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ldo

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About ldo

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  • Birthday 04/25/1959

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  1. Surprised no one responded to this earlier. I've had a bit of that with ADHD meds and with Focalin in particular. My tentative theory is that I was taking a bit too much. Now taking small dose of Focalin to see if I can sneak up on the right dose without overdoing it. Maybe you need to try less?
  2. This is just anecdotal, but the first time I tried methylphenidate, it was great until my pulse went up to 150 (2.5X normal) or so late in the day. So I haven't been back. Later, I was on Focalin for quite a while without having the problem. For all I know, if I tried regular methylphenidate now, I wouldn't have the problem, though I'm not eager to do so.
  3. I Sleep Better On Adderall Days

    I used to sleep better if I took a fraction of my normal dose of Adderall at bedtime! Early on, during the day, I remember feeling like I either had to DO SOMETHING or take a nap. And I could actually take a nap. Now I take Dexedrine. I've found that if I get restless in the night, a fraction of a pill helps me get back to sleep. Good sleep. My wife gets sleepy from decongestants, which wake me right up. Or, at least, they used to.
  4. Rec a stim?

    I found that, after a few months, a combination of lifting and aerobic stuff like the Stairmaster gave me a lot of energy. But at first I was tired all the time. But I wasn't quite a bodybuilder, so your results may be different. Or they could be different just for the heck of it. As far as getting a stimulant, I'd say go to your psychiatrist and tell them about your problem with fatigue. It doesn't look good if you go in asking first for drugs that are commonly abused. Or at least that's what I expect, not having tried it. And maybe he can do something with your other meds to cut back on the sedation. There's no harm in asking about stimulants here, though, and perhaps they're what you need. Wonderful Cheese mentioned sleep apnea. If you sleep alone, you could make an audio recording, though I'm guessing it might need to be a fairly long one to give you time to fall into it. Better if you can have someone look in on you when you're sleeping from time to time. I'd been trying to get my regular doc to consider the possibility of sleep apnea, but it wasn't until my wife noticed that I stopped breathing for a few seconds at a time when I slept that I was able to convince the doc that I needed a sleep study. When I started using a CPAP, all of a sudden the 4 yellow stripes on the road became only two, and I could actually fuse the images from my eyes rather than getting two of them at once.
  5. Adderall and sex drive

    I remember when I started to take Adderall and Prozac, I had some real problems with this. No quotes, but real problems. Like, if I was alone it was a struggle to do something with my hands other than... I suspect the Prozac was why it was very difficult to get off, and also why I wasn't satisfied for very long if I did. Less than a minute at first. But if you're not taking an SSRI, I imagine this won't be a problem. Anyway, the libido problem faded somewhat with time. If you don't have that weird problem like I did, then maybe protectmepls has the best idea.
  6. Rec a stim?

    I found coffee wasn't useful after a few weeks. I'd end up feeling about the same as I did before using it, except that I HAD to have it and I didn't sleep as well. Then, when I went cold turkey, I had a headache and was extremely irritable for 3 days. I can't say what stimulant would help you stay awake. Since you're feeling sleepy, I imagine it's too hard to exercise much. After I've been exercising for a while, I have more energy. If you can do it, I suspect it will help. Work up the duration and intensity slowly, though, or you'll be more tired at first. I may be wrong, but I think that I still get some help from Dexedrine, even after taking it for a long time. Also, if I forget to take it, I don't get a headache, I just get sleepy.
  7. I have trouble NOT reading. However, when it comes to a conversation, especially if it's in a meeting and it's about something that doesn't concern me directly, I have real problems. It seems to me there might be similar issues. It feels like I'm thinking too loud, so I can't hear what's being said outside. Does that sound like what you experience when reading? In my case, medication helps a lot. BW, I once fell asleep in a meeting right after lunch on my FIRST DAY on a job.
  8. Sounds like something where therapy might be more useful. Or external reminders. I remember when I first started taking Adderall I would focus on one thing to the exclusion of all else, at least for a while, though a lot of the time that just meant staring at something. Maybe, at the end of the work day, you need to stop and think about what you need to be doing, and remind yourself that non-work activities are just as legit. Or explain to yourself why you need to do this other thing. Or perhaps you could have some little ceremony emphasizing the transition from work to non-work. Recommend separation of work and non-work. If you work at home, you might want to see if you can work someplace else, or separate your work room and never go in there except business hours. All guesswork on my part, of course.
  9. The first day I was on Ritalin was amazing. So I wouldn't say Ritalin has a weaker effect. However, it raise my heart rate to 150, though it might not for you. I can tolerate Focalin, and, if anything, it was too potent. I apparently was exhibiting very little affect (not showing any feelings), which is what I've heard happens to kids if they're taking too much Ritalin. So that might be an avenue for you. Maybe I should try it again in a lower dose. If Vyvance worked for you, why not try Dexedrine? It helps me some, without the anxiety and meltdowns I got with Adderall. Everyone reacts a bit differently. I take Dexedrine as immediate release, splittable tablets, and I tailor the dose through the day. I like it that way because I find extended release meds don't last as long as they're supposed to, though they last a little bit longer than the immediate release.
  10. What a ripoff! I don't suppose they'd listen to a clinician from another state? Usually, at least in the past, ADHD was diagnosed on the basis of your history. If you have old report cards, that may help. My p-doc diagnosed it from a silly note I wrote her after my depression started to lift. No additional charge. I think I mentioned elsewhere, though, that some of your other issues might cause similar symptoms.
  11. Getting enough sleep at the same time every day can help a lot. I'm useless when sleep deprived. Exercise. The usual ADHD advice probably helps here too. Break work up into little bits, with small rewards when you get each bit done. Visual reminders, etc. I'm sure you've heard a lot of this stuff before, but if not, you may find it worthwhile to read Hallowell's Driven to Distraction. Try to ignore the sunshine enema that comes with it. It seems to me that later versions have a higher proportion of snake oil. Or maybe Barkley's Taking Charge of Adult ADHD. Not much, if any snake oil in Barkley's book, but a bit of the sunshine, which was completely absent in the book on the subject he wrote for doctors. For me, it would probably help to disable any nearby computer with a connection to the internet. But I need that for some of the stuff I want or need to do. Sigh. BTW, meds help me, but I still have a problem.
  12. If Adderall doesn't do it, you could try something from the methylphenidate family. And there are some other meds out there. I have a number of symptoms like yours. I think I've mostly learned to control the windows, but the internet is still a time sink. There is a vacuum cleaner, opened up, in the corner of this room. It's been that way for weeks. I need to fix it and use it, but I think you know how that's been going.
  13. I don't need Adderall to feel that way, but I guess I can see how it could happen. If you have people around you that you trust, maybe do a bit of reality testing with one of them? I used to get frustrated and angry with myself more than usual with Adderall, at least sometimes. Perhaps that's related? I would definitely have some anxiety with it.
  14. rekkid: Be patient. If it is a side effect of Prozac, maybe it will diminish with time. Some of the other side effects have for me. Also, the anti depressant effect may take some time, even more than a month, to really kick in. So you might not be able to judge if it was worth it until them. I think, for me, it started to kick in after a week or two, but if memory serves, I continued to improve for quite some time, despite some difficult circumstances. Being less depressed may help with ADHD type issues. They wouldn't diagnose me with ADHD until my depression started to lift.
  15. I've read that bipolar and ADHD can be confused. I have ADHD and, presumably, don't have bipolar. I've noticed that sometimes ADHD bothers me more than others. Partly or perhaps mostly due to the circumstances I'm in. For instance, if I'm getting a lot of exercise I do better. But I also think I can get used to dealing with it better. One week, I decided to spend 8 hours a day on a hobby project. Somehow, I succeeded in doing so! But that's really not typical. Right now I've been in a slump for a while, possibly because I have very few structured tasks. So, I'd say it can change SOME over time, although perhaps not in a permanent way. If your Concerta doesn't aggravate your bipolar, but helps otherwise, maybe that's ok? ----------- Level: If Adderall didn't help, there may be other drugs that might work better. For instance, methylphenidate drugs like Ritaliin, Focalin, Concerta, etc. Focalin is one isomer of methylphenidate, so it may help with side effects. I could take it without too many problems, and may try it again, but regular methylphenidate raised my pulse to 150 bpm or so. (normally less than 60 at the time). OTOH, maybe some of your other issues can cause problems that look like ADHD. If you really had ADHD before, it's very common for it to persist into adulthood. Maybe the new criteria are different, but it may help if you can dig up some old report cards and such. Diagnostic criteria used to say that it wasn't ADHD unless it showed up fairly early. Maybe they still do. On the other hand, typically ADHD treatment involves treating symptoms and learning to cope, which seem like strategies that might work for focus problems with other origins. Sometimes, in the latter case, perhaps it's possible to treat the underlying issue instead of just ameliorating the symptoms.
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