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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by babs on October 10, 2002, at 19:38:44
My doctor just added adderall. I am currently on 40 mg of celexa and will probably go up to 60 mg next week. I am also on 1 mg of risperdal. I took Wellbutrin before for the ADD (I have depression, anxiety and obsessive thoughts) and it worked OK but not great. I REALLY need something to help me concentrate but I'm afarid Adderall will make me amped or make the obsessions worse. They are pretty much under control with the risperdal and I'd hate to mess with that. Anyone? Oh- won't go on adderall until I adjust my dosage of celexa and adjust to it.
Posted by Kamikazi_Ladybug on October 10, 2002, at 20:22:16
In reply to Adding Adderall and scared, posted by babs on October 10, 2002, at 19:38:44
My dr. just added Adderall as well, but a bit confused, I have not been diagnosed w/ADD is it unsafe for me to take it? TIA.
Posted by Phil on October 10, 2002, at 20:25:29
In reply to Adding Adderall and scared, posted by babs on October 10, 2002, at 19:38:44
Why not try Provigil first? It works well for some and it's not a Schedule 2 drug.
Posted by Kamikazi_Ladybug on October 10, 2002, at 20:31:44
In reply to Re: Adding Adderall and scared, posted by Phil on October 10, 2002, at 20:25:29
For me I tried Provigil and it didn't help at all. Thanks Phil for responding :)
Posted by chad_3 on October 10, 2002, at 23:39:04
In reply to Adding Adderall and scared, posted by babs on October 10, 2002, at 19:38:44
Hi Babs -
If you are OK with this question - I'm curious if the first time you were prescribed Risperdal (or if you were already on an antipsychotoic - whichever was the first) - did your Dr. inform you of the risk of tardive movement disorder and have you sign "informed consent" release?
Risperdal has a relatively high rate of causing tardive movement disorders - (I obtained abnormal movements from a similar atypical) - and even at very low doses they are supposed to inform.
Used in mood disorders - these drugs are higher risk to cause tardive movements.
Also - continued use often "masks" problem - only going off ALL antipsychotics and other "masking" meds like benzo's and anticonvulsants sometimes - is the problem often discovered.
Not trying to scare - but just curious if you knew about that (if your Dr. informed you as per law) - ...
Thanks for your time -
Chad
http://www.socialfear.com/
> My doctor just added adderall. I am currently on 40 mg of celexa and will probably go up to 60 mg next week. I am also on 1 mg of risperdal. I took Wellbutrin before for the ADD (I have depression, anxiety and obsessive thoughts) and it worked OK but not great. I REALLY need something to help me concentrate but I'm afarid Adderall will make me amped or make the obsessions worse. They are pretty much under control with the risperdal and I'd hate to mess with that. Anyone? Oh- won't go on adderall until I adjust my dosage of celexa and adjust to it.
Posted by chad_3 on October 10, 2002, at 23:48:36
In reply to Adding Adderall and scared, posted by babs on October 10, 2002, at 19:38:44
Hi Babs -
Some info shows "low dose" not necessarily safer than "high dose" in inducing abnormal movements.
If issue never addressed, my opinion is that any Dr. not giving informed consent needs to address issue immediately. ie; Asking such a Dr. "What is risk of tardive movement?" - and if says "none" having him sign to that - (or to whatever he says) - is totally appropriate IMO - the law is they cannot prescribe antipsychotic without consent. Additionally, the addition of a dopamine agonist to a dopamine blocker - there is some research to indicate this combo may further increase risk of tardive movements (in fact most polypharmacy tends to increase risk)...
Chad
http://www.socialfear.com/> My doctor just added adderall. I am currently on 40 mg of celexa and will probably go up to 60 mg next week. I am also on 1 mg of risperdal. I took Wellbutrin before for the ADD (I have depression, anxiety and obsessive thoughts) and it worked OK but not great. I REALLY need something to help me concentrate but I'm afarid Adderall will make me amped or make the obsessions worse. They are pretty much under control with the risperdal and I'd hate to mess with that. Anyone? Oh- won't go on adderall until I adjust my dosage of celexa and adjust to it.
Posted by utopizen on October 11, 2002, at 0:53:59
In reply to Re: Adderall + risperdal: Dr signed to liability?, posted by chad_3 on October 10, 2002, at 23:48:36
Chad,
Doctors are not held liable for an antipsychotic side effect. Doctors are not required to mention side effects.
As far as I know, most doctors I know simply write scripts for antipsychotics. They're only liable if they're making the antipsychotic medicine from their bathroom tubs, and THEN they don't mention the side effects.
Posted by oracle on October 11, 2002, at 1:50:58
In reply to Adding Adderall and scared, posted by babs on October 10, 2002, at 19:38:44
The advantage of this class of meds is that they
are quick acting and quickly out of the body. So
if the Adderall does not agree with you, just stop. In 24 to 48 hrs you will be rid of it, a little longer for some. You should not feel amp'ed
as long as you start with a low dose.
Posted by chad_3 on October 13, 2002, at 0:46:00
In reply to Re: Adderall + risperdal: Dr signed to liability?, posted by utopizen on October 11, 2002, at 0:53:59
This is related to this thread - use of Risperdal (atypical antipsychotic) - and risk of Tardive Dyskinesia in general which can be - according to this article - partially predictable - and risk sometimes quite high - I link to administration just in case risperdal and TD not favorable topic here...
http://www.dr-bob.org/babble/admin/20020918/msgs/7678.html
Chad
Posted by chad_3 on October 13, 2002, at 11:29:22
In reply to Atypicals Tardive risk 50% in learning disabled, posted by chad_3 on October 13, 2002, at 0:46:00
Hi -
I tried to post on "admin" an article on apparent 50% risk of TD in "learning disabled"... but got deleted (I think)
will retry at "social babble" - thanks.
http://www.dr-bob.org/babble/social/20021010/msgs/31112.html
Chad
Posted by chad_3 on October 13, 2002, at 11:34:24
In reply to Predict Tardive Dyskesia risk from atypicals., posted by chad_3 on October 13, 2002, at 11:29:22
Hi
Thanks.
I posted an article on antipsychotic drug induced TD on another website.
I *think* (maybe wrong) - that my post on another board and linked from here was deleted - if true - question is:
Is Tardive Dyskinesia / tardive movement disorder a trivial issue in psychiatric drug experience?
Thanks
Chad
Posted by chad_3 on October 13, 2002, at 11:48:49
In reply to Q: If above deleted - is TD off limits topic?, posted by chad_3 on October 13, 2002, at 11:34:24
Apologies to Dr. Bob I see the post was moved to lower on this board - I did not see so re-posted on social babble - but it actually here moved to a different thread below...
Chad
This is the end of the thread.
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