & no cheating.
>
> You shouldn't have much trouble with insomnia if you take your second (& last) dose at 2 pm, especially since it would be the smaller of the two doses (15 mg). If you take Dexedrine "whenever you feel like it" instead of according to a strict dosing schedule you are more likely to become tolerant & increase the dose. You might want to try Ambien 10 mg at night, or if your doctor doesn't want to order that then 1-3 mg of Melatonin at sundown.
>
> I personally take 40 mg of Dextrostat (dextroamphetamine) per day- 2 10 mg tablets at 8 am & 2 10 mg tablets at 2 pm, with water or skim milk (no acidic coffe, cola, fruit juices). I take 3 mg of Melatonin at right after sunset & a 10 mg Ambien about an hour before bedtime & have no trouble with insomnia whatsoever (even though when on no meds at all I can't get to sleep until the sun comes up!)
>
> If you think you are becoming tolerant to Dexedrine, the "official" way to prevent tolerance to any of the ADD stimulants is to only take the medication 5 days per week & also take a 12 day stimulant-free break every three months.
>
> Ask yourself if you can do without the Dexedrine on Saturday & Sunday & either don't take it on the weekends or cut the dose by half or more. If this is too difficult you could substitute with 100-200 mg No-Doz (Caffeine) q3-6 hrs prn to get you out of bed & through the weekend.
>
> Good Luck,
> 3 Beers.......Excellent advice from 3Beers....
poster:fairnymph
thread:109781
URL: http://www.dr-bob.org/babble/20020609/msgs/109990.html