Posted by Ritch on March 19, 2002, at 0:35:31
In reply to d-amphetamine vs. l-amphetamine?, posted by MB on March 18, 2002, at 16:10:17
> Anyway, during the day, I sometimes come down with horrible sympathetic overstimulation (chills, cold sweats, goosebumbps, creepy/crawly scalp, etc). It seems that when the Adderall first "kicks in" it is nothing like this, yet later in the day, the stimulation becomes more "ephedrine-like", then gets better. Along with the "ephedrine-like" stage is usually a mood swing in the negative direction (irritability or start crying over nothing or feel completely dead inside).
>
> Could this be the action of the l-amphetamine? I've been told that the pharmacokinetics of the four different Adderall salts is unknown (true?). The Dr's Assistent recommended Concerta. Methylphenidate, I've been told is even *more* peripherally active than Amphetamine. Am I wrong? Am I barking up the wrong tree if I ask tomorrow (my consultation) to be switched to dextroamphetamine?
>
> --also, I'm wondering if Serzone could be increasing norepinephrine at such a low dose (i.e., exacerbating Adderall's sympathamimetic side effects).
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> I feel like the Doctor should have the answer, but instead it seems up to me to figure this out. Everything he's tried so far has made me sicker.
>
> MBHi MB,
Well, I have finally had a chance to try out dexedrine by itself and I do like it better than Adderall. There isn't the "waviness" of energy levels during the day. BUT, you will probably have to multidose the stuff more so than Adderall-which might be a pain, but if you are already taking meds on a fairly militaristic regimen-it should't be any problem. In my case, I don't even take any of it when I get up. I just make some coffee, work-out, eat breakfast, and then *after* I get to work I take a small dose of the dexedrine, and that's it. I found it interesting that some kids with ADHD only take their pstims during school hours. On weekends, evenings, they take stimulant holidays-and interestingly with diphenhydramine. You might consider supplement add-ons like SAM-e and Flax oil, etc. Since you are seeing all of these exotic pdocs, you might try the new Focalin (dexmethylphenidate), and see how that works for ya.
Mitch
poster:Ritch
thread:98610
URL: http://www.dr-bob.org/babble/20020318/msgs/98732.html