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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by qbsbrown on December 12, 2008, at 18:40:43
I take depakote of BPII and was just prescribed adderall 40mgs. I notice that when i take the adderall, it works, i feel good, but only for 2 hours.
Now i take my depakote in the morning, because for some reason if i take it at night i have insomnia.
Same thing happened to me with ritalin, and i was ONLY on ritalin at the time. 2 hours then poop out. Perhaps fast metabolism, and increasing thirst.
I could try the depakote at night, raise the adderall dose, and take 10 mgs every 2 hours.
Any advice?
Brian
Posted by jakeo29 on December 12, 2008, at 19:22:54
In reply to Would Depakote effect/trump Adderall?, posted by qbsbrown on December 12, 2008, at 18:40:43
Same thing with me as I am dealing with both Narcolepsy and ADD. For me, depakote seemed to help enhance the effect of Adderall by stabilizing the "high" it gives you as depakote helps me with social anxiety. However, I get the "poop-out" effect on Adderall after 2-hours or so. Heck I can even fall a sleep on it. It seems to me that stimulants work best when you are working at a demanding task, then sitting at home thinking about stimulants (not saying you do that, just for me). I feel my concerta wear off a lot faster if I am just sitting at home with no agenda (the boredom syndrome lol) whereas the Concerta "seems" to last all day when I am working or have a lot of appt's, school, etc. Also I believe some of us do in fact need higher doses of stimulants than doctors are willing to prescribe due to higher metabolisms or rather poor absorption some people have.
Posted by qbsbrown on December 12, 2008, at 19:27:20
In reply to Re: Would Depakote effect/trump Adderall?, posted by jakeo29 on December 12, 2008, at 19:22:54
he does know i do have a very fast metabolism, and drink tons of water on adderall.
Is 60mgs the max for adderall?
I once too an effective dose of 100mgs of ritalin. Another time i took 60mg of ritalin w/ 400mgs of provigil.
I'll see what he says. Just don't want him to think im a junkie.
Brian
Posted by jakeo29 on December 12, 2008, at 19:46:33
In reply to Re: Would Depakote effect/trump Adderall?, posted by qbsbrown on December 12, 2008, at 19:27:20
Ohhhh I know that "He might think I am a junkie" feeling. Most of my good friends stopped being my friend just because of their bias belief that I am "on meth" I was at 60/mg day of adderall and the doctor which at that time was a pretty open stimulant prescribing doctor, would not go above 60/mg day. However at those doses, it seems like Adderall will start pushing me towards hypomanic like symptoms even though I am not Dx with Bi polar. I am on Concerta 54mg and Provigil 400 mg /day. Talk to your doctor about staying at your current dose of Adderall and adding provigil and see. I believe as long as were on depakote or a little risperdal, doctors should be able to go to 80 mg of adderall or so if it wears out faster than normal that tolerance is not the attributing factor. But yes, I would feel like an addict bringing that idea up to both my sleep doctor and psychiatrist. Also they prefer me, and I do too, to be on Concerta for now If you can get the courage, maybe ask for Dexosyn, aside from looking like a real "junkie" it is supposed to have a longer half-life at much smaller doses because of the "meth" chain onto the the Amphetamine. -Jake. I never tried Dexosyn and too afraid to even ask even without a bipolar Dx. and both ADD and Narcolepsy! lol But then I can say to my former friends that "I am on meth, and I am doing much better"
Posted by Jakeo29 on December 12, 2008, at 20:45:00
In reply to Re: Would Depakote effect/trump Adderall?, posted by jakeo29 on December 12, 2008, at 19:46:33
Went to Neurotransmitters.net and found that the Shire Corp. is waiting for FDA approval for basically Adderall XX/R (super extended release). "SPD-465 (longer acting Adderall XR ®) " -Jake maybe that will eventually help
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