Posted by alohashirt on January 10, 2006, at 4:09:10
In reply to Re: Cardiovascular Stimulation-Strattera vs Stimulants, posted by mike99 on January 9, 2006, at 17:06:54
Mike,
Here's one experience of stimulant + beta blocker:
I was on 72mg Concerta with mild BP elevation
(123/70 --> 132/78) and wanted to try dexedrine or Adderall
My pdoc suggested starting with 30mg Adderall and monitoring
BP.
Day1:
30mg Adderall 138/83 and symptoms suggested 30mg was too low
Day 2
30mg Adderall 140/110 headaches, called pdoc who insisted I stop Adderall immediatelyfew months later I spoke to my internist who suggested "If you get substantively better symptom relief (such that work is more succesful) you could *consider* combining with BP treatment) I began with small dose of dexedrine and ended up with:
54mg dexedrine
100mg Toprol XR, BP 130/80
No side effects from Toprol aside from less sweating in nervous situations.
When Focalin XR was released I tried it and am now on
50mg Focalin XR, no Toprol, 128/78.When I did my dexedrine+Toprol experiment I worked at a place that had an onsite nurse so I could do daily BP monitoring.
It may be worth considering Focalin in that it's a single isomer
which means (in theory) 50% of side effects.Its worth doing this with your internist - remember everyone responds differently both to beta blockers and stimulants in terms of both side effects and symptom reduction. I'm a big fan of careful titration and individual experimentation
>
> Thanks Ed,
>
> Yeah, I'm aware of the MVP contraindication with Provigil. I seriously doubt I'd try Strattera either. Also, I know in theory an alpha/beta blocker could be combined with a stimulant, but in reality I'm afraid I just may have to go without.
poster:alohashirt
thread:595951
URL: http://www.dr-bob.org/babble/20060108/msgs/597479.html