Posted by mike99 on January 10, 2006, at 11:00:16
In reply to Beta Blocker (Re: Cardiovascular Stimulation » mike99, posted by alohashirt on January 10, 2006, at 4:09:10
> 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 immediately
>
> few 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
Alohashirt,Thanks for sharing that. Do you mind if I ask how often you took the Toprol XL w/Dexedrine (once daily?) and if you had any tachycardia or angina while on Dex stimulant alone?
I think Focalin would be the only stimulant I'd consider at this point (probably with a beta blocker), because it should have the least peripheral effects of all the stims theoretically.
Thanks again.
poster:mike99
thread:595951
URL: http://www.dr-bob.org/babble/20060108/msgs/597549.html