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re: Stimulant survey - please participate » ed_uk

Posted by vbAgent on November 27, 2005, at 22:21:55

In reply to Stimulant survey - please participate, posted by ed_uk on November 19, 2005, at 22:33:31

I've taken a number of different stimulants. I recently opted to discontinue Ritalin LA 20mg because it has lost its effectiveness - just doesn't work as well anymore. Rozerem, the new melatonin-agonist drug used to treat insomnia, is the only medication I take right now; it really isn't any better than supplemental melatonin so I won't be taking it much longer. Anyway, the pdoc may switch me to Adderall 10mg 3x/day, but only after she consults my PCP who monitors and treats my (variable) high blood pressure.

1) How regularly does your doctor monitor your blood pressure?

My pdoc doesn't measure bp. That's another doctor's responsibility. I don't see why she doesn't...

2) What was your BP before you started stimulant treatment?

Probably around 140/90.

3) What is your BP now?

Good question. It was last measured a few months ago at approximately 170/110 after I abruptly decided to stop taking antihypertensive drugs (not a good idea by the way).

4) Do you require anti-hypertensive medication? What do you take?

I now take Toprol XL 100mg once per day w/o any stimulant.

The same doc who treats my hbp originally prescribed Ritalin LA 30mg before I starting seeing my current pdoc. So, I expect he'll be okay w/ the switch as long as I continue to take Toprol XL. The task of these two doctors consulting remains on the to-do list. If my PCP denies the med change request then I'm SOL.

I wonder if many people participating in this forum have experience w/ their pdoc needing to consult another doctor?


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