Posted by 10derHeart on March 26, 2009, at 14:23:59
In reply to Re: Going downhill again - what to do?, posted by garnet71 on March 26, 2009, at 12:17:34
Doesn't make a whole lot of sense to me - I mean, if you wanted to get snarky about it, the Adderall IS dextroamphetamine - at least in part, it's just in combination with other amphetamine salts - 4 I think in the XR, and I can't recall the makeup of the immediate release one. (Please correct me all you chemistry experts here - really!) When I was dx with ADD back in 2002, seems like I studied these drugs forever....
I was SO fortunate, because a combination of Prozac and IR Ritalin worked pretty well for me for 1.5 years, and then I transitioned over to Strattera alone, which I've been on for over 5 years with good to excellent control of my worst ADD symptoms. Many (most?) don't have such a "smooth" experience as I did, I know.
Anyway, not that I'm suggesting saying stuff about what certain drugs are composed of to the RN would have been productive. Just saying....they speak in vague generalities and out of hand sometimes, even if a knowledgeable patient is civil, respectful, and everything....{sigh} (Had this experience with a podiatrist this week, who turned dismissive and cool as soon as I used one simple medical term for a foot condition I've had for years....he began talking over me and condescending....whatEVER)
Sounds like that must reflect your PDoc's preference?? Dexadrine (dextroamphetamine) IS prescribed for ADD, all the time. That and narcolepsy - I don't know about off-label for weight loss. I think it's one that used to be approved just for ADD in kids, but more recently has been okay'd for adults. too. I could be wrong, as I am going from memory and didn't look it up....but docs often aren't aware, unless they specialize in treating ADD. Usually, a doc committed to working with pts really struggling to find a good drug or combo will be open to reasonable trials of any and all meds, as long as they are not contraindicated by another medical condition....
Hope it works for you, and if not, your doc will be open to different dosing, trying the XR, etc. I know many find Adderall too "harsh" even though it works, it's too uncomfortable (just anecdotal from Babble and other ADD boards and people I've known...) I never tried it - never had to.
Is is 10mg once a day for now? If you're a bit worried, you could cut them in half and try just 5 mg. at first....
poster:10derHeart
thread:886947
URL: http://www.dr-bob.org/babble/20090322/msgs/887099.html