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I would be most leery of combining any two stimulants, such as if the OP were already a coffee-drinker and was adding another stimulant drug to that.
I'm leery of using amphetamines in general, but if I was going to try it then I would have to be caffeine-free for some time before starting on another stimulant drug. Caffeine by itself is already a potent de-regulator of adrenal secretion, so might itself cause an apparent need for a stimulant at certain times of the day. Last edited by dddd; 09-08-2019 at 11:47 AM. |
#17
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vyvanse is solid, though no generics avail so it's pretty $ if you don't have good insurance. prodrug of amphetamine so it's a steady trickle via the liver instead of the instant hit of adderall that cranks everything to 12 and can deliver some hefty heart rate jumps. it's also got much less potential for abuse because of this.
modafinil (aka provigil) does get off-label prescribed for adhd, but it's pretty dependent on the individual as far as effectiveness at treatment. it isn't a true stimulant, and its long-term effects aren't really well known yet. focalin is another one. it's a stimulant (dexmethylphenidate), but isn't as powerful as amphetamine/adderall/vyvanse. some folks do well with it. but, not a doctor, just an ex-bike rider who's had a dozen+ concussions over 15 years, resulting in decaying-ass grey matter. definitely talk with a doc who has familiarity with athletes+stimulants if your current one is a) clueless and brushes it off or b) freaks out about it. |
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A few thoughts:
1) Try the extended release 2) There IS a difference between generics and brandname. One generic might use a different filler/release formula than another. The brandname likely has the best release control. 3) You get used to stimulants somewhat quickly. Short term - I would suggest you call your doc and ask to take your rx in two parts during the day. Longer term - try the extended release version. |
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Strattera caused similar symptoms -- jittery, higher heart rate, tunnel vision. Never had that issue with Ritalin, either short acting or extended release, brand or generic.
Sometimes it takes a while to figure out which med works best for you...family member tried pretty much all of them, can only tolerate the Daytrana patch... I do ask my MD to specify "Brand Only" on prescriptions. Costs more but meds are consistent... As others have said, have a conversation with your MD, or get in touch with the Hallowell Center in Sudbury. Lots of expertise there...
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Colnagi Seven Sampson Hot Tubes LiteSpeed SpeshFatboy |
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15 years later, no problem peeing. In fact, I'll be right back. .... There, that's better.
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Colnagi Seven Sampson Hot Tubes LiteSpeed SpeshFatboy |
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Not a doctor (medical) and about to cite a single case:
friend was on adderall for years and her aorta ruptured (otherwise healthy, early 50s). all of which is to say, consult your doctor and be careful with that drug. |
#23
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When a manufacturer releases a generic drug, they have to prove that all the relevant pharmacokinetic parameters are close enough to equal to those of the branded drug. The drug itself should be identical. That said, any one person may be sensitive to something in the non-active ingredients in a way that affects how they metabolize the drug in question. If you do not respond to a particular stimulant, I'd probably try different stimulants first before trying the branded version of the original stimulant. If you've switched from the branded version, do be aware of the placebo effect, but it's certainly possible that you do respond better to the branded version. Same applies if you had one version of a generic, and your pharmacy switched the version. I've heard some people on Reddit swear that they needed one specific manufacturer's generic. I've had my meds switched among generic manufacturers with no issue to me. |
#24
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Also completely irrelevant to this conversation, statistically speaking.
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Colnagi Seven Sampson Hot Tubes LiteSpeed SpeshFatboy |
#25
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For example, time release mechanisms - a generic only needs to show the same type of time release (extended, 12hr, etc) not the same method. One might use a different method of time release, they might apply that time release to the active ingredient a different way with a different release curve. Those active and inactive ingredients are packed into a pill of a slightly different surface to mass ratio. Time release mechanisms are usually protected by separate patents. Application of those mechanisms may be tricky. For example, some pills use the outer casing as the time release - this is shot up by lasers. Is the laser setup on one production line here the same as the one in another factory? Probably not. Ingredient sourcing - one company will use a different supplier than the other. Think about the size of the grains before they are made into pills. That grain size will affect intake a great deal. Think about the difference in taste between normal sugar and powdered sugar. Another thing to consider.... when you think of drugs, there are "two-part" cocktails, delicate cocktails with a lot of technique, and wholly complex concoctions. Everyone will or can make the 'two-part' cocktails (asprin), no one wants to make the complex oil refinery level ones (insulin and pseudoephedrine), and there's a lot of drugs in between where a generics firm can make money making the drugs that are somewhat difficult to make because other firms can't or won't make them. They're difficult to make and they will therefore be different than the brand name. The brand name is generally made the best because there was a lot riding the FDA testing and they wanted good market uptake. Last edited by jfranci3; 09-12-2019 at 05:25 PM. |
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Her doctors said Adderall was a major contributing factor. Aorta rupture is much more common in men (60+) and very rare in women in their 50s. Anyway, it's worth what anything on an Internet forum is worth. |
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***IG: mttamgrams*** |
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