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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by jonathanupr on February 13, 2007, at 21:46:52
Anyone have a possible answer for me on this issue:
Ever since I've been on a CPAP for supposed sleep apnea (the past 3 1/2 months on the CPAP) my Adderall dose has gone up 10 to 15 mgs per day. Pretty much, it seems the Adderall wears off quicker in keeping up my concentration and energy. I would've thought it'd have resulted in the opposite.
The basic conclusion that I could come to is that the CPAP isn't allowing me to get a thorough nights rest. But, when I go off of the CPAP for a few days I feel mentally paralyzed and more irritable.
I'm kinda just twiddlin' the fingers here. Any ideas?
Posted by Declan on February 13, 2007, at 22:22:21
In reply to CPAP and Amphetamine, posted by jonathanupr on February 13, 2007, at 21:46:52
What's it like to wear?
It doesn't look very comfortable.
I suppose you've tried those mouthgard thingos?
They're not very comfortable either.
Posted by laima on February 13, 2007, at 22:35:41
In reply to CPAP and Amphetamine, posted by jonathanupr on February 13, 2007, at 21:46:52
I would come to the same conclusion as you, that your sleep quality is suffering from the device- but then why on earth would you feel worse for going a few days without it? It sounds like you've been using adderall for awhile before getting it, and the dosage was fairly stable until then? Very confusing situation.
Posted by rjlockhart on February 13, 2007, at 23:19:30
In reply to CPAP and Amphetamine, posted by jonathanupr on February 13, 2007, at 21:46:52
I have been on amphetamines for 10 years. Stopped 2006.
I was on Adderall Dexedrine, Dextrostat, you know same thing, but all at diffrent times.
Adderall is awful before you go to sleep, believe i was on it for years i couldnt get to sleep.
Clonazepam 2-3mg will knock any amphetamine sleep delay out of your system.
Ask your doctor about Klonopin
Posted by lcat10 on February 14, 2007, at 1:04:00
In reply to CPAP and Amphetamine, posted by jonathanupr on February 13, 2007, at 21:46:52
> Anyone have a possible answer for me on this issue:
>
> Ever since I've been on a CPAP for supposed sleep apnea (the past 3 1/2 months on the CPAP) my Adderall dose has gone up 10 to 15 mgs per day. Pretty much, it seems the Adderall wears off quicker in keeping up my concentration and energy. I would've thought it'd have resulted in the opposite.
>
> The basic conclusion that I could come to is that the CPAP isn't allowing me to get a thorough nights rest. But, when I go off of the CPAP for a few days I feel mentally paralyzed and more irritable.
>
> I'm kinda just twiddlin' the fingers here. Any ideas?I use a CPAP machine at night myself, and it took some getting used to. I don't know what kind of mask you use, over mouth and nose, over nose, or what is called nasal pillows (the little things that go into your nostrils and least restrictive). I alternate between the mask over the nose and the nasal pillows. I have been using the CPAP for a little over a year now and had more energy until I started getting more depressed. Now I don't have more energy due to the depression. Also, there was a time after six months that I had to have it cranked up a notch as that is an important factor to--is it at the right pressure to intervene with stopping breathing at night?
To not use the CPAP over time is dangerous as one ultimately suffers heart impairment and can, when the heart damage progress, die in ones sleep. I am not sure why you are using Adderall. I tried Provigil to help with keeping me awake during the day (becuase of the depression), and the Provigil had the opposite effect. I can only think that you have not yet gotten used to the CPAP yet.
Posted by snapper on February 14, 2007, at 3:59:38
In reply to Re: CPAP and Amphetamine, posted by lcat10 on February 14, 2007, at 1:04:00
Sorry to be negative but have any of you considered GAD and claustrophobia? As well as A major mood disorder? I try not to think of the ill fated consequences but what should I do. Losing weight on AD's is next to impossible. I can only hope that VNS offers me a respite to be active again enough to quell the apnea and the potential heart problems.
Snapper
Damn- I am told I have so much to live for- but when one is depressed, everything appears soooooooo rose colored!
-S
Posted by jonathanupr on February 14, 2007, at 20:41:11
In reply to Re: CPAP and Amphetamine, posted by snapper on February 14, 2007, at 3:59:38
thanks for the replies
I use the Adderall to combat some serious attention deficit issues and lack of energy (like barely being able to stay awake 2 hours after I wake up).I've used Klon on and off, that's helped a bit.
The CPAP face guard I use covers both my nose and mouth (for me this guard has worked a lot better than the nose guard due to my mouth being open the whole night, usually breathe with nose and mouth at night)
the CPAP could be interferring with sleep, when I don't use it (this has been only a few times, as I've pretty much been on the CPAP for about 4 months straight) I sleep for about 8 to 10 hours. When I use it I sleep for about 6 to 8 hours (usually average 7 hours).
When I put the blasted mask on at night and start the CPAP up, the damn thing wakes me up more than puts me to sleep at times! This most likely occurs due to getting more oxygen to the brain (sometimes throughout the day I bet you I don't breathe for 30 to 45 seconds at a time as I am in deep concentration, maybe more).
Ah, been on Adderall for about 2 years. Tried all the stims, from Concerta to Desoxyn and back to Adderall. I actually use a generic form of Adderall (manufactured by Barr), and it is so less harsh than the Shire brand form..... so so less harsh, that I could actually come down from my Lexapro dose at 10 mgs to 5 mgs and my OCD even got better. Lexapro has definitely screwed my sleep up, has me waking up at least once a night every 3 to 4 hours the past 2 years straight.
thanks all
Posted by lcat10 on February 15, 2007, at 0:26:10
In reply to Re: CPAP and Amphetamine, posted by jonathanupr on February 14, 2007, at 20:41:11
I used to breath through my mouth too until I found out I had a deviated septum. Seems I broke my nose way high up when I was in high school many moons ago, and after I had surgery to correct that, I now just breath through my nose at night. It has been so much better days and nights with just breathing through my nose. Part of what they had to do as well was zap my turbinates. Just had to have it done again, outpatient.
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