My Life. My Dreams. My Nightmares. ([info]blissfulmisses) wrote in [info]add_adhd,
@ 2008-09-26 08:20:00
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New member - adult ADHD, adderall, and gastric bypass interference
Hello all. I have pretty severe ADHD (extreme hyperactivity in both my physical body and in my brain: ie difficulty compartmentalizing tasks without an immense need to multi-task) and am currently on 10mg of Adderall XR 3x a day (30mg total daily) - and I feel as if the initial benefits are fading. As a gastric bypass patient, I metabolize my medication *very* quickly (my stomach is the size of an egg - so meds disolve very quickly and the XR has little effect, as the tiny beads "dump" into my blood stream 10x faster than the patient with an average stomach/GI system). At first I noticed my appetite was suppressed from Adderall - but after a few months of taking it/dose changes I found I got my appetite back. Another thing that's "odd", is that though it's a stimulant, I can sleep fine on it - as it actually quiets my brain down enough for me to be able to be "empty-headed" enough for concentrated sleep.

My question is - how do I go about talking to my doctor about increasing my adderall to perhaps 20mg 2-3 times a day? I think 30mg is too low for me - as I still have a difficult time focussing (walked out of a broadway show last night because I got too frustrated with the plot line) and am still having trouble reading, something I loved when I was bigger (I went from 300 pounds to 100 pounds from the WLS), but since losing the weight I've lost all control over my brain's need to jump from thing to thing. I'm currently reading about 12 books - half-way through all - before I get bored and jump to another. Something isn't right. When I first started adderall I saw a huge improvement - but that faded to where I am now; which is better - but not as good as I feel I can be - and I don't want it to seem as though I'm exhibiting drug seeking behavior - because I'm not (mother is a bipolar schizophrenic with epilepsy - so she's been known to exhibit such behavior, so I'm always weary of mimicry).

Help? Is 60mg a day too much? Or could it be right for *me* as an individual?



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[info]bantiarna
2008-09-26 12:27 pm UTC (link)
Id be leary of upping meds you are metabolising too fast.

I would look into if these meds have a patch or something that is absorbed by your body other than in your stomach. You do not want to over medicate yourself just to medicate yourself. So look into other options than just upping the dose!

Good luck!

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[info]blissfulmisses
2008-09-26 12:58 pm UTC (link)
We've talked about the patch- but I'm getting married in 9 days so I don't want to switch until I'm back from the honey moon.

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[info]hyrkanian
2008-09-26 12:40 pm UTC (link)
Are you taking the meds 7 days a week with no breaks? I find that taking a weekend off every few weeks of Concerta helps with not building up tolerance to it. Just a thought.

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[info]blissfulmisses
2008-09-26 12:58 pm UTC (link)
Yep I take it every day. Good call. But with getting married in 9 days - it's not an option for me right now because without my adderall I'd be an anxious mess with all that needs to be done. Too many tasks being thrown at me for my brain to naturally compartmentalize.

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[info]hyrkanian
2008-09-26 01:06 pm UTC (link)
By all means don't take a meds holiday now, then. :) But maybe in future try to schedule in meds holidays and see if it helps.

Congrats on the upcoming wedding!

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[info]sugarplumkitty
2008-09-26 12:59 pm UTC (link)
If I skip my Adderall on the weekend, I'm so sleepy all day...

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[info]hyrkanian
2008-09-26 01:04 pm UTC (link)
Oh I know. Same here skipping Concerta. But I look at it this way, I can spend one weekend getting nothing done and function better the next couple of weeks, or get a few things done on the weekend and keep struggling to get anything done on an ongoing basis... There are no easy answers, eh. :(

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[info]sugarplumkitty
2008-09-26 01:09 pm UTC (link)
I'd talk to your doctor. He/She would be a better person to advise you on the use of controlled medications than your average ADHD patients! Your case is different than most of us. I haven't had gastric bypass but I do notice my med wear off mid-afternoon. XR is only meant to last about 8 hours and I have to take mine (30mg XR just like yours) as soon as I wake up to get myself to work. I have a short-acting 10mg dose I take for nights I have classes. Being IT means going to school whenever a new OS pops up. I can sleep on my meds but going without means absolute naptime if I have to be quiet and still. That's not good for school! lol

Maybe switching to short-acting would work better for you since your body is using XR like it's short-acting anyway. I find the 10mg dose in the evening is perfect for my class nights. If you switched to taking 10mg every four hours instead of the 30mg XR once per day, you might not need to raise your daily dosage.

Again, talk to your doctor. That's why he/she is there!

Congrats on your pending wedding! I was completely overwhelmed with planning mine and forgot to plan the reception. The caterer ended up directing it. lol

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[info]blissfulmisses
2008-09-26 01:20 pm UTC (link)
Short acting adderall is like heart attack in a bottle for WLS patients. Because our stomachs are so tiny the pills disolve very quickly and "dump" into the blood stream - giving an extreme speed effect and racing heart beat (130 beats per minute resting), and lasts for about an hour. The XR doesn't dump the same way - instead acts like a regular adderall does, for about 4 hours.

And I don't take 30mg XR once a day - I take 10mg XR 3x a day

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[info]sugarplumkitty
2008-09-26 01:48 pm UTC (link)
See? I had no idea. Definitely discuss this with your doctor.

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[info]brunhildevalkyr
2008-09-26 07:16 pm UTC (link)
I don't think they approved Vyvanse for adults yet, but if they do that would be something I'd recommend. My 5 year old metabolized Adderall like mad. Vyvanse is the only thing that gets him through the school day.

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[info]annechaucer
2008-11-07 08:47 pm UTC (link)
on the walking out of a broadway show for not being able to follow the plot... (joking here) it could be it just sucked. i've walked out of a few of those myself :)

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