| My Life. My Dreams. My Nightmares. ( @ 2008-09-26 08:20:00 |
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?
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?